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
THE BLACK STUDENT FUND
Employer identification number
52-6053597
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.") ....
688,873
544,563
413,117
349,661
310,379
2,306,593
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
688,873
544,563
413,117
349,661
310,379
2,306,593
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)..
342,875
6
Public support. Subtract line 5 from line 4.
1,963,718
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..
688,873
544,563
413,117
349,661
310,379
2,306,593
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
26,625
14,544
8,821
4,194
1,245
55,429
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
2,553
190
170
225
20
3,158
11
Total support (Add lines 7 through 10).
2,365,180
12
Gross receipts from related activities, etc. (see instructions)
..................
12
290,147
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
83.026 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
83.242 %
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
THE BLACK STUDENT FUND
Employer identification number
52-6053597
Identifier
Return Reference
Explanation
PROGRAM SERVICE ACTIVITIES
PART III, LINE 4D
OTHER PROGRAM SERVICE ACCOMPLLISHMENTS -------------------------------------- 4. Scholarships - Sponsored and funded tuition grants for 75 students in pre-kindergarten through Grade 12, to attend independent schools located throughout the greater Washington, D.C. area. 5. Equity and Education: a) Leadership Institute - established for BSF Scholars in middle school and high school. The Leadership Institute presents monthly seminars that help students prepare for academic advancement and future careers, and build the skills necessary to apply successfully and gain entrance to college. Nominated and actively supported a Scholar's application to an organization that resulted in a four-year academic scholarship. b) Education Employment Network - established as a referral program for professionals, designed to increase administrator and teacher diversity in independent schools, pre-kindergarten through grade 12, in the Washington, DC Metropolitan Area. Networked to attract 35 highly qualified professionals and created dossiers for each. Presented candidate dossiers to Member Schools to assist in creating a more diverse applicant pool for their staffing needs. Orchestrated and hosted interview forums for Member School Heads and hiring representatives. Facilitated 21 candidate preliminary interviews and over 18 on-campus interviews. Placed eight professionals in teaching and administrative positions for the 2012-13 academic year, assisting schools in achieving more diverse academic communities. c) Institute for Cultural Inclusion - initiated curriculum review and writing for professional development courses in cross-cultural communication, designed to enhance cultural inclusion and diversity awareness in the independent school setting. Launched marketing effort to facilitate fall enrollment of schools.
OTHER COMMITTEES
PART VI, SECTION A, LINE 8B
THE BLACK STUDENT FUND HAS NO OTHER COMMITTEE WHICH EXISTS WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
REVIEW OF FORM 990
PART VI, SECTION B, LINE 11B
THE FORM 990 IS REVIEWED BY THE TREASURER AND FINANCE COMMITTEE OF THE BSF BOARD OF TRUSTEES AND THE EXECUTIVE DIRECTOR. THEN A FINAL COPY IS DISTRIBUTED TO THE BOARD OF TRUSTEES FOR THEIR INSPECTION PRIOR TO FILING OF THE RETURN.
MONITOR AND COMPLIANCE OF THE CONFLICT OF INTEREST POLICY
PART VI, SECTION B, LINE 12C
THE BLACK STUDENT FUND'S CONFLICT OF INTEREST POLICY IS APPLICABLE TO ITS TRUSTEES, OFFICERS, KEY EMPLOYEES (AS DESIGNATED BY THE BOARD OF TRUSTEES OR EXECUTIVE DIRECTOR), FORMER OFFICERS OR TRUSTEES WHO SERVED IN SUCH CAPACITY WITHIN THE LAST FIVE YEARS. DUTY TO DISCLOSE ------------------------ IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A COVERED PERSON MUST IMMEDIATELY DISCLOSE TO THE BOARD, COMMITTEE OR BOARD DESIGNEE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST OR ANY DISCLOSABLE RELATIONSHIP. DETERMINATION IF CONFLICT EXISTS -------------------------------- AFTER A COVERED PERSON HAS DISCLOSED THE EXISTENCE OF A FINANCIAL INTEREST OR A POSSIBLE FINANCIAL INTEREST TO THE BOARD OF TRUSTEES, COMMITTEE OR BOARD DESIGNEE, THE BOARD OR COMMITTEE SHALL DETERMINE IF A CONFLICT OF INTEREST EXISTS BECAUSE THE COVERED PERSON HAS AN ACTUAL FINANCIAL INTEREST IN THE PROPOSED TRANSACTION OR ARRANGEMENT AND THAT HE OR SHE SHALL BENEFIT FROM SUCH PROPOSED TRANSACTION OR ARRANGEMENT. PROCEDURES FOR ADDRESSESING CONFLICT OF INTEREST ------------------------------------------------ 1) IF THE BOARD OF TRUSTEES OR COMMITTEE DETERMINES THAT A COVERED PERSON HAS A FINANCIAL INTEREST, THEN: (A) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OR A MAJORITY OF THE DISINTERESTED TRUSTEES SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (B) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE, THE BOARD OF TRUSTEES OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE FUND'S BEST INTERESTS AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE FUND AND SHALL DECIDE AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 2) IF THE CHAIRPERSON OF THE BOARD OR A MAJORITY OF THE DISINTERESTED TRUSTEES DETERMINE THAT IT IS NOT NECESSARY TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT TO PROTECT THE INTERESTS OF THE FUND, THE BOARD OR COMMITTEE OF THE BOARD SHALL DETERMINE THE EXTENT TO WHICH SUCH COVERED PERSON SHALL RECUSE HIMSELF OR HERSELF FROM FURTHER INVOLVEMENT IN THE PROPOSED TRANSACTION OR ARRANGEMENT. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY ---------------------------------------------- 1) IF THE BOARD OF TRUSTEES OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A COVERED PERSON HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL INFORM THE COVERED PERSON AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. 2) IF, AFTER HEARING THE RESPONSE OF THE COVERED PERSON AND, AFTER MAKING SUCH FURTHER INVESTIGATION AS IT CONCLUDES IS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OF TRUSTEES OR COMMITTEE DETERMINES THE COVERED PERSON HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL TAKE APPROPRIATE STEPS TO PROTECT THE FUND, INCLUDING, BUT NOT LIMITED TO, TERMINATION OF THE COVERED PERSON AND REPAYMENT OF APPROPRIATE FUNDS TO THE FUND BY THE COVERED PERSON. ANNUAL STATEMENTS ----------------- EACH COVERED PERSON SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT SUCH PERSON: 1) HAS RECEIVED A COPY OF THIS POLICY, 2) HAS READ AND UNDERSTANDS THE POLICY, 3) HAS AGREED TO COMPLY WITH THE POLICY, AND 4) UNDERSTANDS THAT THE FUND IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION AND THE TRUST OF THE PUBLIC IT MUST DILIGENTLY AVOID CONFLICTS OF INTEREST OR THE APPEARANCE OF ANY CONFLICT AND ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSE.
COMPENSATION DETERMINATION OF EXECUTIVE DIRECTOR
PART VI, SECTION B, LINE 15A
An annual review of the performance of the Executive Director shall be carried out by a Committee appointed by the Board Chair. The Committee is to consist of the Board Chair and two other members who have been in a position to know and assess the Executive Director. The review shall incorporate opinions solicited from every member of the Board, and it shall be conducted in a private meeting of the committee and the Executive Director. This review shall be completed by the end of the first ten (10) months of the Executive Director's service, and will be conducted annually thereafter. The review shall be based on the criteria set forth in the employment contract and a memo of understanding to be mutually agreed upon by the Board and the Executive Director. The memo of understanding shall be revised annually following the performance review and shall specify the nature of the Executive Director's responsibilities and identify, in order of priority, the areas in which the Executive Director is to provide special leadership during the succeeding year, with goals expressed in a measurable fashion. Last review of Executive Director's compensation/performance was conducted in 2012.
AVAILABILITY OF GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS TO THE PUBLIC
PART VI, SECTION C, LINE 19
INFORMATION IS PROVIDED WHEN SUBMITTING PROPOSALS FOR GRANTS AND ONLY UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.