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
Polly Klaas Foundation
Employer identification number
68-0314615
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.") ....
1,139,449
1,104,293
697,517
214,624
217,894
3,373,777
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..
0
4
Total. Add lines 1 through 3
1,139,449
1,104,293
697,517
214,624
217,894
3,373,777
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)..
0
6
Public support. Subtract line 5 from line 4.
3,373,777
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..
1,139,449
1,104,293
697,517
214,624
217,894
3,373,777
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
76,199
74,009
109,723
76,699
102,398
439,028
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.)..
0
11
Total support (Add lines 7 through 10).
3,812,805
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
88.490 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
91.470 %
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
Polly Klaas Foundation
Employer identification number
68-0314615
Return Reference
Explanation
Client Note 1
Client Note 1 - FORM 990, PART 1, LINE 8C NET GAIN OR LOSS FROM SALE OF ASSETS OTHER THAN INVENTORYSCHEDULE A, PART II - COMPENSATION OF INDEPENDENT CONTRACTOR FOR PROFESSIONAL SERVICESThe Polly Klaas Foundation (PKF) has contracted with an independent contractor to operate an automobile donation program on its behalf as one of PKF's programs to generate funds necessary to carry on its charitable activities. During the past year, PKF had net receipts of $232,353 from this program.The automobile program is offered as a method by which individuals, who may otherwise not be willing or able to assist PKF through a direct cash donation, can provide much needed support to PKF by contributing their used vehicles. This property is resold by PKF (through an independent contractor as PKF's agent) and the cash proceeds, net of expenses, are directly used by PKF for PKF's charitable programs. PKF has determined that operating this program internally would divert the specialized personnel and support staff of the organization away from the at-risk children and families' who are the prime beneficiaries of PKF's charitable programs. PKF also realizes that it does not have the resources or operating capacity to conduct this program on its own, therefore this program is operated by a contractor for charitable purposes on PKF's behalf.The expenses that are associated with the program are fundamentally different from those incurred by a "traditional" direct mail or similar fundraising campaign. This is primarily because of the high costs associated with advertising for donations of property through more expensive mass media such as radio and television advertisements, not to mention the additional costs associated with used vehicles, such as towing, detailing, and selling the donated property. These costs differ from programs in which the charity receives its donations in a readily usable form such as cash.The internal revenue service has not issued specific guidelines regarding how a charity is to report the revenue and expenses associated with a program like an automobile donation program. PKF has attempted to work within the general reporting instructions for the Form 990 to complete this return. Following is a brief description of the manner in which the revenue and expenses are reported.PKF has reported the value of these non-cash contributions on Form 990 Part VIII on line 1(g) and included the amount in costs on line 7(b) of Form 990 as the exact amount received by the independent contractor for the resale of the property.Because the property is sold by PKF (through the contractor) after it is donated, PKF has reported at line 7(a), the gain or loss from the sale of the donated property. Line 7(b) includes the basis of the property equal to the resale amount, plus all expenses related to the acquisition, and processing a sale of the property. The inclusion of these expenses here results in a "reporting loss" at line 7(d), even though the organization receives an actual net cash increase from the program, which substantially benefits the organization to further PKF's charitable programs.Thus, all expenses associated with the automobile donation program are reflected at Form 990, line 7(c). This amount includes all expenses of the automobile program incurred by the independent professional contractor on behalf of PKF as determined by the contract it has with PKF. In an effort to provide notice regarding all of the expenses associated with the program, the professional contractor's individual expenses for the 2012-2013 fiscal year were as follows:Cost of sales $ 179,060 Professional contractor's fee 122,729 Advertisement 114,597 ----------Total expenses $ 416,386 ==========
Form 990, Part VI, Line 11b: Form 990 Review Process
Presented to audit committee who reviews and then to the board.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
The Board of Directors and the Audit Committee will review this Policy annually.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
It shall be the policy of the Polly Klaas Foundation's Board of Directors to determine, approve and review the compensation of key staff.A. This process will be conducted when any of the following conditions occur:At hiring; when the employee is provided an adjustment in their salary; Annually when the budget is presented to the Board of Directors for review and approval.B. The Board will be provided with tools to make this determination as follows: The Annual Northern California Nonprofit Compensation and Benefits Report; The Polly Klaas Foundation Wage and Salary Schedule.The Board of Directors shall take action on this item at the annual meeting by a resolution which shallbe filed in the corporate record.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
Upon request
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.