BOYS & GIRLS CLUB OF THE NORTH COUNTRY INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BOYS & GIRLS CLUB OF THE NORTH COUNTRY INC (EIN 27-3653199)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-04-29
- IRS object ID
- 202221199349301022
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-04-29T09:11:37-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 020436087 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MALONE DIRUBBO & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 537 | AddressLine1Txt |
| City | LINCOLN | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03251 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273653199 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOYS AND GIRLS CLUB OF THE | BusinessNameLine1Txt |
| Business Name Line2 | NORTH COUNTRY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BOYS | BusinessNameControlTxt |
| Phone | 6038385954 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 111 | AddressLine1Txt |
| City | LITTLETON | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03561 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM BEDOR | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6038385954 | PhoneNum |
| Signature | 2022-04-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WILLIAM | PersonFirstNm |
| Person Last | BEDOR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RONDA J KILANOWSKI CPA | PreparerPersonNm |
| PTIN | P00234628 | PTIN |
| Phone | 6037453121 | PhoneNum |
| Preparation | 2022-04-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFF WOODWARD | PrincipalOfficerNm |
| Gross Receipts | $584,750 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BGCNORTHCOUNTRY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | AT THE BOYS AND GIRLS CLUB OF THE NORTH COUNTRY, WE PROVIDE A FUN, SAFE PLACE FOR KIDS TO GATHER AND EXPRESS THEMSELVES DURING AFTER SCHOOL TIME AND VACATION PERIODS OFTEN KEEPING THEM FROM PARTICIPATING IN HIGH-RISK BEHAVIORS. PART OF THE CLUB'S PURPOSE IS TO ASSIST IN TEACHING THEM RIGHT FROM WRONG, HOW TO HANDLE LIFE'S EMOTIONAL DECISIONS, KNOWING THE CONSEQUENCES THAT MAY COME ABOUT AS A RESULT OF THE THEIR DECISIONS AND HOW TO HANDLE THE PEER PRESSURE THAT COMES WITH GROWING UP. OUR PROGRAM FOCUSES ON DEVELOPING THE LIFE-LONG SKILLS THAT CHILDREN NEED TO PREPARE THEMSELVES FOR SUCCESSFUL FUTURES AS PRODUCTIVE ADULTS. WHEN ASKED ABOUT THEIR EXPERIENCE AT BGNC, MEMBERS WRITE ABOUT TEAMWORK, RESPECT, AND RESPONSIBILITY. WE OFFER MANY CREATIVE OPPORTUNITIES AND ENCOURAGE A VARIETY OF PHYSICAL ACTIVITIES THAT SERVE AS A POSITIVE OUTLET WHERE CHILDREN CAN SAFELY LET OFF STEAM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 23 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $485,717 | PYContributionsGrantsAmt |
| CY Contributions Grants | $523,190 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $91,330 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,176 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,375 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,549 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,663 | PYOtherRevenueAmt |
| CY Other Revenue | $28,250 | CYOtherRevenueAmt |
| PY Total Revenue | $605,085 | PYTotalRevenueAmt |
| CY Total Revenue | $568,165 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $192,313 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $128,654 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $31,793 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $246,361 | PYOtherExpensesAmt |
| CY Other Expenses | $205,927 | CYOtherExpensesAmt |
| PY Total Expenses | $438,674 | PYTotalExpensesAmt |
| CY Total Expenses | $334,581 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $166,411 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $233,584 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $720,117 | TotalAssetsBOYAmt |
| Total Assets EOY | $968,519 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $425,215 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $409,896 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $294,902 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $558,623 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AT THE BOYS AND GIRLS CLUB OF THE NORTH COUNTRY, WE PROVIDE A FUN, SAFE PLACE FOR KIDS TO GATHER AND EXPRESS THEMSELVES DURING AFTER SCHOOL TIME AND VACATION PERIODS OFTEN KEEPING THEM FROM PARTICIPATING IN HIGH-RISK BEHAVIORS. PART OF THE CLUB'S PURPOSE IS TO ASSIST IN TEACHING THEM RIGHT FROM WRONG, HOW TO HANDLE LIFE'S EMOTIONAL DECISIONS, KNOWING THE CONSEQUENCES THAT MAY COME ABOUT AS A RESULT OF THE THEIR DECISIONS AND HOW TO HANDLE THE PEER PRESSURE THAT COMES WITH GROWING UP. OUR PROGRAM FOCUSES ON DEVELOPING THE LIFE-LONG SKILLS THAT CHILDREN NEED TO PREPARE THEMSELVES FOR SUCCESSFUL FUTURES AS PRODUCTIVE ADULTS. WHEN ASKED ABOUT THEIR EXPERIENCE AT BGNC, MEMBERS WRITE ABOUT TEAMWORK, RESPECT, AND RESPONSIBILITY. WE OFFER MANY CREATIVE OPPORTUNITIES AND ENCOURAGE A VARIETY OF PHYSICAL ACTIVITIES THAT SERVE AS A POSITIVE OUTLET WHERE CHILDREN CAN SAFELY LET OFF STEAM. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $256,477 | ExpenseAmt |
| Revenue | $15,176 | RevenueAmt |
| Desc | THE BOYS & GIRLS CLUB OF THE NORTH COUNTRY PROVIDES AN AFTER-SCHOOL PROGRAM, WHICH IS OPEN FROM ABOUT 2:30-6 EVERY DAY. WE ALSO RUN VACATION CAMP PROGRAMS THAT COVER WINTER, SPRING, AND SUMMER VACATIONS WITH HOURS FROM 7:30AM-6PM. IN ADDITION, WE OPEN FOR A FULL DAY ON AS MANY TEACHER IN-SERVICE DAYS AND HOLIDAYS AS POSSIBLE, SINCE WE KNOW THAT WORKING FAMILIES OFTEN NEED HELP IN CARING FOR THEIR CHILDREN ON THOSE DAYS. THE CLUB SERVES ALMOST 250 CHILDREN AGES 5-13 FROM 19 TOWNS. BGCNC RUNS A ROBUST, DIVERSE SET OF PROGRAMS TO ENTERTAIN, TEACH, AND HELP OUR MEMBERS ON THEIR JOURNEY TO BECOMING HAPPY, HEALTHY, PRODUCTIVE ADULTS. THE CLUB HAS ALWAYS BEEN MORE THAN JUST AN AFTER-SCHOOL PROGRAM. WE OFFER A RANGE OF SERVICES TAILORED TO MEET SPECIFIC NEEDS, INCLUDING TRANSPORTATION, COMMUNITY PROGRAMS, AND SNACKS FOR ALL MEMBERS. WE ALSO OFFER MORE THAN 100 PROGRAMS AND ACTIVITIES DESIGNED TO HELP YOUNG PEOPLE DEVELOP ESSENTIAL LIFE SKILLS. THESE INCLUDE STEM LEARNING, ARTS AND MUSIC, CAREER DEVELOPMENT, TUTORING AND HOMEWORK ASSISTANCE, FITNESS AND ATHLETICS, COMMUNITY SERVICE, HEALTHY LIVING, AND LEADERSHIP OPPORTUNITIES. | Desc |
| Total Program Service Expenses | $256,477 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 23 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TINA BEDOR | PersonNm |
| Phone | 6038385954 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 350 | AddressLine1Txt |
| City | LITTLETON | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03561 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SARA SHOVLIN | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | Yes (X) | $59,065 | $0 | $0 |
| TINA BEDOR | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM BEDOR | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STACEY FISH | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAYNA FLUMERFELT | ||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TERI GASTON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LISA JACOBS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JILL KIMBALL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EDITH MCKOWN | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATHE TORTORICE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEFF WOODWARD | ||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $59,065 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $1,265 | FundraisingAmt |
| All Other Contributions | $521,925 | AllOtherContributionsAmt |
| Noncash Contributions | $16,725 | NoncashContributionsAmt |
| Total Contributions | $523,190 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEMBERSHIP FEES | Desc |
| Business | 624110 | BusinessCd |
| Total Revenue Column | $15,176 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,176 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,176 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,549 | TotalRevenueColumnAmt |
| Exclusion | $1,549 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $44,235 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,265 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $16,585 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,650 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC REVENUE | Desc |
| Total Revenue Column | $600 | TotalRevenueColumnAmt |
| Exclusion | $600 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $600 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $568,165 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,176 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,149 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,246 | TotalAmt |
| Program Services | $29,839 | ProgramServicesAmt |
| Management And General | $12,246 | ManagementAndGeneralAmt |
| Fundraising | $15,161 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,719 | TotalAmt |
| Program Services | $45,531 | ProgramServicesAmt |
| Management And General | $2,594 | ManagementAndGeneralAmt |
| Fundraising | $2,594 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,654 | TotalAmt |
| Program Services | $826 | ProgramServicesAmt |
| Management And General | $414 | ManagementAndGeneralAmt |
| Fundraising | $414 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,996 | TotalAmt |
| Program Services | $6,248 | ProgramServicesAmt |
| Management And General | $1,874 | ManagementAndGeneralAmt |
| Fundraising | $1,874 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,039 | TotalAmt |
| Program Services | $5,657 | ProgramServicesAmt |
| Management And General | $1,691 | ManagementAndGeneralAmt |
| Fundraising | $1,691 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,237 | TotalAmt |
| Program Services | $9,618 | ProgramServicesAmt |
| Management And General | $9,619 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375 | TotalAmt |
| Program Services | $375 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,165 | TotalAmt |
| Program Services | $1,438 | ProgramServicesAmt |
| Management And General | $1,782 | ManagementAndGeneralAmt |
| Fundraising | $1,945 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511 | TotalAmt |
| Program Services | $255 | ProgramServicesAmt |
| Management And General | $128 | ManagementAndGeneralAmt |
| Fundraising | $128 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,531 | TotalAmt |
| Program Services | $51,451 | ProgramServicesAmt |
| Management And General | $6,053 | ManagementAndGeneralAmt |
| Fundraising | $3,027 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,158 | TotalAmt |
| Program Services | $31,078 | ProgramServicesAmt |
| Fundraising | $80 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $998 | TotalAmt |
| Program Services | $998 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,026 | TotalAmt |
| Program Services | $14,472 | ProgramServicesAmt |
| Management And General | $1,703 | ManagementAndGeneralAmt |
| Fundraising | $851 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,373 | TotalAmt |
| Program Services | $1,687 | ProgramServicesAmt |
| Management And General | $843 | ManagementAndGeneralAmt |
| Fundraising | $843 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,914 | TotalAmt |
| Program Services | $20,327 | ProgramServicesAmt |
| Management And General | $2,391 | ManagementAndGeneralAmt |
| Fundraising | $1,196 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,209 | TotalAmt |
| Program Services | $7,247 | ProgramServicesAmt |
| Management And General | $4,973 | ManagementAndGeneralAmt |
| Fundraising | $1,989 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PROGRAM EXPENSES | $26,382 | $26,382 |
| FUNDRASING EXPENSES | $2,387 | $2,387 |
| UNIFORMS | $661 | $661 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,581 | TotalAmt |
| Program Services | $256,477 | ProgramServicesAmt |
| Management And General | $46,311 | ManagementAndGeneralAmt |
| Fundraising | $31,793 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,961 | BOYAmt |
| EOY | $16,824 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,975 | BOYAmt |
| EOY | $175,071 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,645 | BOYAmt |
| EOY | $37,900 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,347 | BOYAmt |
| EOY | $1,255 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,386 | BOYAmt |
| EOY | $3,844 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $832,187 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $210,842 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,852 | BOYAmt |
| EOY | $621,345 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $110,453 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,951 | BOYAmt |
| EOY | $1,827 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $720,117 | BOYAmt |
| EOY | $968,519 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,485 | BOYAmt |
| EOY | $53,107 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,600 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,730 | BOYAmt |
| EOY | $354,189 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,215 | BOYAmt |
| EOY | $409,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,744 | BOYAmt |
| EOY | $294,835 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,158 | BOYAmt |
| EOY | $263,788 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,902 | BOYAmt |
| EOY | $558,623 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $720,117 | BOYAmt |
| EOY | $968,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $233,584 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,537 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $25,600 | DonatedServicesAndUseFcltsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $206,029 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $230,871 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $284,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $485,717 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $523,190 | CurrentTaxYearAmt |
| Total | $1,730,350 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $206,029 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $230,871 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $284,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $485,717 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $523,190 | CurrentTaxYearAmt |
| Total | $1,730,350 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $246,898 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,483,452 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,019 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,603 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,127 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,375 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,549 | CurrentTaxYearAmt |
| Total | $17,673 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,087 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,904 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,246 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,686 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $600 | CurrentTaxYearAmt |
| Total | $73,523 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,821,546 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $278,386 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.81440 | PublicSupportCY170Pct |
| Public Support PY170 | 0.77380 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | 72,923 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $106,649 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,071 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $112,720 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $106,152 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,925 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,428 | OtherExpendituresAmt |
| End Year Balance | $106,649 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $98,973 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,903 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,724 | OtherExpendituresAmt |
| End Year Balance | $106,152 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $79,873 | BeginningYearBalanceAmt |
| Contributions | $20,354 | ContributionsAmt |
| Investment Earnings Or Losses | $1,034 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,288 | OtherExpendituresAmt |
| End Year Balance | $98,973 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,873 | BeginningYearBalanceAmt |
| Contributions | $20,000 | ContributionsAmt |
| Investment Earnings Or Losses | $2,019 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,019 | OtherExpendituresAmt |
| End Year Balance | $79,873 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.98620 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.01380 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,000 | OtherCostOrOtherBasisAmt |
| Book Value | $50,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $703,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $132,303 | DepreciationAmt |
| Book Value | $571,345 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,539 | OtherCostOrOtherBasisAmt |
| Depreciation | $78,539 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $621,345 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 2, PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | THE PRINCIPAL OF THE ENDOWMENT IS PERMANENTLY RESTRICTED AND THE INCOME IS TEMPORARILY RESTRICTED TO BE USED FOR OPERATIONS. THE EARNINGS ARE WITHDRAWN QUARTERLY. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $45,500 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $1,265 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $44,235 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $16,585 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $45,500 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,265 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $44,235 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $16,585 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $16,585 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $27,650 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | AT THE BOYS AND GIRLS CLUB OF THE NORTH COUNTRY, WE PROVIDE A FUN, SAFE PLACE FOR KIDS TO GATHER AND EXPRESS THEMSELVES DURING AFTER SCHOOL TIME AND VACATION PERIODS OFTEN KEEPING THEM FROM PARTICIPATING IN HIGH-RISK BEHAVIORS. PART OF THE CLUB'S PURPOSE IS TO ASSIST IN TEACHING THEM RIGHT FROM WRONG, HOW TO HANDLE LIFE'S EMOTIONAL DECISIONS, KNOWING THE CONSEQUENCES THAT MAY COME ABOUT AS A RESULT OF THE THEIR DECISIONS AND HOW TO HANDLE THE PEER PRESSURE THAT COMES WITH GROWING UP. OUR PROGRAM FOCUSES ON DEVELOPING THE LIFE-LONG SKILLS THAT CHILDREN NEED TO PREPARE THEMSELVES FOR SUCCESSFUL FUTURES AS PRODUCTIVE ADULTS. WHEN ASKED ABOUT THEIR EXPERIENCE AT BGNC, MEMBERS WRITE ABOUT TEAMWORK, RESPECT, AND RESPONSIBILITY. WE OFFER MANY CREATIVE OPPORTUNITIES AND ENCOURAGE A VARIETY OF PHYSICAL ACTIVITIES THAT SERVE AS A POSITIVE OUTLET WHERE CHILDREN CAN SAFELY LET OFF STEAM. |
| FORM 990, PAGE 2, PART III, LINE 4A | THE BOYS & GIRLS CLUB OF THE NORTH COUNTRY PROVIDES AN AFTER-SCHOOL PROGRAM, WHICH IS OPEN FROM ABOUT 2:30-6 EVERY DAY. WE ALSO RUN VACATION CAMP PROGRAMS THAT COVER WINTER, SPRING, AND SUMMER VACATIONS WITH HOURS FROM 7:30AM-6PM. IN ADDITION, WE OPEN FOR A FULL DAY ON AS MANY TEACHER IN-SERVICE DAYS AND HOLIDAYS AS POSSIBLE, SINCE WE KNOW THAT WORKING FAMILIES OFTEN NEED HELP IN CARING FOR THEIR CHILDREN ON THOSE DAYS. THE CLUB SERVES ALMOST 250 CHILDREN AGES 5-13 FROM 19 TOWNS. BGCNC RUNS A ROBUST, DIVERSE SET OF PROGRAMS TO ENTERTAIN, TEACH, AND HELP OUR MEMBERS ON THEIR JOURNEY TO BECOMING HAPPY, HEALTHY, PRODUCTIVE ADULTS. THE CLUB HAS ALWAYS BEEN MORE THAN JUST AN AFTER-SCHOOL PROGRAM. WE OFFER A RANGE OF SERVICES TAILORED TO MEET SPECIFIC NEEDS, INCLUDING TRANSPORTATION, COMMUNITY PROGRAMS, AND SNACKS FOR ALL MEMBERS. WE ALSO OFFER MORE THAN 100 PROGRAMS AND ACTIVITIES DESIGNED TO HELP YOUNG PEOPLE DEVELOP ESSENTIAL LIFE SKILLS. THESE INCLUDE STEM LEARNING, ARTS AND MUSIC, CAREER DEVELOPMENT, TUTORING AND HOMEWORK ASSISTANCE, FITNESS AND ATHLETICS, COMMUNITY SERVICE, HEALTHY LIVING, AND LEADERSHIP OPPORTUNITIES. |
| FORM 990, PAGE 6, PART VI, LINE 2 | WILLIAM BEDOR TINA BEDOR TREASURER BOARD MEMBER MARRIED KATHE TORTORICE BUILDING ALTERNATIVES BOARD MEMBER COMPANY OWNER JILL KIMBALL DAYNA FLUMERFELT BOARD MEMBER VICE CHAIR COMMITTED RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE, HEADED BY THE TREASURER WHO IS A CPA, THEN IS PROVIDED TO THE ENTIRE BOARD FOR REVIEW AND APPROVAL |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST POLICY IS MONITORED ON AN ANNUAL BASIS |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXECUTIVE DIRECTOR COMPENSATION INFORMATION IS PROVIDED INDEPENDENTLY BY BOYS & GIRLS CLUB OF AMERICA |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST |