2949216008809

CISZNKMY8Q rProcess as original lP'

Short FormForm499O-EZ Return of Organization Exempt From Income Tax

Under section 601(c), 627, or 4947(e)(1) of the Internal Revenue Code (except private foundations)

n n ► Do not enter social security numbers on this form as It may be made pyt^l ^

rofftTn _pryo ^` Open to Public

^t,,,i qe a ^, ^„b, ► Information about Form 990-EZ and Its Instructions Is at www.frs.pov/Irymr980. Inspection

A.Foithe 2018calendar year, Of tax year beginning AUG 1 2016 and ending 31 2017

B C Name of organization 0 Employer Ideolifwatdon numberappacwhL

0Adeem dxm9e

ONamechmps .. 12 DIST CENTRAL VA UNISERVE UNIT 54-1112645OMrNA rte, NumberandMet (or P.O. box it mail is not del ivered to street address) Roam1sude E Telephone number

DRrW

' 4849 FORT AVE. 434-239-7016A,,,,,W ro,,,,, City or town, state or province , country , and ZIP or foreign postal code F Group Exemption

^^ aor ^aa LYNCHBUR VA 2 4 5 0 2 Number6 Accounting Method : Cash bAccrual Other (specify) III- H Check ► it the organization is

I Website : ► not required to attach Schedule B

J Tax-exempt status check on one) - 507 c 3 501 (c ) 4 Insert no . 4947(a)( 1 ) or 527 (Form 99% 990-E4 or 99"F) ,

K Form oforganimtion Corporation Trust LXJ Association L-J Other

d- Add lines Sb, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or it total assets (Part II,

column B below) are $500 ,000 or more, file Form 990 Instead of Form 990-EZ . 7 5

r- `Part I Revenue, penes, and Changes I n Net Assets or Fund Balances (see the Instructions for Part I)

Check it the or antration used Schedule 0 to res and to an question in this Part

I Contributions, gifts, grants , and similar amounts received 1 1688... ............................................................_1 2 Program service revenue including government fees and contracts „ ,,,,•,., ,,,,., 2

D s Membership dues and assessments „ •, ,, 3 55887.4 Investment income .... .. ................ ........ ............ . . .. 4

.ba Gross amount from sale of assets other than Inventory. ... .. .... Sa

j

, .. ..

b Less: cost or other basis and sales expenses • . . ... ............. .... 5

`^ c Gain or ( loss) from sale of assets other than inventory (Subtract line 5b from line 5a)

(1 8 Garrung 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 d the sum of such

gross income and contributions exceeds $ 15,000) ...................... . .. 6b

c Less: direct expenses from gaming and fundraising events 8c

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 , .............. . ... 78

D less cost of goods solo .... ................................... ........ .

Re Gross profit or (loss ) from sales of imerrtory (Subtract line 7b from line 7 ECEIVED . ... . ........... 7e

8 Other revenue (describe In Schedule 0) .. - --- .. ... .. i.^. .. 8._ ---• -•• - •• - .

9 Total revenue. Add lines 1 3 4 Sd 7 and 8 . . ....... co C . . ... 8 57575.10 Grants and similar amounts paid ( list in Schedule 0) • „ ,,,,,,,,,,,,,,, ,,,, . ........... .. .. .. 10

a , , ,,,,,11 Benefits paid to or for members „ ,, ,,, ,, , , „ .................. 11OG©„ ,, , R112 Salaries, other compensation , and employee benefits -- ••,-, -•- r^ v UT ,.---. ., 12 3 6 3 7 3 .

• • • ... ... „13 Professional tees and other payments to independent contractors 13 4 7 0• •

14 Occupancy, rent, utiidies , and maintenance . .. ...... ......... . 14 11750... ... .

15 Printing , publications, postage, and shipping • • , • ............ 15 4716.16 Other expenses (describe in Schedule 0) S.ee S.tr#ie.c uL e Q.. is 12 0 ., .•....... .... . .....

17 Total e xp enses . Add lines 10through 16 11110- 17 54518.

18 Excess or (deficit) for the year (Subtract line 17 from line 9) 18 10 5 7 .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 18243.

ZV 20 Other changes in net assets or fund balances (explain in Schedule 0) .. .

21 Net assets or fund balances at end off. Combine lines 18 throu ch 20 1 2 1300.

8

LHA For Paperwork Reduction Act Notice , see the separate Inalrections . Form 990-EZ (2016)

032171 12.oe .ie 1(3

1 ^18020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST_1

10

Farm990• EZ 2016 12 DIST CENTRAL VA UNISERVE UNIT 54- 1112645 Paget

Part I{ Balance Sheets (see the instructions for Part II)Check if the organization used Schedule 0 to respond to any question in this Part 11 ............ s._......... 0

(A) Beginning of year (B) End of year

22 Cash, savings, and investments ,. ,.,....... • ,,,• •• .•.... . •. •.., ..... 18243. 22 21306723 Land and buildings ............. 29

24 Other assets (describe In Schedule 0) .. • • ...

.

21

25 Total assets , ..... 18243. 26 21300.26 Total liabilities ( describe in Schedule 0) • •......... .. 0. 26 0.

27 Net assets or fund balances (line 27 of column B must agree with line 21) ....... . ........ 18243. 27 21300.part In Statement of Program Service Accomplishments (see the instructions for Part III)

Check if the organization used Schedule 0 to respond to any question in this Part III®What Is the organ) a1ion 's primary exempt purpose?SUPPORT OF LOCAL EDUCATION CHAPTERS .

OnWW IM erg" on's proPM asvloe aooanP9d^ms^ last urh W Aa Vraa IrOsst proQrn esvpoes, as m+etl by w" w& 1n a das aid oac+aemoms, dcalbe the a Mces provided . the numbs of perems bwadted. and otiw nbva t kiamdlon for each program tiffs.

Evans@$squired for section1(n)(9) andof

organizations; optional forothers.)

28 See Schedule 0

Grants $ If this amount Includes foreign rants check here .. ............. ....... 26e 3 5 6 5 5 .29 See Schedule 0

(Grants $ If this amount includes foreign grants , check here ................................ ► 29e 11394.30 FACILITATING CONVENTIONS AND CONFERENCES FOR LOCAL

EDUCATORS AND LEADERSHIP TRAINING PROGRAMS

Grants $ If this amount includes fore ' n grants , check here ... .......................... ► 30e 7 4 6 9 .31 Other program services (describe in Schedule 0) .................... . .............. .......... ...............................

(Grants If this amount includes fore' n rants check here ......... ..... 1110, 1 318 1

32 Total Promm service expenses (add Ones 28a throu gh 31a) 32 54518.Part IV List of Officers, Directors, Trustees, and Key Employees pot eaa, on. even a not oon, oe tee - 0e, r,o ti , ,,,ne for putt M

Check if the organization used Schedule 0 to respond to any uestion in this Part IV 0

(a) Name and We(b) Average hoursper week devoted to

p ositionP

( c) aepormuO mpenti10n i(Fomwsc)W pod. eras -0 -)Ge nott

..............(d) H- ban toe bs to^°• o^aon enaauoo

.............(e) Estimated

amount of othercompensation

FRED GLOVER0.00 0. 0. 0.

02172 12-08.1e Form 990-EZ (20161

218020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST_1

Part V Other Information (Note the Schedule A and personal benefit contract statement requirements in theinstnlctions for Part V) Check if the organization used Sch. 0 to respond to any question in this Part V

Yes No33 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 0 ........... . . ......................................... ................................................... 33 X34 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 change on Schedule 0 (see instructions) 34 X

351 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 )? - .. .. ,- .,

b If 'Yes' to line 35a, has the organ ization filed a Form 990-T for the year? IfNo, provide an explanation In Schedule 0 ...- 35b N

e Was the organ ization a section 501(c)(4), 501(cx5), 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 , , .,, „ „ „ ...... „ ................................................. SSe X

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 .............................................. .............. .

37* Enter amount of political expenditures , direct or Indirect, as described in the Instructions ► 37e 0.b Did the organization file Form 1120-PDL for this year? 37b X

38& 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? ............... ...... ...................... ............. 9811 Xb If 'Yes,' complete Schedule L, Part II and enter the total amount Involved .... „ 38b NIA

39 Section 501(c)(7) organizations. Enter.

e Initiation fees and capital contributions Included on line 9 .................... .. ... ..... 39s N/Ab Gross receipts, included on line 9, for public use of club facilities , , •„ 39b NIA

40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under

section 0 . ; section 4912 ► 0 . ; section 4955 ► 0.

b Section 501(c)(3), 501(cx4), and 501(c)(29) organizations. Did the organization engage In any section 4958 excess benefit

transaction 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? It Yes,' complete Schedule L, Part I ....... ... . ....... 40b X

c Section 501(c)(3), 501(cX4), and 501(c)(29) organizations. Enter amount of tax imposed on_

organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 .110, 0.d Section 501 (c)(3), 501(c)(4), and 501(c)(29) organizations . Enter amount of tax on line 40c reimbursed

by the organization ... ..... ► 0.e All organ izations. At any time during the tax year, was the organization a party to a prohibited tax shelter

transaction? It Yes,' complete Form 8886-T ........ ............. ... .............. .......... .. .... ......... .... ... . ... 40e X

41 List the states with whlch a copy of this return is flied ► None

42& The organization's books are in care of ► Telephone no. ►

43

Located at ► ZIP + 4 ►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)?

If Yes,' enter the name of the foreign country. ►See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

At any time during the calendar year, did the organization maintain an office outside the United States? ......, .......... . .. .......

If 'Yes,' enter the name of the foreign country. ►Sedlon 4947(.)(1) nanexem t charitable trusts filin Form 990-E7 in lieu of Form 1041- Check here

Yes No

42b X

42e X

p 9 .. .. ... . . .. .. . .... ....... ....... ...

and enter the amount of tax-exempt interest received or accrued during the tax year .... .. . ...... .. . ... ........ ► 1 43 1 N/A

4411 Did the organization maintain any donor advised funds during the year? It Yes,' Form 990 must be completed instead of

Form 990-EZ .... ....... .. ...... ......... ................. . ........ 44e X

b Did the organization operate one or more hospital facilities during the year? If Yes; Form 990 must be completed Instead

......of Form 990-EZ 44b X.......

c Did the organization receive any payments for indoor tanning services during the year? _.. . 44c X

d If 'Yes' to line 44c, has the organ ization filed a Form 720 to report these payments? 11 'No,' provide an explanation

in Schedule O ... 44d.. ..

„ ....45a Did the organization have a controlled entity within the meaning of section 512(bX13)? ... . ...... .... .. . .... . 4!! X. . . . ..b Did the organization receive any payment from or engage In any transaction with a controlled entity within the meaning of section

. ,

Form 990-EZ (2016)

e32173 12-08-1e

318020221 798965 12DIST 2016. 05040 12 DIST CENTRAL VA UNISERVE 12DIST_1

SCHEDULEA Public Charity Status and Public SupportCVAB Mo.

'°"990-EZ)

Complete If the organization Is a section 601(cX3) organization or a section 20164947(a)(1) nonexempt charitable trust.

omwna of t o Tmmsy ► Attach to Form 990 or Form 990-EZ Open to Publicmi^al FW. sza ► Irdormatfon about Schedule A (Farm 990 or 990-M and its instructions Is at www.lrs.povNOrtn990. inspection

Name of the organization Employer identification number

i ran I i Reason tor Public (mammy Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12 , check only one box.)

1 0 Achurch . convention of churches , or association of churches described in section 170(bXIXAXi).

2 0 A school described in section 170(bXlXAXii). (Attach Schedule E (Form 990 or 990-EZ).) ^(`Jp

3 0 A hospital ore cooperative hospital service organization described In section 170(bXIXAXiii).

4 Q A medical research organization operated in conjunction with a hospital described In section 170(bX1XAXIII ). Enter the hospital `s name,

city, and state:

& Q An organization operated for the benefit of a college or university owned or operated by a govemrnental unit described in

section 170(bXIXAKv). (Complete Part II.)

00 A federal, state, or local government or governmental unit described in section 170(bX1)(AXv).

7 0 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(bXIXAXvi). (Complete Part 1I.)

8 0 A community trust described in section 170(bXlXAxvl). (Complete Part 11.)

g Q An agricultural research organization described in section 170(bXI XA)(ix) operated In conjunction with a land-grant college

or university or a non -land -grant college at agriculture (see instructions ). Enter the name, city , and state of the college or

university:

10 ® An organization that normally receives : ( 1) more than 33 1/3% of its support from contributions , membership fees, and gross 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 Pass section 511 tax) from businesses acquired by the organization after June 30,1975.

See section b09(a)(2). (Complete Part III.)

11 O An organization organized and operated exclusively to test for public safety . See section 509(ax4).

12 EJ An organization organized and operated exclusively for the benefit of. to perform the functions of, or to carry out the purposes of one or

more publicly supported organizations described In section 609(aXt ) or section 609(aX2 ). See section 509(aX3). Check the box In

Ines 12a through 12d that describes the type of supporting organization and complete lines 129 , 121, and 12g.

a El Type I. A supporting organ ization operated , supervised , or controlled by its supported organization(s), typically by giving

the supported organization ( s) the power to regular ly appoint or elect a majority of the directors or trustees of the supporting

organization. You must complete Part IV, Sections A and B.

b El Type It. A supporting organization supervised or controlled in connection with its supported organization (s), by having

control or management of the supporting organization vested in the same persons that control or manage the supported

organization (s). You must complete Pert IV, Sections A and C.

c 0 Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with.

its supported organization (s) (see instructions). You must complete Part IV, Sections A, D, and E.

d [l Type III non-functionally integrated A supporting organization operated in connection with its supported organization(s)

that is not functional ly integrated . The organization generally must satisfy a distribution requirement and an attentiveness

requirement (see Instructions). You must complete Part IV, Sections A and D, and Pert V.

e L] Check this box if the organization received a written determination from the IRS that it Is a Type I , Type 11. Type III

functionally integrated , or Type III non-functional ly integrated supporting organization.

f Enter the number of supported organizations . .......... ... .. . ........ . ... ................... . ......................

a Provide the following information about the suoaorted organization(s).(I) Name of supported (ii) EIN (ni) Type of organization

u n dftiP̂ eotoI1bla (v) Amount of monetary (vi) Amount of other

organization (described on fines 1.10above see l,stnutions Yes No SUPS (see hstructbns) support (see instructions)

Total(.HA For Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990-EZ. wzosi ac -21-1e Schedule A (Form 990 or 990-EZ) 2018

518020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST_1

(Complete only if you chocked the box on line 5. 7, or 8 of Part I or if the organization failed to qualify under Part Ill. If the organization

fails to qualify under the tests listed below, please complete Part III.)

A.Calendar year (or fiscal year beginning in) ► W20112 (b) 2013 c 2014 (cQ 2015 (9 1 2016 Total

1 Gifts, grants, contributions, and

membership fees received. (Do not

include any "unusual grants.") ......

2 Tax revenueslevied for the organ-ization's benefitand either paid to

or expended on itabehalf ......... :.:

3 The value of servicesor facilities

furnished by a govemnaatal unit tothe 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 OFsupported organization) Included

on line 1 that exceeds 2% of the _

amount shown on line 11,

column (l) ..... ....................... •1 "

6 Public sup Subboo i 5 u

Section B. TotalCalendar year (or fiscal year beginning la) ► (a) 2012 2013 (c) 2014 Id) 2015 a 20

7 Amounts from line 4

8 Gross income from interest,

dividends , payments received on

securities bans , rents , royalties

and Income from similar sources „

9 Not 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 VI .) ....

11 Total support Add lines 7 through 10

12 Gross receipts from related act ivities, etc. (see instructions) „ ... ................... ....... . ....... ....... 12

13 First five years . If the Form 990 is for the organization 's first , second , third , fourth , or fifth taxyear as a section 501(c)(3)

14 Public support percentage for 2016 pine 6, column (f) divided by line 11 , column (t)) ,,,,,,,,,,, , , ,,,,,,,, .\... ,,, 14 %

15 Public support percentage from 2015 Schedule A. Part II, line 14 ................................... ............\... 15 %

16a 33 1/3% support teat - 2016. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this box and

stop hero. The organization qualifies as a publicly supported organization .................. . .............. ►b 33 1/3% support test - 2015 . If the organ ization did not check a box on line 13 or 16a, and line 15 is 33 1/3% 0) ore, check this box

and stop here. The organization qualifies as a publicly supported organization ..... . . ............ ............. ..... ................. ►017a 10% -facts-and circumstances test -2016. 11 the organization did not check a box on line 13,16a, or 165, and line 1.'s 10% or more,

and if the organization meets the "facts-and'circumstances ' test , check this box and stop here . Explain in Part VI how the ization

meets the 'facts-and-circumstances' test . The organization qualifies as a publicly supported organization ......... .......... ........ ,,,., ►Qb 10% -facts-and-circumstances test - 2015. If the organization did not check a box on line 13 , 16a, 16b, or 17a, and line 15 is 10%

more, and If the organization meets the "facts•and-circumstanoea ' test, check this box and stop here . Explain in Part VI how the

organization meets the 'facts -and-circumstances' test . The organization qualifies as a publicly supported organization _____,,, . ►Q18 _Private foundation. If the organization did not check a box on line 13. 16a. 16b . 17a, or 17b. check this box and see instructions ......... ►d

Schedule A (Form 990 or 980-M 2016

532022 09-21-is6

18020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST 1

Schedule A Form 990 or 990-En 2016 12 DI ST CENTRAL V UNISERVE UNIT 54-1112645 Pa e 3Part I Support Schedule for Organizations Described in Section 509(a)(2)

(Complete only if you checked the box on fine 10 of Part I or if the organization failed to quality under Part II. It the organization fails to

qualify under the tests listed below, please complete Part IL)

Section A. Public Support

Calendar year (or fiscal year beginning W2012 Q?l 2013 c 2014 (cD 2015 a 2016 Total

1 Gifts, grants, contributions, and

membership fees received . (Do not

include any'unusual grants.•) ...... 53968. 49471. 57312. 58527. 57575. 276853.2 Gross receipts from admissions,

merchandise sold or services per-formed, or facilities furnished inany activity that is related to theorganization 's tax-exempt purpose

3 Gross receipts from activities that

are not an unrelated trade or bus•

Iness under section 513 ...............

4 Tax revenues levied for the organ-

Ization'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 ,•,,,•,,, 53 9 68. 49471. 57312. 58527. 57575. 276853.7a Amounts included on lines 1, 2, and

3 received from disqualified persons 0.

b M+anb Intludsd an Mrs 2 and 3 rWdvad

Scm cthet than ddwigaieled petro, that -

Licsed the Qeetef at $5.OOD or 1% of the

vnard on Itno 13 far the yea ... .. ...

O

c Add lines 7a and 7b 0.

bI su rt maa.reimmki$ 2 7 6853.Section B. Total Support

Calendar year ( or fiscal year beginning

9 Amounts from line 6 ,,,,.....•..••.-...

toa Gross Income from Interest,dividends, payments received onsecurities loans, rents. royaltiesand 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 fine 10b,whether or not the business isregularly carried on

12 Other Income. Do not Include gainor loss from the sale of capitalassets (Explain In Part VI.) ..........

13 Total support. pwd ium9.10 11, and 12.)

a 2012 2013 (c) 2014 1cQ 2015 (e) 2016 Total

53968 . 49471. 57312. 58527. 57575. 276853.

53968. 49471. 57312. 58527. 57575. 276853.14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(cX3) organization.

Section C. Computation of Public Support Percentage

15 Public support percentage for 2016 (line 8, column (f) divided by line 13, column (f)) ............. • ,., „ .•, „ , 1 15 1 1 U U . U U %

of Investment17 Investment income percentage for Me (line 10c , colunm (t) divided by line 13, column (f)) . .._ ... 17 . U U %

18 Investment income percentage from 2015 Schedule A. Part III , line 17 .......................... ,,,,,,,,,•• ,,,,,,•„ ••,,, 18 %

19033 1/3% support tests - 2D18. If the organization did not check the box on line 14 , and line 15 is more than 331/3%, and line 17 is not

more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ,---,- , ,•.,,.••.,, ,,,,,,,, ► ITO

b 33 1/3% support tests - 2015. 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 331 /3%, check this box and stop here . The organization qualifies as a publicly supported organization •„• ••.,,,, ►Q20 Private foundation. If the organization did not check a box online 14 . 19a, or 19b.check this box and see instructions . .. ►eaao23 09-21- 1e Schedule A (Form 990 or 99041) 2018

718020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST_1

Schedule A orm*99o or 990 2016 12 DI ST CENTRAL VA I SERVE UNIT 54-1112645 Pa-q84Part IV Supporting Organizations

(Complete only if you checked a box in line 12 on Part I. If you checked 12a of Part I, complete Sections A

and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete

Sections A, D. and E. H you checked 12d of Part I, complete Sections A and D, and complete Part V.)

I Are all of the organization's supported organizations listed by name In the organization's governing

documents? If "No.' describe in Pert Vf how the supported organizations are designated. 11 designated by

class or purpose, describe the designation. If historic and continuing relationship, explain. 1

2 Did the organization have any supported organization that does not have an IRS determination of status

under section 509(a)(1) or (2)? If 'Yes,' explain in Part VI how the organization determined that the supported

organize tion was described in section 509(a)(1) or (2). 2

3a Did the organization have a supported organization described In section 501 (c)(4), (5), or (6)? If 'Yes,' answer

(b) and (c) below. Sab Did the organization confirm that each supported organization qualified under section 501(cx4). (5). or (6) and

satisfied the public support tests under section 509(a)(2)? II 'Yes,' describe in Pact N when and how the

organization made the determination. 8b

c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)

purposes? If 'Yes,' explain in Part Vt what controls the organization put in place to ensure such use. 8c

4a Was any supported organization not organized in the United States ('foreign supported organization')? N

'Yes,' and if you checked 12a or 12b In Part !, answer (b) and (c) below. 4a

b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign

supported organization? If 'Yes,' describe in Part Vf how the organization had such control and discretion

despite being controlled or supervised by or in connection with its supported organ¢atlons. 4b

c Did the organization support any foreign supported organization that does not have an IRS determination

under sections 501 (c)(3) and 509(a)(1) or (2)? if 'Yess • explain in Part YI what controls the organization used

to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(9) , .i

purposes. 4c

6a Did the organization add, substitute, or remove any supported organizations during the tax year? If 'Yes.'

answer (b) and (c) below (d applicable). Also, provide detail in Part N, including n the names and EIN psi

numbers of the supported organizations added, substituted, or removed, (u) the reasons for each such action;

Ph) the authority under the organizations organizing document authorizing such action; and (h) how the action _

was accomplished (such as by amendment to the organizing document). 53

b Type I or Type 11 only. Was any added or substituted supported organization part of a class already

designated in the organization's organizing document? bb

c Substitutions only. Was the substitution the result of an event beyond the organization's control? biz

6 Did the organization provide support (whether In the form of grants or the provision of services or facilities) to

anyone other than () its supported organizations, (p) individuals that are part of the charitable class

benefited by one or more of its supported organizations, or (ii) other supporting organizations that also

support or benefit one or more of the filing organization's supported organizations? If 'Yes, • provide detail in

Part A 8

7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor(defined in section 4958(c)(3XC)), a family member of a substantial contributor, or a 35% controlled entity with

regard to a substantial contributor? If 'Yes,' complete Part I of Schedule L (Form 990 or 990-E2). 7

8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described In line 7?

if 'Yes,' complete Part I of Schedule L (Form 990 or 990-F2).

9a Was the organization controlled directly or Indirectly at any time during the tax year by one or more

disqualified persons as defined In section 4946 (other than foundation managers and organizations described

in section 509(a)(1) or (2))? If 'Yes,' provide detail M Part W. 9a

b Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which

the supporting organization had an interest? If 'Yes, • provide detail in Part W. 9b

c Did a disqualified person (as defined in line 9e) have an ownership Interest In, or derive any personal benefit

from, assets in which the supporting organization also had an Interest? If 'Yes,' provide detail in Part VI. 94;

10a Was the organization subject to the excess business holdings rules of section 4943 because of section

4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally Integrated

supporting organizations)? If 'Yes,' answer lob below. lOa

b Did the organization have any excess business holdings in the tax year? (Lisa Schedule C, Form 4720, to

632024 00-21-1e Schedule A (Form 990 or 990.-EZ) 2018

818020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST 1

11 Has the organization accepted a gift or contribution from any of the following persons?

a A person who directly or Indirectly controls, either alone or together with persons described in (b) and (c)

below, the governing body of a supported organization? 11a

b A family member of a person described in (a) above? 11b

c A 35% controlled entity of a person described in or above? If 'Yes' to a, b, or c vide detail in Pert W. 11CSection B. Two I Sunoortina Organizations

1 Did the directors, trustees, or membership of one or more supported organizations have the power to

regularly appoint or elect at least a majority of the organization's directors or trustees at all times during the

tax year? If 'No,' describe in Part Y! how the supported organization(s) effectively operated, supervised, or

controlled the organization's actMties, If the organization had more than one supported organization,

describe how the powers to appoint and/or remove directors or trustees were allocated among the supported

organizations and what conditions ormstnctins, if any, applied to such powers during the tax year.

2 Did the organization operate for the benefit of any supported organization other than the supported

organization(s) that operated, supervised, or controlled the supporting organization? If 'Yes,' explain in

Part Yt how providing such benefit carried out the purposes of the supported organization(s) that operated,

I Were a majority of the organization's directors or trustees during the tax year also a majonty of the directors

or trustees of each of the organization's supported organization(s)? If 'No,' describe in Part 0 how control

ormanagement of the supporting organization was vested in the same persons that controlled or managed

1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the

organization's tax year, (1)i a written notice describing the type and amount of support provided during the prior tax

year, (i) a copy of the Form 990 that was most recently filed as of the date of notification, and (lil) copies of the

organization's governing documents in effect on the date of notification, to the extent not previously provided?

2 Were any of the organization's officers, directors, or trustees either (0 appointed or elected by the supported

organization(s) or (u) serving on the governing body of a supported organization? If 'NO,' exploh In Pan. Vt how

the organization maintained a close and continuous working relationship with the supported organization(s).

3 By reason of the relationship described in (2), did the organization's supported organizations have a

significant voice in the organization's Investment policies and in directing the use of the organization's

income or assets at all times during the tax year? If 'Yes,' describe In Part VT the role the organization's

t Y

•9

li1 1 Ildii4

Section E. Type III Functionally Integrated Supporting Organizations

1 Check the box next to the method that the organization used to satisfy the integral Part Test during the yea(soe tnstructlans),

a El The organization satisfied the Activities Test . Complete line 2 below.

b El The organization is the parent of each of its supported organizations. Complete NO 3 below.

c El The organization supported a governmental entity . Describe in Part VI how you supported a government entity (see k&sfiuc '

2 Activities Test. Answer (a) and (b) below. Yes No

a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of T F'

the supported organization (s) to which the organization was responsive? If 'Yes,' then in Part V1 ldentf'y

those supported orgarrl: ons and axptah+ how these activities directly furthered their exempt purposes,

how the organization was responsive to those supported organizations, and how the organization determined

that these activities constituted substantially all of its activities. ga

b Did the activities described in (a) constitute activities that , but for the organization's involvement , one or more

of the organization's supported organization (s) would have been engaged In? If 'Yes,' explain in Part Vt the

reasons for the organ¢etion s position that Its supported organization(s) would have engaged in these

activities but for the organization 's involvement 2b

3 Parent of Supported Organizations . Answer (a) and (b) below.

a Did the organization have the power to regularly appoint or elect a majority of the officers , directors, or

trustees of each of the supported organ izations? Provide details in Part W. 3a

b Did the organization exercise a substantial degree of direction over the policies , programs , and activities of each

032025 09-21-10 Schedule A (Form 990 or 990-EZ) 2018

91802022]. 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST_1

1 U Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov . 20,1970 (explain in Part VI.) See instructions. AL

other Tvne III non-functionally intearated suooortina oroanaations must comolete Sections A throuah E.

Section A - Adjusted Net Income (A) Prior Year(B) Current Year

(optional)

1 Net short-tern cap ital g ain I

2 Recoveries of Prior-yew distributions 2

3 Other gross Income see instructions 3

4 Add Ones 1 throw 3 4

5 Depreciation and depletion 5

8 Portion of operating expenses paid or incurred for production or

collection of gross income or for management, conservation, or

maintenance of property held for production of income see instructions 6

7 Other expenses (see Instructions) 7

8 Ad' d Net Income (subtract lines 5 8 and 7 from line 4) 8

Section B - Minimum Asset Amount (A) Prior Year(B) Current Year

(optionaQ

I Aggregate fair market value of all non-exempt-use assets (see

Instructions for short tax year or assets held for part of yead- -

a Averag e monthly value of securities 1a

b Average monthly cash balances 1b

c Fair market value of other non-exampt-use assets 1e

d Total (add lines 1 1 b and 1 c 1d

e Discount claimed for blockage or other

factors (explain in detail in Part VO:

- '

2 Acquisition indebtedness icable to non-exem t-use assets 2

3 Subtract line 2 from line 1d 3

4 Cash deemed held for exempt use. Enter 1.1/2% of One 3 (for greater amount,

see Instnictions 4

5 Net value of non-exam -use assets (subtract line 4 from line 3) 5

6 Mult iply line 5 by .035 6

7 Recoveries of prior-yew distributions 7

8 Minimum Asset Amount (add line 7 to One 61 8

Section C - Distributable Amount Current Year

1 Adjusted net income for prior year (from Section line 8, Column I e? is

2 Enter 85% of line 1 2

3 Minimum asset amount for prior year (from Section B , fine 8 Column 3

4 Enter g reater of Eno 2 or line 3 4

5 Income tax • osed in prior yew

8 Distributable Amount. Subtract line 5 from Ina 4, unless subject to

emergency temporary reduction see instructions 8

-- 1;

' '...

7 U Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see

instructions).

Schedule A (Form 990 or 980-M 2018

032025 00-21-la

10

18020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST_1

Schedule A orm 990 or 99O 2016 12 DI ST CENTRAL VA UNI SERVE UNIT 54-1112645 P2qe7Pa V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)Section D - Distributions Current Year

1 Amounts paid to supported organizations to accomplish exempt purposes

2 Amounts paid to perform activity that directly furthers exempt purposes of supported

o izations in excess of income from activity

3 Administrative eM2nses paid to accomp lish exempt purposes of supported organizations

4 Amounts paid to-acquire exempt-use assets

6 Qualified set -aside amounts fRrIor IRS approval required )

6 Other distributions (describe in Part . See instructions

7 Total annual dlsbibutlons . Add fines 1 through 6

8 Distributions to attentive supported organizations to which the organization Is responsive

(provide details in Part . See Instructions

9 Distributable amount for 2016 from Section C line 6

10 Une 8 amount divided by Una 9 amount

Section E - Distribution Allocations (see Instructions)

(i)Excess Distributions

(i i)Underdistributions

Pre-2018

CH)Distributable

Amount for 2016

I Distributable amount for 2D16 from Section C, line 6 !_

2 Underdistributions, if any, for years prior to 2016 (reason-

able cause required- explain In Part VI ) . See instructions

3 Excess distributions carryover, If any, to 2016:

a

b

c From 2013

d From 2014

e From 2015

f Total of lines 3a throe e - -

Iled to undordistribullons of prior years

h Applied to 2016 distributable amount

1 Quryover from 2011 not applied (see instructions)

Remainder. Subtract lines 3h , and 3i from 3f.

4 Distributions for 2016 from Section D,

line 7: $ - - w

a Applied to underdistnbutions of prior years

b Applied to 2016 distributable amount

c Remainder. Subtract Ones 4a and 4b from 4

5 Remaining underdistnbutions for years prior to 2016. if

any. Subtract lines 3g and 4a from line 2. For result greater

than zero, explain in Part M . See instructions

-

t - - -- -• =r-

8 Remaining underdistributions for 2016. Subtract lines 3h

and 4b from One 1 . For result greater than zero. explain In

Part VI. See Instructions

-

7 Excess distributions carryover to 2017. Add lines 31

and 4c

8 Breakdown of line 7:

a

b Excess from 2013

c Excess from 2014'F,

d Excess from 2015

e Excess from 2016

Schedule A (Form 990 or 990-EZI 2018

83xoz7 0921.1011

18020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST_1

SC1JEDULE 0 Supplemental Information to Form 990 or 990-EZ °""B"°.' °°"(Form BW or 990-EZ) Complete to provide Information for responses to specific questions on

2016Form 990 or 990-EZ or to provide any additional information.

Oopanmaml de„ nemwy ► Attach to Form 990 or 990-EL open to Publicinto rai R ue sauce end its instructions is at wWW.ha. Y/form990. Inspection

Name of the organization

12 DIST CENTRAL VA UNI SERVE UNIT

Employer identification number54-111264 5

Form 990-EZ, Part I, Line 16, Other Expenses:

Description of Other Expenses : Amount:

DUES 750.

INSURANCE 459•

Total to Form 990-EZ , line 16 1209.

Form 990-EZ, Part III, Line 28, Program Service Accomplishments:

ADMINISTRATIVE SUPPORT OF LOCAL EDUCATION CHAPTERS,

PUBLISH NEWSLETTERS, DISTRIBUTION OF EDUCATION MATERIALS,

MEMBERSHIP RECRUITMENT, PROGRAM CO-ORDINATION AND

ADMINISTRATION.

Form 990-EZ, Part III, Line 29, Program Service Accomplishments:

SPONSOR LOCAL CHAPTER REPRESENTATION FOR STATE AND

NATIONAL EDUCATION CONFERENCES, MEMBER SERVICES AND

PROGRAM DEVELOPMENT TO IMPROVE PUBLIC EDUCATION IN THE

CENTRAL REGION.

Form 990-EZ, Part V, Information Regarding Personal Benefit Contracts:

The organization did not, during the year, receive any funds, directly,

or indirectly, to pay premiums on a personal benefit contract.

The organization, did not, during the year, pay any premiums, directly,

or indirectly, on a personal benefit contract.

LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EL Schedule 0 (Form 990 or 990-EZ) (2016)

5=a211 08-25-18

1318020221 798965 12DIST 2016.05040 12 DIST CENTRAL VA UNISERVE 12DIST_1