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
NORTHEAST MISSOURI AREA AGENCY ON AGING
Employer identification number
43-0995687
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.") ....
3,447,689
3,268,582
3,382,741
3,396,395
3,452,962
16,948,369
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
3,447,689
3,268,582
3,382,741
3,396,395
3,452,962
16,948,369
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.
16,948,369
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..
3,447,689
3,268,582
3,382,741
3,396,395
3,452,962
16,948,369
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9,651
5,045
4,590
4,096
4,561
27,943
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).
16,976,312
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
99.840 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.790 %
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.)
0
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
0 %
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
0 %
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:
13000178
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
NORTHEAST MISSOURI AREA AGENCY ON AGING
Employer identification number
43-0995687
Return Reference
Explanation
Pt VI, Line 7a
There are no classes of persons with rights that are in addition to the
Pt VI, Line 7a
rights of any other persons. Open solicitations for nominees are advertised
Pt VI, Line 7a
locally in each area from which a board member will be elected. Nominees
Pt VI, Line 7a
must be residents of the area they represent. Official ballots and polling
Pt VI, Line 7a
places are advertised in community newspapers prior to election. Any
Pt VI, Line 7a
persons 60 years of age or older is eligible to vote. One polling location
Pt VI, Line 7a
per county designated by board at March meeting. Elections held during
Pt VI, Line 7a
May on a date designated by Board. Results of elections submitted to Board
Pt VI, Line 7a
by June 1. One board member chosen per county. Any vacany occurring
Pt VI, Line 7a
prior to an election shall be selected from the representative county by
Pt VI, Line 7a
governance committee and appointed by the Board Chairman and said
Pt VI, Line 7a
director shall serve the unexpired term of their predecessor.
Pt VI, Line 11b
The process for review is as follows: the executive director and fiscal
Pt VI, Line 11b
manager collaborate with the auditor to complete Form 990. This step
Pt VI, Line 11b
may involve receiving information from employees, board members,
Pt VI, Line 11b
contractors and others who have business-related activities with
Pt VI, Line 11b
the Organization. The auditor provides a completed Form 990 to
Pt VI, Line 11b
the executive director and fiscal manager for their review.
Pt VI, Line 11b
Once approval of the executive director and fiscal officer is
Pt VI, Line 11b
granted, each board member will receive a copy, including
Pt VI, Line 11b
required schedules, as ultimately filed with the IRS for their
Pt VI, Line 11b
review at the next regularly scheduled board meeting. The
Pt VI, Line 11b
review is conducted by the executive director, fiscal manager
Pt VI, Line 11b
and board. A review checklist is utilized. After completion of the
Pt VI, Line 11b
review, the board resolves to approve the Form 990. If at any
Pt VI, Line 11b
step in the process a revision to the Form 990 is requested,
Form 990EZ, Part II, Line 24
ACCOUNTS RECEIVABLE - NET GRANTS RECEIVABLE - NET PREPAIDS
Form 990EZ, Part II, Line 26
ACCOUNTS PAYABLE & ACCRUED EXPENSES MISSOURI DIVISION OF SENIOR SERVICES FUNDS HELD IN TRUST
Form 990, Part IX, Line 24f
MISC
Pt VI, Line 11b
the revised information is given to the auditor, the Form 990
Pt VI, Line 11b
is revised, and the process begins again.
Pt VI, Line 12c
The board has establised a number of policies and procedures to
Pt VI, Line 12c
guard against conflict of interest regarding proposed and
Pt VI, Line 12c
ongoing transactions. All board members and staff are trained
Pt VI, Line 12c
on, and subject to, these policies and procedures. Annually,
Pt VI, Line 12c
the board of directors and key employees sign a statement
Pt VI, Line 12c
certifying no conflicts of interest or describing potential
Pt VI, Line 12c
conflicts of interest that may exist. The board, with assistance
Pt VI, Line 12c
of executive director, is responsible to determine whether
Pt VI, Line 12c
a conflict exists and resolution. Should a conflict be
Pt VI, Line 12c
identified, such person would be prohibited from participating
Pt VI, Line 12c
in the board deliberation and decision in the transaction.
Pt VI, Line 15a
Compensation for executive director and fiscal officer are
Pt VI, Line 15a
approved annually by Board. Board utilizes a salary schedule that
Pt VI, Line 15a
establishes a maximum salary of $75,000 for executive director
Pt VI, Line 15a
and $55,000 for fiscal officer. Merit increases, of up to 6%
Pt VI, Line 15a
may be given, by the board, to employees at the time of
Pt VI, Line 15a
their annual evaluation.
Pt VI, Line 19
The Organization makes its governing documents, conflict of interest
Pt VI, Line 19
policy, and audited financial statements available, at the
Pt VI, Line 19
Organization's office, to general public upon request. Also
Pt VI, Line 19
post annual audited financial statements on the website.
Pt IX, Line 25, Col D
The primary purpose of the Organization is the establishment
Pt IX, Line 25, Col D
of the priorities and development of overall plans for programs
Pt IX, Line 25, Col D
on aging in the Multi-County Area of Northeast Missouri.
Pt IX, Line 25, Col D
The Organization receives funds under Title III and other
Pt IX, Line 25, Col D
Titles of the Older Americans Act (OAA) and such other sources
Pt IX, Line 25, Col D
as may become available. The Organization is mandated by the
Pt IX, Line 25, Col D
OAA to use subgrants or contracts with service providers to
Pt IX, Line 25, Col D
provide all services under OAA funding sources. The Organization
Pt IX, Line 25, Col D
may request a waiver, from the Missouri Department of Health
Pt IX, Line 25, Col D
and Senior Services to provide a service directly. Due to the
Pt IX, Line 25, Col D
nature of funding received and the strict limitations placed
Pt IX, Line 25, Col D
on the use of that funding by grantor agencies, the Organization
Pt IX, Line 25, Col D
did not conduct any fundraising activities for 2011-2012.
Pt XII, Line 2c
The audit is procured by the State of Missouri on behalf of
Pt XII, Line 2c
the Organization. During the audit, the board of directors and
Pt XII, Line 2c
executive director assume responsibility for oversight of the
Pt XII, Line 2c
audit. Upon completion of the audit, the Missouri Department
Pt XII, Line 2c
of Health & Senior Services reviews and approves the audit report;
Pt XII, Line 2c
board of directors reviews audit report, holds exit conference
Pt XII, Line 2c
with the auditor and formally votes to accept audit report.
Pt XII, Line 2c
This process is followed consistently from year to year.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.