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
William D Ruckelshaus Center Foundation
Employer identification number
20-4490085
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.") ....
421,058
207,193
198,443
189,187
273,595
1,289,476
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
109,475
53,870
51,595
49,189
71,135
335,264
4
Total. Add lines 1 through 3
530,533
261,063
250,038
238,376
344,730
1,624,740
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)..
928,844
6
Public support. Subtract line 5 from line 4.
695,896
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..
530,533
261,063
250,038
238,376
344,730
1,624,740
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
26,843
38,418
38,286
42,321
54,277
200,145
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
300
1,750
2,770
1,200
6,020
11
Total support (Add lines 7 through 10).
1,830,905
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
38.010 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
40.560 %
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:
13000170
Software Version:
2013v4.0
-
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
William D Ruckelshaus Center Foundation
Employer identification number
20-4490085
Return Reference
Explanation
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: Civil Public Discourse:Recognizing that civil public discourse is a fundamental element of collaborative public policy, the Center is exploring the current status of civil discourse in the state, region, and nation. The Center seeks to understand how the current state of public discourse compares to other periods in history, what effects this is having on the policy process, and what the Center and other organizations can do about it. OTHER PROGRAM SERVICES 5: Chehalis Flooding:The Center was asked by the Washington State Governor's Office to help create a report to the Legislature that identifies recommended priorty flood hazard mitigation projects in the Chehalis River Basin in southwest Washington. The Center's tasks were to coordinate the report using technical information provided by other agencies and organizations and to conduct a situation assessment of flood alternatives and relationships between the responsible parties and stakeholders. The report was completed in December, 2012. In August, 2012, then-Governor Gregoire asked the Center to facilitate a work group convened to advise her on recommendations for her biennial budget proposal. A framework document containing the group's consensus recommendations was presented to the Governor on November 14th. She endorsed the recommendations, as has current Governor Inslee. The Center remains involved in facilitating and coordianting the work group's efforts. OTHER PROGRAM SERVICES 6: Eldercare Workforce:The Center is partnering with the University of Washington's Health Policy (UW HPC) on a project that will examine eldercare workforce capacity in Washington state, including mapping the issue, convening stakeholders statewide to listen and learn from one another about areas of conflict and consensus, and facilitating those stakeholders as they create and put into operation a Washington State Eldercare Workforce Alliance. In December, 2012, the Center and UW HPC received a grant to begin the first phase of this project. The Center is also participating in a University Network for Collaborative Governance (UNCG) initiative to launch similar efforts in states across the country that will engage health care and workforce stakeholders in developing eldercare workforce strategies. The UNCG initiative will focus on: 1)Hosting a national colloquium on Eldercare Workforce Collaboration, resulting in a report to serve as the basis for a multi-state pilot; 2)A pilot to evaluate and report on results and lessons learned of the assessments; and 3)Convening assessments in several states through UNCG centers, including the Ruckelshaus Center. OTHER PROGRAM SERVICES 7: Capitol Lake Assessment:The Washington State Department of Enterprise Services has asked the Ruckelshaus Center to conduct an interview-based situation assessment to explore issues and opportunities regarding the future management of Capitol Lake in Olympia. This assessment will explore relevant issues and interests of involved parties, along with the dynamics of the situation. The Center will reach out to a balanced cross-section of parties to capture a wide range of perspectives. The assessment will culminate in a report articulating the major issues and key parties involved and documenting their interests and perspectives. The report will also analyze and explore the prospects for a collaborative process to address those issues. In this context, a collaborative process means a solution-focused dialogue among all the key interests, participating willingly, that is convened and facilitated by a neutral third party. OTHER PROGRAM SERVICES 8: Puget Sound Monitoring:The Leadership Council of the Puget Sound Partnership has asked the Ruckelshaus Center to conduct a review of the Puget Sound Ecosystem Monitoring Program (PSEMP), to assess whether essential characteristics, particularly transparent decision-making, availability and credibility of data, and accountability and trust, are being achieved. Such a review was included in the resolution that created PSEMP to evaluate progress towards ecosystem recovery and improve the scientific basis for management actions throughout Puget Sound. The Center will be interviewing involved parties and stakeholders to capture a wide range of perspectives about whether these characteristics are being achieved and will prepare a report outlining key findings and any recommendations for improvement. OTHER PROGRAM SERVICES 9: Health Care Policy Assessment:The Ruckelshaus Center is currently assessing opportunities to expand its services in the health care sector. Health care reform has complicated policy debates and challenges that affect a wide variety of stakeholders across Washington state and the Pacific Northwest. Combining WSU and UW expertise and perspective into an effective, university-based neutral third party may help to resolve many policy issues that impact government and industry stakeholders, labor, community partners and advocates. OTHER PROGRAM SERVICES 10: Columbia River Gorge Commission:The Columbia River Gorge Commission asked the Center and the Oregon Consensus program at Portland State University to conduct a series of individual and group interviews with a wide range of stakeholders and regional leaders to identify aspiration, concerns and willingness to find common ground for resource protection and community development in the Columbia River Gorge. The assessment summarized the interviews and offered recommendations about the feasibility of collaborative problem solving. The Assessment also recommended the Gorge Commission engage in internal development work, to strengthen collaboration between the Commission, other agencies, communities and the public. To that end, the Commission asked the Center and Oregon Consensus to provide training for Gorge Commissioners that included tools for communication, collaboration and problem solving. The Commission is also asking the Centers to remain involved as it seeks to take on several of the collaborative challenges identified in the assessment.
Form 990, Part VI, Line 11b: Form 990 Review Process
The 990 was provided to all directors via email prior to a board of directors' meeting. During that board of directors' meeting, the 990 was discussed and approved by all present (either in person or via phone). Any person not present provided approval via email.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
Compensation: Directors shall not receive compensation for their services as such, although the reasonable expenses of directors for attendance at Board of Directors' meetings or otherwise directly related to their duties as directors may be paid or reimbursed by the Corporation. Directors shall not be disqualified from receiving reasonable compensation for services rendered to or for the benefit of the Corporation in any other capacity.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
The organization makes its documents available to the public by request only.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.