BOYS AND GIRLS CLUB OF HOCAK NISOC HACI: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BOYS AND GIRLS CLUB OF HOCAK NISOC HACI (EIN 77-0648527)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-06-02
IRS object ID
202241539349300104
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2022-06-02T08:46:56-04:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421092523PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RE Scott CompanyBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1916 GrandviewAddressLine1Txt
CitySioux CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770648527EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOYS & GIRLS CLUB OF HOCAK NISOC HABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBOYSBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 724AddressLine1Txt
CityWINNEBAGOCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68071ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWAMBLI DOLEZAL MSOMNPersonNm
Person TitleCEOPersonTitleTxt
Phone4028282112PhoneNum
Signature2022-05-30SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWAMBLIPersonFirstNm
Person LastDOLEZALPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMark TramontinaPreparerPersonNm
PTINP01983756PTIN
Phone7122522216PhoneNum
Preparation2022-06-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BOYS & GIRLS CLUB OF HOCAK NISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerPATRICE BASSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 724AddressLine1Txt
CityWinnebagoCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68071ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$125,950GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.facebook.com/Boys-And-Girls-WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO PROVIDE CHILDREN WITH A SAFE PLACE FOR AFTER SCHOOL AND WEEKEND ACTIVITIESActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$125,950CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$125,950CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$235,664CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$106,815CYOtherExpensesAmt
CY Total Expenses$342,479CYTotalExpensesAmt
CY Revenues Less Expenses-$216,529CYRevenuesLessExpensesAmt
Total Assets BOY$36,583TotalAssetsBOYAmt
Total Assets EOY$8,265TotalAssetsEOYAmt
Total Liabilities BOY$281,219TotalLiabilitiesBOYAmt
Total Liabilities EOY$469,430TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$244,636NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$461,165NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE CHILDREN WITH A SAFE PLACE FOR AFTER SCHOOL AND WEEKEND ACTIVITIESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$342,479ExpenseAmt
Revenue$79,047RevenueAmt
DescTO PROVIDE TUTORING, DAILY SUPPER AND DRUG PREVENTION ADVICE TO CHILDREN AND YOUNG ADULTS FROM THE AGE 5 THROUGH THE AGE 18Desc
Total Program Service Expenses$342,479TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWAMBLI DOLEZAL MSOMPersonNm
Phone4028782112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1105 BLUFF STAddressLine1Txt
CityWinnebagoCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68071ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MARCEL BLACKBIRD
DIRECTOR0.000.00Yes (X)$0$0$0
DARLA LAPOINTE
DIRECTOR0.000.00Yes (X)$0$0$0
WAMBLI DOLEZAL
CEO0.000.00Yes (X)$0$0$0
PILAR ALDRICH
SECRETARY0.000.00$0$0$0Yes (X)
COLY BROWN
DIRECTOR0.000.00$0$0$0Yes (X)
PATRICE BASS
VICE CHAIRPERSON0.000.00$0$0$0Yes (X)
QUINCE BASS
DIRECTOR0.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$125,950FederatedCampaignsAmt
Total Contributions$125,950TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$125,950TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$235,664TotalAmt
Program Services$235,664ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$34,821TotalAmt
Program Services$34,821ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,489TotalAmt
Program Services$12,489ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,997TotalAmt
Program Services$9,997ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,240TotalAmt
Program Services$1,240ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescprogramDesc
Total$27,413TotalAmt
Program Services$27,413ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$20,855TotalAmt
Program Services$20,855ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$342,479TotalAmt
Program Services$342,479ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,315BOYAmt
EOY$8,265EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,268BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,583BOYAmt
EOY$8,265EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,244BOYAmt
EOY$17,976EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$72,257EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$267,975BOYAmt
EOY$379,197EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$281,219BOYAmt
EOY$469,430EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$244,636BOYAmt
EOY-$461,165EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$244,636BOYAmt
EOY-$461,165EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,583BOYAmt
EOY$8,265EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$216,529ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$285,108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$184,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$191,106CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$127,703CurrentTaxYearMinus1YearAmt
Current Tax Year$46,903CurrentTaxYearAmt
Total$835,428TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$285,108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$184,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$191,106CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$127,703CurrentTaxYearMinus1YearAmt
Current Tax Year$46,903CurrentTaxYearAmt
Total$835,428TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$30,194SubstantialContributorsTotAmt
Public Support Total170$805,234PublicSupportTotal170Amt
Total Support$835,428TotalSupportAmt
Public Support CY1700.96390PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$79,047TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$79,047RevenueSubtotalAmt
Total Revenue Per Form990$79,047TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$342,479TotExpnsEtcAuditedFinclStmtAmt
Losses Reported$216,529LossesReportedAmt
Expenses Not Reported$216,529ExpensesNotReportedAmt
Expenses Subtotal$125,950ExpensesSubtotalAmt
Total Expenses Per Form990$125,950TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11THE ORGANIZATION REVIEWS THE 990 FORM BEFORE SUBMISSION AND ASK QUESTIONS, IF ANY, TO THE EXECUTIVE DIRECTOR
Conflict of interest policy compliance Part VI line 12cTHE ORGANIZATION REVIEWED THE CONFLICT OF INTEEST POLICY BY REQUIRING BOARD MEMBERS TO COMPLETE A FORM OF QUESTIONS. THE REVIEW HAPPENS EVERY YEAR AT LEAST ONCE AND UPON ANY NEW DIRECTOR COMING ON TO THE BOARD
Governing documents etc available to public Part VI line 19THE ORGANIZATION MAKES AVAILABLE ALL FINANCIAL STATEMENTS THAT DOCUMENT THE 990 FORMS ON FILE

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