BOYS & GIRLS CLUB OF SPARTA INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BOYS & GIRLS CLUB OF SPARTA INC (EIN 39-1798177)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201713199349304496
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-11-15T11:01:57-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391628949PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON BLOCK AND COMPANY INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1505 KING ST STE 105AddressLine1Txt
CityLA CROSSECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391798177EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOYS & GIRLS CLUB OF SPARTA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBOYSBusinessNameControlTxt
Phone6082692582PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 E MONTGOMERY STREETAddressLine1Txt
CitySPARTACityNm
State AbbreviationWIStateAbbreviationCd
ZIP54656ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER SIMUNICHPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6082692582PhoneNum
Signature2017-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT TURNBULLPreparerPersonNm
PTINP00446288PTIN
Phone6087841890PhoneNum
Preparation2017-11-15PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdA8201150F5B29EB129453059C0B461A11CE106CFAtSubmissionCreationDeviceId
At Submission Filing Device Id64CC499E2E0339629DE53A845201FD29C1B158FAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNIFER SIMUNICHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 EAST MONTGOMERY STAddressLine1Txt
CitySPARTACityNm
State AbbreviationWIStateAbbreviationCd
ZIP54656ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$609,795GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BGCOFSPARTA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO INSPIRE AND ENABLE ALL YOUNG PEOPLE, ESPECIALLY THOSE WHO NEED US MOST, TO REALIZE THEIR FULL POTENTIAL AS PRODUCTIVE, RESPONSIBLE AND CARING CITIZENS.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee108TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$352,540PYContributionsGrantsAmt
CY Contributions Grants$267,710CYContributionsGrantsAmt
PY Program Service Revenue$263,746PYProgramServiceRevenueAmt
CY Program Service Revenue$308,210CYProgramServiceRevenueAmt
PY Investment Income$8,895PYInvestmentIncomeAmt
CY Investment Income$9,271CYInvestmentIncomeAmt
PY Other Revenue$352PYOtherRevenueAmt
CY Other Revenue$2,252CYOtherRevenueAmt
PY Total Revenue$625,533PYTotalRevenueAmt
CY Total Revenue$587,443CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$408,712PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$453,600CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,498CYTotalFundraisingExpenseAmt
PY Other Expenses$114,360PYOtherExpensesAmt
CY Other Expenses$122,168CYOtherExpensesAmt
PY Total Expenses$523,072PYTotalExpensesAmt
CY Total Expenses$575,768CYTotalExpensesAmt
PY Revenues Less Expenses$102,461PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,675CYRevenuesLessExpensesAmt
Total Assets BOY$406,857TotalAssetsBOYAmt
Total Assets EOY$442,700TotalAssetsEOYAmt
Total Liabilities BOY$29,991TotalLiabilitiesBOYAmt
Total Liabilities EOY$45,885TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$376,866NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$396,815NetAssetsOrFundBalancesEOYAmt
MissionTO INSPIRE AND ENABLE ALL YOUNG PEOPLE, ESPECIALLY THOSE WHO NEED US MOST, TO REALIZE THEIR FULL POTENTIAL AS PRODUCTIVE, RESPONSIBLE AND CARING CITIZENS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$467,900ExpenseAmt
Revenue$308,210RevenueAmt
DescPROVIDES A SAFE PLACE TO LEARN AND GROW; ONGOING RELATIONSHIPS WITH CARING, ADULT PROFESSIONALS; LIFE-ENHANCING PROGRAMS AND CHARACTER DEVELOPMENT EXPERIENCES; HOPE AND OPPORTUNITY.Desc
Total Program Service Expenses$467,900TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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
Employee108EmployeeCnt
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
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPATTY ELSENPersonNm
Phone6082692582PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 EAST MONTGOMERY STREETAddressLine1Txt
CitySPARTACityNm
State AbbreviationWIStateAbbreviationCd
ZIP54656ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KYLE DAVIS
TREASURER1.00Yes (X)Yes (X)$0$0$0
ALEATRA OLSON
DIRECTOR1.00Yes (X)$0$0$0
SAMANTHA GOFF
PAST PRESIDE1.00Yes (X)Yes (X)$0$0$0
JENNY HEDRICK-ERICKSON
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
BOB GARRELTS
DIRECTOR1.00Yes (X)$0$0$0
BEN WAEGE
PRESIDENT EL1.00Yes (X)Yes (X)$0$0$0
BILL OTT
DIRECTOR1.00Yes (X)$0$0$0
JOSH LYDON
DIRECTOR1.00Yes (X)$0$0$0
PAUL SOLBERG
DIRECTOR1.00Yes (X)$0$0$0
MEGAN ABBOTT
SECRETARY1.00Yes (X)Yes (X)$0$0$0
BARBARA RICE
DIRECTOR1.00Yes (X)$0$0$0
JACKIE GERL
DIRECTOR1.00Yes (X)$0$0$0
BEN CRENSHAW
DIRECTOR1.00Yes (X)$0$0$0
SHOBI NUNEMACHER
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER SIMUNICH
EXECUTIVE DI40.00Yes (X)$48,954$0$9,919
FieldValueIRS element (for citing)
Total Reportable Comp From Org$48,954TotalReportableCompFromOrgAmt
Total Other Compensation$9,919TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$27,625FederatedCampaignsAmt
Membership Dues$8,095MembershipDuesAmt
Fundraising$127,391FundraisingAmt
All Other Contributions$104,599AllOtherContributionsAmt
Total Contributions$267,710TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM GRANTS AND CONTRACTS$247,000$247,000
PROGRAM AND MEMBERSHIPS$61,210$61,210
FieldValueIRS element (for citing)
Total Program Service Revenue$308,210TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,271TotalRevenueColumnAmt
Exclusion$9,271ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$22,352FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$127,391ContriRptFundraisingEventAmt
Fundraising Direct Expenses$22,352FundraisingDirectExpensesAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Total Revenue Column$2,252TotalRevenueColumnAmt
Related Or Exempt Func Income$2,252RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,252OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$587,443TotalRevenueColumnAmt
Related Or Exempt Func Income$310,462RelatedOrExemptFuncIncomeAmt
Exclusion$9,271ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$48,954TotalAmt
Program Services$39,163ProgramServicesAmt
Management And General$4,896ManagementAndGeneralAmt
Fundraising$4,895FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$353,716TotalAmt
Program Services$306,178ProgramServicesAmt
Management And General$34,810ManagementAndGeneralAmt
Fundraising$12,728FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,120TotalAmt
Program Services$2,078ProgramServicesAmt
Management And General$505ManagementAndGeneralAmt
Fundraising$537FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,223TotalAmt
Program Services$13,319ProgramServicesAmt
Management And General$3,524ManagementAndGeneralAmt
Fundraising$380FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$30,587TotalAmt
Program Services$26,246ProgramServicesAmt
Management And General$3,003ManagementAndGeneralAmt
Fundraising$1,338FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,505TotalAmt
Management And General$8,505ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,500TotalAmt
Program Services$1,800ProgramServicesAmt
Management And General$2,700ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,386TotalAmt
Management And General$1,386ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,119TotalAmt
Program Services$6,051ProgramServicesAmt
Management And General$712ManagementAndGeneralAmt
Fundraising$356FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,537TotalAmt
Program Services$13,983ProgramServicesAmt
Management And General$1,554ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER$23,368$14,302$7,230$1,836
SUPPLIES$20,717$19,096$1,621
UTILITIES$12,664$11,524$633$507
REPAIRS AND MAINTENANCE$12,079$604$11,475

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,293TotalAmt
Program Services$13,556ProgramServicesAmt
Management And General$1,816ManagementAndGeneralAmt
Fundraising$921FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$575,768TotalAmt
Program Services$467,900ProgramServicesAmt
Management And General$84,370ManagementAndGeneralAmt
Fundraising$23,498FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$125BOYAmt
EOY$125EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,763BOYAmt
EOY$3,236EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$35,375BOYAmt
EOY$56,174EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,553BOYAmt
EOY$1,709EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$270,674LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$136,694LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$141,099BOYAmt
EOY$133,980EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$219,942BOYAmt
EOY$247,476EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$406,857BOYAmt
EOY$442,700EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,707BOYAmt
EOY$32,233EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$10,284BOYAmt
EOY$13,652EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,991BOYAmt
EOY$45,885EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$374,866BOYAmt
EOY$395,958EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,000BOYAmt
EOY$857EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$376,866BOYAmt
EOY$396,815EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$406,857BOYAmt
EOY$442,700EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$11,675ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,274NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
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$202,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$288,433CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$288,546CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$352,540CurrentTaxYearMinus1YearAmt
Current Tax Year$267,710CurrentTaxYearAmt
Total$1,399,305TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$202,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$288,433CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$288,546CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$352,540CurrentTaxYearMinus1YearAmt
Current Tax Year$267,710CurrentTaxYearAmt
Total$1,399,305TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$347,551SubstantialContributorsTotAmt
Public Support Total170$1,051,754PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$541CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,208CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,995CurrentTaxYearMinus1YearAmt
Current Tax Year$9,271CurrentTaxYearAmt
Total$24,708TotalAmt
FieldValueIRS element (for citing)
Total Support$1,424,013TotalSupportAmt
Gross Receipts Rltd Activities$332,814GrossReceiptsRltdActivitiesAmt
Public Support CY1700.73860PublicSupportCY170Pct
Public Support PY1700.71270PublicSupportPY170Pct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,942BeginningYearBalanceAmt
Contributions$10,000ContributionsAmt
Investment Earnings Or Losses$17,534InvestmentEarningsOrLossesAmt
End Year Balance$247,476EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$116,530BeginningYearBalanceAmt
Contributions$105,800ContributionsAmt
Investment Earnings Or Losses-$2,388InvestmentEarningsOrLossesAmt
End Year Balance$219,942EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$38,267BeginningYearBalanceAmt
Contributions$76,600ContributionsAmt
Investment Earnings Or Losses$1,663InvestmentEarningsOrLossesAmt
End Year Balance$116,530EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,143BeginningYearBalanceAmt
Contributions$5,000ContributionsAmt
Investment Earnings Or Losses$6,129InvestmentEarningsOrLossesAmt
End Year Balance$38,267EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,542BeginningYearBalanceAmt
Contributions$10,415ContributionsAmt
Investment Earnings Or Losses$2,186InvestmentEarningsOrLossesAmt
End Year Balance$27,143EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,144OtherCostOrOtherBasisAmt
Book Value$33,144BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$237,530OtherCostOrOtherBasisAmt
Depreciation$136,694DepreciationAmt
Book Value$100,836BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$133,980TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$618,069TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$8,274NetUnrealizedGainsInvstAmt
Other Revenue$22,352OtherRevenueAmt
Revenue Not Reported$30,626RevenueNotReportedAmt
Revenue Subtotal$587,443RevenueSubtotalAmt
Total Revenue Per Form990$587,443TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$598,120TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$22,352OtherExpensesIncludedAmt
Expenses Not Reported$22,352ExpensesNotReportedAmt
Expenses Subtotal$575,768ExpensesSubtotalAmt
Total Expenses Per Form990$575,768TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XFASB ASC 740-10 (PREVIOUSLY FINANCIAL INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES)PRESCRIBES A RECOGNITION THRESHOLD AND A MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. FOR THOSE BENEFITS TO BE RECOGNIZED, A TAX POSITION MUST BE MORE-LIKELY- HAN-NOT TO BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE CLUB ADOPTED THESE PROVISIONS ON JANUARY 1, 2009. THERE WAS NO IMPACT TO FINANCIAL STATEMENTS UPON IMPLEMENTATION. AS OF BOTH THE DATE OF ADOPTION, AND AS OF DECEMBER 31, 2016 AND DECEMBER 31, 2015, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO.
SCHEDULE D, PAGE 4, PART XI, LINE 2DSPECIAL EVENTS COSTS 22,352
SCHEDULE D, PAGE 4, PART XII, LINE 2DSPECIAL EVENTS COSTS 22,352

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOUSE OF SHADOWEvent1Nm
Gross Receipts Event1$72,284GrossReceiptsEvent1Amt
Charitable Contri Event1$59,107CharitableContriEvent1Amt
Gross Revenue Event1$13,177GrossRevenueEvent1Amt
Other Direct Expenses Event1$13,177OtherDirectExpensesEvent1Amt
Event2HOLIDAY MAIL APEvent2Nm
Gross Receipts Event2$28,115GrossReceiptsEvent2Amt
Charitable Contri Event2$28,115CharitableContriEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$49,344GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$40,169CharitableContriOtherEventsAmt
Gross Revenue Other Events$9,175GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$9,175OthDirectExpnssOtherEventsAmt
Gross Receipts Total$149,743GrossReceiptsTotalAmt
Charitable Contributions Tot$127,391CharitableContributionsTotAmt
Gross Revenue Total Events$22,352GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$22,352OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$22,352DirectExpenseSummaryEventsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 9902010 CONTRIBUTIONS REFLECT ONE-TIME, RESTRICTED FUNDS TOTALING 59,384
FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION PROVIDES A COPY OF THE FORM 990 ELECTRONICALLY TO ALL BOARD MEMBERS PRIOR TO ITS FILING.
FORM 990, PAGE 6, PART VI, LINE 12CPOLICY IS DISCLOSED TO ALL NEW MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 15AREVIEW AND APPROVAL BY BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15BREVIEW AND APPROVAL BY BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC
FORM 990, PART XI, LINE 9SPECIAL EVENTS COSTS 22,352 SPECIAL EVENTS COSTS -22,352

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