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
METROPOLITAN AREA AGENCY ON AGING INC
Employer identification number
41-1774247
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.") ....
9,965,061
9,895,193
10,372,709
11,773,424
13,267,878
55,274,265
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
9,965,061
9,895,193
10,372,709
11,773,424
13,267,878
55,274,265
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.
55,274,265
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..
9,965,061
9,895,193
10,372,709
11,773,424
13,267,878
55,274,265
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
47,475
60,122
42,479
16,577
15,225
181,878
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.)..
4,507
26,249
9,634
40,390
11
Total support (Add lines 7 through 10).
55,496,533
12
Gross receipts from related activities, etc. (see instructions)
..................
12
218,670
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
99.600 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.350 %
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.") .
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
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.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
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.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
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...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
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.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
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
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
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
METROPOLITAN AREA AGENCY ON AGING INC
Employer identification number
41-1774247
Return Reference
Explanation
FORM 990, PART III, LINE 2
BEGAN THE PRE-ADMISSION SCREENING PROGRAM (PAS) AND RESIDENT REVIEW FOR THE METRO REGION 11/13. LEVEL 1 SCREENS CONDUCTED FOR MENTAL ILLNESS OR MENTAL RETARDATION (FEDERALLY MANDATED TERMS) PRIOR TO NURSING HOME PLACEMENT WITH REFERRAL TO COUNTY UNITS FOR LEVEL II. CONSUMERS CAN RECEIVE CONSULATION ABOUT COMMUNITY LONG TERM SERVICES AND SUPPORTS.
FORM 990, PART VI, SECTION B, LINE 11
MANAGEMENT STAFF AND THE AUDIT/FINANCE COMMITTEE REVIEW THE DRAFT FORM 990 IN DETAIL. THE EXECUTIVE COMMITTEE REVIEWS THE FORM 990 WITH DISCUSSION REFLECTED IN THE MEETING MINUTES. BOARD MEMBERS RECEIVE A COPY OF THE DOCUMENT ONE WEEK PRIOR TO THEIR REGULAR MEETING WHERE THEY REVIEW THE 990 AND APPROVE ITS SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C
BOARD MEMBERS OF THE MAAA ARE ASKED TO SUBMIT AN ANNUAL STATEMENT DECLARING CONFLICTS OF INTEREST, IF ANY. IF A BOARD MEMBER DECLARES A CONFLICT OF INTEREST, THE BOARD'S EXECUTIVE COMMITTEE WILL RESOLVE ANY REAL OR APPARENT CONFLICT(S) AND, IN THE ABSENCE OF RESOLUTION, REFER THE MATTER TO THE BOARD OF DIRECTORS. DURING MEETINGS OF THE BOARD AND ITS COMMITTEES, BOARD MEMBERS ARE REQUIRED TO DECLARE ANY REAL OR APPARENT CONFLICT OF INTEREST. TO DETERMINE IF A CONFLICT OF INTEREST EXISTS, THE "INTERESTED PERSON" DISCLOSES THE MATERIAL FACTS, AND THE BOARD, OR THE COMMITTEE THERE OF, DETERMINES WHETHER A CONFLICT EXISTS. DISINTERESTED BOARD MEMBERS CAN GATHER ADDITIONAL FACTS FROM THE INTERESTED BOARD MEMBER. NO BOARD MEMBERS MAY VOTE IN ANY DELIBERATION RELATING TO POLICIES, ISSUES, OR SELECTION OF VENDORS, AND/OR FUNDING PROPOSALS IN WHICH HE/SHE HAS A CONFLICT OF INTEREST AS DETERMINED BY THE BOARD. PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES OR AS OTHERWISE APPROPRIATE. KEY EMPLOYEES: EMPLOYEES RECEIVE A COPY OF THE AGENCY'S EMPLOYEE HANDBOOK AT THE TIME OF HIRE. THE HANDBOOK OUTLINES ACTIONS DEEMED TO BE CONFLICT OF INTEREST AND THE DISCIPLINARY ACTIONS THAT RESULT IF AN EMPLOYEE VIOLATES THE CONFLICT OF INTEREST POLICY. SUPERVISORS ARE RESPONSIBLE TO KNOW THE AGENCY'S CONFLICT OF INTEREST POLICY AND MONITOR THE EMPLOYEES THEY DIRECTLY SUPERVISE RELATED TO CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD'S EXECUTIVE COMMITTEE DETERMINES ALL AGENCY SALARY RANGES VIA COMPARISON WITH SURVEY INFORMATION INCLUDING THAT COMPILED BY THE MN COUNCIL OF NON-PROFITS IN THEIR ANNUAL PUBLICATION, MINNESOTA NONPROFIT SALARY AND BENEFITS SURVEY. THS SURVEY IS A COMPILATION OF APPROXIMATELY 600 MINNESOTA NONPORFIT CORPORATIONS. IN ADDITION THE COMMITTEE CONSIDERS ADDITIONAL SPECIFIC INFORMATION FROM AGENCIES SIMILAR TO THE AGENCY. EACH KEY EMPLOYEE RECEIVES AN ANNUAL PERFORMANCE REVIEW AND HIS/HER SALARY IS DETERMINED BASED ON MERIT WITHIN THE ESTABLISHED RANGE. THE COMPARATIVE PROCESS WAS LAST USED IN 2009 FOR THE EXECUTIVE DIRECTOR, D. SIMONSON AND THE FINANCE DIRECTOR, T. NIELSEN.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.