2013-11-08T08:56:47-06:00 2012-12-31 522041603 SQUIRE LEMKIN COMPANY LLP 111 ROCKVILLE PIKE SUITE 475 ROCKVILLE MD 20850 990 2012-01-01 522315929 THE PUBLIC FORUM INSTITUTE PUBL 2025364448 2400 N STREET NW NO 603 WASHINGTON DC 20037 JONATHAN ORTMANS 2025364448 2013-11-06 1 CLINT LEHMAN P00840525 3014246800 2012 2016-02-24 21:20:13Z X JONATHAN ORTMANS 2400 N STREET NW STE 603 WASHINGTON DC 20037 818261 0 X WWW.PUBLICFORUMINSTITUTE.ORG X 2001 DC CITIZEN ENGAGEMENT: TO IMPROVE PUBLIC UNDERSTANDING OF NATIONAL ISSUES. 6 4 7 0 0 0 1609000 785044 0 0 8243 10316 8861 22901 1626104 818261 0 0 0 0 845165 1021037 0 0 93315 480022 350889 1325187 1371926 300917 -553665 1892431 1332885 17722 15799 1874709 1317086 TO ENGAGE CITIZENS IN KEY NATIONAL ISSUES DISCUSSIONS IN AN INDEPENDENT AND IMPARTIAL FASHION TO CREATE A MORE INFORMED PUBLIC. INCLUDES A FOCUS ON JOB CREATION AND STIMULATING ECONOMIC GROWTH THROUGH ENTREPRENEURSHIP. 0 0 119390 OUTREACH TO THE PUBLIC. PROVIDE OPPORTUNITIES FOR CITIZENS TO PARTICIPATE IN IMPARTIAL DIALOGUES IN AN INDEPENDENT SETTING. A MAJOR ACCOMPLISHMENT HAS BEEN THE DEVELOPMENT OF GLOBAL ENTREPRENEURSHIP WEEK, AN EFFORT TO ENABLE YOUNGER CITIZENS TO EXPLORE THEIR POTENTIAL AS ENTREPRENEURS IN ENTREPRENEURSHIP EDUCATION EFFORTS. 974644 22901 PLANNING AND ORGANIZING IMPARTIAL, INDEPENDENT PUBLIC FORUMS THAT BRING TOGETHER PUBLIC OFFICIALS, SPECIALISTS, AND THE GENERAL PUBLIC. 1094034 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 7 1 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 2025364448 2400 N STREET NW STE 603 WASHINGTON DC 20037 JONATHAN ORTMANS 45.00 X X 583140 0 12950 NEIL DHILLON 1.00 X 0 0 0 MARK MARICH 40.00 X X 157019 0 4694 THOMAS SULLIVAN 1.00 X 0 0 0 ROBERT MEAGHER 1.00 X 0 0 0 GEORGE GROB 1.00 X 0 0 0 740159 0 17644 2 0 1 0 0 785044 785044 10316 10316 OTHER REVENUE 900099 17772 17772 INCREASE IN CASH SURRE 900099 5129 5129 22901 818261 22901 0 10316 757803 636555 75780 45468 201511 144821 25031 31659 19204 15747 1921 1536 42519 34641 4469 3409 46117 46117 36778 147 36631 19318 12842 6467 9 23041 22398 643 80103 65684 8011 6408 30478 30143 335 15991 13112 1600 1279 44337 36356 4434 3547 OTHER EXPENSES 32167 14651 17516 WRITING AND RESEARCH 13140 13140 MEALS 5875 4136 1739 ROOMS 3508 3508 36 36 1371926 1094034 184577 93315 653825 55107 528911 585000 250000 178044 530 999 61971 22064 8162 39907 361521 366607 89482 107221 1892431 1332885 17722 3625 0 12174 17722 15799 X 1874709 1218327 98759 1874709 1317086 1892431 1332885 -553665 -3958 0 X 0 1 X 0 0 X 1649525 1674700 784925 1609000 785044 6503194 1649525 1674700 784925 1609000 785044 6503194 5250487 1252707 26211 23128 15932 8243 10316 83830 269916 82351 40252 75466 22901 490886 7077910 0.17700 0.12920 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: THE PUBLIC FORUM INSTITUTE QUALIFIES AS A PUBLIC CHARITY UNDER THE FACTS AND CIRCUMSTANCES TEST OF 1.170A-9T(F)(3) OF THE TREASURY REGULATIONS, BASED ON THE FOLLOWING: 1. THE PUBLIC FORUM INSTITUTES SUPPORT, AS REPORTED FOR 2012, IS 17.70%, THEREBY MEETING THE REQUIREMENT OF 1.170A-9T(F)(3)(I). 2. THE PUBLIC FORUM INSTITUTE IS ORGANIZED AND OPERATED TO ATTRACT NEW AND ADDITIONAL PUBLIC AND GOVERNMENT FUNDING ON A CONTINUOUS BASIS. SINCE 2004, THE INSTITUTE HAS CONTINUOUSLY AND AGGRESSIVELY SOUGHT PUBLIC SUPPORT FROM A VARIETY OF SOURCES. THESE DEVELOPMENT EFFORTS ARE GUIDED BY A DEVELOPMENT DIRECTOR. THE MOST SIGNIFICANT VEHICLE FOR GARNERING PUBLIC SUPPORT HAS PROVEN TO BE DRIVEN AROUND THE INSTITUTES PUBLIC FORUMS THAT ENGAGE CITIZENS, THEREBY MEETING THE REQUIREMENT OF 1.170A-9T(F)(3)(II). 3. THE INSTITUTE FROM 2008 TO 2012 HAD SUCCEEDED IN RAISING $1,375,581 FROM PUBLIC SOURCES, WHICH CONSTITUTE APPROXIMATELY 19.43% OF ITS TOTAL REVENUE DURING THAT TIME FRAME AND ALMOST DOUBLE THE MINIMUM 10% PUBLIC SUPPORT REQUIREMENT. THE INSTITUTE IS CURRENTLY PURSUING A COMPREHENSIVE PLAN TO CONTINUE TO INCREASE THIS LEVEL OF PUBLIC SUPPORT TO KEEP IT WAY OVER THE 10% MINIMUM, THEREBY MEETING THE REQUIREMENTS OF 1.170A-9T(F)(3)(III)(A). 4. SINCE ITS INCEPTION, THE INSTITUTE HAS ENJOYED SUPPORT FROM A BROAD SPECTRUM OF INDIVIDUALS, ORGANIZATIONS AND COMPANIES. FOR INSTANCE, IN 2007, NEARLY 50 SUPPORTERS PROVIDED SUPPORT OF $10,000 OR LESS, TO THE INSTITUTE. THE INSTITUTE IS CONTINUALLY SEEKING MONEY/SUPPORT FROM THESE AND OTHER CORPORATE SOURCES WITH A NUMBER OF COMPANIES CONSISTENTLY PROVIDING ANNUAL SUPPORT TO THE INSTITUTE. ANOTHER EXAMPLE WAS IN 2006, WHEN THE INSTITUTE RECEIVED $1.1 MILLION IN REVENUE FROM FEDERAL AGENCIES, INCLUDING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. IN THIS RESPECT, THE INSTITUTE MEETS THE REQUIREMENTS OF 1.17A-9T(F)(3)(III)(B). 5. THE INSTITUTES BOARD OF DIRECTORS IS COMPOSED OF A SMALL GROUP OF DISTINGUISHED REPRESENTATIVES FROM THE WORLDS OF BUSINESS INCLUDING FORMER GOVERNMENT AND NON-PROFIT LEADERS. HOWEVER, THE INSTITUTE RELIES ON SUPPORT FROM SEVERAL ADVISORS NOT ON THE BOARD AND CONDUCTS ALL ITS PUBLIC ENGAGEMENT WORK WITH THE PARTICIPATION OF LOCAL COMMUNITY ORGANIZATIONS. ALMOST ALL FORUMS AND ACTIVITIES GAIN THE INPUT AND NON-FINANCIAL SUPPORT FROM A WIDE RANGE OF LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE AS PARTNERS OR NON-FINANCIAL CO-SPONSORS, THEREBY MEETING THE REQUIREMENTS OF 1.170A-9T(F)(3)(III)(C). 6. THE INSTITUTE IS DEDICATED TO IMPROVING PUBLIC DISCOURSE ABOUT ISSUES OF THE DAY. ALL EVENTS AND ACTIVITIES ARE DESIGNED EXCLUSIVELY TO ENABLE THOSE WHO WOULD OTHERWISE NOT HAVE AN OPPORTUNITY TO ENGAGE THEIR VOICE IN PUBLIC DISCOURSE TO DO SO AND ARE ALL OPEN TO THE PUBLIC AND OFFERED AT NO CHARGE, THEREBY MEETING THE REQUIREMENTS OF 1.17A-9T(F)(3)(III)(D). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38506 11719 26787 23465 10345 13120 39907 SECURITY DEPOSITS 13765 SURRENDER VALUE LIFE INSURANCE 93456 107221 DEFERRED LEASE BENEFIT 12174 12174 814303 -3958 -3958 818261 0 818261 1371926 0 1371926 0 1371926 THE INSTITUTE COMPLIES WITH THE PROVISIONS OF THE STATEMENT OF FINANCIAL ACCOUNTING STANDARDS BOARD CODIFICATION TOPIC ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, NO UNRECOGNIZED TAX PROVISION OR BENEFIT EXISTS. X 0 0 0 0 0 0 0 0 0 JONATHAN ORTMANS 583140 0 0 0 0 0 12950 0 0 0 596090 0 0 0 MARK MARICH 157019 0 0 0 0 0 4694 0 0 0 161713 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11 THE DIRECTORS, PRESIDENT, TREASURER, AND EXECUTIVE VICE PRESIDENT ARE PROVIDED WITH THE 990 BEFORE IT IS FILED, AND ARE ENCOURAGED TO REVIEW IT CAREFULLY. FORM 990, PART VI, SECTION B, LINE 12C NOT ONLY HAVE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SIGNED THE CONFLICT OF INTEREST POLICY STATING THAT THEY AGREE TO NOTIFY THE BOARD OF ANY CONFLICT OF INTEREST, BUT THEY ARE REMINDED OF THE POLICY AT EACH BOARD MEETING. FUTHERMORE, THE POINT PERSON EMPLOYEE FOR THE WHISTLEBLOWER POLICY ENCOURAGES EMPLOYEES TO DISCLOSE INFORMATION ABOUT ANY ACTIVITIES THAT MIGHT BE REVIEWED AS POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THERE HAVE BEEN NO REVIEWS OR ADJUSTMENTS TO SENIOR MANAGEMENT COMPENSATION. ANY FURTHER COMPENSATION REVIEWS, WHICH FALL WITHIN THE BOARD ADOPTED POLICY WILL BE LED BY AN INDEPENDENT BOARD MEMBER, WILL NOT INVOLVE THE PERSON CONCERNED, AND WILL BE BASED ON CONTEMPORANEOUS COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S MAIN GOVERNING DOCUMENTS, INCLUDING ITS POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR INSPECTION AT THE OFFICES OF THE PUBLIC FORUM INSTITUTE BY THE PUBLIC UPON REQUEST.