BOYS & GIRLS CLUB OF SPARTA INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BOYS & GIRLS CLUB OF SPARTA INC (EIN 39-1798177)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201613209349316691
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)
Return2016-11-15T17:30:56-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391559356PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FRANKE & TURNBULL CPA'SBusinessNameLine1Txt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT TURNBULLPreparerPersonNm
PTINP00446288PTIN
Phone6087841890PhoneNum
Preparation2016-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
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$653,842GrossReceiptsAmt
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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee131TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$288,546PYContributionsGrantsAmt
CY Contributions Grants$352,540CYContributionsGrantsAmt
PY Program Service Revenue$283,062PYProgramServiceRevenueAmt
CY Program Service Revenue$263,746CYProgramServiceRevenueAmt
PY Investment Income$4,693PYInvestmentIncomeAmt
CY Investment Income$8,895CYInvestmentIncomeAmt
PY Other Revenue$2,286PYOtherRevenueAmt
CY Other Revenue$352CYOtherRevenueAmt
PY Total Revenue$578,587PYTotalRevenueAmt
CY Total Revenue$625,533CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$423,589PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$408,712CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$37,087CYTotalFundraisingExpenseAmt
PY Other Expenses$106,908PYOtherExpensesAmt
CY Other Expenses$114,360CYOtherExpensesAmt
PY Total Expenses$530,497PYTotalExpensesAmt
CY Total Expenses$523,072CYTotalExpensesAmt
PY Revenues Less Expenses$48,090PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$102,461CYRevenuesLessExpensesAmt
Total Assets BOY$317,023TotalAssetsBOYAmt
Total Assets EOY$406,857TotalAssetsEOYAmt
Total Liabilities BOY$31,245TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,991TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$285,778NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$376,866NetAssetsOrFundBalancesEOYAmt
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$424,769ExpenseAmt
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$424,769TotalProgramServiceExpensesAmt
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 RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee131EmployeeCnt
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
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
Other WebsiteYes (X)OtherWebsiteInd
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 (18 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
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JENNY HEDRICK-ERICKSON
DIRECTOR1.00Yes (X)$0$0$0
BOB GARRELTS
DIRECTOR1.00Yes (X)$0$0$0
BEN WAEGE
DIRECTOR1.00Yes (X)$0$0$0
BILL OTT
PRESIDENT EL1.00Yes (X)Yes (X)$0$0$0
TOBY OSWALD
PAST PRESIDE1.00Yes (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
HEATHER KENWORTHY
DIRECTOR1.00Yes (X)$0$0$0
RYAN CALLAN
DIRECTOR1.00Yes (X)$0$0$0
JACKIE GERL
DIRECTOR1.00Yes (X)$0$0$0
LAWRENCE TERRY
EXECUTIVE DI40.00Yes (X)$42,179$0$0
SHOBI ZIETLOW
DIRECTOR1.00Yes (X)$0$0$0
NICK ROWLETT
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER SIMUNICH
EXECUTIVE DIYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$42,179TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Membership Dues$8,040MembershipDuesAmt
Fundraising$97,116FundraisingAmt
All Other Contributions$247,384AllOtherContributionsAmt
Total Contributions$352,540TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM GRANTS AND CONTRACTS$192,647$192,647
PROGRAM AND MEMBERSHIPS$71,099$71,099
FieldValueIRS element (for citing)
Total Program Service Revenue$263,746TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,995TotalRevenueColumnAmt
Exclusion$8,995ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$100OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$100OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$100TotalRevenueColumnAmt
Exclusion-$100ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$28,209FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$97,116ContriRptFundraisingEventAmt
Fundraising Direct Expenses$28,209FundraisingDirectExpensesAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Total Revenue Column$352TotalRevenueColumnAmt
Related Or Exempt Func Income$352RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$352OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$625,533TotalRevenueColumnAmt
Related Or Exempt Func Income$264,098RelatedOrExemptFuncIncomeAmt
Exclusion$8,895ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$42,179TotalAmt
Program Services$33,743ProgramServicesAmt
Management And General$4,218ManagementAndGeneralAmt
Fundraising$4,218FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$323,817TotalAmt
Program Services$273,265ProgramServicesAmt
Management And General$26,318ManagementAndGeneralAmt
Fundraising$24,234FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,597TotalAmt
Program Services$2,060ProgramServicesAmt
Management And General$666ManagementAndGeneralAmt
Fundraising$871FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,319TotalAmt
Program Services$10,673ProgramServicesAmt
Management And General$285ManagementAndGeneralAmt
Fundraising$361FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$27,800TotalAmt
Program Services$23,301ProgramServicesAmt
Management And General$2,272ManagementAndGeneralAmt
Fundraising$2,227FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,299TotalAmt
Management And General$10,299ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,697TotalAmt
Program Services$1,879ProgramServicesAmt
Management And General$2,818ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$798TotalAmt
Management And General$798ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,617TotalAmt
Program Services$6,474ProgramServicesAmt
Management And General$762ManagementAndGeneralAmt
Fundraising$381FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,341TotalAmt
Program Services$14,707ProgramServicesAmt
Management And General$1,634ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER$23,592$13,567$6,640$3,385
SUPPLIES$20,154$19,230$924
UTILITIES$15,615$14,209$781$625
DUES AND SUBSCRIPTIONS$5,775$5,736$39

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,472TotalAmt
Program Services$5,925ProgramServicesAmt
Management And General$2,762ManagementAndGeneralAmt
Fundraising$785FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$523,072TotalAmt
Program Services$424,769ProgramServicesAmt
Management And General$61,216ManagementAndGeneralAmt
Fundraising$37,087FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,750BOYAmt
EOY$7,763EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,316BOYAmt
EOY$35,375EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,486BOYAmt
EOY$2,553EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$270,673LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$129,574LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$148,816BOYAmt
EOY$141,099EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$116,530BOYAmt
EOY$219,942EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$317,023BOYAmt
EOY$406,857EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,189BOYAmt
EOY$19,707EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$15,056BOYAmt
EOY$10,284EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,245BOYAmt
EOY$29,991EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$282,281BOYAmt
EOY$374,866EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,497BOYAmt
EOY$2,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$285,778BOYAmt
EOY$376,866EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$317,023BOYAmt
EOY$406,857EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$102,461ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$11,373NetUnrlzdGainsLossesInvstAmt
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$169,487CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$202,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$288,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$288,546CurrentTaxYearMinus1YearAmt
Current Tax Year$352,540CurrentTaxYearAmt
Total$1,301,082TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$169,487CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$202,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$288,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$288,546CurrentTaxYearMinus1YearAmt
Current Tax Year$352,540CurrentTaxYearAmt
Total$1,301,082TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$362,582SubstantialContributorsTotAmt
Public Support Total170$938,500PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$541CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,208CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,693CurrentTaxYearMinus1YearAmt
Current Tax Year$8,995CurrentTaxYearAmt
Total$15,799TotalAmt
FieldValueIRS element (for citing)
Total Support$1,316,881TotalSupportAmt
Gross Receipts Rltd Activities$292,307GrossReceiptsRltdActivitiesAmt
Public Support CY1700.71270PublicSupportCY170Pct
Public Support PY1700.77240PublicSupportPY170Pct
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$116,530BeginningYearBalanceAmt
Contributions$105,800ContributionsAmt
Investment Earnings Or Losses-$2,388InvestmentEarningsOrLossesAmt
End Year Balance$219,942EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,542BeginningYearBalanceAmt
Contributions$10,415ContributionsAmt
Investment Earnings Or Losses$2,186InvestmentEarningsOrLossesAmt
End Year Balance$27,143EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,460BeginningYearBalanceAmt
Investment Earnings Or Losses$82InvestmentEarningsOrLossesAmt
End Year Balance$14,542EndYearBalanceAmt
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$237,529OtherCostOrOtherBasisAmt
Depreciation$129,574DepreciationAmt
Book Value$107,955BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$141,099TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$642,469TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$11,373NetUnrealizedGainsInvstAmt
Other Revenue$28,309OtherRevenueAmt
Revenue Not Reported$16,936RevenueNotReportedAmt
Revenue Subtotal$625,533RevenueSubtotalAmt
Total Revenue Per Form990$625,533TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$551,381TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$28,309OtherExpensesIncludedAmt
Expenses Not Reported$28,309ExpensesNotReportedAmt
Expenses Subtotal$523,072ExpensesSubtotalAmt
Total Expenses Per Form990$523,072TotalExpensesPerForm990Amt

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- THAN-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, 2015, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO.
SCHEDULE D, PAGE 4, PART XI, LINE 2DSPECIAL EVENTS COSTS 28,209 LOSS ON DISPOSAL OF ASSETS 100
SCHEDULE D, PAGE 4, PART XII, LINE 2DSPECIAL EVENTS COSTS 28,209 LOSS ON DISPOSAL OF ASSETS 100

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOUSE OF SHADOWEvent1Nm
Gross Receipts Event1$64,951GrossReceiptsEvent1Amt
Charitable Contri Event1$45,038CharitableContriEvent1Amt
Gross Revenue Event1$19,913GrossRevenueEvent1Amt
Other Direct Expenses Event1$19,913OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$28,132GrossReceiptsEvent2Amt
Charitable Contri Event2$22,405CharitableContriEvent2Amt
Gross Revenue Event2$5,727GrossRevenueEvent2Amt
Other Direct Expenses Event2$5,727OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$32,242GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$29,673CharitableContriOtherEventsAmt
Gross Revenue Other Events$2,569GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$2,569OthDirectExpnssOtherEventsAmt
Gross Receipts Total$125,325GrossReceiptsTotalAmt
Charitable Contributions Tot$97,116CharitableContributionsTotAmt
Gross Revenue Total Events$28,209GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$28,209OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$28,209DirectExpenseSummaryEventsAmt

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 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART XI, LINE 9SPECIAL EVENTS COSTS 28,209 LOSS ON DISPOSAL OF ASSETS 100 SPECIAL EVENTS COSTS -28,209 LOSS ON DISPOSAL OF ASSETS -100

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