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
THE MONADNOCK CONSERVANCY
Employer identification number
22-3030420
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.") ....
824,052
368,388
428,697
1,392,904
854,678
3,868,719
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
824,052
368,388
428,697
1,392,904
854,678
3,868,719
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.
3,868,719
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..
824,052
368,388
428,697
1,392,904
854,678
3,868,719
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
39,252
13,984
58,056
66,255
22,841
200,388
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.)..
11,882
7,284
690
19,856
11
Total support (Add lines 7 through 10).
4,088,963
12
Gross receipts from related activities, etc. (see instructions)
..................
12
24,757
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
94.610 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
94.910 %
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.") .
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
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:
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.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE MONADNOCK CONSERVANCY
Employer identification number
22-3030420
Identifier
Return Reference
Explanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
TRAINED AND MANAGED 59 VOLUNTEER LAND MONITORS AND MONITORED 182 CONSERVATION EASEMENTS AND 9 FEE-OWNED PROPERTIES TOTALING 16,096.3 ACRES. DELIVERED SIX PUBLIC WORKSHOPS ON LAND MANAGEMENT TOPICS. BUILT OR MAINTAINED 7 MILES OF PUBLIC RECREATION TRAILS.
OFFICERS WHO CANNOT BE REACHED
FORM 990, PAGE 6, PART VI, LINE 9
SWIFT CORWIN 41 PINE STREET PETERBOROUGH, NH 03458 STEPHEN GEHLBACH 225 GILSON ROAD JAFFREY, NH 03452 NANCY HAYDEN TOO BAD FARM, 180 OLD HARRISVILLE RD MARLBOROUGH, NH 03455 CHARLIE MASSIN PO BOX 92 FITZWILLIAM, NH 03447 VICTORIA RECK AMES PO BOX 10264 SWANZEY, NH 03446 KEN GOEBEL 46 PORTER LANE MARLBOROUGH, NH 03455 RHETT LAMB 32 VALLEY STREET KEENE, NH 03431 JOHN HANN 60 WOLF TREE ROAD WINCHESTER, NH 03470 THOMAS R. HANNA 36 ALDRICH ROAD WESTMORELAND, NH 03467 KEN STEWART 11 ALGONQUIN DRIVE KEENE, NH 03431 ELIZABETH STORY WRIGHT PO BOX 100 DUBLIN, NH 03444 JEFFREY MILLER 240 STONE POND ROAD MARLBOROUGH, NH 03455 ANDREA BLADES 256 NORTH ROAD WALPOLE, NH 03608 PAUL KOTILA 504 ROYALSTON ROAD FITZWILLIAM, NH 03447 MILLIE WOLFE 167 DARLING ROAD KEENE, NH 03431
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
AFTER INITIAL DRAFT PREPARATION BY THE ORGANIZATION'S CPA, THE ORGANIZATION'S EXECUTIVE DIRECTOR CONDUCTS AN INITIAL REVIEW OF THE 990, ASKING QUESTIONS AND MAKING EDITS AS NECESSARY. THE DOCUMENT IS THEN PROVIDED ELECTRONICALLY TO THE FULL BOARD OF TRUSTEES FOR REVIEW, COMMENT, AND EDITS AS NECESSARY PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AND/OR UPDATE DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST ANNUALLY FOLLOWING THE ELECTION OF NEW TRUSTEES AND OFFICERS IN JULY AND AUGUST. ALL NEW OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE BRIEFED ON THE CONFLICT OF INTEREST POLICY WHEN JOINING THE ORGANIZATION, AND COMPLIANCE IS MONITORED AND ENFORCED THEREAFTER BY USING THE DISCLOSURES TO ENSURE APPROPRIATE RECUSALS FROM BOARD VOTES AND ACTIONS. IF/WHEN AN ACTUAL OR POTENTIAL CONCLICT IS DISCOVERED, APPROPRIATE PUBLIC DISCLOSURES ARE MADE CONSISTENT WITH STATE LAW.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
NO TRUSTEES OR OFFICERS OF THE ORGANIZATION ARE COMPENSATED. PAID EMPLOYEES INCLUDE THE EXECUTIVE DIRECTOR AND OTHER SUBORDINATE MANAGERS AND ASSOCIATES, NONE OF WHOM ARE COMPENSATED AT OR ABOVE 100,000 PER YEAR. THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD USING COMPARABILITY DATA FROM THE LAND TRUST ALLIANCE'S SURVEY OF SALARIES AND BENEFITS FOR LAND TRUST STAFF. ALL OTHER STAFF SALARIES ARE DETERMINED BY THE EXECUTIVE DIRECTOR, IN CONSULTATION WITH THE FINANCE COMMITTEE OF THE BOARD, USING COMPARABILITY DATA FROM THE AFOREMENTIONED LAND TRUST ALLIANCE SURVEY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION IN THE ORGANIZATION'S OFFICE, UPON REQUEST.
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
COST OF SALES OF INVENTORY 852 COST OF SALES OF INVENTORY -852
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.