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
REDMOND ELEMENTARY PTSA LAKE WASHINGTON PTSA COUNCEL 2 8 46
Employer identification number
91-1088258
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.") .
1,955
1,901
1,795
2,021
1,949
9,621
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
0
0
0
0
0
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
0
0
0
0
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
0
0
0
0
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
0
0
0
0
0
6
Total. Add lines 1 through 5.
1,955
1,901
1,795
2,021
1,949
9,621
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
0
0
0
0
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.
c
Add lines 7a and 7b..
0
0
0
0
0
0
8
Public support (Subtract line 7c from line 6.)
9,621
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...
1,955
1,901
1,795
2,021
1,949
9,621
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
95
86
15
1
1
198
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
0
0
0
0
0
c
Add lines 10a and 10b.
95
86
15
1
1
198
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.)..
2,050
1,987
1,810
2,022
1,950
9,819
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
97.984 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
96.8 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
2.016 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
0.1 %
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:
12000197
Software Version:
v1.00
-
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
REDMOND ELEMENTARY PTSA LAKE WASHINGTON PTSA COUNCEL 2 8 46
Employer identification number
91-1088258
Identifier
Return Reference
Explanation
F99Z_P01_S00_L16
Form 990-EZ, Part I, Line 16
5th Grade Celebration 256.38 5th Grade Celebration 53.97 Accelerated Reader Parties 75.00 Accelerated Reader Parties 141.18 Accelerated Reader Parties 330.14 Accelerated Reader Tests Grant 110.39 Bank Service Charges 5.00 Bank Service Charges 5.00 Bank Service Charges 5.00 Bank Service Charges 5.00 Bank Service Charges 73.60 Bank Service Charges 5.00 Bank Service Charges 5.00 Bank Service Charges 5.00 Bank Service Charges 6.00 Bank Service Charges 5.00 Bank Service Charges 6.00 Bank Service Charges 5.00 Capital Equipment 450.00 Capital Equipment 474.66 Capital Equipment 619.42 Capital Equipment 347.79 Capital Equipment 58.13 Capital Equipment 9.84 Capital Equipment 200.00 Charitable/Annual Report Fees 10.00 Charitable/Annual Report Fees 40.00 Classroom Supply Support Grant 80.46 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 98.32 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 65.57 Classroom Supply Support Grant 40.44 Classroom Supply Support Grant 20.78 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 62.90 Classroom Supply Support Grant 9.78 Classroom Supply Support Grant 25.51 Classroom Supply Support Grant 264.00 Classroom Supply Support Grant 11.59 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 68.75 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 88.00 Classroom Supply Support Grant 100.00 Classroom Supply Support Grant 83.50 Classroom Supply Support Grant 31.23 Classroom Supply Support Grant 144.48 Diane Hay Legacy Fund for NSH 760.50 Donut/Muffin NSH 320.41 Emergency Preparedness 36.66 Enrichment - Art 150.00 Enrichment - General 400.00 Enrichment - General 89.95 Enrichment - General 36.00 Enrichment - General 29.50 Enrichment - Math 96.08 Enrichment - Math 6.55 Enrichment - Math 16.41 Enrichment - Math 111.01 Enrichment - Math 20.57 Enrichment - Math 13.68 Enrichment - Math 181.54 Enrichment - Math 102.58 Enrichment - Science 42.71 Enrichment - Science 307.71 Enrichment - Science 30.42 Family Net Program Grant 25.00 Family Net Program Grant 30.00 Family Net Program Grant 25.00 Family Net Program Grant 12.00 Field Day 106.42 Field Day 28.36 Field Day 35.13 Field Day 25.46 Field Trip Scholarship 16.00 Founders Day 196.00 Grade Level Learning Enhancement 656.96 Grade Level Learning Enhancement 583.82 Hospitality 109.25 Hospitality 74.15 Insurance 265.00 Leadership Training 90.00 Lego Clubs 200.00 Lunch Buddy Grant 2,000.00 LWPTSA Council Scholarship Fee 99.91 Money Minder Fee 163.16 Nature Vision 340.00 Nature Vision 85.00 Nature Vision 425.00 Nature Vision 425.00 Nature Vision 340.00 Passport Club 257.00 Passport Club 480.80 Passport Club 26.43 Passport Club 11.75 Passport Club 13.90 Passport Club 23.18 Passport Club 23.18 Passport Club 284.80 PO Box 96.00 President's Discretionary Fund 40.00 President's Discretionary Fund 41.92 President's Discretionary Fund 19.98 President's Discretionary Fund 65.00 President's Discretionary Fund 68.99 Principal Fund 209.46 Principal Fund 94.61 Reflections 81.02 Reflections 140.87 Reflections 31.76 Safety Patrol 278.70 Salmon Project 350.00 Service Awards 306.60 Service Awards 56.95 Service Awards 29.40 Student Council 18.31 Student Council 71.45 Supplies/Paper 78.91 Supplies/Paper 51.98 Supplies/Paper 10.50 Supplies/Paper 73.87 Supplies/Paper 102.33 Supplies/Paper 388.28 Supplies/Paper 10.03 Supplies/Paper 215.13 Supplies/Paper 23.52 Supplies/Paper 180.00 Teacher/Staff Appreciation 383.25 Teacher/Staff Appreciation 94.10 Teacher/Staff Appreciation 80.67 Teacher/Staff Appreciation 27.62 Teacher/Staff Appreciation 25.60 Teacher/Staff Appreciation 383.25 Third Grade Swimming Lessons 800.00 Third Grade Swimming Lessons 1,600.00 Volunteer Recognition 78.47 Volunteer Recognition 252.65 Total Line ez16 22,793.93
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.