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
NATIONAL HEAD START ASSOCIATION
Employer identification number
52-1282065
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.") ....
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
1,947,307
2,114,351
1,698,888
2,078,264
2,220,132
10,058,942
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......
2,560,150
3,011,530
2,714,467
2,668,397
3,569,457
14,524,001
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.
4,507,457
5,125,881
4,413,355
4,746,661
5,789,589
24,582,943
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
1,863,338
161,001
54,616
438,500
559,992
3,077,447
c
Add lines 7a and 7b..
1,863,338
161,001
54,616
438,500
559,992
3,077,447
8
Public support (Subtract line 7c from line 6.)
21,505,496
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...
4,507,457
5,125,881
4,413,355
4,746,661
5,789,589
24,582,943
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
3,888
45,978
48,336
37,758
58,102
194,062
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
3,888
45,978
48,336
37,758
58,102
194,062
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
8,005
20,953
16,113
18,968
64,039
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
36,044
3,387
12,286
92,702
73,866
218,285
13
Total support. (Add lines 9, 10c, 11, and 12.)..
4,555,394
5,196,199
4,490,090
4,896,089
5,921,557
25,059,329
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
85.820 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
86.890 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.770 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.610 %
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
NATIONAL HEAD START ASSOCIATION
Employer identification number
52-1282065
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE ASSOCIATION SHALL HAVE THE FOLLOWING CLASSES OF MEMBERS: CLASS A: CLASS A MEMBERS SHALL CONSIST OF THOSE MEMBERS OF THE ASSOCIATION WHO ARE FULL-TIME DIRECTORS OF A HEAD START GRANTEE OR DELEGATE AGENCY. CLASS B: CLASS B MEMBERS SHALL CONSIST OF THOSE MEMBERS OF THE ASSOCIATION OTHER THAN CLASS A MEMBERS WHO ARE EMPLOYED IN A LOCAL HEAD START PROGRAM. CLASS C: CLASS C MEMBERS SHALL CONSIST OF THOSE MEMBERS OF THE ASSOCIATION OTHER THAN CLASS A OR CLASS B MEMBERS WHO ARE PARENTS OR LEGAL GUARDIANS OF CHILDREN WHO ARE ENROLLED IN A HEAD START PROGRAM. CLASS D: CLASS D MEMBERS SHALL CONSIST OF THOSE MEMBERS OF THE ASSOCIATION OTHER THAN CLASS A, CLASS B, OR CLASS C MEMBERS. CLASS E: CLASS E MEMBERS SHALL CONSIST OF ANY HEAD START GRANTEE THAT IS FUNDED THROUGH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATION FOR CHILDREN, YOUTH, AND FAMILIES. CLASS F: CLASS F MEMBERS SHALL CONSIST OF 50 HEAD START ASSOCIATIONS AND ONE HEAD START ASSOCIATION PER REGION. REGIONS RECOGNIZED SHALL BE I, II, III, IV, V, VI, VII, VIII, IX, X, AND XI (AMERICAN INDIANS), AND XII (MIGRANT PROGRAMS). THEY SHALL BE CALLED NHSA AFFILIATES, AND SHALL QUALIFY BASED ON CRITERIA ESTABLISHED BY THE NHSA BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7A
DIRECTORS SHALL BE ELECTED BY MEMBERS OF THE ASSOCIATION IN EACH OF THE TWELVE REGIONAL HEAD START ASSOCIATIONS.
FORM 990, PART VI, SECTION A, LINE 7B
UNLESS OTHERWISE SPECIFIED IN THE BYLAWS, EACH MEMBER OF THE ASSOCIATION SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE FOR THE MEMBERS. A MEMBER MAY VOTE IN PERSON OR BY PROXY EXECUTED IN WRITING BY THE MEMBER OR HIS/HER DULY AUTHORIZED REPRESENTATIVE. IN ADDITION, VOTING ON ALL MATTERS MAY BE CONDUCTED BY MAIL IN SUCH MANNER AS THE BOARD OF DIRECTORS SHALL DETERMINE.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE AND PRESENTED TO THE BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C
ALL CONTRACTS AND AGREEMENTS ARE REVIEWED BY NHSA'S GENERAL COUNSEL TO ENSURE THE PARTIES CONTRACTING DO NOT HAVE A CONFLICT OF INTEREST. ANNUALLY, ALL BOARD MEMBERS AND KEY STAFF ARE ASKED TO COMPLETE AND SUBMIT A STATEMENT OF DISCLOSURE DETAILING ANY FACTS OR CIRCUMSTANCES THAT MIGHT CONSTITUTE A CONFLICT OF INTEREST. IF A CONFLICT OR POTENTIAL CONFLICT IS IDENTIFIED, IT IS REVIEWED, AND AS NECESSARY, INVESTIGATED BY NHSA GENERAL COUNSEL.
FORM 990, PART VI, SECTION B, LINE 15A
ON AN ANNUAL BASIS, IN CONJUNCTION WITH THE BUDGET REVIEW PROCESS, THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE SALARY OF THE EXECUTIVE DIRECTOR. THE CRITERIA FOR ESTABLISHING COMPENSATION INCLUDES REVIEWING THE SALARIES OF SIMILAR POSITIONS IN THE WASHINGTON, DC AREA AND ESTABLISHING TARGET MILESTONES.
FORM 990, PART VI, SECTION C, LINE 18
NHSA'S FORM 990 IS AVAILABLE ON THE GUIDESTAR WEBSITE AND UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION'S BYLAWS CAN BE DOWNLOADED BY THE PUBLIC FROM ITS WEBSITE (WWW.NHSA.ORG). NHSA'S OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:
FORM 990, PART XII, LINE 2C: THE AUDIT REVIEW AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.