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
MISSOURI HEAD START ASSOCIATION
Employer identification number
43-1935220
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.") ....
83,285
45,301
34,148
21,500
32,750
216,984
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
83,285
45,301
34,148
21,500
32,750
216,984
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.
216,984
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..
83,285
45,301
34,148
21,500
32,750
216,984
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.)..
2,312
71,672
45,404
64,293
183,681
11
Total support (Add lines 7 through 10).
400,665
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
54.160 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
72.610 %
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.") .
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
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:
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
2012
Open to Public Inspection
Name of the organization
MISSOURI HEAD START ASSOCIATION
Employer identification number
43-1935220
Identifier
Return Reference
Explanation
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
EXPENSES SUPPLIES 212 MISCELLANEOUS/ADMIN EXPENSES 716 WEB HOSTING FEES 885 TRAVEL 807 CONFERENCES & MEETINGS HELD 14,681 REGION VII DUES 4,954 TOTAL 22,255
OTHER ASSETS
FORM 990-EZ, PART II, LINE 24
ACCOUNTS RECEIVABLE 7,801 11,461 TOTAL 7,801 11,461
PRIMARY EXEMPT PURPOSE
FORM 990-EZ, PART III
THE PRIMARY EXEMPT PURPOSE OF THE MISSOURI HEAD START ASSOCIATION IS TO PROMOTE ADVOCACY, EDUCATION AND LEADERSHIP OF HEAD START AGENCIES THROUGHOUT THE STATE OF MISSOURI.
FIRST ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 28
LEADERSHIP & TRAINING- MHSA DESIGNS AND/OR PROVIDES EFFECTIVE LEADERSHIP & TRAINING BY- PROVIDING PARENT AND STAFF LEADERSHIP TRAINING IN JEFFERSON CITY, MO IN FEBRUARY, MAY, SEPTEMBER, AND DECEMBER 2012 THROUGH THE MHSA COUNCIL MEETINGS. THESE TRAININGS ALLOW INTERACTION FOR HEAD START MANAGEMENT STAFF AND FAMILY LEADERS ELECTED TO THE MHSA COUNCIL TO RECEIVE TRAINING ON VARIOUS TOPICS FROM IMMUNIZATIONS AND PREVENTING TRAUMATIC BRAIN INJURIES TO HOW TO RECOGNIZE AND REACT TO TRAUMA IN INFANTS AND TODDLERS. MHSA ALSO PROVIDES CONTINUOUS FAMILY LEADERSHIP TRAINING THROUGH REGULAR LEGISLATIVE UPDATES AND TOOLS TO INFORM PARENTS ON HOW TO EFFECTIVELY SPEAK WITH LOCALLY AND STATE-WIDE ELECTED OFFICIALS ABOUT THE NEEDS OF THIS POPULATION. APPROXIMATELY 125-150 PEOPLE PARTICIPATED. PROVIDING CLASSROOM ASSESSMENT SCORING SYSTEM TRAINING (CLASS) AND FOLLOW UP CONTINUOUSLY THROUGHOUT 2012 IN COLUMBIA, MO. MHSA USES THIS SCIENTIFICALLY BASED AND HEAVILY RESEARCHED INSTRUMENT TO IMPROVE THE QUALITY OF TEACHER TO CHILD INTERACTIONS IN THE EDUCATIONAL SETTING. EDUCATION COORDINATORS ARE INSTRUCTED ON HOW TO USE THE RATING SYSTEM FOR TEACHERS AS A PROFESSIONAL DEVELOPMENT TOOL. MHSA PROVIDES THE ADMINISTRATIVE AND GENERAL SUPPORT NEEDED TO OFFSET THE COSTS OF THIS TRAINING TO BE OFFERED TO HEAD START, EARLY HEAD START AND CHILD DAYCARE PARTNERSHIPS ACROSS MISSOURI. APPROXIMATELY 100-150 PERSONS RECEIVED THIS INSTRUCTION IN 2012. PROVIDING INTENSIVE INSTRUCTION FOR HEAD START HOME VISITORS AND HOME-BASED HEAD START. MHSA PROVIDED A SERIES OF TWO WEEK INSTRUCTIONS FOCUSED ON ADVANCING THE SKILLS OF HEAD START HOME VISITORS CHARGED WITH WORKING TO ENGAGE FAMILIES IN THE PROCESS OF PARENTING AND BECOMING ACTIVE PARTICIPANTS IN THEIR CHILD'S EARLY EDUCATION NEEDS. WORKSHOPS WERE PROVIDED IN COLUMBIA, MO FROM JANUARY TO DECEMBER 2012 AND SUPPORTED BY IN-PERSON AND WEBINAR FOLLOW-UP. THE GROUP IS FORMING A COMMUNITY OF PRACTICE TO CONTINUE THEIR LEARNING AND EXPANDED TO INCLUDE LOCAL EDUCATION AGENCY STAFF ALSO INVOLVED IN HOME VISITS PAST THE AGE OF 5 TO HELP EASE THE TRANSITION FROM HEAD START TO KINDERGARTEN. APPROXIMATELY 100 INDIVIDUALS HAVE ACTIVELY PARTICIPATED THROUGH 2012 AND THE COMMUNITY OF PRACTICE OFFERINGS GREW TO INCLUDE PROFESSIONALS IN FIELDS OF DISABILITIES, HEALTH AND FAMILY ENGAGEMENT.
SECOND ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 29
MHSA WORKS TO ESTABLISH COLLABORATIVE PARTNERSHIPS WITH OTHER SIMILAR ORGANIZATIONS AND GROUPS BY- PARTNERING WITH MHSSCO, DESE AND REGION VII ADMINISTRATION FOR CHILDREN AND FAMILIES TO RECOGNIZE THE REAL STRUGGLES OF HEAD START AND LOCAL EDUCATION AGENCIES IN SERVING CHILDREN WITH SPECIAL LEARNING OR DEVELOPMENTAL NEEDS. THIS EVENT CENTERED ON THE EARLY INTERVENTION MEASURES OF EARLY HEAD START AND HEAD START AND TO WORK WITH SCHOOL DISTRICTS TO IDENTIFY, ASSES, AND PROVIDE THERAPIES FOR YOUNG CHILDREN AND THEIR FAMILIES TO EASE TRANSITIONS FROM EHS, HS AND KINDERGARTEN WELL INTO THE SCHOOL SYSTEM. THE PARTNERSHIP INCLUDED EXPERTS IN THE FIELD OF SPECIAL EDUCATION AND HOME VISITATION TO WORK THROUGH STRATEGIES FOR EARLY IDENTIFICATION AND STREAMLINING THE IEP PROCESS FOR FAMILIES. A DVD WAS CREATED FOR PROGRAMS TO US IN TRAININGS AND TO SHARE THIS INFORMATION LARGER THAN THOSE IN THE AUDIENCE THAT DAY IN FEBRUARY 2012. PARTICIPATING IN THE SPECIAL QUEST BIRTH TO FIVE LEADERSHIP TEAM. STATE LEVEL WORK TO EXPLORE THE FUNDAMENTALS OF THE SPECIAL QUEST APPROACH AND DEVELOPMENT OF A STATE SPECIFIC ACTION PLAN TO INFUSE SPECIAL QUEST RESOURCES INTO THE STATEWIDE, CROSS-AGENCY SYSTEM OF PROFESSIONAL DEVELOPMENT FOR INCLUSION OF YOUNG CHILDREN WITH DISABILITIES AND THEIR FAMILIES. MEMBERSHIP ON THE REGION VII HEAD START ASSOCIATION BOARD OF DIRECTORS. AS ONE OF FOUR STATES REPRESENTING REGION VII, MISSOURI HAS ONE OF THE LARGEST AMOUNTS OF CHILDREN AND STAFF. THE NEEDS OF THE CHILDREN ARE GREATLY DIVERSE DEPENDING ON THE LOCATION AND RESOURCES AT HAND FOR EACH INDIVIDUAL PROGRAM. MHSA SERVES AS A VOICE FOR THESE PROGRAMS ON THE REGIONAL BOARD. THIS COLLABORATIVE PARTNERSHIP IS PARTICULARLY IMPORTANT AS IT ALLOWS MISSOURI'S NEEDS TO BE HEARD ON A LARGER PLATFORM AND TO EFFECTIVELY POOL RESOURCES WITH OTHER STATES TO BETTER SERVE CHILDREN IN THE MIDWEST. ONGOING PARTNERSHIPS WITH THE MISSOURI HEAD START STATE COLLABORATION OFFICE, REGION VII ADMINISTRATION FOR CHILDREN AND FAMILIES AND REGION VII TRAINING AND TECHNICAL ASSISTANCE TEAM. MHSA SERVICES AS THE CONVENER FOR MOST MEETINGS BETWEEN THIS GROUP OF COLLABORATORS TO FURTHER EXPAND OUR KNOWLEDGE BASE OF THE SCOPE OF WORK AND ROLE OF EACH AGENCY AND SERVING HEAD START CHILDREN AND COMMUNITIES INVOLVED.
THIRD ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 30
INCREASING PUBLIC AWARENESS BY- PUBLISHING AND DISTRIBUTING REGULAR EMAIL ALERT BULLETINS TO THE MHSA NETWORK WHICH CONTAINS INFORMATION ON UPCOMING EVENTS, PENDING LEGISLATION, PROGRAM HIGHLIGHTS, AND STATEWIDE INITIATIVES. PUBLISHES AN ANNUAL REPORT AND STATISTICAL INFORMATION TO MHSA MEMBERSHIP AND INTERESTED PARTIES WHICH WAS SHARED AT THE ANNUAL MEETING IN FEBRUARY 2012. PROVIDING A WEBSITE WHICH ALSO PROVIDES INFORMATION AS OUTLINED ABOVE. IT ALSO PROVIDES INFORMATION REGARDING NATIONAL AND OTHER STATE HEAD START ORGANIZATIONS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.