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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PINE TREE STATE 4-H FOUNDATION UNIVERSITY OF MAINE
Employer identification number
01-6011487
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
51,876
88,552
109,910
18,041
44,597
312,976
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
51,876
88,552
109,910
18,041
44,597
312,976
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)..
102,400
6
Public support. Subtract line 5 from line 4.
210,576
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
51,876
88,552
109,910
18,041
44,597
312,976
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
-34,583
39,542
41,889
70,674
69,796
187,318
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).
500,294
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
42.090 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
66.240 %
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PINE TREE STATE 4-H FOUNDATION UNIVERSITY OF MAINE
Employer identification number
01-6011487
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
MISSION: THE MAINE 4-H FOUNDATION CULTIVATES, PROMOTES AND SECURES FINANCIAL RESOURCES TO SUPPORT THE 4-H YOUTH DEVELOPMENT PROGRAM STATEWIDE. THE UNIVERSITY OF MAINE COOPERATIVE EXTENSION OVERSEES THE 4-H YOUTH DEVELOPMENT PROGRAM AS PART OF THE NATIONAL LAND GRANT MISSION. VISION: WE SEEK TO CREATE AND ENHANCE PROGRAM AND RECOGNITION OPPORTUNITIES FOR 4-H'ERS AND VOLUNTEERS, THAT THEY MAY DEVELOP THE VALUE AND CHARACTERISTICS OF SUCCESSFUL CITIZENS WITH RESPONSIBILITY, LEADERSHIP, AND INTEGRITY.
FORM 990, PAGE 2, PART III, LINE 4A
IN 2013, MAINE 4-H DAYS OFFERED OVER 50 WORKSHOPS FOR 4-H YOUTH INCLUDING ROBOTICS, ROCKETRY, ARCHERY, GARDENING, COOKING, NUTRITION, FORESTRY, PHYSICS IN ADDITION TO THE 4-H LIVESTOCK EXPERIENCE. NATIONAL 4-H CONFERENCE AND CONGRESS: THE OVERALL PURPOSE OF NATIONAL 4-H CONFERENCE IS TO PROVIDE AN OPPORTUNITY FOR YOUTH, ADULT VOLUNTEER LEADERS AND EXTENSION STAFF TO WORK TOGETHER IN ADDRESSING THE ISSUES OF YOUTH AND HOW THE 4-H YOUTH DEVELOPMENT PROGRAM CAN BEST MEET THE NEEDS OF YOUTH AT THE LOCAL, STATE AND NATIONAL LEVELS THROUGH EDUCATIONAL PROGRAMMING. NATIONAL 4-H CONFERENCE HAS LONG BEEN A MODEL OF YOUTH/ADULT PARTNERSHIPS. NATIONAL 4-H CONFERENCE IS HELD IN APRIL AT THE NATIONAL 4-H CENTER IN CHEVY CHASE, MD. NATIONAL 4-H CONGRESS IS THE FLAGSHIP EVENT OF THE 4-H PROGRAM. CONGRESS PROVIDES YOUTH AGES 14-19 A QUALITY, EDUCATIONAL, AND CROSS-CULTURAL EXPERIENCE THAT EXCEEDS WHAT ANY STATE INDEPENDENTLY PROVIDES. CONGRESS FOCUSES ON ISSUES AND TRENDS IN AGRICULTURE, CULTURAL DIVERSITY, GROUP DYNAMICS AND COMMUNITY SERVICE. THE PROGRAM IS DESIGNED TO HELP YOUNG PEOPLE DEVELOP THE KNOWLEDGE BASE AND LEADERSHIP SKILLS TO POSITIVELY AFFECT CHANGE IN OUR WORLD. NATIONAL 4-H CONGRESS IS HELD IN ATLANTA, GA. 2013 FUNDING PROVIDED: 8,850 4-H @ UMAINE: THIS WEEKEND LONG CAMPUS-BASED EXPERIENCE IS FOR MAINE YOUTH TO EXPERIENCE CAMPUS LIFE, PROMOTE CAREER ASPIRATIONS (WITH AN EMPHASIS ON SCIENCE, TECHNOLOGY, ENGINEERING AND MATH PROGRAMS STEM), AND TO ENCOURAGE THEM TO CONSIDER ATTENDING COLLEGE. YOUTH ATTENDING 4-H @ UMAINE WILL HAVE AN OPPORTUNITY TO: - PARTICIPATE IN WORKSHOPS THAT COVER A VARIETY OF SUBJECT AREAS INCLUDING ENGINEERING, FOOD SCIENCE, NANOTECHNOLOGY, FORENSICS, FORESTRY, PHOTOGRAPHY, JOURNALISM, AND LEADERSHIP. - INTERACT WITH CAMPUS FACULTY AND STUDENTS. - INCREASE THEIR LIFE SKILLS (BUILDING HEALTHY RELATIONSHIPS, COMMUNICATION, PROBLEM SOLVING, DECISION-MAKING, POSITIVE VIEW OF PERSONAL FUTURE). IN 2013, 4-H @ UMAINE PARTNERED WITH THE UMAINE INNOVATION CENTER ON CAMPUS TO PROVIDE AN INTEGRATED EDUCATIONAL EXPERIENCE FOR 58 4-H @ UMAINE YOUTH AND 70 YOUTH ATTENDING AN INNOVATION CENTER EVENT. WE ANTICIPATE INCREASED PARTICIPATION FOR 2014 FROM BOTH 4-H @ UMAINE YOUTH AND THE CONTINUED PARTNERSHIP WITH THE INNOVATION CENTER. EXPENSES INCLUDE OVERNIGHT HOUSING IN THE COLLEGE RESIDENCE HALLS, MEALS, WORKSHOP SUPPLIES AND TRANSPORTATION. CURRENTLY REGISTRATION COVERS ONLY ABOUT 40% OF THE ACTUAL COST OF THE EVENTS. 2013 FUNDING SUPPORT: 7,080
FORM 990, PAGE 6, PART VI, LINE 11B
THE COMPLETED 990 WAS SIGNED BY THE 4-H CLUB FOUNDATION PRESIDENT, THEN A COPY WAS SUBMITTED TO THE BOARD AT THE FOLLOWING BOARD MEETING AS THE BOARD ONLY MEETS 3 TIMES A YEAR.
FORM 990, PAGE 6, PART VI, LINE 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE OFFICE AND ARE AVAILABLE TO THE PUBLIC DURING STANDARD BUSINESS HOURS.
FORM 990, PART XI, LINE 9
UNREALIZED GAINS ON INVESTMENTS 422,087 422,087 OF UNREALIZED INVESTMENT GAINS WERE INCURRED AND REPORTED ON THE FINANCIAL STATEMENTS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.