r
Address [hope
Name change
c year beginning
7/01
, 2002, and ending
WALNUT FARM MONTESSORI SCHOOL,
4208 HWY 72 EAST PO BOX 1761
BENTONVILLE, AR 72712
T
Initial return
6/31
INC
J
K
L
P
E
v
E
N
U
E
Organization type
n
(check only one)
~ X 501 (C)
3 " (insert no) I I asa7(a)p>o.
F1 5V
Check here I`
if the organization's gross receipts are normally not more than
$25,000 The organization need not file a return with the IRS, but if the organization
received a Form 990 Package in the mail, it should file a return without financial data
Some states require a complete return
Gross
s
1
a
b
c
d
2
3
4
5
6a
b
c
7
8a
Employer Identification Number
E
Telephone number
bL
c G.
dN
9 S
schedule~4
~ c7r,
H (d) Is this a group return for affiliates"
H (b) II Yes
H (C) Ate all affiliates incluOeE7
(If No
~
attach a list See instructions )
U
0
11
12
13
14
orqanrzahon covered by a pinup ruling?
I
Enter 4 di
N
M
Check
~
E 5 19
r T 20
21
[X No
if the organization is not required
B ( For m 990, 990 EZ, or 990 PF)
id
2
3
4
5
75,461
447 , 708 .
B1
6c
7
9c
Oc
1
2
3
4
5
6
Management and general (from line 44, column (C))
Total ex penses (add lines 16 and 44, column (A))
18
n yes
of contributions
Program services (from line 44, column (B))
17
FINo
Bd
Other revenue (from Part VII, line 103)
Total revenue (add lines l d, 2, 3, 4, 5 6c 7, So, 9c, 10c, and 11)
Fundraising (from line 44, column (D))
16
1-1 Yes
it GEN
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b tram line l0a)
15
N No
H (d) is this a separate return tiled by an
b Less direct expenses other than fundraising expenses
c Net income or (loss) from special events (subtract line 9b from line 9a)
10a Gross sales of inventory, less returns and allowances
b Less cost of goods sold
N
~ Yes
enter number at affiliates e`
1
Ue 4 1olumns (A) and (B))
$
X Accrual
X and I are not a001icaDle to section 527 organizations
to attach Sched ule
and 10b to line 12
I Kevenue, expenses, ana %,nanges to net assets or r una tsaiances (sE
Contributions, gifts, grants, and similar amounts received
Direct public support
ta
Indirect public support
1b
Government contributions (grants)
1c
lines
)
nontash $
TatNrouqhlic)
$
75,461
Program service revenue including government fees and contracts (from Part VII, line 93)
Membership dues and assessments
Interest on savings and temporary cash investments
Dividends and interest from securities
Gross rents
6a
Less rental expenses
6b
Net rental income or (loss) (subtract line 6b from line 6a)
Other investment income (describe
Securities
Other
aG
f,y~
71-0828503
n .M. ,._~..., .
Amended realm
" Section 501(cx3) organizations and 4947(a~1) nonexempt
charitable trusts must attach a completed Schedule A
(Form 990 or 990-EZ)
D
479-271-9424
Accounting
F method
u Cash
Final realm
Application Pending
n
ub
0 Ina specpt
to lon"c
zation may have to use a copy of this return to satisfy stale reporting i
A For the 2002 cater
Check if applicable
202
Under section 501(c), 527, or 4947(axl) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
I
Department of the Treasury I Internal Revenue Se nse~" The
B
nMP rvo 1 V5 mq,
Return of Organization Exempt from income Tax
Form JJV
Payments to affiliates (attach schedule)
Excess or (defeat) for the year (subtract line 17 from line 12)
4,635
Net assets or fund balances at beginning of year (from line 73, column (A))
Other changes in net assets or fund balances (attach explanation)
Net assets or fund balances al end of year (combine lines 18, 79, and 20)
BAA For Paperwork Reduction Ad Notice, see the separate instructions
523,250
593, 992
60,992
,EEno1o7L o91oao2
Form 990 (2002)
FAR',
Do not include amounts reported on line
66, 8b, 9b, 106, or 16 of Past I
,poi
gruf)nr
rNC
71-0828503
Page 2
n5e5 All organizations must complete column (A) Columns (B), (C), and (D) are
organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others
Grants and allocabons (att sch)
(cash
$
non-cash $
)
Specific assistance to individuals (att sch)
Benefits paid to or for members (att sch)
Compensation of officers, directors, etc
Other salaries and wages
Pension plan contributions
Other employee benefits
Payroll taxes
Professional fundraising lees
Accounting fees
Legal fees
Supplies
Telephone
Postage and shipping
Occupancy
Equipment rental and maintenance
Printing and publications
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
I
(A) Total
(B) Program
services
(C) Management
and general
(D) Fundraising
20 , 417
58,366
18 , 375
232,529
092
26 , 075
23 , 468
825
793
66 .792
60 .068
9
3,299
10 .769
360
B
39 Travel
Conferences, conventions, and meetings
Interest
Depreciation, depletion, etc (attach schedule)
Other expenses not covered shove (itemize)
a See Statement 1
b
c
d
e
44 Total functional expenses (add lines 22 43)
Organizations comple6ny columns (B) - (D),
40
41
42
43
3 ! Hl 1
1 .965
Joint Costs Check ~U if you are following SOP 98 2
Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services
~~ Yes N No
If 'Yes,' enter (Q the aggregate amount of these joint costs
$
, (ii) the amount allocated to program services
$ _ , and (v) the amount allocated
$
, (u) the amount allocated to management and general
What is the organization's primary exempt purposes See Statement 2
All organizations must describe their exempt purpose achievements in a clear and concise manner Stale the number of
clients served publications issued et c Discuss achievements that are not measurable (Section 501(c)(3) & (4) organ
izations and 4~347(a)(1) nonexempt charitable trusts must also enter the amount of grants & allocations to others )
a See Statement - 3
----------------------------------------------------(Grants and allocations $
b
c
d
e
BAA
----
)
--------------------------------------------------------------------------------------------------------(Grants and allocations $
)
--------------------------------------------------------------------------------------------------------(Grants and allocations $
)
-----------------------------------------------------
of
line
and
TEea0102L 01/2=
593
Form 990 (2002)
PartIV
Note .
WALNUT FARM MONTESSORI SCHOOL, INC
71-0828503
66lance Sheets (see Instructions)
Where required, attached schedules and amounts within the description
column should be for end-o/-year amounts only
45
46
Beginning of year
Cash - non-interest bearing
Savings and temporary cash investments
143 , 096
17,209
47a Accounts receivable
b Less allowance for doubtful accounts
47a
47b
48a Pledges receivable
b Less allowance for doubtful accounts
49 Grants receivable
48a
48b
Recervables from officers, directors, trustees, and key
employees (attach schedule)
51 a Oilier notes 8 loans receivable (attach sch)
51 a
b Less allowance for doubtful accounts
51 b
52 Inventories for sale or use
53 Prepaid expenses and deferred charges
54 Investments - securities (attach schedule)
SSa Investments - land, buildings, & equipment basis SSa
34,738
b Less accumulated deprecation
(attach schedule)
56 Investments - other (attach schedule)
57a Land, buildings, and equipment basis
s
e
73
74
45
46
47t
118,045
34,738
50
51 c
52
53
54
~~ Cost a FMV
SSc
56
SSb
57a
168,338
34,421
)
13 , 340
465
174,570
132, 531
61 Grants payable
62 Deferred revenue
63 Loans from officers, directors, trustees, and key employees (attach schedule)
64a Tax-exempt bond liabilities (attach schedule)
b Mortgages and other note payable (attach schedule)
65 Other liabilities (describe - See Statement 6
)
66 Total liabilities (add lines 60 through 65)
Organizations that follow SFAS 117, check here ~ Uand complete lines 67
through 69 and lines 73 and 74
67 Unrestricted
68 Temporarily restricted
69 Permanently restricted
Organizations that do not follow SEAS 117, check here ~
~ and complete lines
70 through 74
70 Capital stock, trust principal, or current funds
r Paid in or capital surplus, or land, building, and equipment fund
72 Retained earnings, endowment, accumulated income, or other funds
"
End of year
48c
49
b Less accumulated depreciation
57b
(attach schedule)
Statement 4
58 Other assets (describe " See Statement 5
59 Total assets (add lines 45 throu gh 58) (must e q ual line 74
60 Accounts payable and accrued expenses
i
460
50
s
e
s
Page 3
2, 650
34
205
549
169, 935
4,635
57c
58
59
60
61
62
63
64a
64b
65
66
__67
68
69
133 , 917
965
287,165
263 200
102, 000
-1,486
363,714
-76, 599
70
P
72
Total net assets or fund balances (add lines 67 through 69 or lines 70 through
72, column (A) must equal line 19, column (B) must equal line 21)
Total liabilities and net assets/fund balances (add lines 66 and 73)
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments
BAA
TEEA0103L
03/W/02
rorm`AO(LUUC)
Pa
WHLnu1
rlitU7
Mun1GJJVtt1
Jl.nvVL,
IV-A Reconciliation of Revenue per Audited
Financial Statements with Revenue
inl.
/1-uOGO7V3
Part IV-13 Reconciliation of Expenses per Audited
Financial Statements with Expenses
per Return (See instructions )
a
Total revenue, gains, and other support
b
Amounts included on line a but
not on line 12, Form 990
per audited financial statements
~
a
per Return
523,250
a
Total expenses and losses per audited
b
Amounts included on line a but not
on line 17, Form 990
(1) Net unrealized
gains on
investments
(2) Donated serv
ices and use
of facilities
(3) Recoveries of prior
year grants
(4) Other (specify)
--------
ices and use
$
of facilities
$
$
(2) Prior year adjust
menls reported on
line 20, Form 930
$
(3) Losses reported on
line 20, Form 990
(4) Other (specify)
$
$
Line a minus line b
~
b
c
~
523,250
c
d
(1) Investment expenses
not included on line
6b, Form 990
$
-------- $
Add amounts on lines (1) and (2}
~
e
_.
~ c
I
604,434
I
'
---
Add amounts on lines (1) and (2)
Total revenue per line 12, Form
b
$
---------$
d
~
Amounts included on line 17,
Form 990 but not on line a
-----
---
S
Line a minus line b
(2) Other (specify)
--------
i
Add amounts on lines (1) through (A)
(1) Investment expenses
not included on line
66, Form 990
(2) Other (specify)
e
604,434
$
---------
Amounts included on line 12,
Form 990 but not on line a
d
~ a
financial statements
(1) Donated serv
Add amounts on lines (1) through (9)
c
rage 9
w
-------d
Total expenses per line 17, Form
990 (line c plus line d)
~ e
523,250
990 (line c plus line d)
~ e
604,434
Part V
List of Officers , Directors, Tru5t0¢5 and K0 Em to E25 lisp each one even if not compensated, see instructions )
(A) Name and address
LORI HERKERT
#9 WHITE WAY
BENTONVILLE, AR 72712
JOHN SHEEHAN
105 SOMERSET
CE NTONVILLE, AR 72712
(B) Title and average hours
per week devoted
to position
(C) Compensation
(i( not paid,
enter -0-)
President
2
0
Vice President
2
0
(D) Contributions to
employee benefit
plans and deferred
compensation
(E) Expense
account and other
allowances
0
0
0.
0
------------------------------------------------------------------------------------------------------------------------------------------------------------------------75
BAA
Did any officer, director, trustee, or key employee receive aggregate compensation of more
than $100,000 from your organization and all related organizations, of which more than
$10,000 was provided by the related organizations
If 'Yes,' attach schedule - see instructions
TEEAO104L
01/27/03
w
Yes
X No
Form 990 (2002)
Form 990 (2002)
WALNUT FARM MONTESSORI SCHOOL, INC
71-0828503
76
Did the organization engage in any activity not previously reported to the IRS If 'Yes,'
attach a detailed description of each activity
77 Were any changes made in the organizing or governing documents but not reported to the IRS
If 'Yes,' attach a conformed copy of the changes
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this returns
b If 'Yes,' has it fled a tax return on Forth 990-7 for this years
79
78a
78b
Was there a liquidation, dissolution, termination, or substantial contraction during the
year7 If 'Yes,' attach a statement
79
BOa Is the organization related (other than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organizations
b If 'Yes,' enter the name of the organization "
N/A
and check whether it is
exempt or
nonexempt
n
81 a Enter direct or indirect political expenditures See tine 81 instructions
b Did the organization file Form 1120-POL for this years
81 a
0
82 a Did the or g anization receive donated services or the use of materials, equipment, or facilities at no charge or al
substantially less than fair rental values
b If 'Yes ' you may indicate the value of these items here Do not include this amount as
revenue in Part I or as an expense in Part II (See instructions in Part III )
82b
83a Did the organization comply with the public inspection requirements for returns and exemption applications
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions7
84a Did the organization solicit any contributions or gifts that were not tax deduclible7
--
76
77
N/A
X
X
X
X
-- -
X
BOa
----X
81 b
X
82a
l X
83
83
84
b If 'Yes,' did the or ~anizalion include with every solicitation an express statement that such contributions or gifts were
not lax deductible
85 SOI(c)(4), (5) or (6) organizations a Were substantially all dues nondeductible by members
b Did the organization make only in house lobbying expenditures of $2,000 or less
I 84
If 'Yes' was answered to either 85a or &5b, do not complete 85c through SSh below unless the organization received a
waiver for proxy tax owed for the prior year
c
d
e
1
g
86
Dues, assessments, and similar amounts from members
Section 162(e) lobbying and political expenditures
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices
Taxable amount of lobbying and political expenditures (line SSd less 85e)
Does the organization elect to pay the section 6033(e) tax on the amount on line 85f7
h If section fi033(eHl)(A) dues notices were sent does the organization agree to add the amount on line 85( to its reasonable estimate of
dues allocable to nondeductible lobbying and political expenditures for the following tax year
501(c)(n organizations Enter a Initiation fees and capital contributions included on
line 12
b Gross receipts, included on line 12, for public use of club facilities
87 501(c)(I2) organizations Enter a Gross income from members or shareholders
1 86a1
bGross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them )
At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301 7701 2 and 301 7701 3~
If 'Yes,' complete Part IX
89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under
section 4911 .
0
, section 4912 .
0
0
, section 4955 88
b 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior years If 'Yes,' attach a statement
explaining each transaction
88
89b
c Enter Amount of tax imposed on the organization managers or disqualified persons during the
11~
year under sections 4912, 4955, and 4958
d Enter Amount of tax on line 89c, above, reimbursed by the organization
~
90a List the stales with which a copy of this return is filed - None
b Number of employees employed in the pay period that includes March
2002
- - -12,
-- -(See
- - -instructions
- - - - - )- - - - - - - - - - -I 90b~
91
92
BAA
The books are in care of - WALNUT FARM MONTESSORI SCHOOL
Located at " 9208 HWY 72 EAST, _BENTONVILLE, AR
Telephone number "
501-271-9424
----_ZIP+4- 72712
Section 4997(a)(i) nonexempt charitable trusts fling Form 990 in lieu o! Form 1001- Check here
of lax exempt interest received or accrued durino the lax vear
TEeno105L 01122103
wI 92
X
- J
X
0
0
18
N/A
Form 990 (2002)
s
Unrelated business income
(A)
(B)
Business code
Amount
Note Enter gross amounts unless
otherwise indicated
93 Program service revenue
a ENROLLMENT FEES
b EXTENDED TUITION
c FARM ACADEMY
d HALF DAY TUITION
e
611710
:zcluded b section 512, 513, or 514
(C)
(D)
Exclusion code
Amount
Related or exempt
function income
10 .2!
1
f Medicare/Medicaid payments
g Fees 8 contracts from government agencies.
94 Membership dues and assessments
95 Interest on savings 8 temporary cash invmnts
% Dividends & interest from securities
97 Net rental income or (loss) from real estate
a debt financed property
b not debt-financed property
98 Net rental income or (loss) from pers prop
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory
101
102
Net income or (loss) from special events
Gross profit or (loss) from saes of inventory
103 Other revenue a
b
c
e
104 Subtotal (add columns (B), (D), and (E))
447,71
105 Total (add line 104, columns (B), (D), and (E))
Note . Line 105 vlus line Id. Part I should equal the amount on line 12. Part I
Line No
Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes)
(A)
of
Name, address, and EIN of
oartnershio . or disreaan
(C)
(D)
(E)
Nature of activities
Total
income
End of year
assets
a Did the organization, during the year, receive any funds, directly or indirectly, to pay
b Did the organization, during the yeas, pay premiums, directly or jr
Note . If Yes' to
, file Form 8870 and form 4720 see instruction!
under penalties St perlu ~Y I aeclare Nat l have eum~neE this return including
true correct an 0 complete Declaration of pre arer oNer than officer) is based
Please
Sign
Here
~ k~
lf~
x S~ne ~~C~
Type or punt name and bile
^ 1°erel s
Paid
sa ai
Pre
Rarer "S
Use
Only
Firms name (or
BAA
Q
Signature of officer
P` BdL
~e c-k~ ~ i/
I
~Chu
(~Y1Qfl
T
Lund
r(
Allard & Com an , P
xv~moloYed)
pf~ 107 North 37th Street
i°v`Ro ers, AR 72756
Department of the Treasury
Internal Revenue Service
ome No
Organization Exempt Under
Section 501(cX3)
SCHEDULE A
(Forth 990 or,990-En
(Except Pnvate Foundation) and Section 501(e), 501(Q, 501(k),
501(n), or Section 4947(aXl) Nonexempt Chanlable Trust
Supplementary Information - (See separate instructions
-A . not,
LOOL
MUST be completed by the above organizations and attached to they Forth 990 or 990-EZ .
Name of Oe organization
number
cers,
(See instructions List each one If there are none, enter 'None')
(a) Name and address of each
employee paid more
than $50,000
(b) Title and average
hours per week
devoted to position
(d) Contributions
(t) Compensation
to employee benefit
plans and deferred
compensation
(e) Expense
account and other
allowances
None
- - - - - - - - - - -- - - - - - - - - -- - - -
-------------------------
Total number of other employees paid
over $50 .000
n II
J Compensation of the Five Highest Paid Independent Contractors for Profession,
(See instructions List each one (whether individuals or firms) If there are none, enter None ')
(a) Name and address of each independent contractor paid more than $50,000
(b) Type of service
(c) Compensation
None
----------------------------------------
----------------------------------------
of others receiving over
BAA For Paperwork Reduction An Notice, see the Instructions (or Form 990 and Form 990-EZ
TEEA6701L
01/22103
Schedule A (Form 990 or 990-En 2002
Schedule A (Form 990 or 990 En 2002
Part III
WALNUT FARM MONTESSORI
SCHOOL,
INC
Statements About Activities (See instructions ~
Yes
During the year, has the organization attempted to influence national, state, or local legislation, including any attempt
to influence public opinion on a legislative matter or referendums If 'Yes,' enter the total expenses paid
W $
N/A
or incurred in connection with the lobbying activities.
(Must equal amounts on line 38, Part VI-A, or line i of Part VI B )
1
age
71-0828503
No
1
X
2a
X
Organizations that made an election under section 501 (h) by filing Form 5768 must complete Part VI A Other
organizations checking 'Yes,' must complete Part VI-B AND attach a statement giving a detailed description of the
lobbying activities
During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization with which any such person is affiliated as an officer, director, trustee, masonry owner, or principal
benefiuary7 (II the answer to any question is 'Yes,' attach a detailed statement explaining the transactions )
2
a Sale, exchange, or leasing of properly
I
b Lending of money or other extension of credits
2b1
I X
c Furnishing of goods, services, or facilities
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)
e Transfer of any part of its income or assets
Does the organization make grants for scholarships, fellowships, student loans, etc
Do you have a section 403(b) annuity plan for your employees
See Statement S
(See Note below )
Note Attach a statement to explain how the organization determines that individuals or organizations receiving
nranls or loans from d in furtherance o/ its charitable oroarams 'aua6/v' to receive navments
Pan IV
Reason for Non-Private Foundation Status (See instructions )
The organization is not a private foundation because it is (Please check only ONE applicable box )
5
A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)
6
X A school Section 170(b)(1)(A)QQ (Also complete Part V )
7
A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(ui)
8 I I A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v)
9 ~ A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(u) Enter the hospital's name, city,
and state
10 [] An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(i)(A)(rv)
(Also complete the Support Schedule in Part IV A )
11 a O An organization that normally receives a substantial part of its sup p ort from a governmental unit or from the general public
Section 170(b)(7)(A)(vi) (Also complete the Support Schedule in Part IV A )
11 b n A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV A )
12 F] An organization that normally receives (I) more than 33-113% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subj ect to certain exceptions, and (2) no more than 33-113°.6 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) (Also complete the Support Schedule in Part IV A )
73
n An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in (1 ) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See
section 509(a)(3) )
Provide the following information about the supported organizations (See instructions )
(b) Line number
from above
(a) Name(s) of supported organization(s)
14
BAA
n An organization organized and operated to lest for public safety Section 509(a)(4) (See instructions )
TEEnoaozi 01122103
Schedule A (Form 990 or Form 990-En 2002
EAR IV-A }S UPpOIt Schedule (Complete only if you checked a box on line 10, 11, or 12 ) Use cash method of acrounfmg
Note You ma use the worksheet m the instructions for converting from the accrual to the cash method of accountin g
Calendar year (or fiscal year
beginning m)
~
15 Gifts , grants, and contributions
received (Do not include
unusual rants See line 28
16 Membershi p fees received
17
18
19
(b)
2aoo
(a)
2061
(c)
i9g9
(d)
X958
(e)
Total
N/A
Gross receipts from admissions,
merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, pur po se
Gross income from interest, dividends,
amounts received from payments on
securities loans (section 512(a)(5)),
rents, royalties, and unrelated business
taxable income (less section 511 taxes)
from businesses acquired by the organ
iza6on after June 30, 1975
Net income from unrelated business
activities nod included in line IB
20 Tax revenues levied for the
organization's benefit and
either paid to d or expended
on its behalf
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge Do not
include the value of services or
facilities generally furnished to
the p ublic without charg e
22 Other income Attach a
schedule Do not include
gain
ca
p or (loss) from sale of
ital assets
23 Total of lines 15 throu gh 22
24 Line 23 minus line 17
25 Enter 1 % of line 23
i
26 Organizations described on lines 10 or 11
a Enter 2% of amount in column (e), line 24
N/A
w 26a
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly
supported organization) whose total gifts for 1998 through 2001 exceeded the amount shown in line 26a Do not file this list with your
return Enter the total of all these excess amounts
~ 26b
c Total support for section 509(a)(1) lest Enter line 24, column (e)
~ 26c
d Add Amounts from column (e) for tines
18
19
22
26b
26 d
e Public support (line 26c minus line 26d total)
~ 26e
t Public support percentage pine 26e (numerator) divided by line 26c (denominator))
~ 26f
$
27 Organizations described on line 12.
N/A
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the
name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return . Enter the sum of
such amounts for each year
(2001)
------------ (2000)------------(1999)------------ (1998)------------bFor any amount included in line 17 that was received from each person (other than 'disqualified persons), prepare a list for your records to
show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2)
$5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return After
computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences
(the excess amounts) for each year
(2001)
(2000)
(1999)
(1998)
c Add Amounts from column (e) (or lines
15
16
17
20
21
1 27cl
d Add Line 27a total
and line 27b total
e Public support (line 27c total minus line 27d total)
( Total support for section 509(a)(2) test Enter amount from line 23, column (e)
g Public support percentage pine 27e (numerator) divided by line 27f (denominator))
h Investment income percentage pine 78, column (e) (numerator) divided by line 271
28 Unusual Grants For an organization described in line 10, 11, or 12 that received an unusual grants during 1998 throu gh 2001, prepare a
list for your records to show, for each year, the name of the contributor, the date am amount of the qr~ant, and a brief description of the
nature of the grant Do not file this list with your return . Do not include these aranl<. in line 15
N/A
BAA
TEEA0403L 08117/03
Schedule A (Form 990 or 990 EZ) 2002
Schedule A (Form 990 or 990 EZ) 2002 WALNUT FARM MONTESSORI SCHOOL
INC .
Part V
Pnvate School Questionnaire see instructions )
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
71-0828503
Pa g e 4
Yes
29
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body
30
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,
catalog ues, and other written communications with the public dealing with student admissions, programs,
and scholarships
37
Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period d d has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves
If 'Yes,' please describe, d 'No,' please explain Qt you need more space, attach a separate statement )
29
No
X
i
--30
X
31
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------32 Does the organization maintain the following
a Records indicating the racial composition of the student body, faculty, and administrative slaff7
32a
I
-X
X
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis
32b
X
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships
dCopies of all material used by the organization or on its behalf to solicit contributions
32c
32d
X
X
If you answered No to any of the above, please explain (If you need more space, attach a separate statement )
-------------------------------------------------------33
Does the organization discriminate by race in any way with respect to
a Students' rights or prrvileges7
bAdmissions policies7
I 33b1
I X
I 33el
I
I 33h1
I X
c Employment of faculty or administrative slaH7
d Scholarships or other financial assislance7
e Educational policies
X
f Use of faahhes7
g Athletic programs
h Other extracurricular activities?
If you answered 'Yes' to any of the above, please explain (If you need more space, attach a separate statement )
I
-------------------------------------------------------------------------------------------------------------------
34a Does the organization receive any financial aid or assistance from a governmental agency
b Has the organizations right to such aid ever been revoked or suspended
If you answered 'Yes' to either 34a or b, please explain using an attached statement
Does the organization certify that it has complied with the applicable requirements of
sections 4 Ol through 4 05 of Rev Proc 75-50, 1975 2 C B 587, covering racial
nondiscriminalion7 It 'No,' attach an ex p lanation
BAA
reEnoaM ovzao7
I 34al
34b
35
35
X
Schedule A (Form 990 or 990-E
I X
MONTESSORI S(
71-0828503
Lobbying Expenditures b Electing Public Charities (See instructions )
(To be completed ONLY by an e li gible organization that tiled Form 5768)
an affiliated qrouo
Check "
b
I
I if you checked 'a' and 'limited control'
Limits on Lobbying Expenditures
Affiliated group
totals
(The term 'expenditures' means amounts paid or incurred )
36
37
38
39
40
41
Total lobbying expenditures to influence public opinion (grassroots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying)
Total lobbying expenditures (add lines 36 and 37)
Other exempt purpose expenditures
Total exempt purpose expenditures (add lines 38 and 39)
Lobbying nontaxable amount Enter the amount from the following table If the amount on line 40 is Not over $500,000
Over S500,000 but not over Y1,000,000
42
43
44
40
The lobbying nontaxable amount is 20°/, of the amount
theon line 4Q
$100,000 plus 159'0 of
excess wer =500,000
Over =1,000,000 Gut not over $1,500,000
Over E1,500,000 but not over $17,00O,000
To be completed
for ALL electing
$175,000 plus 10% of the excess over $1,000,000
$225,000 plus 5% of the excess wer =1,500,000
Over $17,000,000
$1,000,000
Grassroots nontaxable amount (enter 25% of line 41)
Subtract line 42 from line 36 Enter -0 if line 42 is more than line 36
Subtract line 41 from line 38 Enter -0 if line 47 is more than line 3fl
Caution If there is an amount on ether line 43 or line 44 . you must file Form 4720
41
42
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below
See the instructions (or lines 45 through 50 )
Lobbying Expenditures During 4-Year Averaging Period
Calendar year
(or fiscal year
beginning in)
45
Lobbying nontaxable
amount
46
Lobbying ceiling amount
(150% of line 45(e))
47
Total lobbying
expenditures
48
Grassroots non
taxable amount
49
Grassrooh ceiling amount
2002
(b)
2007
I
W
2000
I
(d)
1999
Total
50
Grassroots lobbying
expenditures
Part Vl-B Lobbying Activity by Nonelectinq Public Charities
(For reporting only by organizations that aid not complete Part VI-A) (See instructions )
During the year, did the organization attempt to influence national, stale or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of
N/A
Yes
No
Amount
a Volunteers
b Paid staff or management (Include compensation in expenses reported on lines c through h
c Media advertisements
d Mailings to members, legislators, or the public
e Publications, or published or broadcast statements
t Grants to other organizations for lobbying purposes
g Direct contact with legislators, their staffs, government officials, or a legislative body
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means
i Total lobbying expenditures (add lines c through h )
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities
BAA
Schedule A (Form 990 or 990 En 2002
TEenno405L 0en2102
71-0828503
A (Form 990 or 990 EZ) 2002 WALNUT FARM MONTESSORI SCHOOL, INC
Information Regarding Transfers To and Transactions and Relationships With Nonchantable
51
Did the re porting or Ranization directly or indirectly engage in any of the following with any other organization described in section 501(c)
of the Code (other t an section 507 (c)(3) organizations) or in section 527, relating to political organizations
Yes Nc
a Transfers from the reporting organization to a noncharilable exempt organization of
51a i
()Cash
X
(h)Other assets
a (it )
X
b Other transactions
()Sales or exchanges of assets with a noncharitable exempt organization
b i
X
(i)Purchases of assets from a noncharitable exempt organization
b u
X
b m
(u)Rental of facilities, equipment, or other assets
X
(iv) Reimbursement arrangements
b iv
X
(v)Loans or loan guarantees
b v
X
b (VI )
(vi)Performance of services or membership or fundraising solicitations
X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
c
X
d It the answer to any of the above is 'Yes,' complete the following schedule Column (b) should always show the fair market value of
the goods, other assets, or services given by the reportin organization If the organization received less than fair market value in
an transaction or sharin g arran g ement, show in column d [he value of the nods, other assets, or services received
(a)
Line no
(b)
Amount involved
Sc)
Name of noncharitab e exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
52a Is the organization directly or indueclly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527
BAA
reEpoaosL 0112102
- F] Yes
XO No
Schedule A (Form 990 or 99o-EZ) 2002
12/0212803
11 02
LWDY ALLARD CO PLLC
501-636-2891
2002
Client 0070083
12102Aro
Federal Statements
PAGE
04
Page 1
WALNUT FARM MONTESSORI SCHOOL, INC.
71 .0828503
10 emM
Statement l
Form 990, Part II, Line 43
Other Expenses
(A)
Total
Advertising
Bu=ldinq repazrs
Dues fi Subscriptions
Farm Academy
Field Trip Expense
Insurance
janitorial fi Pest Control
Rent
Teacher CettTraining
Tuition Insurance
Utilities
Yard maintenance
11,412 .
336 .
170
3,0]2
18,d43 .
7,749 .
5,823 .
110,515 .
26,780
866
15,696 .
441 .
Total T-zn-=
(B)
Program
Services
(c)
Management
& General
(D)
Fundraising
10,271 .
1,101
302 .
34 .
153 .
17
2,729
303 .
16,599 .
1,849
6,974 .
775
5,241
582
99,461
11,051
2,678 .
24,102
779 .
87 .
1-0,126 .
1,57 .
397 .
40
1 ,13
~2DTF~`
Statement 2
Form 990 Pact Ill
Organization's Primary Exempt Purpose
PROVIDE A LEARNING EMlIRONIti?EN ' F~R CHILDREN AGES 2 1/2 TO 18 YEARS Or' AGE WE ALSO
PROVIDE MONTESSORI TEACHER TP : ii1=NG THROUGH Y7ALNOT FBRId MONTESSORI TRAINING
INSTITUTE
Statement 3
Forth 990, Part III, Line a
Statement of Program Service Accomplishments
on _
Current enrollment of 119 chiidt_i She school provides a
learning environment for child :e~~ age, 2 i/2 to 18 years of
age
Completion of the f " rst `i ;_1 SC ,o1 year on two
campuses .
The Academy Progra~ for students ages 12 and 13
Presently s "" orlny 3 teacher trainees in
began this year
The first
Rochester, New York, Houston, and Baltimore .
annual Harvest Fast Fund zais=- raised over $25,000 The
school has continued enrich-- , cLaiL program through
frequent outings to the Waltoi, 7rts Center, as well as
paztnerinq witty the Ozazk Nal~,ra1 Science Center to preside
the students with challen7ln-~ science experiences .
Grants and
Allocations
Program
Service
ExRe see
543,992,
593,
92
02
-
Federal Statements
Page 2
INC.
WALNUT FARM MONTESSORI
71-0828503
Statement 4
Form 990, Part IV, Line 57
Land, Buildings, and Equipment
Basis
Category
Furniture and Fixtures
Machinery and Equipment
Improvements
Miscellaneous
$
Total
7,871 $
25,225
2,700
132 592 .
168,338 $
Accum
Deprec
5,413
20,866
135
8,007
34,921
Book
Value
$
2,958
4,359
2,565
129 535
133,917
Statement 5
Form 990, Part IV, Line 58
Other Assets
Utility Deposits
465
465
$
Total $
Statement 6
Form 990, Part IV, Line 65
Other Liabilities
PAYROLL LIABILITIES
TUITION DEPOSIT
$
Total $
-3,886 .
2,900
-1,486
Statement 7
Form 990, Part VIII
Relationship of Activities to the Accomplishment of Exempt Purposes
Line #
93a
Explanation of Activities
Extended day tuition allows the school to provide education to elementary
school children through highschool .
93b
Allows the school to provide education and care for younger children
through pre-school and kindergarten
93d
Insurance that covers the cost of the tuition if the student leaves
prematurly
93e
A fee charged for the cost of enrollment, administrave costs