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
ROCKHILL MENNONITE COMMUNITY
Employer identification number
23-1472520
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.") .
201,102
167,756
93,034
263,738
177,804
903,434
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......
15,447,801
16,438,944
17,161,554
17,391,733
18,715,608
85,155,640
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.
15,648,903
16,606,700
17,254,588
17,655,471
18,893,412
86,059,074
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.)
86,059,074
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...
15,648,903
16,606,700
17,254,588
17,655,471
18,893,412
86,059,074
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
28,327
24,399
33,899
69,280
225,747
381,652
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
28,327
24,399
33,899
69,280
225,747
381,652
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.)
..
156,149
132,344
172,676
139,397
117,354
717,920
13
Total support. (Add lines 9, 10c, 11, and 12.)..
15,833,379
16,763,443
17,461,163
17,864,148
19,236,513
87,158,646
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
98.740 %
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
0.440 %
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
ROCKHILL MENNONITE COMMUNITY
Employer identification number
23-1472520
Return Reference
Explanation
FORM 990, ITEM B, PAGE 1: INITIAL RETURN
IN 2011, ROCKHILL MENNONITE COMMUNITY (RMC) FORMALLY REQUESTED AND RECEIVED FROM THE INTERNAL REVENUE SERVICE A PUBLIC CHARITY DESIGNATION AS A CHURCH UNDER INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(I). IN ITS EXEMPTION APPLICATION, RMC INDICATED THAT IT OPERATED AS A CHURCH AND CONDUCTED WORSHIP SERVICES AND BIBLE STUDIES, AND THAT IT ALSO OPERATED A CONTINUING CARE RETIREMENT COMMUNITY. AS A CHURCH, RMC WAS EXEMPT FROM FILING A FORM 990. UPON FURTHER CONSIDERATION, RMC HAS CONCLUDED THAT SINCE ITS PRIMARY ACTIVITY AND THE MAJORITY OF ITS REVENUE IS FROM OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY, THE MORE APPROPRIATE PUBLIC CHARITY STATUS IS AS A PUBLICLY SUPPORTED ORGANIZATION. AS SUCH, RMC IS FILING AN INITIAL FORM 990 FOR THE JUNE 30, 2014 TAX YEAR. ON SCHEDULE A, RMC HAS CHANGED ITS PUBLIC CHARITY STATUS FROM A CHURCH UNDER INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(I) TO AN ORGANIZATION THAT NORMALLY RECEIVES MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS AND NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME UNDER INTERNAL REVENUE CODE SECTION 509(A)(2).
FORM 990, PART VI, SECTION A, LINE 3
ROCKHILL MENNONITE COMMUNITY USED THE SERVICES OF MHS CONSULTING FOR AN INTERIM CHIEF FINANCIAL OFFICER.
FORM 990, PART VI, SECTION B, LINE 11
A BOARD MEETING WILL BE CALLED WHEN THE DRAFT OF THE FEDERAL FORM 990 HAS BEEN PREPARED BY THE OUTSIDE ACCOUNTANTS. ALL MEMBERS WILL RECEIVE A COPY OF THE DRAFT FEDERAL FORM 990 TO REVIEW PRIOR TO THE MEETING. AT THE MEETING, THE INDEPENDENT ACCOUNTANTS WILL PROVIDE AN OVERVIEW OF THE FORM 990 AND ALL MEMBERS WILL HAVE THE ABILITY TO ASK ANY QUESTIONS OR VOICE CONCERNS. THE BOARD WILL APPROVE THE FORM 990 SUBSEQUENT TO THE PRESENTATION AND AFTER ALL QUESTIONS HAVE BEEN ANSWERED AND ALL CONCERNS ALLEVIATED.
FORM 990, PART VI, SECTION B, LINE 12C
THERE IS A WRITTEN CONFLICT OF INTEREST POLICY OF WHICH ALL OFFICERS AND DIRECTORS MUST ABIDE AND SIGN ANNUALLY. THE BOARD REVIEWS THE SIGNED STATEMENTS AND OVERSEES THE PROCEDURES FOR ENSURING ANY POTENTIAL CONFLICTS ARE RESOLVED ACCORDING TO THE POLICY. ANY INTERESTED PARTIES TO A CONFLICT WILL REMOVE THEMSELVES FROM ANY DISCUSSIONS AND OR DECISIONS BASED ON THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15
THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH ANNUALLY REVIEWING THE PERFORMANCE AND ESTABLISHING COMPENSATION FOR THE CEO. TOP MANAGEMENT SALARIES ARE DETERMINED BASED ON REVIEW OF AN ANNUAL SURVEY PROVIDED BY TRADE ASSOCIATION, OR EXTERNAL CONSULTATION, TO ENSURE COMPENSATION IS COMPETITIVE AND MAINTAINED WITHIN FAIR MARKET RANGE WITHIN THE INDUSTRY NORMS. THE APPROVAL PROCESS FOR EACH EMPLOYEE'S COMPENSATION IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:
CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 9,621.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.