BOYS AND GIRLS CLUB OF ASSABET VALLEY INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BOYS AND GIRLS CLUB OF ASSABET VALLEY INC (EIN 23-7105393)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-03
IRS object ID
201613089349300806
Schema version
2015v2.1
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)
Return2016-11-03T09:42:38-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043143185PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VOCATURA SPAGNUOLO & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11275 MAIN STREETAddressLine1Txt
CityWALTHAMCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024511762ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237105393EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOYS AND GIRLS CLUB OF ASSABET VALLEYBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBOYSBusinessNameControlTxt
Phone9784612871PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1212 GREAT ROADAddressLine1Txt
CityMAYNARDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01754ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRED ASTRAUSKASPersonNm
Person TitlePRESIDENT/TREASURERPersonTitleTxt
Phone9784612871PhoneNum
Signature2016-10-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPETER P VOCATURAPreparerPersonNm
PTINP00572048PTIN
Phone7816479339PhoneNum
Preparation2016-10-20PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFRED ASTRAUSKASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1212 GREAT ROADAddressLine1Txt
CityMAYNARDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01754ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$501,464GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BGCAV.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDE EDUCATIONAL, CULTURAL, RECREATIONAL AND OTHER CHARITABLE ACTIVITES ON BEHALF OF THE YOUTH OF THE ASSABET VALLEY AREA.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee40TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$156,672PYContributionsGrantsAmt
CY Contributions Grants$136,406CYContributionsGrantsAmt
PY Program Service Revenue$260,827PYProgramServiceRevenueAmt
CY Program Service Revenue$295,795CYProgramServiceRevenueAmt
PY Investment Income$56PYInvestmentIncomeAmt
CY Investment Income$19CYInvestmentIncomeAmt
PY Other Revenue$46,594PYOtherRevenueAmt
CY Other Revenue$40,525CYOtherRevenueAmt
PY Total Revenue$464,149PYTotalRevenueAmt
CY Total Revenue$472,745CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$82,778PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$82,240CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$299,192PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$308,075CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$29,762CYTotalFundraisingExpenseAmt
PY Other Expenses$83,556PYOtherExpensesAmt
CY Other Expenses$104,241CYOtherExpensesAmt
PY Total Expenses$465,526PYTotalExpensesAmt
CY Total Expenses$494,556CYTotalExpensesAmt
PY Revenues Less Expenses-$1,377PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$21,811CYRevenuesLessExpensesAmt
Total Assets BOY$414,163TotalAssetsBOYAmt
Total Assets EOY$368,669TotalAssetsEOYAmt
Total Liabilities BOY$49,056TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,373TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$365,107NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$343,296NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE EDUCATIONAL, CULTURAL, RECREATIONAL AND OTHER CHARITABLE ACTIVITES ON BEHALF OF THE YOUTH OF THE ASSABET VALLEY AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$374,210ExpenseAmt
Revenue$295,795RevenueAmt
DescYOUTH SERVICES - PROVIDES EDUCATIONAL, CULTURAL AND RECREATIONAL ACTIVITES TO THE YOUTH OF THE ASSABET VALLEY AREADesc
Total Program Service Expenses$374,210TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee40EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9784612871PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1BOYS AND GIRLS CLUB 212 GREAT ROADAddressLine1Txt
CityMAYNARDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01754ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
DONNY WRIGHT
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
JAMES FAIRWEATHER
DIRECTOR/CHIEF VOLUNTEER O2.00Yes (X)Yes (X)$0$0$0
MICHELLE LAVERS
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
FRED ASTRAUSKAS
DIRECTOR/PRESIDENT/TREASUR2.00Yes (X)Yes (X)$0$0$0
THOMAS LENT
DIRECTOR/VICE PRESIDENT/SE2.00Yes (X)Yes (X)$0$0$0
GARNET GLOVER
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
KRISTINE SHAW
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
WENDY ALLEGRONE-LESLIE
EXECUTIVE DIRECTOR40.00$73,812$0$0Yes (X)
NICOLE TYLER
PROGRAM DIRECTOR40.00$38,842$0$0Yes (X)
NICHOLAS CACCIOLFI
OPERATIONS DIRECTOR40.00$31,704$0$0Yes (X)
JENNIFER KUO
YOUTH SERVICES DIRECTOR40.00$41,850$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$186,208TotalReportableCompFromOrgAmt
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
Membership Dues$13,633MembershipDuesAmt
Government Grants$20,000GovernmentGrantsAmt
All Other Contributions$102,773AllOtherContributionsAmt
Total Contributions$136,406TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUMMER & VACATION PROG900099$174,485$174,485
AFTER SCHOOL PROGRAM900099$106,883$106,883
ADULT PROGRAMS900099$10,947$10,947
FACILITY RENTAL900099$3,480$3,480
FieldValueIRS element (for citing)
Total Program Service Revenue$295,795TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19TotalRevenueColumnAmt
Exclusion$19ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$69,244FundraisingGrossIncomeAmt
Fundraising Direct Expenses$28,719FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,525TotalRevenueColumnAmt
Exclusion$40,525ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$472,745TotalRevenueColumnAmt
Related Or Exempt Func Income$295,795RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$40,544ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$82,240TotalAmt
Program Services$82,240ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$186,208TotalAmt
Program Services$127,511ProgramServicesAmt
Management And General$36,386ManagementAndGeneralAmt
Fundraising$22,311FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$72,894TotalAmt
Program Services$70,476ProgramServicesAmt
Management And General$2,418ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,604TotalAmt
Program Services$9,631ProgramServicesAmt
Management And General$1,888ManagementAndGeneralAmt
Fundraising$1,085FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,614TotalAmt
Program Services$9,639ProgramServicesAmt
Management And General$2,058ManagementAndGeneralAmt
Fundraising$917FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,755TotalAmt
Program Services$18,152ProgramServicesAmt
Management And General$3,558ManagementAndGeneralAmt
Fundraising$2,045FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,150TotalAmt
Program Services$2,744ProgramServicesAmt
Management And General$5,764ManagementAndGeneralAmt
Fundraising$642FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$719TotalAmt
Program Services$216ProgramServicesAmt
Management And General$453ManagementAndGeneralAmt
Fundraising$50FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,844TotalAmt
Program Services$2,770ProgramServicesAmt
Management And General$9,968ManagementAndGeneralAmt
Fundraising$1,106FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,052TotalAmt
Program Services$10,393ProgramServicesAmt
Management And General$2,393ManagementAndGeneralAmt
Fundraising$266FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,683TotalAmt
Program Services$11,416ProgramServicesAmt
Management And General$1,141ManagementAndGeneralAmt
Fundraising$126FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
BUILDING FEASABILTY STU$20,157$20,157
UTILITIES$15,603$1,755$13,262$586
PERMITS, FEES & LICENSE$9,969$9,969
REPAIRS & MAINTENANCE$3,480$696$2,784

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,584TotalAmt
Program Services$3,007ProgramServicesAmt
Management And General$1,949ManagementAndGeneralAmt
Fundraising$628FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$494,556TotalAmt
Program Services$374,210ProgramServicesAmt
Management And General$90,584ManagementAndGeneralAmt
Fundraising$29,762FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$176,877BOYAmt
EOY$163,001EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,234BOYAmt
EOY$18,797EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,803BOYAmt
EOY$9,674EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$507,927LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$330,730LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$190,249BOYAmt
EOY$177,197EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$414,163BOYAmt
EOY$368,669EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,730BOYAmt
EOY$25,373EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$25,326BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,056BOYAmt
EOY$25,373EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$149,940BOYAmt
EOY$174,470EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,058BOYAmt
EOY$5,450EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$171,109BOYAmt
EOY$163,376EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$365,107BOYAmt
EOY$343,296EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$414,163BOYAmt
EOY$368,669EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$21,811ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
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$208,214CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$224,116CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$219,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$156,672CurrentTaxYearMinus1YearAmt
Current Tax Year$136,406CurrentTaxYearAmt
Total$945,403TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$208,214CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$224,116CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$219,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$156,672CurrentTaxYearMinus1YearAmt
Current Tax Year$136,406CurrentTaxYearAmt
Total$945,403TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$164,412SubstantialContributorsTotAmt
Public Support Total170$780,991PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56CurrentTaxYearMinus1YearAmt
Current Tax Year$19CurrentTaxYearAmt
Total$454TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,787CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$172CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,154CurrentTaxYearMinus1YearAmt
Total$3,971TotalAmt
FieldValueIRS element (for citing)
Total Support$949,828TotalSupportAmt
Gross Receipts Rltd Activities$1,302,563GrossReceiptsRltdActivitiesAmt
Public Support CY1700.82220PublicSupportCY170Pct
Public Support PY1700.84810PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationNET VENDING INCOMEExplanationTxt

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$100,000OtherCostOrOtherBasisAmt
Book Value$100,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,000OtherCostOrOtherBasisAmt
Depreciation$213,229DepreciationAmt
Book Value$16,771BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,927OtherCostOrOtherBasisAmt
Depreciation$117,501DepreciationAmt
Book Value$60,426BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$177,197TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$501,464TotalRevEtcAuditedFinclStmtAmt
Other Revenue$28,719OtherRevenueAmt
Revenue Not Reported$28,719RevenueNotReportedAmt
Revenue Subtotal$472,745RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$472,745TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$523,275TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$28,719OtherExpensesIncludedAmt
Expenses Not Reported$28,719ExpensesNotReportedAmt
Expenses Subtotal$494,556ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$494,556TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENTS DIRECT EXPENSES (PAGE 9, PART VIII, LINE 8B)
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENTS DIRECT EXPENSES (PAGE 9, PART VIII, LINE 8B) /

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNEYEvent1Nm
Gross Receipts Event1$25,755GrossReceiptsEvent1Amt
Gross Revenue Event1$25,755GrossRevenueEvent1Amt
Other Direct Expenses Event1$16,406OtherDirectExpensesEvent1Amt
Event2ANNUAL MEETING DINNEREvent2Nm
Gross Receipts Event2$17,312GrossReceiptsEvent2Amt
Gross Revenue Event2$17,312GrossRevenueEvent2Amt
Other Direct Expenses Event2$5,688OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$18,115GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$18,115GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$5,201OthDirectExpnssOtherEventsAmt
Gross Receipts Total$61,182GrossReceiptsTotalAmt
Gross Revenue Total Events$61,182GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$27,295OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$27,295DirectExpenseSummaryEventsAmt
Net Income Summary$33,887NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE COMMITTEES
FORM 990, PART VI, SECTION B, LINE 11FORM 990 PROVIDED TO OFFICERS PRIOR TO FILING
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND EMPLOYEES ARE INFORMED OF THE POLICY AT LEAST ANNUALLY AND INSTRUCTED THAT THEY ARE TO REPORT ANY CONFLICTS AS THEY ARISE TO THE CHIEF PROFESSIONAL OFFICER.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

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