2. Community Served: Describe the community or constituency served by your organization.

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1 ACCOUNTABILITY WIZARD LIST OF QUESTIONS 12/23/14 The following questions are part of the Accountability Wizard data collection process. Questions and the order of questions may change in the online version at any time. This document is provided as informational resource only and is not intended by used as worksheet. PUBLIC DISCLOSURE 1. Mission Statement: What is the mission statement of your organization? If you do not have a mission statement, what is your organization s specific purpose? 2. Community Served: Describe the community or constituency served by your organization. 3. Area Served: Describe the geographic area served by your organization. 4. Form 990: How is your IRS Form 990, 990-EZ, 990-N (e-postcard) made available to the public? 5. Form 1023/1024: How is your organization s IRS Form 1023 or IRS Form 1024 made available to the public? 6. Annual Info: How do you provide information about your organization annually to your community? Select all that apply. 7. Annual Reporting: Does the annual communication include: 8. Proactive Donor Notification: Does your organization proactively notify its donors and constituents when this annual information is available? 9. Previous Year's Goals: What were your organization s goals from the previously completed year? 10. Previous Year's Impact: Using objective information, briefly describe the impact your organization made in the previous year. 11. Current Year's Goals: What are your organization s goals for the current year? 12. Program Effectiveness: How does your organization measure the effectiveness of its programs? 13. Financial Audit: Has your organization had its financials audited in the last 12 months? 14. Tax-Exempt Status: Has your organization obtained or otherwise qualified for tax-exempt status described in Internal Revenue Code 501(c)(3) or 501(c)(4)? 15. Legal Compliance: To the best of your Board of Director s knowledge, does your organization comply by all applicable state and federal laws? 16. State Registration: If required by your home state, or if you are actively soliciting in a state where it is required to register, is your organization registered?

2 Page 2 of Donor Acknowledgements: When your organization receives a contribution, do you provide donors with a written thank you or acknowledgment that our organization: 18. Political Campaign Activities: Does your organization engage in direct or indirect political campaign activities on behalf of, or in opposition to candidates for public office? 19. Right to Solicit: Has your organization been denied the right to solicit in any state? FORM Most Recent form 990 or 990EZ: Complete the following charts with information from your three (3) most recent IRS Form 990 or 990EZ. 21. Second Most Recent form 990 or 990EZ: Complete the following charts with information from your three (3) most recent IRS Form 990 or 990EZ. 22. Third Most Recent form 990 or 990EZ: Complete the following charts with information from your three (3) most recent IRS Form 990 or 990EZ 23. Financial Health Management: Calculated By Accountability Wizard 24. Balanced Reserves: Calculated By Accountability Wizard 25. Use of Funds: Calculated By Accountability Wizard 26. Use of Funds - Three Year Average: Calculated By Accountability Wizard 27. Use of Funds Explanation: Provide an explanation for why your organization s program expenses fall below 70% or are higher than 90%. 28. Major Program & Expenses in the Last Fiscal Year: 29. Revenue Breakdown from the Last Fiscal Year: In your last fiscal year, what were the total amounts of revenue in the following areas: GOVERNANCE PROCESSES 30. Board of Directors: Complete the following chart with respect to all of your current voting board of directors. For partial years and terms served, round up to the nearest whole number (e.g. For a director that was just elected, enter "1" for years serve 31. Board Meetings: Fill out the following chart with respect to board meetings during the most recently completed fiscal year and year to date. Please enter attendance as a number only (not a percentage). (Do not include meetings of the executive committee or othe

3 Page 3 of Last Mission Review: Did the board of directors review your organization s mission statement, supporting strategies, and program effectiveness within the last 12 months? (</em>e.g. When did the board look at indicators of program accomplishments or when did board 33. Strategic Plan: If your organization has a strategic plan, has it updated the plan in the last five years? 34. Review of Bylaws: Organizations should review their bylaws and other governing documents at least every three years. When does your organization plan to conduct this review? 35. Review of Bylaws and other Governing Documents: Participants: Who participates in the review of your organization s bylaws and governing documents? 36. D,E & I: Board and Key Staff Review: Have the board and key staff reviewed information about: 37. D, E & I: Internal Data Collected: D,E & I: What type of internal data does your organization collect about board, staff and volunteers? *Please note, actions taken by an employer may present legal compliance challenges. Seek expert advice if you have questions. This inf 38. D, E & I: External Data Collected: What type of external data does the organization collect as it relates to the population being served? *Please note, actions taken by an employer may present legal compliance challenges. Seek expert advice If you have questions. This 39. D, E & I: Data Collection Process: Please describe how your organization collects internal and external data. 40. D, E & I: Board Conversation: Have the board and key staff had a conversation about how the nonprofit reflects and includes the population it serves at the following levels: 41. D, E & I: Date of Board Conversation: When did or will the board have a conversation about how the nonprofit reflects and includes the population it serves? 42. D, E & I: Key Goals/Measurements and Tracking: Has the organization identified key goals /measurements that the board is or will be tracking and monitoring related to the board conversation on how the nonprofit reflects and includes th 43. D, E & I: Impact of Diversity, Equity & Inclusion Efforts: Please describe any impact the discussion of this information has had on your organization. If no discussion please articulate the planned or desired impact of future diversity, equity and inclusion efforts. 44. D, E & I: Training Provided: Has your organization provided or participated in training on diversity, equity, and/or inclusion?: 45. D, E & I: Authentic Voice: How does the organization ensure under-represented groups are able to share an authentic voice in shaping/influencing organizational decision making?

4 Page 4 of 6 GOVERNANCE PRACTICES 46. Board of Directors Orientation: Do newly elected directors of your organization s board recieve an orientation with one (1) year of their election? 47. Board Member Election: What is the date of last board meeting where new director(s) were elected to the board of directors? 48. Board of Directors: Complete the following chart with respect to all of your current voting board of directors. For partial years and terms served, round up to the nearest whole number (e.g. For a director that was just elected, enter "1" for years serve 49. Board Self-Assessment: Did the board conduct a self-assessment of its capacity to govern and its effectiveness in the past fiscal year? If not, when does the board plan to conduct this selfassessment? 50. Board Term Length: According to your organization s bylaws, how many years is one term for a director of the board? 51. Consecutive Term Limit: Do your organization s bylaws limit the number of consecutive terms or number of consecutive years a director can serve on the board? 52. Voting Board Members: How many voting directors are there on your organization s board? 53. Quorum: According to your organizations bylaws, what constitutes a quorum? 54. Staff as Voting Directors: Do any staff members of your organization serve as voting directors of the board? 55. Staff as Board Chair: Does a staff person serve as board chair? 56. Board Chair and Treasurer: Are the board chair and treasurer the same person? 57. Director of the Board Compensation: Do any directors of the board receive compensation for their board service other than reimbursement of expenses incurred as a result of board participation? 58. Performance Assessment: Did the board of directors set performance goals and conduct a performance assessment with the chief executive or management company in the past fiscal year? 59. Compensation Decision: Regarding the board of directors actions related to the chief executive s compensation: 60. Form 990 Review: Did the board of directors review the most recent IRS Form 990 and its attachments?

5 Page 5 of 6 GOVERNANCE POLICIES 61. Conflict of Interest Policy: Does your organization have a board approved conflict of interest policy? 62. Conflict of Interest Policy: Groups: Select all the groups to whom your conflict of interest policy applies: 63. Conflict of Interest Policy: Content: Does your conflict of interest policy include: 64. Conflict of Interest Policy: Meeting Declaration: Does your board begin each board meeting with a declaration of any Conflicts of Interest? 65. Conflict of Interest Policy: Annual Disclosures: Does your organization make annual disclosures of potential conflicts available to the public? 66. Whistleblower Policy: Does your organization have a board approved whistleblower policy, either as a separate policy or as part of an employee handbook? 67. Whistleblower Policy: Content: Does the whistleblower policy 68. Document Retention Policy: Does your organization have a document retention and destruction policy that pertains to key governing, legal, audit, and financial documents? FINANCIAL ACTIVITY 69. Budget Approval: Did your board of directors approve your organization s budget for the current fiscal year? 70. Financial Report Review: Does your organization s full board review, at least quarterly, financial reports that compare actual to budgeted revenue and expenses? 71. Other Financial Health Indicators: Does your organization regularly monitor any of the following financial health indicators? 72. Loans to Directors of the Board: In the last three years, our organization: 73. Travel and Entertainment Reimbursement Policy: Does your organization have a written policy outlining travel and entertainment expenses for business purposes and reimbursement procedures? FUNDRAISING 74. Fundraising Solicitations: Do your organization s fundraising solicitations:

6 Page 6 of Information Security: Does your organization have a documented process (i.e. internal controls ) to ensure the security of donors personal and financial information? 76. Information Security Process: Briefly describe process your organization uses to ensure the security of donors personal and financial information. 77. Secure Online Solicitation: Does your organization solicit funds online? 78. Donor Privacy Policy: Does your organization have a policy addressing donor privacy that: 79. Discontinue Contact Policy: Does your organization have a written policy specifying the procedure and assurance that contact will be discontinued at any person s oral or written request? 80. Professional Fundraisers: Has your organization contracted with one or more <br />professional fundraisers in the last 12 months to solicit funds on behalf of your organization? 81. Professional Fundraisers Registration and Contracts: Regarding professional fundraisers, does your organization: 82. Professional Fundraisers: Service Types: Which fundraising services does the professional fundraiser provide for your organization? 83. Professional Fundraisers: Service Types Detail: In online, mail, or telefundraising, the professional fundraiser: 84. Cause-Related Marketing: To what extent does your organization engage in cause marketing: 85. Answer Submission Agreement: By checking this box: I attest that the information contained in this document is correct and complete; and I understand that review results will be made public once all standards are met.