Form990-EZ
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
bullet Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.
bulletThe organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-1150
2012
Open to Public
Inspection
A
For the 2012 calendar year, or tax year beginning 07-01-2012, and ending 06-30-2013
B
Check if applicable:
C Name of organization
AFRICAN CARIBBEAN INSTITUTE INC
Number and street (or P. O. box, if mail is not delivered to street address)50 MAIN STREET
Room/suite
City or town, state or country, and ZIP + 4 West Lebanon, NH03784
D Employer identification number

22-2552917
E Telephone number

F Group Exemption
Number. . bullet
G Accounting Method: Other (specify) bullet H Check bulletI Website:bullet J Tax-exempt status(check only one)Click to see attachment( ) bullet(insert no.) or
K Check bullet A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . bullet $ 2,815
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)Check if the organization used Schedule O to respond to any question in this Part I...................
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1 150
2 Program service revenue including government fees and contracts ............ 2 2,640
3 Membership dues and assessments...................... 3
4 Investment income........................... 4 25
5a Gross amount from sale of assets other than inventory........ 5a
b Less: cost or other basis and sales expenses........... 5b
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a
b Gross income from fundraising events (not including $ of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b
c Less: direct expenses from gaming and fundraising events....... 6c
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d
7a Gross sales of inventory, less returns and allowances........ 7a
b Less: cost of goods sold................. 7b
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c
8 Other revenue (describe in Schedule O) ..................... 8
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet 9 2,815
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10
11 Benefits paid to or for members........................ 11
12 Salaries, other compensation, and employee benefits................ 12
13 Professional fees and other payments to independent contractors............ 13 1,248
14 Occupancy, rent, utilities, and maintenance................... 14
15 Printing, publications, postage, and shipping................... 15
16 Other expenses (describe in Schedule O) .................... 16 3,496
17 Total expenses. Add lines 10 through 16 ................. Bullet 17 4,744
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 -1,929
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 years return)................ 19 3,471
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 1,542
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2012)
Form 990-EZ (2012)
Page 2
Part IIBalance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year
22Cash, savings, and investments................
3,616
22
1,542
23Land and buildings....................
0
23
0
24Other assets (describe in Schedule O) ..........
0
24
0
25Total assets......................
3,616
25
1,542
26
Total liabilities (describe in Schedule O) .............
145
26
0
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
3,471
27
1,542
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? PROVIDE WORKSHOPS
Describe the organizations program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 PROVIDE WORKSHOPS FOR AFRICAN CARIBBEAN STUDIES
(Grants $ ) If this amount includes foreign grants, check here ...MediumBullet		 28a 4,744
29
(Grants $ ) If this amount includes foreign grants, check here ...MediumBullet 		29a
30
(Grants $ ) If this amount includes foreign grants, check here ...MediumBullet 		30a
31 Other program services (describe in Schedule O)
(Grants $ ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a).......... bullet 32 4,744