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
ISU VETERINARY SERVICES CORPORATION F/K/A IOWA STATE UNIVERSITY EQUITIES CO
Employer identification number
42-6409168
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)
No
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
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
(A)
IOWA STATE UNIVERSITY
426004224
5
Yes
Yes
Yes
0
Total
0
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.") .
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
ISU VETERINARY SERVICES CORPORATION F/K/A IOWA STATE UNIVERSITY EQUITIES CO
Employer identification number
42-6409168
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 2
BOARD MEMBERS WARREN MADDEN, LISA NOLEN AND JONATHAN WICKERT ARE EMPLOYEES OF ISU, THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 6
THE CORPORATION HAS ONE MEMBER: IOWA STATE UNIVERISTY OF SCIENCE AND TECHNOLOGY (ISU).
FORM 990, PART VI, SECTION A, LINE 7A
THE BOARD OF DIRECTORS SHALL BE COMPRISED OF THREE ISU DIRECTORS: THE INDIVIDUAL THEN-SERVING (INCLUDING IN AN ACTING OR INTERIM CAPACITY) AS THE EXECUTIVE VICE PRESIDENT AND PROVOST OF IOWA STATE UNIVERSITY OR AN ALTERNATE INDIVIDUAL DESIGNATED IN WRITING BY THE EXECUTIVE VICE PRESIDENT AND PROVOST OF IOWA STATE UNIVERSITY AS HAVING THE POWER TO ATTEND AND VOTE AT MEETINGS OF THE CORPORATION'S BOARD OF DIRECTORS IN THE PLACE OF THE EXECUTIVE VICE PRESIDENT AND PROVOST OF IOWA STATE UNIVERSITY. THE INDIVIDUAL THEN SERVING (INCLUDING IN AN ACTING OR INTERIM CAPACITY) AS THE VICE PRESIDENT OF BUSINESS AND FINANCE OF IOWA STATE UNIVERSITY OR AN ALTERNATE INDIVIDUAL DESIGNATED IN WRITING BY THE VICE PRESIDENT OF BUSINESS AND FINANCE OF IOWA STATE UNIVERSITY AS HAVING THE POWER TO ATTEND AND VOTE AT MEETINGS OF THE CORPORATION'S BOARD OF DIRECTORS IN THE PLACE OF THE VICE PRESIDENT OF BUSINESS AND FINANCE OF IOWA STATE UNIVERSITY. THE INDIVIDUAL THEN-SERVING (INCLUDING IN AN ACTING OR INTERIM CAPACITY) AS THE DEAN OF THE COLLEGE OF VETERINARY MEDICINE OF IOWA STATE UNIVERSITY OR AN ALTERNATE INDIVIDUAL DESIGNATED IN WRITING BY THE DEAN OF VETERINARY MEDICINE OF IOWA STATE UNIVERSITY AS HAVING THE POWER TO ATTEND AND VOTE AT MEETINGS OF THE CORPORATION'S BOARD OF DIRECTORS IN THE PLACE OF THE DEAN OF THE COLLEGE OF VETERINARY MEDICINE OF IOWA STATE UNIVERSITY. AND TWO COMMUNITY DIRECTORS: EACH COMMUNITY DIRECTOR SHALL BE APPOINTED BY THE INDIVIDUAL THEN-SERVING AS PRESIDENT (INCLUDING IN AN ACTING OR INTERIM CAPACITY) OF IOWA STATE UNIVERSITY FOR A TERM OF TWO YEARS OR SUCH A SHORTER OR LONGER TERM AS SUCH APPOINTING PRESIDENT MAY DESIGNATE.
FORM 990, PART VI, SECTION A, LINE 7B
THE BUSINESS AND AFFAIRS OF THE CORPORATION, INCLUDING THE CONTROL AND DISPOSITION OF ITS PROPERTY AND FUNDS, SHALL BE MANAGED BY ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL HAVE SOLE AUTHORITY TO ESTABLISH METHODS OF CONTRIBUTIONS, ACCEPT OR REJECT CONTRIBUTIONS, OR TO PROVIDE FOR ANY OTHER RESTRICTIONS, QUALIFICATIONS, OR TO PROVIDE FOR ANY OTHER RESTRICTIONS, QUALIFICATIONS OR LEVELS RELATING TO CONTRIBUTIONS WHICH IT IN ITS SOLE DISCRETION DEEMS NECESSARY, SUBJECT TO APPLICABLE LEGAL REQUIREMENTS. THE FOLLOWING ACTIONS MAY NOT BE TAKEN BY THE CORPORATION WITHOUT FIRST RECEIVING THE APPROVAL OF THE CORPORATION'S SOLE MEMBER; 1) THE VOLUNTARY DISSOLUTION OF THE CORPORATION; 2)THE SALE, CONVEYANCE, LEASING, TRANSFER OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; 3) ANY MERGER, CONSOLIDATION OR OTHER CORPORATE RESTRUCTURING TRANSACTION OF ANY KIND; 4) THE AUTHORIZATION OF THE CORPORATION TO INCUR LONG-TERM DEBT TO A BANK OR ANOTHER FINANCIAL INSTITUTION OR ANY OTHER ENTITY IN EXCESS OF $500,000; 5) THE AMENDMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION; 6) THE AMENDMENT OF THE CORPORATION'S BYLAWS.
FORM 990, PART VI, SECTION A, LINE 8B
THERE ARE NO COMMITTEES OTHER THAN THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C
THE CONFLICT OF INTEREST POLICY FOR ISU WAS ADOPTED FOR THE FILING ORGANIZATION. THE OFFICERS OF THE ORGANIZATION COMPLETE AN INDEPENDENCE QUESTIONNAIRE ANNUALLY TO RESPOND TO FORM 990 COMPLIANCE.
FORM 990, PART VI, SECTION B, LINE 15
EXECUTIVE COMPENSATION IS BASED UPON AN ANALYSIS OF COMPARABLE SALARIES IN THE AREA. A WRITTEN EMPLOYMENT CONTRACT IS PROVIDED TO THE CHIEF OPERATING MANAGER. COMPENSATED BOARD MEMBERS ARE PAID BY A RELATED ORGANIZATION, IOWA STATE UNIVERSITY, THE SOLE CORPORATE MEMBER, FOR SERVICES RENDERED AS EMPLOYEES OF IOWA STATE UNIVERSITY. THE ADMINISTRATIVE SALARIES FOR THE PROVOST AND VICE-PRESIDENT OF BUSINESS AND FINANCE ARE NEGOTIATED BY THE PRESIDENT AND ARE LARGELY MARKET DRIVEN. ISU INSTITUTIONAL RESEARCH CONTRIBUTES TO AN ANNUAL SURVEY FOR PEER LAND GRANT UNIVERSITIES FACULTY SALARY COMPARISONS. THE DATA USED FOR THE SALARY COMPARISONS ARE COLLECTED THROUGH THE ASSOCIATION OF AMERICAN UNIVERSITY FACULTY SALARY SURVEY IN DISCIPLINE. THE PEER GRANT UNIVERSITIES ARE: UNIVERSITY OF ARIZONA, UNIVERSITY OF CALIFORNIA DAVIS, UNIVERSITY OF ILLINOIS URBANA, MICHIGAN STATE UNIVERSITY, UNIVERSITY OF MINNESOTA, NORTH CAROLINA STATE UNIVERSITY, OHIO STATE UNIVERSITY, PURDUE STATE UNIVERSITY, TEXAS A&M UNIVERSITY, UNIVERSITY OF WISCONSIN MADISON. FORM 990, PART VI, SECTION B, 15B: COMPENSATION IS DETERMINED BASED UPON AN ANALYSIS OF COMPARABLE VETERINARIAN SALARIES PROVIDED BY DATA RECEIVED BY THE IOWA STATE UNIVERSITY COLLEGE OF VETERINARIAN MEDICINE FOR STUDENTS PLANNING TO PRACTICE IN THE FIELD OF VETERINARY MEDICINE THROUGH THE CAREER PLACEMENT OFFICE. WRITTEN EMPLOYMENT CONTRACTS ARE PROVIDED TO THE EMPLOYED VETERINARIANS AT THE HOSPTIAL.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VII-COMPENSATION EXPLANATION:
LISA K. NOLEN, DVM, WARREN R. MADDEN AND JONATHAN WICKERT: COMPENSATION PAID TO BOARD MEMBERS IS FOR PROFESSIONAL RESPONSIBILITIES AS EMPLOYEES OF IOWA STATE UNIVERSITY. TIME DEVOTED TO TAXPAYER IS IN A VOLUNTEER CAPACITY. HOURS DEVOTED TO RELATED ORGANIZATION: LISA K. NOLEN 40 HOURS WARREN R MADDEN 40 HOURS JONATHAN WICKERT 40 HOURS
FORM 990, PART XII, LINE 2C:
NO CHANGE HAS BEEN MADE TO THE OVERSIGHT PROCESS FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.