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
BELLE BONFILS MEMORIAL BLOOD CENTER
Employer identification number
84-0411209
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.") .
193,352
392,949
606,688
551,788
554,059
2,298,836
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......
53,386,973
50,168,508
46,983,897
49,334,771
48,591,524
248,465,673
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.
53,580,325
50,561,457
47,590,585
49,886,559
49,145,583
250,764,509
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.)
250,764,509
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...
53,580,325
50,561,457
47,590,585
49,886,559
49,145,583
250,764,509
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
892,240
947,212
954,292
631,496
107,232
3,532,472
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
892,240
947,212
954,292
631,496
107,232
3,532,472
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
11,746
11,746
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.)..
54,484,311
51,508,669
48,544,877
50,518,055
49,252,815
254,308,727
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
98.610 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
98.260 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
1.390 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.730 %
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
BELLE BONFILS MEMORIAL BLOOD CENTER
Employer identification number
84-0411209
Return Reference
Explanation
PART I LINE 6
IN 2013 APPROXIMATELY 140,000 UNITS OF BLOOD WERE COLLECTED AS A RESULT OF MORE THAN 68,000 GENEROUS VOLUNTEER BLOOD DONORS WHO MADE LIFESAVING DONATIONS. THESE DONATIONS WERE GIVEN AT OUR SEVEN COMMUNITY DONOR CENTERS WITH SIX IN THE DENVER METRO AREA AND ONE IN STERLING AND AT THE 2,400 BLOOD DRIVES HOSTED BY NEARLY 1,800 BUSINESSES, CIVIC GROUPS AND FAITH-BASED ORGANIZATIONS THROUGHOUT THE YEAR. A VITAL FACET TO OUR SUCCESS ALSO STEMS FROM THE 1,800 DEDICATED POOL OF VOLUNTEERS WHO GAVE BACK TO THEIR COMMUNITY BY VOLUNTEERING AT OUR CENTERS, DRIVES, SPECIAL EVENTS AND ADMINISTRATIVE OFFICES. THESE SELFLESS INDIVIDUALS ENSURE OUR DONORS ARE WELL CARED FOR, HELP ORGANIZE OUR MOBILE BLOOD DRIVES, PROVIDE EXTRA SUPPORT AT OUR MANY EVENTS AND ASSIST AS NEEDED IN SUPPORT OF THE COMMUNITY BLOOD SUPPLY. OUR SUCCESSES WOULD NOT BE POSSIBLE WITHOUT OUR BLOOD AND MARROW DONORS, FINANCIAL CONTRIBUTORS, HOSPITAL PARTNERS AND VOLUNTEER ADVOCATES WHO ENABLE US TO IMPART HOPE, HEALTH AND THE GIFT OF LIFE UPON OUR COMMUNITY.
PART III LINE 1
PARTNERING WITH OUR COMMUNITY TO SAVE AND ENHANCE LIVES THROUGH TRANSFUSION MEDICINE EXCELLENCE. THROUGH SEVEN DECADES OF SERVICE WE'RE PROUD TO HAVE BECOME A TRUSTED COMMUNITY RESOURCE AND SOURCE OF HOPE FOR THOSE IN THEIR TIME OF NEED AS WELL AS AN OUTLET FOR OUR NEIGHBORS WANTING TO GIVE BACK THROUGH BLOOD, MARROW AND FINANCIAL DONATIONS.
FORM 990, PART III, LINE 3
BONFILS BLOOD CENTER'S FORMAL RESEARCH PROGRAM WAS DISCONTINUED AT THE END OF 2012. BONFILS CONTINUES TO WORK WITH OUR CLIENTS TO SUPPORT THEIR RESEARCH STUDIES THROUGH THE PROVISION OF A VARIETY OF PRODUCTS AND SERVICES.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 WAS REVIEWED IN DEPTH WITH THE FINANCE/AUDIT COMMITTEE (A SUBSECTION OF THE BOARD OF TRUSTEES) BY THE TAX PARTNER OF THE AUDIT FIRM, THE CEO, COO/CFO AND ASSISTANT CONTROLLER. COPIES WERE PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES. A HIGH LEVEL REVIEW WAS CONDUCTED FOR THE ENTIRE BOARD BY THE TAX PARTNER OF THE AUDIT FIRM. AFTER THE REVIEW, THE BOARD REQUESTED A MOTION, SECOND AND VOTE TO APPROVE THE 990 AS PRESENTED.
FORM 990, PART VI, SECTION B, LINE 12C
THE CONFLICT OF INTEREST POLICY IS COLLECTED ANNUALLY FROM ALL OFFICERS, DIRECTORS AND SENIOR MANAGEMENT OF THE ORGANIZATION. A SUMMARY OF ALL RESPONSES IS CREATED AND REVIEWED BY THE BOARD OF TRUSTEES. EACH MEETING OF THE BOARD OF TRUSTEES IS STARTED WITH A REQUEST FOR ANY UPDATES AND/OR CHANGES TO ANY INDIVIDUAL'S POLICY WITH REGARD TO CONFLICTS. THIS IS THEN DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15
AN EXECUTIVE COMPENSATION PACKET IS PRESENTED TO THE AUDIT/FINANCE COMMITTEE AS PART OF THE ANNUAL BUDGET REVIEW/APPROVAL PROCESS. BENCHMARKING COMPENSATION DATA IS PROVIDED FROM THE LOCAL EMPLOYMENT COUNCIL, NATIONAL SURVEYS OF THE BLOOD BANKING INDUSTRY AND OTHER COMPENSATION SOURCES WHERE APPLICABLE. DATA INCLUDES JOB DESCRIPTIONS, ANNUAL COMPENSATION AND PROPOSED MERIT INCREASES, AND IS DOCUMENTED IN THE FILES OF THE ORGANIZATION. UPON REVIEW OF THE DATA, THE COMMITTEE CARRIES RECOMMENDATIONS TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND APPROVAL. THE PACKET IS THEN KEPT ON FILE FOR FUTURE REFERENCE. FOR THE CEO POSITION, AN ANNUAL PERFORMANCE AND COMPENSATION REVIEW IS CONDUCTED BY A SUB-COMMITTEE WITH THEIR RECOMMENDATIONS ULTIMATELY VOTED UPON BY THE ENTIRE BOARD IN EXECUTIVE SESSION.
FORM 990, PART VI, SECTION C, LINE 19
BONFILS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.