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.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DISCOVERY PARK OF AMERICA
Employer identification number
26-2726861
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 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 support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
25,000
2,000
535
39,231
66,766
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..
96,000
96,000
4
Total. Add lines 1 through 3..
121,000
2,000
535
39,231
162,766
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.
162,766
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
121,000
2,000
535
39,231
162,766
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
793
1,391
959
4,977
8,120
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
170,886
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 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
95.250 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
96.610 %
16a
33 1/3% support test—2011.
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—2010.
If the organization did not check the 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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or 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) 2011
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.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
DISCOVERY PARK OF AMERICA
Employer identification number
26-2726861
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
TO CREATE AND SERVE THE PUBLIC AS A PREMIER MUSEUM AND EDUCATIONAL INSTITUTION. TO ASSEMBLE, DISPLAY, PRESERVE AND/OR PROTECT IMPORTANT AND INTERESTING ARTISTIC, CULTURAL, HISTORIC AND SCIENTIFIC ITEMS, COLLECTIONS, WORKS AND EXHIBITS DEDICATED TO AND CELEBRATING THE HUMAN EXPERIENCE WITH AN EMPHASIS ON NORTHWEST TENNESSEE'S UNIQUE CULTURAL HERITAGE AND NATURAL HISTORY.
AUTHORITY DELEGATED TO COMMITTEE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 1A
THE GOVERNING BODY DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE WHICH CONSISTS OF THE SECRETARY AND THE PRESIDENT. THE ACTIONS OF THE EXECUTIVE COMMITTEE HAVE BEEN RATIFIED BY THE FULL BOARD.
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
ALEXANDER THOMPSON ARNOLD PLLC ALEXANDER THOMPSON ARNOLD PLLC MEMBER MEMBER BUSINESS RELATIONSHIP WESTAN INSURANCE WESTAN INSURANCE FAMILY OWNER DIRECTOR BUSINESS RELATIONSHIP WESTAN INSURANCE WESTAN INSURANCE FAMILY OWNER OFFICER BUSINESS RELATIONSHIP WESTAN INSURANCE WESTAN INSURANCE DIRECTOR OFFICER BUSINESS RELATIONSHIP
ELECTION OF MEMBERS AND THEIR RIGHTS
FORM 990, PAGE 6, PART VI, LINE 7A
MEMBERS OF THE DISCOVERY PARK OF AMERICA BOARD OF DIRECTORS INCLUDE THE MAYOR OF UNION CITY (ELECTED BY THE VOTERS OF UNION CITY), THE MAYOR OF OBION COUNTY (ELECTED BY THE VOTERS OF OBION COUNTY), THE CHAIRMAN OF THE BUDGET COMMITTEE OF THE OBION COUNTY COMMISSION (ELECTED BY THE MEMBERS OF THE OBION COUNTY COMMISSION), A REPRESENTATIVE OF THE CITY COUNCIL OF THE CITY OF UNION CITY (ELECTED BY THE CITY COUNCIL OF UNION CITY), THE EXECUTIVE DIRECTOR OF NORTHWEST TENNESSEE TOURISM (ELECTED BY THE BOARD OF DIRECTORS OF NORTHWEST TENNESSEE TOURISM), THE EXECUTIVE DIRECTOR OF THE OBION COUNTY JOINT ECONOMIC DEVELOPMENT CORPORATION (ELECTED BY THE BOARD OF DIRECTORS OF THE OBION COUNTY JOINT ECONOMIC DEVELOPMENT CORPORATION) AND THREE MEMBERS OF THE BOARD OF DIRECTORS OF THE OBION COUNTY MUSEUM (APPOINTED BY THE BOARD OF DIRECTORS OF THE OBION COUNTY MUSEUM). THE OTHER 13 MEMBERS OF THE DISCOVERY PARK OF AMERICA BOARD OF DIRECTORS ARE AT-LARGE DIRECTORS. NO SINGLE DIRECTOR OR CLASSIFICATION OF DIRECTOR HAS GREATER RIGHTS THAN ANY OTHER DIRECTOR.
OFFICERS WHO CANNOT BE REACHED
FORM 990, PAGE 6, PART VI, LINE 9
JOHNNY BACON 1112 ARMSTRONG BLVD UNION CITY, TN 38261 TRACEY BATEY 4419 WILL DICKERSON ROAD RIVES, TN 38253 ROBERT L. CARTWRIGHT 1155 E HWY 22 UNION CITY, TN 38261 RON COOPER MICHAEL E. COX 711 PHEBUS ROAD UNION CITY, TN 38261 ALFRED H. CRESWELL 100 GRAYSON CIRCLE UNION CITY, TN 38261 LINDSAY FRILLING VALLEY DRIVE UNION CITY, TN 38261 RICHARD NEWELL GRAHAM 4132 MT PELIA ROAD RIVES, TN 38253 TERRY HAILEY 1215 MOSS STREET UNION CITY, TN 38261 DANNY JOWERS 202 W COLLEGE STREET SOUTH FULTON, TN 38257 ALICE FENNEL 888 FENNEL ROAD UNION CITY, TN 38261 ROBERT E. KIRKLAND 760 SANDERS CHAPEL ROAD UNION CITY, TN 38261 WILLIAM H. LATIMER III 1312 HONEYSUCKLE DRIVE UNION CITY, TN 38261 PAUL MARSIDI 1418 FOREST DRIVE UNION CITY, TN 38261 GARRY MASON P.O. BOX 127 BIG SANDY, TN 38221 BENNIE MCGUIRE 260 NORTH MAIN HORNBEAK, TN 38232 LARRY MINK 2655 DALLAS HILL ROAD UNION CITY, TN 38261 ARTHUR L. SPARKS JR. 2410 PLEASANT VALLEY ROAD UNION CITY, TN 38261 BETTY ANN TANNER 1713 MEADOWLARK DRIVE UNION CITY, TN 38261 THOMAS WILTON WADE III 101 GRAYSON CIRCLE UNION CITY, TN 38261
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
COPY OF RETURN PROVIDED TO BOARD FOR APPROVAL
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
FILES ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
NO OFFICERS OR BOARD MEMBERS RECEIVE ANY COMPENSATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
DOCUMENTS ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.