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
MATER DOLOROSA PASSIONIST RETREAT CENTER
Employer identification number
87-0758476
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.") .
905,428
696,254
635,429
549,264
503,191
3,289,566
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......
1,349,205
1,212,902
1,352,065
1,421,606
1,599,023
6,934,801
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.
2,254,633
1,909,156
1,987,494
1,970,870
2,102,214
10,224,367
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.)
10,224,367
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...
2,254,633
1,909,156
1,987,494
1,970,870
2,102,214
10,224,367
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
2,309
3,064
4,699
22,006
183,137
215,215
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
2,309
3,064
4,699
22,006
183,137
215,215
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.)
..
191,883
173,856
211,406
130,582
125,086
832,813
13
Total support. (Add lines 9, 10c, 11, and 12.)..
2,448,825
2,086,076
2,203,599
2,123,458
2,410,437
11,272,395
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
90.700 %
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
1.910 %
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
MATER DOLOROSA PASSIONIST RETREAT CENTER
Employer identification number
87-0758476
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 2
PATRICK BOWLER JR., A TRUSTEE, IS THE SON OF JEAN BOWLER, ANOTHER TRUSTEE.
FORM 990, PART VI, SECTION A, LINE 6
THE CORPORATION SHALL HAVE 5 MEMBERS, WHO SHALL BE THE PROVINCIAL SUPERIOR OF HOLY CROSS PROVINCE, CONGREGATION OF THE PASSION AND HIS DULY ELECTED PASSIONIST CONSULTORS.
FORM 990, PART VI, SECTION A, LINE 7A
THE BOARD OF TRUSTEES MAY APPPOINT ONE VOTING MEMBER TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B
ALTHOUGH THE BOARD OF DIRECTORS HAS POWER TO CONDUCT THE REGULAR BUSINESS OF THE CORPORATION, THE BOARD OF TRUSTEES HAS CERTAIN RESERVED POWERS WHICH INCLUDE AMONG OTHERS TO DECIDE ON THE FOLLOWING: 1. ANY PROPOSAL OR PLAN FOR CONSTRUCTION OR REMODELING INVOLVING AN EXPENDITURE IN EXCESS OF $25,000, EXCEPT WITH RESPECT TO A TRANSACTION SPECIFIED AND PREVIOUSLY APPROVED WITH THE BUDGET. 2. ANY LOAN BY THE CORPORATION, ANY MAKING, RETENTION, OR DISPOSITION OF ANY INVESTMENT, OR ANY OTHER TRANSFER OF FUNDS BY THE CORPORATION THAT EXCEEDS 5% OF THE ANNUAL BUDGET; EXCEPT WITH RESPECT TO TRANSACTIONS SPECIFIED AND APPROVED WITH THE CAPITAL BUDGET. 3. MERGER OR CONSOLIDATION WITH ANY OTHER INSTITUTION, CORPORATION, OR LEGAL ENTITY. 4. DISSOLUTION OR LIQUIDATION OF THE CORPORATION AND DISPOSITION OF THE ASSETS OF THE CORPORATION UPON DISSOLUTION OR LIQUIDATION. 5. ANY CONTRACT, AMENDMENT OR ANY CONTRACT, LEASE OR LESSEE, OR ACQUISITION OF ANY ASSET WHICH INVOLVES AN OBLIGATION, ON THE PART OF THE CORPORATION, IN THE EXCESS OF 5% OF THE ANNUAL BUDGET. 6. ANY CHANGE IN THE PURPOSE OF THE CORPORATION. 7. ADOPTION, AMENDMENT, AND REPEAL OF THE ARTICLES OF INCORPORATION OR THESE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11
THE 990 FOR FISCAL YEAR ENDED JUNE 30, 2014 WAS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING AND TO THE FULL BOARD OF DIRECTORS AT THE FIRST MEETING FOLLOWING FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C
THE RETREAT CENTER REQUIRES ITS BOARD MEMBERS TO NOTIFY THE RETREAT CENTER IF THE BOARD MEMBER OCCUPIES ANY POSITION WITH ANOTHER ORGANIZATION OR ENGAGES IN ANY TRANSACTION OR RELATIONSHIPS THAT WOULD CREATE A CONFLICT OF INTEREST WITH THE INDIVIDUAL BOARD MEMBER'S FIDUCIARY DUTY TO THE RETREAT CENTER. THE ADMINISTRATOR REPORTS TO THE FINANCE COMMITTEE AND BOARD AFFAIRS COMMITTEE ALL TRANSACTIONS WHICH FALL WITHIN THIS POLICY. AS A REMINDER OF THE POLICY, EACH YEAR EACH BOARD MEMBER IS ASKED TO ACKNOWLEDGE THE RETREAT CENTER'S CONFLICT OF INTEREST POLICY AND TO DISCLOSE ANY SUCH CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15
THE RETREAT CENTER PARTICIPATES IN AND USES AS A GUIDELINE A COMPENSATION AND BENEFITS SURVEY FOR SOUTHERN AND CENTRAL CALIFORNIA NONPROFIT ORGANIZATIONS EVERY OTHER YEAR CONDUCTED BY THE CENTER FOR NONPROFIT MANAGEMENT IN LOS ANGELES (HTTP://WWW.CNMSOCAL.ORG).
FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION'S FORMS 1023 AND 990 ARE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO AVAILABLE ON PUBLIC WEBSITE WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19
MATER DOLOROSA WOULD PROVIDE THE REFERENCED MATERIAL UPON REQUEST.
FORM 990, PART XII, LINE 2C:
AN AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.