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
WESTMINSTER VILLAGE INC
Employer identification number
37-1101586
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
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
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.
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..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
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).
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
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
6,676
6,676
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......
10,425,812
9,489,340
11,337,770
12,138,563
12,711,216
56,102,701
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.
10,425,812
9,489,340
11,337,770
12,138,563
12,717,892
56,109,377
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
56,109,377
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...
10,425,812
9,489,340
11,337,770
12,138,563
12,717,892
56,109,377
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
534,178
840,345
331,196
305,808
234,642
2,246,169
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
534,178
840,345
331,196
305,808
234,642
2,246,169
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.)..
10,959,990
10,329,685
11,668,966
12,444,371
12,952,534
58,355,546
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
96.150 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
95.430 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
3.850 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
4.570 %
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
WESTMINSTER VILLAGE INC
Employer identification number
37-1101586
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
ALL BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING IT WITH THE INTERNAL REVENUE SERVICE
FORM 990, PART VI, SECTION B, LINE 12C
1.SPECIFIC DISCLOSURE: MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF SHALL DISCLOSE FULLY THE PRECISE NATURE OF THEIR INTEREST OF INVOLVEMENT WHEN PARTICIPATING IN ANY TRANSACTION OF THE ORGANIZATION IN WHICH ANOTHER PARTY TO THE TRANSACTION INCLUDES: A.HIMSELF OR HERSELF; B.A MEMBER OF THE FAMILY (SPOUSE, PARENTS, BROTHERS, SISTERS, CHILDREN, IN-LAWS, OR ANY OTHER IMMEDIATE RELATIVE); OR C.AN ORGANIZATION WITH WHICH THE MEMBER OF THE WV, INC. BOARD, ADMINISTRATION OR MANAGEMENT STAFF OR HIS OR HER FAMILY IS AFFILIATED. D.DISCLOSURE SHALL BE MADE AT THE FIRST KNOWLEDGE OF A TRANSACTION. 2.GENERAL DISCLOSURE: MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL DISCLOSE ALL RELATIONSHIPS AND BUSINESS AFFILIATIONS WHICH MAY NOW, OR IN THE FUTURE, CONFLICT WITH THE INTERESTS OF THE ORGANIZATION OR BRING PERSONAL GAIN TO THEM OR THEIR FAMILY OR BUSINESS. IF ANY MEMBER OF THE WV, INC. BOARD, ADMINISTRATION OR MANAGEMENT STAFF OR A MEMBER OF HIS OR HER FAMILY ACTS IN ONE OR MORE OF THE FOLLOWING CAPACITIES, DISCLOSURE MUST BE MADE: A.IS AN OFFICER, DIRECTOR, TRUSTEE, PARTNER, EMPLOYEE, OR AGENT OF AN ORGANIZATION WITH WHICH OUR ORGANIZATION HAS BUSINESS DEALINGS; B.IS EITHER THE ACTUAL OR BENEFICIAL OWNER OF MORE THAN ONE PERCENT OF THE VOTING STOCK OR CONTROLLING INTEREST OF AN ORGANIZATION WITH WHICH OUR ORGANIZATION HAS BUSINESS DEALINGS; C.IS A CONSULTANT FOR SUCH AN ORGANIZATION; OR HAS ANY OTHER DIRECT OR INDIRECT DEALINGS WITH AN INDIVIDUAL OR ORGANIZATION FROM WHICH HE OR SHE IS MATERIALLY BENEFITTING (E.G., THROUGH THE RECEIPT, DIRECTLY OR INDIRECTLY, OR CASH, GIFTS, OR OTHER PROPERTY). 3.REPORTING OF DISCLOSURES: ALL DISCLOSURES AS THEY APPLY TO STAFF WILL BE HANDLED BY THE EXECUTIVE DIRECTOR IN CONCURRENCE WITH THE WV, INC. BOARD PRESIDENT. ALL DISCLOSURES AS THEY APPLY TO MEMBERS OF THE WV, INC. BOARD SHALL BE LISTED AT THE END OF THIS DOCUMENT AND WILL BE REFERRED TO THE PRESIDENT OF THE BOARD. INFORMATION DISCLOSED TO THE PRESIDENT OF THE BOARD OR THE EXECUTIVE DIRECTOR WILL BE HELD IN CONFIDENCE, EXCEPT WHEN THE ORGANIZATION'S BEST INTERESTS WOULD BE SERVED BY BRINGING THE INFORMATION TO THE ATTENTION OF THE EXECUTIVE COMMITTEE OR THE BOARD. A. EACH MEMBER OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL COMPLETE AND UPDATE ANY DISCLOSURE OR SUSPECTED DISCLOSURE ANNUALLY. 4.FAILURE TO DISCLOSE: EACH MEMBER OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WHO IS REQUESTED TO FILE THIS CONFLICT OF INTEREST STATEMENT SHOULD RECOGNIZE THAT SUCH FILING IS A REQUIREMENT FOR CONTINUED AFFILIATION OR EMPLOYMENT WITH OUR ORGANIZATION AND, FURTHER, THAT FAILURE TO KNOWINGLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST COULD RESULT IN DISAFFILIATION OR TERMINATION OF EMPLOYMENT. A.MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WHO HAVE A CONFLICT OF INTEREST IN ANY MATTER SHALL REFRAIN FROM PARTICIPATING IN THE CONSIDERATION OF THE PROPOSED TRANSACTION. THE PERSON OR PERSONS INVOLVED WILL NOT VOTE ON SUCH MATTERS. HOWEVER, FOR SPECIAL REASONS, THE BOARD MAY REQUEST INFORMATION OR INTERPRETATION FROM THE PERSON OR PERSONS INVOLVED. B.WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF SHALL NOT ACCEPT GIFTS, FAVORS OR HOSPITALITY THAT MAY INFLUENCE THEIR DECISION MAKING OR ACTIONS AFFECTING THE VILLAGE EXCEPT FOR NORMAL BUSINESS LUNCHES, ENTERTAINMENT OR COMMEMORATIONS. C.ALTHOUGH IT IS RECOGNIZED THAT A DEGREE OF DUALITY OF INTEREST MAY EXIST FROM TIME TO TIME, AN EFFORT SHOULD BE MADE TO MINIMIZE SUCH DUALITY AND SUCH DUALITY SHALL NOT BE PERMITTED TO ADVERSELY INFLUENCE THE DECISION MAKING PROCESS. 5.HIRING OF FAMILY MEMBERS OF WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF: A.FAMILY MEMBERS OF WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL NOT BE HIRED WITHOUT BOARD APPROVAL. THIS INCLUDES RELATIVES WITH KINSHIP BY BLOOD, ADOPTION OR MARRIAGE.
FORM 990, PART VI, SECTION B, LINE 15A
EXECUTIVE COMMITTEE RECEIVES A SELF-EVALUATION OF EXECUTIVE DIRECTOR AND SOLICITS THE REVIEW FROM ALL BOARD MEMBERS. SALARY SURVEY DATA FROM H.C.S. IS THEN USED FOR COMPARABILITY DATA. THE FULL BOARD THEN ACTS ON THE RECOMMENDATION FOR NEXT YEAR SALARY.
FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:
RESTATEMENT TO CORRECT THE ACTUARIAL TABLES USED IN CALC -290,860. OF DEFERRED REV FROM ADVANCE FEES AND AMORT ON REFUNDABLE OCCUPANCY FEES
FORM 990, PART XII, LINE 2C:
THERE WAS NO CHANGE IN THE AUDIT OVERSIGHT PROCESS OR AUDITOR SELECTION PROCESS DURING THE YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.