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
SAFETY & HEALTH CNCL OF GR OMAHA INC D/B/A NATIONAL SAFETY COUNCIL NEBRASKA
Employer identification number
47-0259720
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.") .
465,845
536,561
511,605
654,661
623,859
2,792,531
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......
3,370,515
3,226,763
3,558,935
3,748,456
3,455,427
17,360,096
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.
3,836,360
3,763,324
4,070,540
4,403,117
4,079,286
20,152,627
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.)
20,152,627
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...
3,836,360
3,763,324
4,070,540
4,403,117
4,079,286
20,152,627
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
5,912
3,893
3,348
5,397
5,931
24,481
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
5,912
3,893
3,348
5,397
5,931
24,481
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.)
..
7,420
47,462
32,671
69,815
4,280
161,648
13
Total support. (Add lines 9, 10c, 11, and 12.)..
3,849,692
3,814,679
4,106,559
4,478,329
4,089,497
20,338,756
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
99.080 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.860 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.120 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.140 %
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
SAFETY & HEALTH CNCL OF GR OMAHA INC D/B/A NATIONAL SAFETY COUNCIL NEBRASKA
Employer identification number
47-0259720
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 4
THE ORGANIZATIONAL BYLAWS WERE AMENDED AS OF DECEMBER 5, 2013 TO INCLUDE THE FOLLOWING: 1. MEMBERSHIPS, DUES AND REPORTS: MEMBERSHIP AND DUES WERE UPDATED TO REFLECT THE AGREEMENT WITH NATIONAL SAFETY COUNCIL. 2. PRESIDENT/CEO: THE BYLAWS WERE REVISED TO UPDATE THE PRESIDENT/CEO TITLE AND INSERT CLEAR AUTHORITY TO EXECUTE CONTRACTS. 3. BOARD OF DIRECTORS: - SECTION 1: NUMBER AND TERM OF OFFICE: DEFINES MINIMUM OF 12 AND MAXIMUM OF 25 BOARD MEMBERS, UPDATES COMMITTEE LANGUAGE TO REFLECT NEW COMMITTEE STRUCTURE, INSERTS TERM LIMITS - EFFECTIVE DATED NOVEMBER 30, 2015, CLARIFIES BOARD MEMBER EMPLOYMENT CRITERIA, INSERTS REMOVAL OF BOARD MEMBER LANGUAGE. - SECTION 2: ADVISORY COUNCIL: RE-CHARACTERIZES THE EX OFFICIO BOARD MEMBERS AS AN ADVISORY COUNCIL, REMOVES THE REQUIREMENT OF TWO VOTING MEMBERS FOR EVERY NON-VOTING MEMBER. - SECTION 3: EMERITUS MEMBERS: EX OFFICIO MEMBERS WERE CHANGED TO ALLOW EMERITUS BOARD MEMBERS WITH ALL PRIVILEGES OF STANDING BOARD MEMBERS EXCEPT VOTING POWER. - SECTION 4: PRESIDING OFFICER: CLARIFIES PRESIDING OFFICER SUCCESSION. - SECTION 6: VACANCIES: REDEFINES BOARD VACANCIES AND ESTABLISHES A TERM. - SECTION 7: MEETINGS: PROVIDES TELECONFERENCING AND REMOTE ATTENDANCE BY BOARD MEMBERS. 4. OFFICERS: - SECTION 1: OFFICERS AND ELECTION: DEFINES OFFICERS - REMOVES VICE-CHAIRMAN AND ADDS CHAIRMAN ELECT, DEFINES LEGAL COUNSEL ROLE, INSERTS WITH CAUSE DISMISSAL OF BOARD MEMBERS. 5. COMMITTEES: - SECTION 1: COMMITTEES IN GENERAL: DEFINES GENERAL FUNCTIONS OF COMMITTEES, AND CERTAIN MEMBER VOTING RIGHTS. - SECTION 2: STANDING COMMITTEES: DEFINES STANDING COMMITTEES - EXECUTIVE, FINANCE, AND NOMINATING/GOVERNANCE. - SECTION 3: SPECIAL COMMITTEES: PROVIDES FOR SPECIAL COMMITTEES. - SECTION 4: EXECUTIVE COMMITTEE: DEFINES EXECUTIVE COMMITTEE - FUNCTION AND MEMBERS. - SECTION 5: FINANCE COMMITTEE: DEFINES FINANCE COMMITTEE - FUNCTION AND MEMBERS. - SECTION 6: NOMINATING AND GOVERNANCE COMMITTEE: DEFINES NOMINATING AND GOVERNANCE COMMITTEE - FUNCTIONS AND MEMBERS. 6. FINANCES: - SECTION 2: SECRETARY/TREASURER: PROVIDES TITLE CONFORMITY FOR SECRETARY/TREASURER AND PRESIDENT/CEO. - SECTION 3: DISBURSEMENT: EXPENDITURES OVER $5,000 ARE NOW REQUIRED TO HAVE THE SIGNATURES OF TWO AUTHORIZED INDIVIDUALS. 7. INDEMNIFICATION AND INSURANCE: - SECTION 2: INSURANCE: THE COUNCIL NOW HAS THE POWER TO PURCHASE AND MAINTAIN INSURANCE ON BEHALF OF THE COUNCIL AGAINST ANY LIABILITY ASSERTED OR INCURRED BY THE AGENT.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS REVIEWED BY THE PRESIDENT/CEO OF THE SAFETY COUNCIL AND PRESENTED TO THE AUDIT COMMITTEE AT THEIR NEXT REGULARLY SCHEDULED MEETING.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION MONITORS THE POLICY AS IT PERTAINS TO EMPLOYEES. EMPLOYEES DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS BASED ON THE EMPLOYEE HANDBOOK AS ITEMS OCCUR.
FORM 990, PART VI, SECTION B, LINE 15
THE PRESIDENT/CEO'S ANNUAL COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECTIVE COMMITTEE REVIEWS THE CEO'S GOALS AND OBJECTIVES AND USES THE RESULTS OF THE COUNCIL ACTIVITIES ALONG WITH COMPARABILITY DATA TO DETERMINE ANY CHANGES IN COMPENSATION. THE COUNCIL PARTICIPATES IN THE ANNUAL SALARY SURVEY OF THE NONPROFIT ASSOCIATION OF THE MIDLANDS AND USES THAT AS A BENCHMARK FOR COMPENSATION OF ITS EMPLOYEES. ALL OTHER KEY EMPLOYEES ARE REVIEWED ANNUALLY BY THE CEO AND CHANGES IN COMPENSATION ARE BASED ON THE RESULTS OF THE ANNUAL REVIEW ALONG WITH THE SALARY SURVEY INFORMATION.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G
STOP - OMAHA ADMINISTRATION FEE: PROGRAM SERVICE EXPENSES 425,535. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 425,535. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 72,960. MANAGEMENT AND GENERAL EXPENSES 20,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,726.
FORM 990, PART XII, LINE 2C
THE ORGANIZATION HAS AN AUDIT COMMITTEE WHICH IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.