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
PUTNAM COUNTY COMMUNITY FOUNDATION INC
Employer identification number
31-1159916
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.") ....
460,829
564,014
624,371
675,224
708,618
3,033,056
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
460,829
564,014
624,371
675,224
708,618
3,033,056
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.
3,033,056
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..
460,829
564,014
624,371
675,224
708,618
3,033,056
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
475,163
485,383
688,167
559,756
805,133
3,013,602
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.)..
36,218
57,023
45,275
21,530
22,682
182,728
11
Total support (Add lines 7 through 10).
6,229,386
12
Gross receipts from related activities, etc. (see instructions)
..................
12
22,682
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
48.690 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
44.640 %
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
PUTNAM COUNTY COMMUNITY FOUNDATION INC
Employer identification number
31-1159916
Return Reference
Explanation
FORM 990, PAGE 2, PART III, LINE 4D
NON-PROFIT LEARNING SERIES - VIBRANT NON-PROFIT ORGANIZATIONS ARE A HALLMARK OF A SUCCESSFUL COMMUNITY. THE PCCF OFFERS WORKSHOPS EACH YEAR DESIGNED TO SUPPORT LOCAL CHURCHES, NON-PROFIT ORGANIZATIONS AND UNITS OF GOVERNMENT TO MOVE TO THE NEXT LEVEL OF COMMUNITY SERVICE AND LEADERSHIP. THE CURRICULUM COVERS TOPICS RECOMMENDED BY WORKSHOP ATTENDEES, SUCH AS STRATEGIC PLANNING, BOARD GOVERNANCE, MARKETING, DEVELOPMENT, EVENT PLANNING, AND FINANCIAL ACCOUNTABILITY. GRANT-WRITING AND INDIVIDUALIZED STRATEGIC PLANNING SESSIONS ARE OFFERED UPON REQUEST.
FORM 990, PAGE 6, PART VI, LINE 6
THE PUTNAM COUNTY COMMUNITY FOUNDATION HAS MEMBERS WHICH ARE DEFINED IN THE BYLAWS. A MEMBER OF THE PCCF IS ANY PERSON WHO CONTRIBUTES ANNUALLY TO THE COMMUNITY FOUNDATION, EITHER FINANCIALLY OR BY SERVICES RENENDERED, HAS ESTABLISHED A FUND, OR IS RECOGNIZED IN THE DONOR HONOR ROLL. THERE ARE THREE HONORARY CLASSES OF MEMBERSHIP WITH VARYING LEVELS IN EACH THAT ARE BASED UPON FINANCIAL CONTRIBUTION: ANNUAL, CUMULATIVE, AND FOUNDERS CLUB. ALL MEMBERS HAVE EQUAL VOTING RIGHTS.
FORM 990, PAGE 6, PART VI, LINE 7A
THE POWERS AND DUTIES OF THE MEMBERS ARE DESCRIBED IN SECTION 3.3 OF THE BYLAWS AS FOLLOWS: THE MEMBERS OF THIS CORPORATION SHALL 1) ELECT MEMBERS OF THE BOARD OF DIRECTORS AS PROVIDED IN SECTION 5 3; 2) UPON REQUEST OF THE BOARD OF DIRECTORS, CONSULT AND ADVISE WITH THE BOARD; 3) EXPLAIN THE PURPOSES AND OPERATION OF THE CORPORATION TO THE GENERAL PUBLIC AND SEEK TO PROMOTE THE CORPORATION'S GROWTH; 4) ADVISE THE BOARD OF DIRECTORS AND THE STAFF OF THE CORPORATION OF THE RESOURCES, NEEDS, PROBLEMS AND CONDITIONS EXISTING IN THE COMMUNITY; 5) HELP THE CORPORATION, ITS DIRECTORS, AND STAFF IN ITS ACTIVITIES AND CONTACTS IN THE COMMUNITY. IN ADDITION, THE BYLAWS SPECIFY THAT THREE BOARD MEMBERS ARE APPOINTED AS FOLLOWS: ONE MEMBER NAMED BY THE GREENCASTLE CITY COUNCIL FOR A THREE YEAR TERM. THE FOUNDATION BOARD OF DIRECTORS MAY SUBMIT A LIST OF CANDIDATES FOR THEIR CONSIDERATION.; ONE MEMBER DESIGNATED BY THE MAYOR OF THE CITY OF GREENCASTLE FOR A ONE-YEAR TERM.; AND ONE MEMBER SELECTED BY THE PUTNAM COUNTY COUNCIL FOR A THREE-YEAR TERM. THE FOUNDATION BOARD OF DIRECTORS MAY SUBMIT A LIST OF CANDIDATES FOR THEIR CONSIDERATION.
FORM 990, PAGE 6, PART VI, LINE 7B
OTHER THAN ELECTION OF BOARD MEMBERS, ALL POWERS, DUTIES AND FUNCTIONS OF THE CORPORATION CONFERRED BY THE ARTICLES OF INCORPORATION, THESE BY-LAWS, INDIANA STATUTES, COMMON LAW, COURT DECISION OR OTHERWISE, ARE EXERCISED, PERFORMED OR CONTROLLED BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 11B
THIS 990 WAS REVIEWED BY THE FULL BOARD AT ITS JUNE MEETING PRIOR TO FILING THE RETURN. A COPY OF THE RETURN WAS POSTED ON THE FOUNDATION'S WEBSITE.
FORM 990, PAGE 6, PART VI, LINE 12C
EACH EMPLOYEE, COMMITTEE MEMBER, AND DIRECTOR OF THE PUTNAM COUNTY COMMUNITY FOUNDATION IS CHARGED WITH THE RESPONSIBILITY TO PUT THE INTERESTS OF THE FOUNDATION AND THE COMMUNITY ABOVE ANY PERSONAL INTEREST. ON OCCASION, A DECISION MAKER'S OTHER INVOLVEMENTS - BUSINESS INTERESTS, FAMILY RELATIONSHIPS OR POLITICAL OR OTHER CHARITABLE ACTIVITIES - MAY MAKE IT IMPOSSIBLE FOR HIM OR HER TO PROVIDE DISINTERESTED ADVICE TO THE CHARITY. ESPECIALLY WHEN THE MATTER AFFECTS THE FINANCIAL INTERESTS OF A DECISION MAKER, THIS DUALITY OF LOYALTIES MAY BECOME A CONFLICT OF INTEREST. AFFILIATIONS OF ANY OF THE ABOVE INDIVIDUALS WILL BE DISCLOSED IN WRITING AND MAINTAINED ON FILE. DECISIONS ABOUT CONTRACTS, GRANTS OR SCHOLARSHIPS SHALL FURTHER THE MISSION AND BE IN THE BEST INTEREST OF THE COMMUNITY FOUNDATION. CONFLICTS SHALL BE DISCLOSED VERBALLY AT MEETINGS. IN GENERAL, DECISION-MAKERS SHALL RECUSE THEMSELVES FROM DISCUSSION IF THEY HAVE AN INTEREST IN A MATTER BEFORE THE BOARD OR COMMITTEE. DECISION MAKERS SHALL ABSTAIN FROM VOTING IN DECISIONS WHERE THEY HAVE A CONFLICT OF INTEREST. THE DECISION MAKING PROCESS AND REASONS FOR ABSTENTIONS AND RECUSALS SHALL BE CLEARLY NOTED IN THE MINUTES.
FORM 990, PAGE 6, PART VI, LINE 15A
THE SINGLE MOST IMPORTANT RESPONSIBILITY OF THE BOARD OF DIRECTORS IS HIRING, SUPPORTING, SUPERVISING, AND COMPENSATING THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR SHALL BE EVALUATED ANNUALLY BY THE ENTIRE BOARD OF DIRECTORS. EACH BOARD MEMBER SUBMITS AN INDIVIDUAL EVALUATION TO THE PRESIDENT ON OR BEFORE THE DATE OF THE BOARD MEETING IN NOVEMBER. THE PRESIDENT COMPILES INFORMATION AND REVIEWS IT WITH THE EXECUTIVE COMMITTEE IN DECEMBER. THE EXECUTIVE COMMITTEE COMPLETES THE SUMMARY REPORT. AT A BOARD MEMBERS ONLY MEETING, THE PRESIDENT GIVES A REPORT OF DISCUSSION AND DECISION OF THE EXECUTIVE COMMITTEE TO THE ENTIRE BOARD OF DIRECTORS IN JANUARY. THE PRESIDENT THEN MEETS WITH THE EXECUTIVE DIRECTOR AND SHARES EVALUATION INFORMATION.
FORM 990, PAGE 6, PART VI, LINE 19
THE ETHICAL AND OPERATIONAL STANDARDS MANUAL INCLUDES GOVERNING DOCUMENTS, THE POLICIES OF THE CORPORATION, THE 990 AND AUDITED FINANCIAL STATEMENTS, AND IS AVAILABLE FOR INSPECTION BY THE PUBLIC AT ANY TIME. IN ADDITION, THE 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE CORPORATION'S WEBSITE.
FORM 990, PART XI, LINE 9
UNEARNED PARTNERSHIP REVENUE 19,992 CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 26,324 ADJUSTMENTS TO LIABILITY FOR AGENCY FUND ACTIVITY -673,953 ADJUSTMENTS TO LIABILITY FOR AGENCY FUND ACTIVITY 197,433
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.