THE BOYS & GIRLS CLUB OF WASHINGTON COUNTY: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
THE BOYS & GIRLS CLUB OF WASHINGTON COUNTY (EIN 45-3445754)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-03
IRS object ID
202003089349300615
Schema version
2019v5.1
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)
Return2020-11-03T07:34:21-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550771624PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PERRY & ASSOCIATES CPAS ACBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1313 2ND STREETAddressLine1Txt
CityMARIETTACityNm
State AbbreviationOHStateAbbreviationCd
ZIP45750ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453445754EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE BOYS AND GIRLS CLUB OF WASHINGTON COBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBOYSBusinessNameControlTxt
Phone7403734123PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1307 LANCASTER STREETAddressLine1Txt
CityMARIETTACityNm
State AbbreviationOHStateAbbreviationCd
ZIP45750ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREBECCA JOHNSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7403734123PhoneNum
Signature2020-10-26SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNA E BURNS CPAPreparerPersonNm
PTINP01883891PTIN
Phone7403730056PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.219.83.6IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-26IPDt
IP Tm06:46:54IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdA213DBF8D0B9ACA5D860FB606B39419808AE09FAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerREBECCA JOHNSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1307 LANCASTER STREETAddressLine1Txt
CityMARIETTACityNm
State AbbreviationOHStateAbbreviationCd
ZIP45750ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,098,212GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE BGCWC PROVIDES PROGRAMMING TO MORE THAN 350 YOUTH ANNUALLY, GRADES K THRU 12, IN THE AREA OF CHARACTER, LEADERSHIP, SOCIAL AND PHYSICAL RECREATION AND DOING BETTER IN SCHOOL.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$58,731TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$81,917NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$114,557PYContributionsGrantsAmt
CY Contributions Grants$542,438CYContributionsGrantsAmt
PY Program Service Revenue$70,769PYProgramServiceRevenueAmt
CY Program Service Revenue$87,711CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$872CYInvestmentIncomeAmt
PY Other Revenue$93,517PYOtherRevenueAmt
CY Other Revenue$123,718CYOtherRevenueAmt
PY Total Revenue$278,843PYTotalRevenueAmt
CY Total Revenue$754,739CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$114,699PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$198,437CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$25,716CYTotalFundraisingExpenseAmt
PY Other Expenses$118,671PYOtherExpensesAmt
CY Other Expenses$109,496CYOtherExpensesAmt
PY Total Expenses$233,370PYTotalExpensesAmt
CY Total Expenses$307,933CYTotalExpensesAmt
PY Revenues Less Expenses$45,473PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$446,806CYRevenuesLessExpensesAmt
Total Assets BOY$283,788TotalAssetsBOYAmt
Total Assets EOY$720,431TotalAssetsEOYAmt
Total Liabilities BOY$11,269TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,515TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$272,519NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$695,916NetAssetsOrFundBalancesEOYAmt
MissionTHE BGCWC PROVIDES PROGRAMMING TO MORE THAN 350 YOUTH ANNUALLY, GRADES K THRU 12, IN THE AREAS OF CHARACTER, LEADERSHIP, SOCIAL AND PHYSICAL RECREATION, AND PERFORMING BETTER IN SCHOOL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$234,815ExpenseAmt
Revenue$88,798RevenueAmt
DescTHE BGCWC PROVIDES PROGRAMMING TO MORE THAN 350 YOUTH ANNUALLY, GRADES K THRU 12, IN THE AREAS OF CHARACTER, LEADERSHIP, SOCIAL AND PHYSICAL RECREATION AND PERFORMING BETTER IN SCHOOL.Desc
Total Program Service Expenses$234,815TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee25EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REBECCA JOHNSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7403734123PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1307 LANCASTER STAddressLine1Txt
CityMARIETTACityNm
State AbbreviationOHStateAbbreviationCd
ZIP45750ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JASON ROLLINS
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
GARY WILLIAMS
BOARD MEMBER2.00Yes (X)Yes (X)$0$0$0
MATT MALLETT
BOARD MEMBER2.00Yes (X)$0$0$0
CAMERON FOUSS
BOARD MEMBER2.00Yes (X)$0$0$0
KIM NOHE
BOARD MEMBER2.00Yes (X)$0$0$0
ANNELLE EDWARDS
SECRETERY2.00Yes (X)Yes (X)$0$0$0
TINA ADAMS
BOARD MEMBER2.00Yes (X)$0$0$0
DEVIN CUMPSTON
TREASURER5.00Yes (X)Yes (X)$0$0$0
KATIE KITCHEN
BOARD MEMBER2.00Yes (X)$0$0$0
KELSEY CARVER
BOARD MEMBER2.00Yes (X)$0$0$0
REBECCA JOHNSON
EXECUTIVE DIRECTOR40.00Yes (X)$35,719$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$35,719TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$46,453GovernmentGrantsAmt
All Other Contributions$495,985AllOtherContributionsAmt
Noncash Contributions$356,470NoncashContributionsAmt
Total Contributions$542,438TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM REVENUEDesc
Business624100BusinessCd
Total Revenue Column$87,711TotalRevenueColumnAmt
Related Or Exempt Func Income$87,711RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$87,711TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$557TotalRevenueColumnAmt
Exclusion$557ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$315SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$315SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$315TotalRevenueColumnAmt
Exclusion$315ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$96,341FundraisingGrossIncomeAmt
Fundraising Direct Expenses$32,441FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,900TotalRevenueColumnAmt
Exclusion$63,900ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$369,763GamingGrossIncomeAmt
Gaming Direct Expenses$311,032GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,731TotalRevenueColumnAmt
Unrelated Business Revenue$58,731UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$1,087TotalRevenueColumnAmt
Related Or Exempt Func Income$1,087RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,087OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$754,739TotalRevenueColumnAmt
Related Or Exempt Func Income$88,798RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$58,731UnrelatedBusinessRevenueAmt
Exclusion$64,772ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$35,719TotalAmt
Program Services$35,719ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$139,072TotalAmt
Program Services$109,358ProgramServicesAmt
Management And General$8,740ManagementAndGeneralAmt
Fundraising$20,974FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,017TotalAmt
Program Services$10,414ProgramServicesAmt
Management And General$1,302ManagementAndGeneralAmt
Fundraising$1,301FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,629TotalAmt
Program Services$8,822ProgramServicesAmt
Management And General$531ManagementAndGeneralAmt
Fundraising$1,276FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,730TotalAmt
Management And General$3,730ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,744TotalAmt
Management And General$9,744ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$524TotalAmt
Fundraising$524FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,800TotalAmt
Management And General$9,800ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,170TotalAmt
Program Services$8,136ProgramServicesAmt
Management And General$1,117ManagementAndGeneralAmt
Fundraising$917FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,161TotalAmt
Program Services$12,129ProgramServicesAmt
Management And General$3,032ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,797TotalAmt
Program Services$7,038ProgramServicesAmt
Management And General$1,759ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM SERVICE EXPENSE$36,011$36,011
DUES & SUBSCRIPTIONS$5,347$5,347
BAD DEBT$3,150$2,520$630
COMMUNICATIONS$2,651$2,651

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,411TotalAmt
Program Services$2,017ProgramServicesAmt
Management And General$1,670ManagementAndGeneralAmt
Fundraising$724FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$307,933TotalAmt
Program Services$234,815ProgramServicesAmt
Management And General$47,402ManagementAndGeneralAmt
Fundraising$25,716FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$40,681BOYAmt
EOY$89,550EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$3,687EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,294BOYAmt
EOY$14,189EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$3,558EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$664,323LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$76,761LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$232,813BOYAmt
EOY$587,562EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$13,180EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$8,705EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$283,788BOYAmt
EOY$720,431EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,269BOYAmt
EOY$12,570EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$11,945EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,269BOYAmt
EOY$24,515EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$272,519BOYAmt
EOY$648,386EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$47,530EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$272,519BOYAmt
EOY$695,916EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$283,788BOYAmt
EOY$720,431EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$446,806ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$873NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$24,282PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$296,915CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$129,788CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,404CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$114,557CurrentTaxYearMinus1YearAmt
Current Tax Year$542,438CurrentTaxYearAmt
Total$1,169,102TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$296,915CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$129,788CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,404CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$114,557CurrentTaxYearMinus1YearAmt
Current Tax Year$542,438CurrentTaxYearAmt
Total$1,169,102TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,169,102PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$1,745CurrentTaxYearAmt
Total$1,745TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,069CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,054CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,958CurrentTaxYearMinus1YearAmt
Current Tax Year$1,087CurrentTaxYearAmt
Total$28,348TotalAmt
FieldValueIRS element (for citing)
Total Support$1,199,195TotalSupportAmt
Gross Receipts Rltd Activities$158,480GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97490PublicSupportCY170Pct
Public Support PY1700.96900PublicSupportPY170Pct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,000OtherCostOrOtherBasisAmt
Book Value$52,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$560,644OtherCostOrOtherBasisAmt
Depreciation$56,406DepreciationAmt
Book Value$504,238BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,679OtherCostOrOtherBasisAmt
Depreciation$20,355DepreciationAmt
Book Value$22,324BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,000OtherCostOrOtherBasisAmt
Book Value$9,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$587,562TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$11,945FederalIncomeTaxLiabilityAmt
Total Liability$11,945TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,099,085TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$873NetUnrealizedGainsInvstAmt
Revenue Not Reported$873RevenueNotReportedAmt
Revenue Subtotal$1,098,212RevenueSubtotalAmt
Other Revenues Not Included-$343,473OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$343,473RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$754,739TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$651,406TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$343,473OtherExpensesIncludedAmt
Expenses Not Reported$343,473ExpensesNotReportedAmt
Expenses Subtotal$307,933ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$307,933TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CLUB AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CLUB HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CLUB, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CLUB IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CLUB'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FEDERAL FORM 990) FOR 2016, 2017, AND 2018 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER AUCTIONEvent1Nm
Gross Receipts Event1$48,128GrossReceiptsEvent1Amt
Gross Revenue Event1$48,128GrossRevenueEvent1Amt
Other Direct Expenses Event1$12,798OtherDirectExpensesEvent1Amt
Event2GOLF SCRAMBLEEvent2Nm
Gross Receipts Event2$12,993GrossReceiptsEvent2Amt
Gross Revenue Event2$12,993GrossRevenueEvent2Amt
Other Direct Expenses Event2$5,836OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$35,220GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$35,220GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$13,807OthDirectExpnssOtherEventsAmt
Gross Receipts Total$96,341GrossReceiptsTotalAmt
Gross Revenue Total Events$96,341GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$32,441OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$32,441DirectExpenseSummaryEventsAmt
Net Income Summary$63,900NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Pull Tabs$369,763GrossRevenuePullTabsAmt
Other Direct Expenses Pull Tabs$311,032OtherDirectExpensesPullTabsAmt
Volunteer Labor Pull Tabs0VolunteerLaborPullTabsInd
Gross Revenue Total Gaming$369,763GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming$311,032OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$311,032DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$58,731NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedOHStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With Nonmembers0GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Cntrct With3rd Prty For Game RevYes (1)CntrctWith3rdPrtyForGameRevInd

Third Party Business Name ThirdPartyBusinessName

FieldValueIRS element (for citing)
Business Name Line1PT PROCESSING LLCBusinessNameLine1Txt

Third Party US Address ThirdPartyUSAddress

FieldValueIRS element (for citing)
Address Line1125 WEST MULBERRY STREETAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43130ZIPCd
FieldValueIRS element (for citing)
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$356,470NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED BY EXECUTIVE DIRECTOR, REBECCA JOHNSON. THE BOARD OF DIRECTORS WILL BE GIVEN A COPY FOR THEIR REVIEW.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST

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