Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
DULUTH BETHEL SOCIETY
Employer identification number
41-0694691
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
100,670
60,331
19,813
11,134
10,440
202,388
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
2,740,142
2,649,226
3,001,087
2,890,931
3,024,193
14,305,579
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
2,840,812
2,709,557
3,020,900
2,902,065
3,034,633
14,507,967
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
14,507,967
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
2,840,812
2,709,557
3,020,900
2,902,065
3,034,633
14,507,967
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
16,257
18,626
18,293
18,217
23,981
95,374
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
16,257
18,626
18,293
18,217
23,981
95,374
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
12,434
8,610
13,341
5,320
5,776
45,481
13
Total support. (Add lines 9, 10c, 11, and 12.)..
2,869,503
2,736,793
3,052,534
2,925,602
3,064,390
14,648,822
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
99.040 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
98.880 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.650 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.700 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
DULUTH BETHEL SOCIETY
Employer identification number
41-0694691
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
THE TAX RETURN IS NORMALLY PRESENTED TO THE BOARD'S FINANCE SUB-COMMITTEE FOR REVIEW. THE RETURN IS THEN PRESENTED AT THE NEXT BOARD MEETING FOR CONSIDERATION OF BOARD FOR APPROVAL AND WITH RECOMMENDATION FROM THE FINANCE COMMITTEE. AFTER BOARD APPROVAL, THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C
THE FOLLOWING POLICIES AND PROCEDURES ARE APPLICABLE TO BOARD MEMBERS, COMMITTEE MEMBERS, OFFICERS AND STAFF, EXCEPT WHERE THE CONTEXT SPECIFICALLY LIMITS THEM TO PERSONS WITH A PARTICULAR AFFILIATION TO THE ORGANIZATION. DISCLOSURE PROTOCOL 1. ANY CONFLICTS OR DUALITY OF INTEREST SHALL BE DISCLOSED TO THE BOARD CHAIR. CONFLICTS OF EMPLOYMENT OR AFFILIATION SHALL BE DISCLOSED BEFORE ACCEPTING POSITIONS. 2. IF AT ANY TIME ONE HAS A CONFLICT WITH RESPECT TO AN ACTIVITY UNDERTAKEN BY THE ORGANIZATION'S BOARD OR BY A COMMITTEE, SUCH DISCLOSURE WILL OCCUR AND THE PERSON SHALL NOT PARTICIPATE IN ANY CONSIDERATION OF A GRANT REQUEST, MAY NOT VOTE, AND MAY LEAVE THE ROOM DURING THE DISCUSSION AND VOTING OR BE ASKED BY THE CHAIR TO LEAVE THE ROOM DURING THE DISCUSSION AND VOTING. 3. A CONTRACT OR OTHER TRANSACTION BETWEEN THE ORGANIZATION AND A DIRECTOR OR COMMITTEE MEMBER IS NOT VOID OR VIOLABLE BECAUSE THE DIRECTOR OR COMMITTEE MEMBER IS A PARTY TO THE CONTRACT OR BECAUSE THE DIRECTOR IS PRESENT AT THE MEETING AT WHICH THE CONTRACT OR TRANSACTION IS AUTHORIZED, APPROVED OR RATIFIED, SO LONG AS THE FOLLOWING CONDITIONS ARE SATISFIED: A) THE MATERIAL FACTORS CONCERNING THE CONTRACT OR TRANSACTION AS THEY RELATE TO THE DIRECTOR'S CONFLICT OF INTEREST ARE FULLY DISCLOSED, OR KNOWN TO THE BOARD OR COMMITTEE AUTHORIZING, APPROVING OR RATIFYING THE CONTRACT OR TRANSACTION; AND B) THE BOARD OR COMMITTEE AUTHORIZING, APPROVING, OR RATIFYING THE CONTRACT OR TRANSACTION DOES SO IN GOOD FAITH BY A MAJORITY, NOT COUNTING ANY VOTE THAT THE INTERESTED DIRECTOR MIGHT OTHERWISE HAVE, AND NOT COUNTING THE DIRECTOR IN DETERMINING THE PRESENCE OF A QUORUM. THESE CONDITIONS ALSO APPLY TO CONTRACTS OR OTHER TRANSACTIONS BETWEEN THE ORGANIZATION AND A MEMBER OF A DIRECTOR'S FAMILY OR AN ORGANIZATION IN OR OF WHICH THE DIRECTOR OR A MEMBER OF THE DIRECTOR'S FAMILY IS A DIRECTOR, OFFICER OR LEGAL REPRESENTATIVE OR HAS A MATERIAL FINANCIAL INTEREST. THE VALIDITY OF ANY SUCH CONTRACT OR OTHER TRANSACTION SHALL BE PREMISED ON A FINDING THAT ANY SERVICES OR CHARGES ARE PROVIDED AT RATES COMPETITIVE WITH THOSE AVAILABLE FROM INDEPENDENT THIRD PARTIES AND THAT THE RELATIONSHIP IS FAIR. VIOLATIONS OF DISCLOSURE PROTOCOL I. IF THE BOARD CHAIR/COMMITTEE CHAIR (OR VICE CHAIR IF THE CHAIR IS THE MEMBER IN QUESTION) OR A BOARD MEMBER HAS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR OR COMMITTEE MEMBER HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST/DUALITY OF INVOLVEMENT OR MAINTAIN CONFIDENTIALITY, THE DIRECTOR OR MEMBER SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND BE AFFORDED THE OPPORTUNITY TO EXPLAIN. 2. IN SUCH EVENT, THE BOARD OR COMMITTEE SHALL EITHER DETERMINE THE QUESTION BY A VOTE OF THE MEMBERS PRESENT AT THE MEETING OR SHALL REFER THE QUESTION TO AN AD HOC COMMITTEE APPOINTED BY THE BOARD CHAIR OR VICE CHAIR. 3. IF IT IS DETERMINED BY THE BOARD OR COMMITTEE THAT A BOARD MEMBER OR COMMITTEE MEMBER HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST/DUALITY OF INVOLVEMENT OR MAINTAIN CONFIDENTIALITY, APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION SHALL BE TAKEN. THIS MAY INCLUDE RESCINDING OF AGREEMENT AND/OR TERMINATION OF BOARD OR COMMITTEE STATUS. RECORDS OF PROCEEDINGS THE MINUTES OF THE BOARD AND COMMITTEE MEETING SHALL CONTAIN: 1. THE NAMES OF THE PERSON WHO DISCLOSED CONFLICT OF INTEREST/DUALITY OF INVOLVEMENT REGARDING A BOARD OR COMMITTEE ACTION AND THE NAME OF THE INTEREST; AND 2. THE NAMES OF THE PERSONS PRESENT FOR THE DISCUSSION AND VOTE RELATING TO THE ACTION, SUMMARY OF THE DISCUSSION, AND A RECORD OF ANY VOTES TAKEN APPROVING OR REJECTING THE PROPOSED ACTION OR ARRANGEMENT. WRITTEN DISCLOSURE IT IS THE RESPONSIBILITY OF EACH BOARD MEMBER, COMMITTEE MEMBER AND ORGANIZATION EMPLOYEE TO INFORM THE PRESIDENT OR CHAIR OF THE ORGANIZATION OR COMMITTEE OF ANY CONFLICTING ROLES OR DUAL ROLES THEY MAY HAVE IF SUCH HAS NOT OTHERWISE BEEN MADE KNOWN OR IDENTIFIED. ADDITIONAL RULES THE BOARD RECOGNIZES THAT, IN SOME SITUATIONS (IN MOST CASES, RELATING TO GOVERNMENTAL FUNDED TRANSACTIONS), MORE RESTRICTIVE RULES MIGHT BE APPLIED AND THE BOARD, UPON AGREEING TO SAME, WILL FURNISH COPIES OF THEM TO ALL PERSONS. EACH BOARD MEMBER UPON ADMISSION RECEIVES THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15A
EACH PROGRAM DIRECTOR HAS AN ANNUAL REVIEW COMPLETED BY THE EXECUTIVE DIRECTOR WHICH RATES THE LEVEL OF PERFORMANCE FOR EACH AREA OF THEIR JOB DESCRIPTION. THE EXECUTIVE DIRECTOR IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS WHICH RATES THE LEVEL OF PERFORMANCE BASED ON EACH AREA OF THE EXECUTIVE DIRECTORS JOB DESCRIPTION OR SUBSEQUENT BOARD APPROVED TOOL. THE ORGANIZATION USES THE MINNESOTAA NON-PROFIT SALARY AND BENEFIT SURVEY TO DETERMINE WHETHER COMPENSATION IS REASONABLE. BOARD CONSENSUS IS A BENCHMARK TOOL.
FORM 990, PART VI, SECTION C, LINE 18
FORMS 1023 AND 990 ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.