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.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Girl Scouts of Utah
Employer identification number
87-0221612
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
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—2011.
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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
424,325
403,094
357,566
343,023
300,407
1,828,415
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......
5,055,740
5,488,875
5,703,671
6,704,587
6,318,323
29,271,196
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
5,480,065
5,891,969
6,061,237
7,047,610
6,618,730
31,099,611
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
153,482
138,612
72,000
137,174
151,924
653,192
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..
153,482
138,612
72,000
137,174
151,924
653,192
8
Public support (Subtract line 7c from line 6.)
30,446,419
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
5,480,065
5,891,969
6,061,237
7,047,610
6,618,730
31,099,611
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
55,026
43,739
48,323
43,682
85,163
275,933
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
55,026
43,739
48,323
43,682
85,163
275,933
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
26,243
14,418
21,020
61,681
13
Total support. (Add lines 9, 10c, 11, and 12.)..
5,535,091
5,935,708
6,135,803
7,105,710
6,724,913
31,437,225
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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
96.850 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
97.090 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0.880 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
0.880 %
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to 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) 2012
Additional Data
Software ID:
12000229
Software Version:
2012v2.0
-
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.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Girl Scouts of Utah
Employer identification number
87-0221612
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
Guidestar, GSUSA, GSU
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
Girl Scouts of UT compensates its employees & officers based on their compensation policy that was approved by the Board of Directors. They also have an organizational salary structure that was created using compensation analytics, local & national compensation data, Girl Scouts of the USA compensation data, benchmarking efforts, and internal equity analysis. All positions are placed within a pay grade level, with each pay grade having a minimum, midpoint, and maximum.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
Any possible potential conflict of interest shall be disclosed in writing to the chair of the council board of directors by the individual concerned prior to engaging in conflict of interest action.When any such conflict of interest is relevant to a matter requiring action by the board, the interested person shall call it to the attention of the chair, and such person shall not vote on the matter. Moreover, the person having the conflict shall leave the room in which the meeting is held and not participate in the final deliberations or decision regarding the matter under consideration.The minutes of the meeting shall reflect that conflict of interest was disclosed and that the interested person was not present during the final discussion or vote and did not vote. When there is a doubt as to whether a conflict of interest exists, the matter shall be resolved by vote of the body, excluding that individual. In the event that a potential conflict of interest is not disclosed, the matter shall be referred to the board for determination of continued membership of the individual concerned.Each staff member signs a Staff Member Conflict of Interest Policy Statement indicating they have read the policy statement and understand the facts regarding possible questions of violation. When the policy manual is revised every two years, each staff member receives a fresh copy and is asked to re-sign the Conflict of Interest Policy Statement. If a situation or occurrence arises in which a staff members conflict of interest is questioned, a full investigation and review is conducted to include a fact-finding stage, interview(s), evaluation, and conclusion. If there is a conflict of interest in which a staff member may be seen as competing with the interest and concerns of GSU, any matters that arise will be referred to the CEO for necessary action. Disciplinary action, up to and including separation of employment, may occur.
Form 990, Part VI, Line 11b
Form 990, Part VI, Line 11b: Form 990 Review Process
Form 990 is subject to board review and approval.
Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders
According to the GSU bylaws, GSU delegate members must approve of any proposed amendments to the GSU Constitution and Bylaws if the amendment concerns: the voting rights of members; election of the Board of Directors and the Nominating Committee; GSU's affiliation with GSUSA; and/or the dissolution and distribution of assets.
Form 990, Part VI, Line 7a
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body
According to GSU's bylaws, members of the GSU Board of Directors are elected by GSU delegate members to serve on the Board.
Form 990, Part VI, Line 6
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder
According to GSU's bylaws, the Girl Scouts is a membership organization.
Form 990, Part VI, Line 4
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents
Article III, Definitions section has been added in order to use abbreviations for consistently used wording and for ease of documentation and clarityArticle III, 16 Meeting notice language used the phrase electronic postal address which is not reflective of the intent to use email addresses in addition to postal mail addressesArticle IV, 2 Service Unit Delegate numbers are determined as of September 30 (of previous year) to coincide with the membership year, rather than July 31st of current year, this will be much easier to determine numbers for both staff and Service Units. A delegates term will continue to be 2 years but an individual wont be available for election again until another 2 years have passed. It is important for all members to have the opportunity to serve in this capacity should they desire and be elected. This also brings this in line with other term guidelines.Article IV, 2 Election of Service Unit Delegates is an important task for the Service Unit members and should take place at a Service Unit meeting where there is a quorum of at least 25% of the members.Article IV, 4 In order for delegates to be informed and represent their Service Unit, attendance at Service Unit meetings, participation in Town Meetings and other delegate communication is expected. Eligibility to vote based on verification of member in good standing and meeting attendance record will be determined prior to annual meeting.Article V, 6 All nominations are expected to be reviewed by the BDC to determine eligibility no less than 60 days prior to Annual Meeting. Review by the BDC follows process and procedures the committee is charged with (previously approved by the Voting Members) and assures all candidates fill the strategic needs established by the Board, and have the qualifications for the office/position for which she/he is being nominatedArticle VI, 1 The composition of the BDC has not changed since the committee was a Nominating Committee whose main charge was recruiting, screening and preparing the slate of nominees. Now that their role is significantly expanded, it makes sense to have more individuals to effectively complete this work. It is important and valuable to continue to have a majority of the BDC members be non-board members. The CEO and Chair serve an Ex Officio members of the BDC, the Chair is a voting member, and the CEO is a non-voting memberArticle VI, 7 Removal State law language guides this procedure.Article VII, 3, d Treasurer stated as ex-officio member of Audit/Finance/Investment committees with privilege of vote. Previously stated without privilege of vote. GSUSAs model does not exclude the Treasurer from voting and we dont feel this is a conflict.Article VIII, 1 Succession planning is a priority for the BDC prior to terms expiring. In most years it would be nearly impossible to follow the previous guideline of a specified number of board members or BDC members turning over each year. We are unable to predict how many terms an individual may be interested or asked to serve.Article VIII, 2 Youth Representatives As the board continues to support opportunities for girl leadership and development, it is suggested to have 2 appointed representatives who are 16 years of age or older who would participate in board meetings, and discussions, but not be eligible to vote. A draft of a position description will be available soon for delegate input.Article VIII, 6 Special meetings constitute an emergency or crisis and should be named as such. In order to protect the corporation in these instances a meeting may need to be convened on an immediate basis.Article VIII, Board of Directors Some items were moved into this area from other sections, and the following sections added for duty clarification Meeting by Telecommunication, Action Without Meeting, Waiver of Notice, Conflict of Interest, Resignation.Article IX, Chief Executive Officer Previously mentioned under Officers, but moved into a separate article for clarification.Article X, 3 For ease of interim action based on the responsibilities of this committee, extended prior notice is not in the best interests of the corporation.Article XII, Paragraph 4 -- stated that if the National Delegates or National Alternates fail to meet the position responsibilities set forth in the position description, they will be subject to removal in the same manner as the Board (similar to the election terms in paragraph 2).Article XIV, Indemnification - The indemnification provision, as contemplated by Utah State law, protects the elected officers, board members and employees who act in good faith and in the best interest of the Corporation. This provision does not protect any person who is a bad actor. This indemnification provision will help attract high level board recruits, as most potential board members inquire about indemnification and Officers & Directors coverage. The Corporation has and continues to hold Officer & Director insurance coverage.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.