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
2012
Open to Public Inspection
Name of the organization
GUYMON SCHOOL EDUCATIONAL FOUNDATION
Employer identification number
73-1460802
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
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—2011.
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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
36,551
58,162
26,694
45,621
34,700
201,728
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......
0
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
36,551
58,162
26,694
45,621
34,700
201,728
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
5,000
5,000
7,500
18,200
28,700
64,400
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..
5,000
5,000
7,500
18,200
28,700
64,400
8
Public support (Subtract line 7c from line 6.)
137,328
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
36,551
58,162
26,694
45,621
34,700
201,728
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
20,980
14,772
14,420
14,791
15,580
80,543
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
20,980
14,772
14,420
14,791
15,580
80,543
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
13
Total support. (Add lines 9, 10c, 11, and 12.)..
57,531
72,934
41,114
60,412
50,280
282,271
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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
48.650 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
56.840 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
28.530 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
29.090 %
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to 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) 2012
Additional Data
Software ID:
12000229
Software Version:
2012v2.0
-
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
2012
Open to Public Inspection
Name of the organization
GUYMON SCHOOL EDUCATIONAL FOUNDATION
Employer identification number
73-1460802
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
Documents will be provided upon request.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
The foundation has a conflict of interest policy that is enforced and annually given to the board to read, review and comply with the policy. to ensure the foundation operates in a manner consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status, periodic reviews shall be conducted.
Form 990, Part VI, Line 11b
Form 990, Part VI, Line 11b: Form 990 Review Process
The voting members review the 990 tax return upon completion. Once the return isreviewed and approved, the treasurer gives authorization for the return to be filed.
Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders
AT EACH MEMBERSHIP MEETING, EACH MEMBER SHALL BE ENTITLED TO VOTE IN PERSON OR BY A WRITTEN PROXY SIGNED BY THE MEMBER GIVING THE PROXY AND BEING DATED LESS THAN 1 YEAR PRIOR TO THE MEETING, UNLESS THE PROXY PROVIDES FOR A LONGER PERIOD OF TIME. ALL ELECTIONS, DECISIONS AND BUSINESS SHALL BE TRANSACTED BY A MAJORITY VOTE OF THE QUORUM.
Form 990, Part VI, Line 7a
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body
BY MAJORITY VOTE OF THE MEMBERS PRESENT AT ANY ANNUAL OR SPECIAL MEETING. MEMBERSHIP SHALL BE GRANTED TO INDIVIDUALS ON A YEARLY BASIS. MEMBERSHIP MAY BE CONTINUED FROM YEAR TO YEAR AS LONG AS THE INDIVIDUAL CONTINUES HIS OR HER INTEREST IN THE GUYMON EDUCATIONAL PROGRAM.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: THROUGH CONTRIBUTIONS AND MEMORIALS THE FOUNDATION PURCHASES COMPUTERS AND EQUIPMENT FOR THE GUYMON SCHOOL DISTRICT. THESE EXPENDITURES ENABLE OUR STUDENTS TO FURTHER THEIR KNOWLEDGE IN TECHNOLOGY AND PROVIDES LEARNING TOOLS FOR THEIR FUTURE IN THE WORK FORCE. OTHER PROGRAM SERVICES 5: THROUGH THESE CONTRIBUTIONS THE PROGRAM HELPS TO PROVIDE THE STUDENTS WITH EXTRA CURRICULAR ACTIVITIES IN THE AGRICULTURE PROCESSES AND TRAINING FOR AGRICULTURAL SKILLS. OTHER PROGRAM SERVICES 6: THROUGH THIS PROGRAM A SCHOLARSHIP IS AWARDED TO A GUYMON HIGH SCHOOL STUDENT TO ENSURE THEM THE CAPABLITY OF RECEIVING A HIGHER EDUCATION. OTHER PROGRAM SERVICES 7: THIS PROGRAM'S CONTRIBUTIONS IS IN SUPPORTOF THE AGRICULTURE FARM PROGRAM FOR THE GUYMON HIGH SCHOOL STUDENTS. CONTRIBUTIONS WILL BE USED IN BUILDING A AG BARN TO HELP ENSURE THE PROGRAMS NEEDS AND MUCH NEEDED STORAGE. OTHER PROGRAM SERVICES 8: THE SCHOOL ATHLETIC PROGRAMS PROVIDE STUDENTS THE TOOLS TO ACHIEVE BEYOND THE ACADEMIC LEVELS. IT HELPS BUILD TEAM SPORTSMENSHIP, CONFIDENCE, ENDURANCE, BODY COORDINATION, AND DEVELOPING THE NESSESSARY PRACTICE OF PHYSICAL EXERCISE.
Client Note 1 - 990-PART III ITEM 4B AND 4D: RECIPIENTS (STUDENTS) QUALIFY FOR SCHOLARSHIPS BASED ON THE FOLLOWING RULES:1. AN APPLICATION IS COMPLETED BY STUDENT2. MEET DEADLINE3. COMMITTEE SELECTS WINNER BASED UPON 20% GPA, 40% NEED, 20% EXTRA-CURRICULAR AND 20% WORK EXPERIENCE AND COMMUNITY INVOLVEMENT4. COMMITTEE CONSISTS OF PRINCIPAL, COUNSELOR, SUPT., TEACHER OF THE SCHOOL'S CHOOSING AND TEACHER CHOSEN BY PRESIDENT OF BOARD.5. ASK STUDENT YEARLY TO VISIT WITH COUNSELOR AND LET HIM/HER KNOW WHICH SCHOOL SHOULD RECEIVE THE CHECK. (SEND CHECKS TO ADMISSIONS OFFICE)6. SUPPLY STUDENT WITH INSTRUCTIONS FOR ANNUAL RENEWAL. FORMS TO BE SENT TO COUNSELOR, CONTACT WITH PRESIDENT OF BOARD AND THEN CHECKS ARE ISSUED AFTER A REVIEW BOARD CHECKS PROGRESS OF STUDENT7. WRITE AN ARTICLE IN THE NEWSPAPER ABOUT THE SCHOLARSHIP AND THE ANNUAL WINNER RECIPIENTS (TEACHERS) QUALIFY FOR ELEMENTARY READING LITERATURE:1. A WRITTEN REQUEST FROM ELEMENTARY TEACHERS 2. COMMITTEE ON THE KIMSEY/HOWARD ELEMENTARY FUND SELECTS AND MAKES REQUEST TO FOUNDATION BOARD3. FOUNDATION BOARD REVIEWS SELECTED REQUESTS FROM COMMITTEE MEMBERS4. AFTER APPROVAL THE CHECKS ARE MADE PAYABLE TO THE VENDOR FOR THE SELECTED TEACHER/TEACHERS
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.