Form990-EZ
Click to see attachment
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
bullet Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.
bulletThe organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-1150
2012
Open to Public
Inspection
A
For the 2012 calendar year, or tax year beginning 10-01-2012, and ending 09-30-2013
B
Check if applicable:
C Name of organization
GEORGE WASHINGTON CARVER BIRTHPLACE
DISTRICT ASSN INC
Number and street (or P. O. box, if mail is not delivered to street address)5646 CARVER ROAD
  Room/suite
City or town, state or country, and ZIP + 4 DIAMOND, MO64840
D Employer identification number

43-6048697
E Telephone number

(417) 325-4151
F Group Exemption
Number. . bullet  
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bulletWWW.CARVERSFRIENDS.ORGJ Tax-exempt status(check only one)—Click to see attachment(   ) bullet(insert no.) or
K Check bullet A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . bullet $ 102,646
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)Check if the organization used Schedule O to respond to any question in this Part I...................
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1 34,302
2 Program service revenue including government fees and contracts ............ 2  
3 Membership dues and assessments...................... 3  
4 Investment income........................... 4 161
5a Gross amount from sale of assets other than inventory........ 5a  
b Less: cost or other basis and sales expenses........... 5b  
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c  
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a  
b Gross income from fundraising events (not including $   of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b  
c Less: direct expenses from gaming and fundraising events....... 6c  
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d  
7a Gross sales of inventory, less returns and allowances........ 7a 68,183
b Less: cost of goods sold................. 7b 36,840
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c 31,343
8 Other revenue (describe in Schedule O) ..................... 8  
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet 9 65,806
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10 500
11 Benefits paid to or for members........................ 11  
12 Salaries, other compensation, and employee benefits................ 12 32,079
13 Professional fees and other payments to independent contractors............ 13 1,550
14 Occupancy, rent, utilities, and maintenance................... 14  
15 Printing, publications, postage, and shipping................... 15  
16 Other expenses (describe in Schedule O) .................... 16 15,997
17 Total expenses. Add lines 10 through 16 ................. Bullet 17 50,126
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 15,680
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return)................ 19 49,124
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20 -8,893
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 55,911
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2012)
Form 990-EZ (2012)
Page 2
Part IIBalance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year
22Cash, savings, and investments................
69,211
22
48,992
23Land and buildings....................
 
23
 
24Other assets (describe in Schedule O) ..........
24,919
24
46,829
25Total assets......................
94,130
25
95,821
26
Total liabilities (describe in Schedule O) .............
45,006
26
39,910
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
49,124
27
55,911
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? TO ENCOURAGE THE SCIENTIFIC, EDUCATIONAL, HISTORICAL AND INTERPRETATIVE ACTIVITIES OF GEORGE WASHINGTON CARVER NATIONAL MONUMENT.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 CBA WORKED WITH GEORGE WASHINGTON CARVER NATIONAL MONUMENT TO SEE A VARIETY OF SUCCESSFUL INTERPRETIVE EVENTS AND ACTIVITIES TAKE PLACE. THESE INCLUDED A NEW EVENT - A NATURALIZATION CEREMONY HOSTED BY THE PARK AND CBA IN PARTNERSHIP WITH THE U.S. DISTRICT COURT AND U.S. CITIZENSHIP AND IMMIGRATION SERVICES. THIRTY-SEVEN CITIZENS FROM OVER 20 NATIONS BECAME NEW AMERICAN CITIZENS ON OCTOBER 12, 2012. CBA FURNISHED THE HOSPITALITY AND REFRESHMENTS FOR THE NATURALIZATION CEREMONY. IN DECEMBER, CBA CONTRIBUTED TO THE 2012 HOLIDAY OPEN HOUSE EVENT, WHICH ATTRACTS AS HIGH AS 200 PEOPLE TO THE MONUMENT, TO ENJOY HOLIDAY MUSIC AND ENTERTAINMENT IN DECEMBER. 2013 EVENTS INCLUDED: THE CARVER COMMEMORATIVE DINNER, HELD TO COMMEMORATE THE DEATH OF DR. CARVER, IS USED TO RAISE FUNDS FOR THE GEORGE WASHINGTON CARVER MEMORIAL SCHOLARSHIP. THE SCHOLARSHIP IS GIVEN EACH YEAR TO A QUALIFIED STUDENT, WITHIN A100 MILE RADIUS OF THE GEORGE WASHINGTON CARVER NATIONAL MONUMENT. FY13 THE SCHOLARSHIP AMOUNT WAS 500 TO ONE STUDENT. CBA SPONSORED THE PARK'S MONTHLY COFFEE WITH CARVER, AND THE 2013 ART & ESSAY CONTEST, CONTRIBUTING FUNDS FOR THE PRIZES. THEY, ALSO SPONSORED THE 2013 ART IN THE PARK EVENT, 2013 JUNETEENTH CELEBRATION ACTIVITIES, PLUS CONTRIBUTED AND REPRESENTED THE MONUMENT AT LOCAL EMANCIPATION DAY EVENTS AND HEALTHY PARKS - HEALTHY PEOPLE ACTIVITIES, SUCH AS, WALK WITH-A DOC. THE 2013 CARVER DAY ATTRACTED 1200 PLUS VISITORS, IN ADDITION, PRAIRIE DAY 2013 HAD RECORD-BREAKING VISITATION WITH NEARLY 2000 VISITORS. CBA PAID FOR ADVERTISING, CONCESSIONS EXPENSES, AND INSURANCE TO COVER HORSE-DRAWN WAGON RIDES THROUGH THE PRAIRIE. THEY ALSO, PAID FOR SUPPLIES AND SUPPORT MATERIALS, REFRESHMENTS FOR MEETINGS, AND OTHER EXPENSES TO AID IN THE PARK'S INTERPRETIVE AND EDUCATIONAL ACTIVITIES. CBA ALSO REPRESENTS THE MONUMENT AT OTHER NON-PROFIT ORGANIZATION'S EVENTS, SUCH AS, NAACP, CHAMBERS OF COMMERCE, BRIGHT FUTURES, COMMUNITY FOUNDATION OF THE OZARKS, CROWDER COLLEGE FOUNDATION, MISSOURI SOUTHERN STATE UNIVERSITY COLLEGE FOUNDATION, AND MANY ADDITIONAL EVENTS THAT HELP TO PROMOTE THE LEGACY OF DR. GEORGE WASHINGTON CARVER. CBA OWNS THE ORIGINAL BLACK SCHOOL THAT GEORGE WASHINGTON CARVER ATTENDED, AS A CHILD. THEY ARE IN THE PROCESS OF SOLICITING FUNDS TO RESTORE THE STRUCTURE IN ORDER TO RECEIVE THE NATIONAL TRUST FOR HISTORIC PRESERVATION DESIGNATION.
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 28a 7,385
29
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		29a
30
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		30a
31 Other program services (describe in Schedule O)
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a).......... bullet 32 7,385
Part IV
List of Officers, Directors, Trustees, and Key Employees List each one even if not compensated (see the instructions for Part IV)Check if the organization used Schedule O to respond to any question in this Part IV............
(a) Name and title (b) Average
hours per week
devoted to position		 (c)Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-) 		(d) Health benefits, contributions to employee benefit plans,
and deferred compensation		 (e) Estimated amount
of other compensation
MELODEE COLBERT-KEANClick to see attachmentDIRECTOR 000.00 0    
LARRY C SWIFTClick to see attachmentDIRECTOR 000.00 0    
JODIE MURRAY BURNSClick to see attachmentCHAIRMAN 000.00 0    
KEITH ZOROMSKIClick to see attachmentVICE-CHAIRMA 000.00 0    
DR ROY SHAVERClick to see attachmentDIRECTOR 000.00 0    
WILLIAM KEANClick to see attachmentTREASURER 000.00 0    
LARRY JAMESClick to see attachmentDIRECTOR 000.00 0    
JEFFERY W JOHNSONClick to see attachmentDIRECTOR 000.00 0    
DR CURTIS R MCCLINTONClick to see attachmentDIRECTOR 000.00 0    
CHARLES NODLERClick to see attachmentDIRECTOR 000.00 0    
DR BRAD TYNDALLClick to see attachmentIMMEDIATE PA 000.00 0    
CATHY WELSHClick to see attachmentSECRETARY 000.00 0    
ANN MCCORMICKClick to see attachmentBUSINESS MAN 24.00 0    
Form 990-EZ (2012)
Form 990-EZ (2012)
Page 3
Part V
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions) ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O
35b
 
 
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
 
b
Did the organization file Form 1120-POL for this year?...................
37b
 
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..
38a
 
No
b
If “Yes,” complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet   ; section 4912 bullet   ; section 4955 bullet  
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefittransaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I ......
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958...bullet  
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization...........................bullet  
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T ......................
40e
 
No
41List the states with which a copy of this return is filed. bullet
42aThe organization's books are in care of bulletANN MCCORMICK Telephone no. bullet (417) 325-4151
Located at bullet5646 CARVER ROAD5646 CARVER ROADDIAMOND,MO ZIP + 4bullet64840
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes,” enter the name of the foreign country: bullet
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
42c
 
No
If “Yes,” enter the name of the foreign country: bullet
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990-EZ................................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completedinstead of Form 990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule O ............................
44d
 
 
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?.........
45a
 
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions)......................
45b
 
No
Form 990-EZ (2012)
Form 990-EZ (2012)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes,” complete Schedule C, Part I. ..............
46
 
No
Part VI
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51 Check if the organization used Schedule O to respond to any question in this Part VI ................
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................
47
 
No
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
No
b
If "Yes," was the related organization a section 527 organization?................
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee paid more than $100,000 (b) Average
hours per week
devoted to position		 (c) Reportable compensation
(Forms W-2/1099-MISC) 		(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
NONE
f
Total number of other employees paid over $100,000 .................bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation
NONE
d
Total number of other independent contractors each receiving over $100,000..........bullet  
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ...............bullet
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name bullet

Firm's EIN bullet
Firm's address bullet



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2012)


Form 990-EZ, Special Condition Description:
Special Condition Description

Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
GEORGE WASHINGTON CARVER BIRTHPLACE
DISTRICT ASSN INC
Employer identification number

43-6048697
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
f
g
(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) right arrow (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) right arrow (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
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........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
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 ..................................................... right arrow
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) right arrow (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.") . 16,214 23,026 24,495 6,780 34,302 104,817
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...... 65,924 63,157 60,536 54,031 68,344 311,992
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. 82,138 86,183 85,031 60,811 102,646 416,809
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.)           416,809
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6... 82,138 86,183 85,031 60,811 102,646 416,809
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 519 415 339 198 161 1,632
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 519 415 339 198 161 1,632
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.).. 82,657 86,598 85,370 61,009 102,807 418,441
14
Section C. Computation of Public Support Percentage
15
15
99.610 %
16
16
99.030 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
1.000 %
19a
b
20
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:  
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.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
GEORGE WASHINGTON CARVER BIRTHPLACE
DISTRICT ASSN INC
Employer identification number

43-6048697
Identifier Return Reference Explanation
OTHER EXPENSES FORM 990-EZ, PART I, LINE 16 EXPENSES NEWSLETTER & OUTREACH 867 SHIPPING & POSTAGE 213 CONCESSIONS 150 TRAVEL 157 CONFERENCE 722 BANK CHARGES 1,582 CBA MEETING EXPENSE 893 INSURANCE 2,351 MEMBERSHIPS & DUES 809 MISCELLANEOUS 1,101 OFFICE SUPPLIES 1,246 OTHER INTERPRETATION & ED 4,989 SUPERINTENDENT'S FUND 251 WEBSITE EXPENSE 220 FURNISHINGS & DISPLAYS 61 REPAIR AND MAINTENANCE 140 NP TOUR 3 OTHER TAXES 50 NON-INVESTMENT DEPRECIATION 192 TOTAL 15,997
OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990-EZ, PART I, LINE 20 PRIOR PERIOD ADJUSTMENT -8,893
OTHER ASSETS FORM 990-EZ, PART II, LINE 24 ACCOUNTS RECEIVABLE 96 10,043 INVENTORIES FOR SALE OR USE 23,149 35,304 FURNITURE 12,488 12,488 LESS ACCUMULATED DEPRECIATION 11,396 11,588 NET INTANGIBLE ASSETS 582 582 TOTAL 24,919 46,829
OTHER LIABILITIES FORM 990-EZ, PART II, LINE 26 ACCOUNTS PAYABLE AND ACCRUED EXPENSES 2,042 7,821 DEFERRED REVENUE 41,450 32,089 PAYROLL TAXES PAYABLE 1,514 0
PRIMARY EXEMPT PURPOSE FORM 990-EZ, PART III TO ENCOURAGE THE SCIENTIFIC, EDUCATIONAL, HISTORICAL AND INTERPRETATIVE ACTIVITIES OF GEORGE WASHINGTON CARVER NATIONAL MONUMENT.
FIRST ACCOMPLISHMENT FORM 990-EZ, PART III, LINE 28 CBA WORKED WITH GEORGE WASHINGTON CARVER NATIONAL MONUMENT TO SEE A VARIETY OF SUCCESSFUL INTERPRETIVE EVENTS AND ACTIVITIES TAKE PLACE. THESE INCLUDED A NEW EVENT - A NATURALIZATION CEREMONY HOSTED BY THE PARK AND CBA IN PARTNERSHIP WITH THE U.S. DISTRICT COURT AND U.S. CITIZENSHIP AND IMMIGRATION SERVICES. THIRTY-SEVEN CITIZENS FROM OVER 20 NATIONS BECAME NEW AMERICAN CITIZENS ON OCTOBER 12, 2012. CBA FURNISHED THE HOSPITALITY AND REFRESHMENTS FOR THE NATURALIZATION CEREMONY. IN DECEMBER, CBA CONTRIBUTED TO THE 2012 HOLIDAY OPEN HOUSE EVENT, WHICH ATTRACTS AS HIGH AS 200 PEOPLE TO THE MONUMENT, TO ENJOY HOLIDAY MUSIC AND ENTERTAINMENT IN DECEMBER. 2013 EVENTS INCLUDED: THE CARVER COMMEMORATIVE DINNER, HELD TO COMMEMORATE THE DEATH OF DR. CARVER, IS USED TO RAISE FUNDS FOR THE GEORGE WASHINGTON CARVER MEMORIAL SCHOLARSHIP. THE SCHOLARSHIP IS GIVEN EACH YEAR TO A QUALIFIED STUDENT, WITHIN A100 MILE RADIUS OF THE GEORGE WASHINGTON CARVER NATIONAL MONUMENT. FY13 THE SCHOLARSHIP AMOUNT WAS 500 TO ONE STUDENT. CBA SPONSORED THE PARK'S MONTHLY COFFEE WITH CARVER, AND THE 2013 ART & ESSAY CONTEST, CONTRIBUTING FUNDS FOR THE PRIZES. THEY, ALSO SPONSORED THE 2013 ART IN THE PARK EVENT, 2013 JUNETEENTH CELEBRATION ACTIVITIES, PLUS CONTRIBUTED AND REPRESENTED THE MONUMENT AT LOCAL EMANCIPATION DAY EVENTS AND HEALTHY PARKS - HEALTHY PEOPLE ACTIVITIES, SUCH AS, WALK WITH-A DOC. THE 2013 CARVER DAY ATTRACTED 1200 PLUS VISITORS, IN ADDITION, PRAIRIE DAY 2013 HAD RECORD-BREAKING VISITATION WITH NEARLY 2000 VISITORS. CBA PAID FOR ADVERTISING, CONCESSIONS EXPENSES, AND INSURANCE TO COVER HORSE-DRAWN WAGON RIDES THROUGH THE PRAIRIE. THEY ALSO, PAID FOR SUPPLIES AND SUPPORT MATERIALS, REFRESHMENTS FOR MEETINGS, AND OTHER EXPENSES TO AID IN THE PARK'S INTERPRETIVE AND EDUCATIONAL ACTIVITIES. CBA ALSO REPRESENTS THE MONUMENT AT OTHER NON-PROFIT ORGANIZATION'S EVENTS, SUCH AS, NAACP, CHAMBERS OF COMMERCE, BRIGHT FUTURES, COMMUNITY FOUNDATION OF THE OZARKS, CROWDER COLLEGE FOUNDATION, MISSOURI SOUTHERN STATE UNIVERSITY COLLEGE FOUNDATION, AND MANY ADDITIONAL EVENTS THAT HELP TO PROMOTE THE LEGACY OF DR. GEORGE WASHINGTON CARVER. CBA OWNS THE ORIGINAL BLACK SCHOOL THAT GEORGE WASHINGTON CARVER ATTENDED, AS A CHILD. THEY ARE IN THE PROCESS OF SOLICITING FUNDS TO RESTORE THE STRUCTURE IN ORDER TO RECEIVE THE NATIONAL TRUST FOR HISTORIC PRESERVATION DESIGNATION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


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TY 2012 CompensationExplanation
Name:
GEORGE WASHINGTON CARVER BIRTHPLACE
DISTRICT ASSN INC
EIN: 43-6048697
Person Name Explanation
MELODEE COLBERTKEAN  
LARRY C SWIFT  
JODIE MURRAY BURNS  
KEITH ZOROMSKI  
DR ROY SHAVER  
WILLIAM KEAN  
LARRY JAMES  
JEFFERY W JOHNSON  
DR CURTIS R MCCLINTON  
CHARLES NODLER  
DR BRAD TYNDALL  
CATHY WELSH  
ANN MCCORMICK