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
CHILDREN'S MUSEUM OF SKAGIT COUNTY
Employer identification number
91-2081180
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.") .
275,851
78,386
48,573
52,396
202,405
657,611
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......
42,294
230,571
275,501
255,136
335,311
1,138,813
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.
318,145
308,957
324,074
307,532
537,716
1,796,424
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.
37,294
37,294
c
Add lines 7a and 7b..
37,294
37,294
8
Public support (Subtract line 7c from line 6.)
1,759,130
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...
318,145
308,957
324,074
307,532
537,716
1,796,424
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
134
16
20
5
5
180
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
134
16
20
5
5
180
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.)..
318,279
308,973
324,094
307,537
537,721
1,796,604
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
97.910 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
95.930 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
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
CHILDREN'S MUSEUM OF SKAGIT COUNTY
Employer identification number
91-2081180
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
SINCE WE OPENED OUR DOORS IN 2003, THE MISSION OF THE CHILDREN'S MUSEUM OF SKAGIT COUNTY IS TO PROVIDE AN INTERACTIVE LEARNING ENVIRONMENT TO PROMOTE, ENCOURAGE AND INCREASE AN UNDERSTANDING OF THE ARTS, SCIENCE, CULTURE AND LITERATURE AMONG THE CHILDREN, YOUTH, FAMILIES AND EDUCATORS IN SKAGIT COUNTY AND BEYOND. IN A CAREFULLY CONSTRUCTED ENVIRONMENT, WITH COMPONENTS BUILT IN SUCH AS COMFORT AND ACCESSIBILITY AS WELL AS EDUCATIONAL AND EXPERIENTIAL, INTER-GENERATIONAL SHARING AND PLAY CAN OCCUR, THEREBY STRENGTHENING THE FAMILY COMMUNICATION AND POTENTIAL FOR LEARNING. THE MUSEUM SERVES CHILDREN OF ALL AGES AND ETHNICITIES, AND SOCIO-ECONOMIC BACKGROUNDS, AND STRIVES TO MEET THE NEEDS OF SKAGIT COUNTY'S 11.1% OF THE POPULATION THAT FALLS BELOW THE POVERTY LEVEL. THE PRIMARY TARGETED AGES FOR THE MUSEUM ARE BIRTH TO AGE 10-12; THE MAJORITY OF CHILDREN ARE BIRTH TO FIVE YEARS OLD. WE HAVE MEMBERS OF LITERALLY ALL AGES. EACH YEAR, THE MUSEUM SERVES APPROXIMATELY 64,000 VISITORS, AND THOUSANDS MORE THROUGH THEIR ON-GOING PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES. SCHOLARSHIPS ARE GRANTED, AS POSSIBLE, TO SCHOOLS FOR FIELD TRIPS WHO MEET THE CRITERIA OF PERCENTAGE OF STUDENTS PARTICIPATING IN THE FREE AND REDUCED LUNCH PROGRAM. WITH COMMUNITY FREE DAYS ONCE A MONTH AND A POLICY OF PROVIDING PASSES, MEMBERSHIPS, HELD TRIPS AND BIRTHDAY PARTIES TO THE COMMUNITY'S HOMELESS CHILDREN, THE SKAGIT COUNTY MUSEUM IS A PLACE THAT IS ACCESSIBLE TO ALL. IN ADDITION TO ADMISSIONS, MEMBERSHIPS, HELD TRIPS, CAMPS AND CLASSES, EVENTS AND PARTIES, WE NOW OPEN A MUSEUM EXPLORERS PRESCHOOL PROGRAM. EXPANDING OUR PROGRAM FOR PRESCHOOLERS, ALONG WITH A TODDLER TUESDAY PROGRAM. THE MUSEUM STORE OPENS BOOKS AND DEVELOPMENTAL ACTIVITIES RELATED TO ARTS, SCIENCES AND LITERATURE.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
REVIEW OF THE FORM 990 IS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS INITIALLY, FOLLOWED BY THE FULL BOARD OF DIRECTORS. AS APPROPRIATE, OR BY RECOMMENDATION OF THE CPA FIRM WHO PREPARES THE FORM 990, ADDITIONAL REVIEW MAY BE CONDUCTED BY PROFESSIONALS OR COMMITTEES TO ENSURE THAT COMPLIANCE IS BEING MET AND THAT THE FORM 990 CORRESPONDS WITH ANY ANNUAL REPORTS PRODUCED AND DISTRIBUTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS FOR THE CHILDREN'S MUSEUM OF SKAGIT COUNTY (CMSC) ARE AVAILABLE TO THE PUBLIC IN SEVERAL WAYS. THE MISSION STATEMENT IS POSTED IN THE MUSEUM, ON OUR WEBSITE AND WITHIN CORRESPONDENCE. OUR FORM 1023 AND FORM 990 IS AVAILABLE TO GRANTORS, DONORS AND THE GENERAL PUBLIC UPON REQUEST. FURTHER, THOSE DOCUMENTS ARE ALWAYS AVAILABLE IN PRINT FORM WITHIN THE CHILDREN'S MUSEUM. UPDATED COPIES OF THE ORGANIZATIONAL ARTICLES OF INCORPORATION AND BYLAWS ARE KEPT BY THE SECRETARY OR CO-SECRETARIES OF CMSC, AS WELL AS IN PRINT ON-SITE AT CMSC AND AVAILABLE TO THE GENERAL PUBLIC. OTHER POLICIES REGARDING PERSONNEL AND OTHER BUSINESS OF CMSC ARE AVAILABLE TO THE BOARD, STAFF AND PUBLIC FOR REVIEW. THE BOARD REGULARLY REVIEWS THE DOCUMENTS FOR COMPLIANCE AND TO ENSURE UPDATES ARE BEING MADE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.