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
GOVERNORS HIGHWAY SAFETY ASSOCIATION
Employer identification number
52-1021004
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.") ....
2,495,389
2,939,677
3,294,873
4,032,666
3,452,716
16,215,321
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
2,495,389
2,939,677
3,294,873
4,032,666
3,452,716
16,215,321
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)..
13,390,682
6
Public support. Subtract line 5 from line 4.
2,824,639
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..
2,495,389
2,939,677
3,294,873
4,032,666
3,452,716
16,215,321
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
44,417
36,328
36,884
50,917
112,657
281,203
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.)..
6,354
7,681
62,610
5,563
0
82,208
11
Total support (Add lines 7 through 10).
16,578,732
12
Gross receipts from related activities, etc. (see instructions)
..................
12
3,764,333
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
17.038 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
15.598 %
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
GOVERNORS HIGHWAY SAFETY ASSOCIATION
Employer identification number
52-1021004
Return Reference
Explanation
FORM 990, PART VI, LINE 15A & 15B - DETERMINING COMPENSATION
THE EXECUTIVE BOARD OFFICERS CONDUCTS A PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR AND DETERMINES COMPENSATION AMOUNT. THE EXECUTIVE DIRECTOR CONDUCTS PERFORMANCE REVIEWS AND RECOMMENDS TO THE EXECUTIVE BOARD THE COMPENSATION OF THE ASSOCIATION STAFF. THE EXECUTIVE BOARD ULTIMATELY APPROVES THE COMPENSATION AMOUNT OF ASSOCIATION STAFF.
FORM 990, PART VI, LINE 19 - AVAILABILITY OF OTHER DOCUMENTS
FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE ON GHSA'S WEBSITE.
FORM 990, PART VI, LINE 1A AND 1B - VOTING RIGHTS
THE ORGANIZATION HAS 28 VOTING MEMBERS. REGIONAL ALTERNATES MAY ALSO VOTE IF THEY ATTEND MEETINGS IN PLACE OF THEIR RESPECTIVE REGIONAL DESIGNATE.
FORM 990, PART VI, LINE 7A & 7B - ELECTION OF MEMBERS
NOMINATIONS FOR ASSOCIATION OFFICERS SHALL BE BY A COMMITTEE OF AT LEAST THREE PERSONS APPOINTED BY THE CHAIR. NOMINATIONS OR ANNOUNCEMENTS OF CANDIDACY FOR ELECTED OFFICERS SHALL BE MADE IN WRITING TO THE CHAIR OF THE NOMINATIONS COMMITTEE NO LATER THAN 60 DAYS PRIOR TO THE ANNUAL MEETING AND BY NOMINATIONS FROM THE FLOOR AT A BUSINESS MEETING WHERE THE VOTING WILL TAKE PLACE. THE ELECTION OF OFFICERS SHALL BE AT THE ANNUAL MEETING AND SHALL BE CONDUCTED BY SECRET BALLOT OR BY ACCLAMATION. THE REGIONAL REPRESENTATIVES SHALL BE ELECTED ANNUALLY FROM THE MEMBER STATES OF THEIR RESPECTIVE REGIONS AT EACH ANNUAL MEETING. MEMBERS OF THE EXECUTIVE BOARD MAY HOLD OFFICE ONLY WHEN THEIR RESPECTIVE JURISDICTIONS ARE MEMBERS IN GOOD STANDING AND THEY ARE ASSOCIATION MEMBERS OR DESIGNATED ALTERNATES. THE EXECUTIVE BOARD DETERMINES GENERAL POLICIES DURING INTERIM PERIODS BETWEEN ANNUAL MEETINGS. SUCH POLICIES SHALL BE SUBJECT TO CONFIRMATION BY THE MEMBERSHIP AT THE SUBSEQUENT ANNUAL MEETING.
Form 990, part vi, line 12c - CONFLICT OF INTEREST POLICY
TO ENSURE THE ASSOCIATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE REVIEW SHALL, AT A MINIMUM ADDRESS WHETHER PARTNERSHIPS, JOINT VENTURES AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ASSOCIATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENTS OR PAYMENTS FOR GOODS OR SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION.
FORM 990, PART XI, LINE 1 AND FORM 990, PART IV, LINE 12-Accounting Method
THE ASSOCIATION'S POLICY IS TO PREPARE ITS FINANCIAL STATEMENTS ON A MODIFIED CASH BASIS WHICH INCLUDES RECORDING OF DEPRECIATION ON CAPITALIZED ASSETS AND PAYROLL WITHHOLDINGS. UNDER THIS BASIS, REVENUE IS RECOGNIZED WHEN COLLECTED RATHER THAN WHEN EARNED, AND EXPENDITURES ARE GENERALLY RECOGNIZED WHEN PAID RATHER THAN WHEN INCURRED. CONSEQUENTLY, ACCOUNTS RECEIVABLE, ACCOUNTS PAYABLE AND ACCRUED EXPENSES ARE NOT INCLUDED IN THE FINANCIAL STATEMENTS. INVESTMENTS ARE CARRIED AT FAIR VALUE WITH REALIZED AND UNREALIZED GAINS AND LOSSES REFLECTED IN THE FINANCIAL STATEMENTS. THESE FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT.
FORM 990, PART VI, LINE 11A - FORM 990 REVIEW PROCESS
The FORM 990 IS reviewed by the Executive Director before it is filed with the IRS. A DRAFT COPY OF FORM 990 WAS PROVIDED TO THE MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE IRS.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES
NATIONAL LAW ENFORCMENT LIAISON PROGRAM (NLELP). A PROGRAM TO IMPLEMENT, MANAGE AND REFINE A NLELP WHICH WORKS WITH THE STATES AND TERRITORIES TO ENHANCE THE EFFECTIVENESS, KNOWLEDGE, ABILITIES AND INVOLVEMENT OF LAW ENFORCEMENT LIASONS (LEL) AT THE LOCAL, STATE AND FEDERAL LEVELS. BY EFFECTIVELY PROGRAMING TECHNICAL AND FINANCIAL RESOURCES THROUGH THE NLELP TO LAW ENFORCEMENT PARTNERS AND STAKEHOLDERS, THE NLELP WOULD CONTRIBUTE TO THE REDUCTION OF DEATHS AND INJURIES RESULTING FROM TRAFFIC CRASHES ACROSS THIS COUNTRY. TRAFFIC RECORDS TRAINING/MMUCC. THE PURPOSE OF THIS PROJECT IS TO PROVIDE TRAINING TO DIRECTORS OF STATE HIGHWAY SAFETY OFFICES TO MAKE THEM AWARE OF THE IMPORTANCE OF DATA AND TO ADVISE THEM OF THEIR DATA-RELATED RESPONSIBILITIES UNDER MAP-21. THE TRAINING COURSE WOULD BE BRIEF (3 or 3 hours in length) AND AT A HIGH, NON-TECHNICAL LEVEL.
Form 990, Part III, Line 2 - New Program Services
NATIONAL COOPERATIVE RESEARCH & EVALUATION PROJECT (NCREP). GHSA and NHTSA will establish a joint committee to select topics and provide guidance for the research and evaluation program. This Committee shall be composed of three GHSA representatives and three NHTSA representatives. The Committee shall meet at least twice each year for the purposes of selecting topics for the next years program and reviewing progress on projects underway and completed.
FORM 990, PART III, line 3 - DISCONTINUED PROGRAM SERVICES
OUTREACH TO STATES ON IGNITION INTERLOCKS, A PROGRAM IN COOPERATION WITH NHTSA TO UNDERTAKE ACTIVITIES THAT WILL REDUCE THE INCIDENCE OF TRAFFIC CRASHES RELATED TO IMPAIRED DRIVING WITH SPECIFIC ATTENTION TO INCREASING THE USE OF IGNITION INTERLOCKS; PROVIDE TECHNICAL ASSISTANCE AND TRAINING TO STATE AND COMMUNITY GROUPS IN SUPPORT OF IMPAIRED DRIVING MOTOR VEHICLE CRASH REDUCTION ACTIVITES; PROVIDE COMMUNICATION AND MARKETING OPPORTUNITIES TO BRING THE IMPAIRED DRIVING MOTOR VEHICLE CRASH PROBLEM TO THE PUBLIC'S ATTENTION; AND PROVIDE RESOURCES TO IMPROVE THE STATE'S SYSTEM IN ITS EFFORTS TO ADDRESS THE IMPAIRED DRIVING MOTOR VEHICLE CRASH PROBLEM BY WORKING CLOSELY WITH STATE AND LOCAL POLICY LEADERS, LAW ENFORCEMENT AGENCIES, PROSECUTORS, JUDGES, PROBATION OFFICERS, DMV'S, HEALTH CARE AND INJURY PREVENTION PROFESSIONALS, ADVOCATES AND OTHER STATE AND COMMUNITY LEVEL GROUPS.
FORM 990 PART IX LINE 11G
DESCRIPTION:CONSULTANTS AND OTHER FEES TOTAL FEES:3250934
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.