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
BETHESDA CHEVY CHASE RESCUE SQUAD
Employer identification number
52-0583872
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.") ....
2,054,169
1,571,930
1,639,070
1,362,929
1,831,128
8,459,226
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
2,054,169
1,571,930
1,639,070
1,362,929
1,831,128
8,459,226
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)..
460,651
6
Public support. Subtract line 5 from line 4.
7,998,575
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..
2,054,169
1,571,930
1,639,070
1,362,929
1,831,128
8,459,226
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
23,756
37,239
37,996
44,711
62,472
206,174
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
70,464
96,225
69,220
90,525
94,203
420,637
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).
9,086,037
12
Gross receipts from related activities, etc. (see instructions)
..................
12
331,163
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
88.030 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
89.700 %
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
BETHESDA CHEVY CHASE RESCUE SQUAD
Employer identification number
52-0583872
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE SQUAD IS MADE UP OF MEMBERS (VOLUNTEERS WHO JOIN AND SERVE EITHER OPERATIONALLY (AS EMTS, FIREFIGHTERS, PARAMEDICS) OR ADMINISTRATIVELY AND ALL VOLUNTEER MEMBERS IN GOOD STANDING ARE ELIGIBLE TO PARTICIPATE IN THE ANNUAL ELECTIONS. THEY ARE ALSO ELIGIBLE TO VOTE FOR CHANGES TO BY-LAWS, ETC. AT THE MONTHLY MEMBERSHIP MEETINGS SHOULD ANY CHANGES BE BROUGHT UP. THEY ARE A 501(C)(3) CORPORATION AND THEIR "STOCKHOLDERS" ARE THEIR VOLUNTEER MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A
ALL ACTIVE VOLUNTEER MEMBERS IN GOOD STANDING ARE ELIGIBLE TO PARTICIPATE IN THE ANNUAL ELECTIONS AND VOTE FOR OPERATIONAL OFFICERS, BOD MEMBERS, ETC. THEY ARE ALSO ELIGIBLE TO VOTE FOR CHANGES TO BY-LAWS, ETC. AT THE MONTHLY MEMBERSHIP MEETINGS SHOULD ANY CHANGES BE BROUGHT UP.
FORM 990, PART VI, SECTION A, LINE 7B
ALL AMENDMENTS TO THE BY-LAWS MUST BE SIGNED AND PRESENTED IN WRITING IN DUPLICATE, AT A MEETING OF THE GENERAL MEMBERSHIP, AND ACTION ON SAME SHALL BE TAKEN AT THE NEXT REGULARLY SCHEDULED MEMBERSHIP MEETING. A COPY OF ALL PROPOSED AMENDMENTS SHALL BE POSTED BY THE SECRETARY ON THE OFFICIAL BULLETIN BOARD FOR 30 DAYS PRIOR TO THE STATED MEETING AT WHICH ACTION IS TO BE TAKEN. AN AFFIRMATIVE THREE-QUARTERS VOTE OF THE VOTING MEMBERS PRESENT SHALL BE REQUIRED FOR ADOPTION OF ANY AMENDMENT TO THE BY-LAWS.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS GIVEN TO MEMBERS OF THE BOARD OF DIRECTORS, AND CERTAIN OTHER SQUAD MEMBERS, TO REVIEW BEFORE BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12C
BCCRS IS SUCH A CLOSE KNIT ORGANIZATION THAT ANY UNDISCLOSED CONFLICT IS EASILY ASCERTAINABLE. IN ADDITION, THE SQUAD'S CONFLICT-OF-INTEREST POLICY IS POSTED ON THE SQUAD'S WEBSITE AND AVAILABLE TO ALL MEMBERS. UNDER THE SQUAD'S CONFLICT-OF-INTEREST POLICY, IF ANY MEMBER OF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE A MEMBER OF THE BOARD OF DIRECTORS OR A MEMBER OF A BOARD COMMITTEE WITH DECISION MAKING POWERS DELEGATED BY THE BOARD OF DIRECTORS, OR ANY PRINCIPAL OFFICER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THAT MEMBER IS REQUIRED TO INFORM THE BOARD OF DIRECTORS OF THE BASIS FOR SUCH BELIEF.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION LEVEL FOR SERVICES PERFORMED BY THE CEO AND CFO BY USING COMPARABLE DATA FROM SIMILAR ORGANIZATIONS. THE INFORMATION IS USED TO CALCULATE THE FAIR VALUE OF DONATED SERVICES SINCE THE BOARD OF DIRECTORS HAS APPROVED THAT BOTH OF THESE POSITIONS ARE FILLED BY VOLUNTEERS.
FORM 990, PART VI, SECTION C, LINE 19
THE GOVERNING DOCUMENTS ARE AVAILABLE IN THE SQUAD'S WATCH OFFICE, THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE SQUAD'S WEBSITE, AND THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE SQUAD'S WEBSITE AND MORE DETAILED FINANCIAL INFORMATION CAN BE OBTAINED BY CALLING OR WRITING TO THE SQUAD.
FORM 990, PART IX, LINE 24E
UNIFORM: PROGRAM SERVICE EXPENSES 58,654. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,654. MEDICAL SUPPLIES AND EQUIPMENT: PROGRAM SERVICE EXPENSES 58,159. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,159. EDUCATION, TRAINING AND AWARDS: PROGRAM SERVICE EXPENSES 39,424. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,424. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 29,217. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,217. ALUMNI ASSOCIATION EXPENSE: PROGRAM SERVICE EXPENSES 28,360. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,360. FOOD: PROGRAM SERVICE EXPENSES 15,103. MANAGEMENT AND GENERAL EXPENSES 600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,703. CATERING SUPPLIES: PROGRAM SERVICE EXPENSES 14,863. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,863. FACILITY MANAGEMENT: PROGRAM SERVICE EXPENSES 9,875. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,875. RECRUITMENT AND RETENTION: PROGRAM SERVICE EXPENSES 4,316. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,316.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.