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
American Brain Tumor Association
Employer identification number
23-7286648
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)
No
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
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.") ....
3,450,253
3,974,151
4,435,641
3,798,815
4,430,881
20,089,741
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
0
0
0
0
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
0
0
0
0
0
4
Total. Add lines 1 through 3
3,450,253
3,974,151
4,435,641
3,798,815
4,430,881
20,089,741
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)..
175,459
6
Public support. Subtract line 5 from line 4.
19,914,282
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..
3,450,253
3,974,151
4,435,641
3,798,815
4,430,881
20,089,741
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
66,987
60,017
56,334
73,099
61,503
317,940
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
0
0
0
0
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
0
0
0
0
0
0
11
Total support (Add lines 7 through 10).
20,407,681
12
Gross receipts from related activities, etc. (see instructions)
..................
12
3,490,524
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
97.582 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
97.579 %
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
American Brain Tumor Association
Employer identification number
23-7286648
Return Reference
Explanation
Part VI, Section B, Line 11A - Review of 990
Prior to signing and submitting each year's Form 990 and accompanying attachments, all members of the Board of Directors review and comment on the document. If a Board meeting is scheduled within thirty days of the submission date: All Board members receive a copy of the Form 990 and attachments in electronic format. Board meeting materials are sent to Directors approximately a week before the meeting. Directors who are unable to attend the meeting will be invited to submit questions, concerns, or support for the document as drafted prior to the meeting. Such feedback is sent to the President & CEO, the Board Chair, or the Treasurer for inclusion in the discussion of the draft. At the Board meeting, the Chair entertains a motion to authorize the President & CEO to sign and submit the draft as presented or as amended through discussion. A majority of those present can approve the motion. If a Board meeting is not scheduled within thirty days of the submission date: All Board members will be sent a copy of the Form 990 and attachments electronically at least thirty days prior to the submission date. Directors are encouraged to ask questions about, raise issues about, and indicate support for the draft within ten days. Such feedback can be sent to the President & CEO, the Board Chair, or the Treasurer by email or other form of delivery as long as it is received within the ten days. If a Director does not respond within the ten day period, it will be considered that the Director is satisfied with the document as drafted. Any issues raised by Directors within ten days after receiving the draft Form 990 will be reviewed and resolved by the President & CEO, the Treasurer, and a simple majority of the members of the Board's Finance Committee in collaboration, with assistance as needed from the tax preparer. A summary of the changes made to the draft Form 990 and the reasons for the changes will be emailed to all Directors ten days or more before scheduled submission. Should changes by Directors to the new draft of Form 990 be received within seven days, the Board Chair and Treasurer will together decide whether: (1) to proceed with submission and make warranted adjustments though the IRS amendment process; or (2) request an extension for filing and resolve remaining issues at the subsequent Board meeting.
PART VI, SECTION B, LINE 12C - CONFLICT OF INTEREST POLICY ENFORCEMENT
Each associate (defined as, ABTA directors, officers, volunteers and employees) shall sign an annual conflict of interest disclosure statement, which describes any existing or potential conflict of interest and affirms that such person: A. Has received a copy of the policy; B. Has read and understands the policy; and C. Has agreed to comply with the policy. Annual conflict of interest disclosure statements shall be filed on or before June 30 in the case of employees and on or before the date of the first meeting of the board in each fiscal year in the case of governance volunteers. It shall be the continuing responsibility of associates to scrutinize their transactions and outside business interests and relationships for potential conflicts and to immediately make any necessary disclosures.
PART VI, SECTION B, LINE 15 - COMPENSATION REVIEW AND APPROVAL
When hiring the President & CEO and other key employees, and thereafter at least every three years, the executive committee of the board will engage in a detailed review of compensation packages to ensure they fit current conditions. As part of this process, the executive committee will review: Salary surveys Written employment contracts Information from 990's filed with the IRS Other information and input as needed sourced through an independent compensation consultant. For positions other than that of President & CEO, the President & CEO may assist in researching compensation information and may recommend compensation packages for key employees. The executive committee will recommend salary levels for key employees to be included in the budget and approved as part of the annual budget approval process. The process and the documents reviewed each time a compensation package for the President & CEO or a key employee is established or assessed will be recorded as the process is occurring. A report on the process will be made at the next meeting of the board of directors and entered into the minutes.
PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS & POLICIES
As part of its accountability to its constituencies and to the public, ABTA is committed to disclosure of organizational information that is appropriate for public viewing. The following ABTA documents are available from ABTA for public inspection upon request: ABTA incorporation papers ABTA By-Laws IRS Form 1023 and supporting documents: application for 501(c)(3) Status IRS determination letter documenting that ABTA is an exempt Organization ABTA's annual 990's filed with the IRS (not including schedule B)-last three filings ABTA's annual report to the Illinois attorney general-last three years ABTA'S CONFLICT OF INTEREST POLICY FOR BOARD AND STAFF Requests received by mail, phone, fax, or e-mail will be honored by directing the interested party to the appropriate section on the ABTA website. Requests made in-person to view documents at ABTA's offices during ABTA's business hours will be honored that day up until the office closes for the day. Individuals or groups who request hard copies of the documents may be asked to pay, in advance, reasonable copying costs of $.20 per page and postage costs. Documents will be mailed within thirty days of the time payment for copying and postage costs are received.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.