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
MAKE-A-WISH FOUNDATION OF UTAH INC
Employer identification number
74-2392822
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.") ....
1,777,971
1,762,636
2,314,214
1,930,560
2,173,929
9,959,310
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
1,777,971
1,762,636
2,314,214
1,930,560
2,173,929
9,959,310
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)..
188,195
6
Public support. Subtract line 5 from line 4.
9,771,115
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..
1,777,971
1,762,636
2,314,214
1,930,560
2,173,929
9,959,310
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
1,918
4,625
8,530
3,734
13,968
32,775
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.)..
205,874
172,076
133,582
211,523
118,028
841,083
11
Total support (Add lines 7 through 10).
10,833,168
12
Gross receipts from related activities, etc. (see instructions)
..................
12
7,200
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
90.200 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
86.120 %
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
MAKE-A-WISH FOUNDATION OF UTAH INC
Employer identification number
74-2392822
Return Reference
Explanation
FORM 990, PART I, LINE 1
THE MAKE-A-WISH FOUNDATION OF UTAH GRANTS THE WISHES OF UTAH CHILDREN WITH LIFE-THREATENING MEDICAL CONDITIONS TO ENRICH THE HUMAN EXPERIENCE WITH HOPE, STRENGTH AND JOY.
FORM 990, PART III, LINE 1
THE MAKE-A-WISH FOUNDATION OF UTAH GRANTS THE WISHES OF UTAH CHILDREN WITH LIFE-THREATENING MEDICAL CONDITIONS TO ENRICH THE HUMAN EXPERIENCE WITH HOPE, STRENGTH AND JOY. IT IS OUR VISION THAT EVERYONE EVERYWHERE WILL HAVE AN OPPORTUNITY TO "SHARE THE POWER OF A WISH". PARTICIPATION IN A WISH EXPERIENCE ENRICHES FAR MORE THAN THE CHILD AND FAMILY. IT ALSO GIVES HOPE, STRENGTH AND JOY TO THE COMMUNITIES THAT GATHER TO SUPPORT, WITNESS, FULFILL, AND CELEBRATE IT. WE SERVE THE STATE UTAH CHILDREN BETWEEN 2 1/2 AND 18 WHOSE PHYSICIANS HAVE DIAGNOSED A DEGENERATIVE, PROGRESSIVE, OR MALIGNANT ILLNESS THAT PUTS THEIR LIVES IN JEOPARDY. A CHILD'S PHYSICIAN IS ALWAYS PART OF OUR TEAM, AND WE TRY TO SERVE EACH CHILD AT THE POINT IN THE ILLNESS WHEN A WISH CAN MAKE THE MOST DIFFERENCE. MANY OF THOSE CHILDREN WILL BE SURVIVORS. ALL OF THEM WILL BE HEALED, LIFTED, AND RENEWED BY THE EXPERIENCE. "IT IS THE SPIRITUAL AND EMOTIONAL THINGS THAT SHE RESPONDS TO, SOMETIMES EVEN MORE THAN THE MEDICINE."
FORM 990, PART III, LINE 4A
WISH GRANTING: WE GRANT ONE PERSONAL, HEARTFELT WISH TO EVERY MEDICALLY-ELIGIBLE UTAH CHILD BETWEEN THE AGES OF 2.5 AND 18 WHO HAS A LIFE-THREATENING MEDICAL CONDITION AS DETERMINED BY THE CHILD'S OWN PHYSICIAN. IN FY 2014, WE GRANTED 161 WISHES WITH AN ADDITIONAL 88 WISHES APPROVED AND PENDING, IN SOME STAGE OF DELIVERY, AS THE YEAR ENDED. WE SERVED 779 IMMEDIATE FAMILY MEMBERS WHO DIRECTLY PARTICIPATED IN THESE WISHES. ADDITIONALLY, WE PROVIDE LOCAL PLANNING, LOGISTICS, AND SUPPORT FOR CHILDREN WHO ARE VISITING UTAH FROM ANOTHER STATE IN FULFILLMENT OF A WISH TAKING PLACE HERE IN UTAH. MAKE-A-WISH UTAH MANAGES AN EXTENSIVE VOLUNTEER PROGRAM THAT PROVIDES TRAINING AND DEVELOPMENT TO OUR VOLUNTEERS WHO HELP US GRANT WISHES AND SUPPORT US IN A MYRIAD OF WAYS. A MEDICAL OUTREACH PROGRAM DEVELOPS REFERRALS OF MEDICALLY-ELIGIBLE CHILDREN FROM HEALTH CARE PROVIDERS AT HOSPITALS, AND CLINICS. THE DIRECT COST OF WISHES GRANTED FOR THE FISCAL YEAR WAS $1,750,999. OF THIS AMOUNT, $178,364 WAS CONTRIBUTED BY VARIOUS DONORS WHO PROVIDED IN-KIND CONTRIBUTIONS FOR WISH GRANTING (TRAVEL, LODGING, AND OTHER SERVICES OR USE OF FACILITIES TO COMPLETE A CHILD'S WISH). FOR FINANCIAL STATEMENT PURPOSES, THESE AMOUNTS ARE INCLUDED AS CONTRIBUTION REVENUE AND DIRECT WISH EXPENSES. FOR FORM 990, HOWEVER, THE IRS REQUIRES THE $178,364 OF CONTRIBUTED SERVICES AND USE OF FACILITIES BE EXCLUDED FROM BOTH REVENUE AND EXPENSES.
FORM 990, PART III, LINE 4B
WISH FAMILY SUPPORT: AN ADDED BENEFIT TO BEING A WISH CHILD IN UTAH IS OUR CHAPTER'S CONTINUING INVOLVEMENT WITH WISH FAMILIES THROUGH FAMILY EVENTS (EASTER EGG HUNT, TRICK-OR-TREAT, PRINCESS PARTY). WE ALSO FACILITATE THE DISTRIBUTION OF EVENT TICKETS TO WISH FAMILIES WHEN OFFERED TO US FROM VARIOUS SPORTS AND ENTERTAINMENT VENUES IN THE AREA. IN ADDITION TO ATTENDING THE DESIRED EVENTS, THESE FAMILY EVENTS PROVIDE OUR WISH FAMILES THE OPPORTUNITY TO REUNITE AND NETWORK WITH OTHER WISH FAMILIES FOR SUPPORT AND COMARADERIE.
FORM 990, PART VI, SECTION B, LINE 11
THE FOUNDATION CFO/COO WORKED CLOSELY WITH AN INDEPENDENT PUBLIC ACCOUNTING FIRM ENGAGED TO PREPARE THE RETURN. THE DRAFT RETURN PREPARED BY THE ACCOUNTING FIRM WAS REVIEWED BY THE FOUNDATION'S CEO. THE RETURN WAS THEN PRESENTED TO THE EXECUTIVE COMMITTEE AND FINANCE COMMITTEE OF THE BOARD, COMPOSED OF FINANCIAL PROFESSIONALS, FOR REVIEW AND COMMENTS. SUBSEQUENT TO THE COMMITTEE'S APPROVAL, A FINAL VERSION WAS PROVIDED TO ALL VOTING BOARD MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C
THE FOUNDATION MAINTAINS A CONFLICT OF INTEREST AND ETHICS STATEMENT AS PROVIDED BY THE MAKE-A-WISH FOUNDATION OF AMERICA FOR EACH OFFICER, EMPLOYEE, BOARD MEMBER, AND VOLUNTEER. SUCH STATEMENTS MUST BE SIGNED UPON DATE OF HIRE, ELECTION, OR COMMENCEMENT OF VOLUNTEER SERVICE, AND AT LEAST ANNUALLY THEREAFTER. THE SIGNED STATEMENTS ARE THEN SUBMITTED TO AND REVIEWED BY THE VOLUNTEER COORDINATOR IF THEY ARE FROM VOLUNTEERS, AND THE CEO IF FROM STAFF AND BOARD MEMBERS. REVIEW OF THE STATEMENTS IS MONITORED BY THE CHIEF EXECUTIVE OFFICER. THE PROCEDURES FOR ADDRESSING ANY CONFLICTS OF INTEREST OF WHICH THE CHIEF EXECUTIVE OFFICER BECOMES AWARE INCLUDES, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) DETERMINING THE NATURE OF THE CONFLICT VIA VERBAL OR WRITTEN COMMUNICATION WITH THE INTERESTED PERSON; (2) FULLY DISCLOSING CONFLICTING INTERESTS TO THE BOARD; (3) THE CONFLICTED PERSON RECUSES HIMSELF/HERSELF FROM DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION; AND (4) TAKING APPROPRIATE ACTIONS WARRANTED BY THE CONFLICT AS RECOMMENDED BY THE BOARD UP TO AND INCLUDING TERMINATION OF SERVICE.
FORM 990, PART VI, SECTION B, LINE 15
LINE 15A FOR 2013 COMPENSATION, THE CEO'S COMPENSATION WAS DETERMINED BY THE BOARD OF DIRECTORS, CONSISTING OF INDEPENDENT PERSONS. IT WAS REVIEWED AGAINST NATIONAL BENCHMARKING SALARY STUDIES, SURVEYS DONE EVERY FEW YEARS BY MAKE-A-WISH FOUNDATION OF AMERICA, AND BY LOCAL SALARY SURVEYS CONDUCTED BY STATE ORGANIZATIONS LIKE THE UTAH NONPROFITS ASSOCIATION AND BY NATIONAL BENCHMARKING ORGANIZATIONS. THE BOARD'S DISCUSSIONS AND DECISIONS WERE CONTEMPORANEOUSLY DOCUMENTED. LINE 15B: THE SAME PROCESS LISTED ABOVE IS USED FOR OTHER STAFF, USING THE SAME INSTRUMENTS. SALARIES FOR STAFF OTHER THAN THE CEO ARE DECIDED BY THE CEO IN CONSULTATION WITH THE EMPLOYEE'S IMMEDIATE SUPERVISOR WITHIN LIMITS SET BY THE BOARD-APPROVED BUDGET. ALL SALARY INCREASES ARE BASED ON METRICS FROM PERFORMANCE REVIEWS.
FORM 990, PART VI, SECTION C, LINE 19
WE HAVE A FULL SCOPE, EXTERNAL AUDIT EACH YEAR. OUR AUDITED FINANCIAL STATEMENTS FOR THE PAST TWO YEARS ARE POSTED, ALONG WITH OUR FORM 990, ON OUR WEBSITE. THE FOUNDATION'S BY-LAWS, ARTICLES, CONFLICT OF INTEREST POLICIES AND FORMS ARE ALSO AVAILABLE ON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.