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
World Bicycle Relief NFP
Employer identification number
20-5080679
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.") .
1,862,537
2,223,842
4,222,577
4,644,829
4,909,542
17,863,327
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......
202,741
481,316
468,462
1,152,519
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
1,862,537
2,223,842
4,425,318
5,126,145
5,378,004
19,015,846
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
868,275
1,033,455
1,550,328
1,570,985
1,456,303
6,479,346
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..
868,275
1,033,455
1,550,328
1,570,985
1,456,303
6,479,346
8
Public support (Subtract line 7c from line 6.)
12,536,500
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...
1,862,537
2,223,842
4,425,318
5,126,145
5,378,004
19,015,846
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
25,000
66,785
120,818
212,603
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
25,000
66,785
120,818
212,603
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
20,580
108,346
136,716
93,599
359,241
13
Total support. (Add lines 9, 10c, 11, and 12.)..
1,862,537
2,244,422
4,558,664
5,329,646
5,592,421
19,587,690
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
64.002 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
57.627 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
1.085 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.586 %
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
World Bicycle Relief NFP
Employer identification number
20-5080679
Return Reference
Explanation
Governing Body Committees
Form 990, Part VI, Line 1a The Board of Directors shall have power to appoint committees for the purpose of conducting certain aspects of the corporate business not otherwise delegated. Committees may not act on behalf of the Corporation unless such authority is specifically delegated to the committee, and if such corporate authority is so delegated, it shall be valid only as to a single issue and not in general terms. The Board of Directors may from time to time appoint advisory boards or special councils for specific purposes that do not require corporate action. The composition of such advisory groups may include persons with professional skills or special experience necessary to advise and inform the Board of Directors. Such advisory groups shall not have the authority to commit the corporation to any legal contracts or agreements whether or not related to the business of the corporation. The Board of Directors shall not lend Apparent authority to such, advisory groups and all related corporate resolutions shall expressly limit the groups authority In this respect.
Family Relationships
Form 990, Part VI, Line 2 Board member Stanley Day and president Frederick K.W. day have a family relationship. Michael Herr, Brian Benzer, Stanley Day, and Frederick K.W. Day have a business relationship.
Form 990 Review Process
Form 990, Part VI, Line 11b The President, Executive Director, and Treasurer reviewed a draft of the Form 990 that was prepared by a third party tax preparer based upon information WBR provided the preparer. Subsequent to their review, Management and the full voting board received a copy of the draft return electronically. The board provided any questions or comments to the Executive Director and the Form 990 was revised, as necessary. The full voting board of directors received a copy of the Form 990 prior to filing with the IRS.
Conflict of Interest Policy Monitoring & Enforcement
Form 990, Part VI, Line 12c The responsibility for disclosing any known or reasonably foreseen actual or potential conflicts of interest shall be upon the interested party whose interests are or may appear to be in conflict. All interested parties are required to file with the WBR a disclosure statement with WBR prior to such individual commencing his or her service with WBR and thereafter shall file with WBR an updated disclosure statement as may be required from time to time by the Board of Directors or its Committee designee, and in no event less often than annually. The minutes shall reflect that the conflict of interest was disclosed and the interested person was not present during any discussion of the matter and did not vote on the matter in person or by proxy. When any such conflict of interest is relevant to a matter requiring action by the Board of Directors or any committee of the Board, the interested person shall disclose such conflict to the Board of Directors or such committee; and shall not vote on the matter. Further, the interested person having a conflict shall retire from the room in which the Board or the committee is meeting and shall not participate in any deliberation or decision regarding the matter under consideration. When there is a doubt as to whether a conflict of interest exists, the matter shall be resolved by a vote of the Board of Directors or the committee, as the case may be, excluding the interested person concerning whom the doubt has arisen. The Board of Directors, from time to time, shall report on its implementation of these guidelines and the status of any policy developments regarding compensation and conflicts of interest. Further, the Board of Directors shall report after having been alerted to specific instances when these guidelines have not been followed or any other issue regarding compensation or conflict of interest is determined to exist.
Process for Determining Compensation
Form 990, Part VI, Line 15b Compensation is established for the Executive Director by the President after a thorough salary/market review. This salary/market review process was completed during the hiring process carried out in mid 2013. Each year the board evaluates the Executive Director's performance through an assessment process. The board uses this data to determine compensation. The senior staff has a comprehensive performance evaluation and compensation review done at the end of each calendar year. Salary is benchmarked every year vis-a-vis other similar organizations using Form 990 data. Documentation of the compensation review is contemporaneously documented in the Human Resources files.
How Documents are Made Available to the Public
Form 990, Part VI, Section C, Line 18 WBR'S Form 990 is available on the organization's website and available upon request. The organization's form 1023 is available upon request.
Form 990, governing documents, conflict of interest & financial statement
Form 990, Part VI, Line 19 The following documents are posted on the organization's website and available upon request: Articles of Incorporation, Bylaws, Conflict of Interest Policy, and Audited Financial Statements.
Compensation of officers
Form 990, Part VII Frederick K.W. Day is an officer of SRAM, LLC and World Bicycle Relief. Sram, LLC is an unrelated third party, which contributes Frederick K.W. Day's world bicycle belief's compensation as an officer to world bicycle relief. Sram, llc includes this amount in Fredrick K.W. Day's W-2, and has treated this as an in-kind contribution for services Fredrick K.W. Day renders to world bicycle relief as an officer.
Reconciliation of Net Assets
Form 990, Part XI, Line 9 Foreign Exchange Loss............................................($13,751) Total............................................................($13,751)
Review of Financial Statements
Form 990, Part XII, Line 2c The financial statements are shared with the board and key internal staff. An audit Committee was formed to review audit activities.
Amendments to 2013 Form 990
Form 990, Page 1, Box B World Bicycle Relief, NFP, is filing an amended Form 990 for the year ended December 31, 2013, due to the fact that the organization had reported an incorrect number of independent board members on the originally filed Form 990. The Amended 2013 Form 990, Part VI, Line 1b, correctly states 5 independent voting members.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.