INTERNATIONAL ASSOCIATION OF LIONS CLUBS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
INTERNATIONAL ASSOCIATION OF LIONS CLUBS (EIN 35-6043349)
Tax period
2014-06-01 to 2015-05-31
Filed
2015-09-30
IRS object ID
201512739349300201
Schema version
2014v5.0
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)
Return2015-09-30T06:21:27-05:00ReturnTs
Tax Period End2015-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201695613PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BOLLENBACHER AND ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1915 N MERIDIAN STREET PO BOX 702AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN356043349EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTERNATIONAL ASSOCIATIONS OF LIONS PORTLANDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone2607267158PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 215AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK TILLMANPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2607267158PhoneNum
Signature2015-09-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT A BOLLENBACHER CPAPreparerPersonNm
PTINP00401897PTIN
Phone2607264207PhoneNum
Preparation2015-09-21PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK TILLMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 215AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$130,014GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionINTERNATIONAL ASSOCIATION OF LIONS PORTLAND IS A NONPROFIT ORGANIZATION ORGANIZED UNDER THE LAWS OF THE STATE OF INDIANA. THE LIONS CLUB IS A MEMBER SERVICE ORGANIZATION WITH AN EXEMPT PURPOSE TO IMPROVE THE QUALITY OF LIFE FOR RESIDENTS OF JAY COUNTY, INDIANA.ActivityOrMissionDesc
Voting Members Governing Body40VotingMembersGoverningBodyCnt
Voting Members Independent40VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$873PYContributionsGrantsAmt
CY Contributions Grants$7,226CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$33,577PYOtherRevenueAmt
CY Other Revenue$40,209CYOtherRevenueAmt
PY Total Revenue$34,450PYTotalRevenueAmt
CY Total Revenue$47,435CYTotalRevenueAmt
PY Grants And Similar Paid$8,069PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,157CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,865PYOtherExpensesAmt
CY Other Expenses$16,578CYOtherExpensesAmt
PY Total Expenses$22,934PYTotalExpensesAmt
CY Total Expenses$39,735CYTotalExpensesAmt
PY Revenues Less Expenses$11,516PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,700CYRevenuesLessExpensesAmt
Total Assets BOY$286,382TotalAssetsBOYAmt
Total Assets EOY$285,483TotalAssetsEOYAmt
Total Liabilities BOY$91,686TotalLiabilitiesBOYAmt
Total Liabilities EOY$83,274TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$194,696NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$202,209NetAssetsOrFundBalancesEOYAmt
MissionTO EMPOWER VOLUNTEERS TO SERVE THEIR COMMUNITIES, MEET HUMANITARIAN NEEDS, ENCOURAGE PEACE AND PROMOTE INTERNATIONAL UNDERSTANDING THROUGH LIONS CLUBS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$39,735ExpenseAmt
Grant$23,157GrantAmt
DescGRANTS AND ALLOCATIONS TO OTHER 501(C)(3) ORGANIZATIONS; GRANTS AND ASSISTANCE TO INDIVIDUALS WITH EYE PROBLEMS. BETTERMENT OF LIVES IN JAY COUNTY, INDIANA.Desc
Total Program Service Expenses$39,735TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
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
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members40GoverningBodyVotingMembersCnt
Independent Voting Member40IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 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 FldINStatesWhereCopyOfReturnIsFldCd
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)
Phone2607267158PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 215AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRITNEY KLOER
PRESIDENT0.00Yes (X)$0$0$0
STEVE MARSH
SECRETARY0.00Yes (X)$0$0$0
MARK TILLMAN
TREASURER0.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$513MembershipDuesAmt
All Other Contributions$6,713AllOtherContributionsAmt
Total Contributions$7,226TotalContributionsAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,789RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$29,484RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$19,695RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,695TotalRevenueColumnAmt
Related Or Exempt Func Income-$19,695RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$112,311GrossSalesOfInventoryAmt
Cost Of Goods Sold$53,095CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,216TotalRevenueColumnAmt
Related Or Exempt Func Income$59,216RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900000BusinessCd
Total Revenue Column$688TotalRevenueColumnAmt
Related Or Exempt Func Income$688RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$688OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,435TotalRevenueColumnAmt
Related Or Exempt Func Income$40,209RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$23,157TotalAmt
Program Services$23,157ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$350TotalAmt
Program Services$350ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$778TotalAmt
Program Services$778ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$97TotalAmt
Program Services$97ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,110TotalAmt
Program Services$1,110ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,119TotalAmt
Program Services$1,119ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,538TotalAmt
Program Services$3,538ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MINTS AND CALENDARS$4,070$4,070
DUES AND ASSESSMENTS$3,726$3,726
ALARM SYSTEM$824$824
SUPPLIES$628$628

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$338TotalAmt
Program Services$338ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$39,735TotalAmt
Program Services$39,735ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,591BOYAmt
EOY$7,238EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$336,894LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$88,561LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$235,692BOYAmt
EOY$248,333EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$30,099BOYAmt
EOY$29,912EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$286,382BOYAmt
EOY$285,483EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$91,686BOYAmt
EOY$83,274EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,686BOYAmt
EOY$83,274EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$163,828BOYAmt
EOY$171,341EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,868BOYAmt
EOY$30,868EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$194,696BOYAmt
EOY$202,209EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$286,382BOYAmt
EOY$285,483EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,700ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$187NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,539CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,700CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,537CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$873CurrentTaxYearMinus1YearAmt
Current Tax Year$7,226CurrentTaxYearAmt
Total$13,875TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,596CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$113,357CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$108,741CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$111,577CurrentTaxYearMinus1YearAmt
Current Tax Year$122,100CurrentTaxYearAmt
Total$549,371TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96,135CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$110,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$112,450CurrentTaxYearMinus1YearAmt
Current Tax Year$129,326CurrentTaxYearAmt
Total$563,246TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$563,246PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1CurrentTaxYearMinus2YearsAmt
Total$37TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1CurrentTaxYearMinus2YearsAmt
Total$37TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96,154CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,074CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$110,279CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$112,450CurrentTaxYearMinus1YearAmt
Current Tax Year$129,326CurrentTaxYearAmt
Total$563,283TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$12,352InvestmentCostOrOtherBasisAmt
Book Value$12,352BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$229,760InvestmentCostOrOtherBasisAmt
Depreciation$61,272DepreciationAmt
Book Value$168,488BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$70,804InvestmentCostOrOtherBasisAmt
Depreciation$8,556DepreciationAmt
Book Value$62,248BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$23,978InvestmentCostOrOtherBasisAmt
Depreciation$18,733DepreciationAmt
Book Value$5,245BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$248,333TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPORTLAND FOUNDATION ENDOWMENTDesc
Book Value$29,912BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$29,912TotalBookValueSecuritiesAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
JAY CO HISTORICAL SOCIETY
903 E MAIN STPORTLANDIN47371310962381$1,200COMMUNITY OUTREACH
YOUTH SERVICE BUREAU
603 W ARCH STPORTLANDIN47371351468539$100COMMUNITY OUTREACH
JAY COUNTY LIBARY
315 N SHIP STPORTLANDIN47371356002019$250COMMUNITY OUTREACH
JAY COUNTY CHAMBER OF COMMERCE
118 S MERIDIAN STPORTLANDIN47371$100COMMUNITY OUTREACH
JCHS AFTER PROM
1976 W TYSON RDPORTLANDIN47371$200COMMUNITY OUTREACH
JAY COUNTY SCHOOL
1976 W TYSON RDPORTLANDIN47371$2,700COMMUNITY OUTREACH
COMMUNITY THANKSGIVING DINNER
118 S MERIDIAN STPORTLANDIN47371$100COMMUNITY OUTREACH
ART'S PLACE
131 E WALNUT STPORTLANDIN47371$300COMMUNITY OUTREACH
PORTLAND JR LEAGUE
123 MAIN STPORTLANDIN47371$275COMMUNITY OUTREACH
WALMART SIGHT COMMITTEE
950 W VOTAW STPORTLANDIN47371$97COMMUNITY OUTREACH
DISPLAY CRAFT
803 W WATER STPORTLANDIN47371$100COMMUNITY OUTREACH
INDIANA JUDO
324 N COMMERCEPORTLANDIN47371$100COMMUNITY OUTREACH
JAY COMMUNITY CENTER
115 E WATER STPORTLANDIN47371$200COMMUNITY OUTREACH
JAY COUNTY FAIR
806 E VOTAW STPORTLANDIN47371$5,526COMMUNITY OUTREACH
JAY COUNTY FFA
1976 W TYSON RDPORTLANDIN47371$200COMMUNITY OUTREACH
INDIANA VISION DEVELOPMENT CENTENR
10343 DAWSONS CREEK BLVDFORT WAYNEIN46825$3,260COMMUNITY OUTREACH
JAY COUNTY BAND
1976 W TYSON RDPORTLANDIN47371$5,000COMMUNITY OUTREACH
PHANTOM MOTORSPORTS
123 MAIN STPORTLANDIN47371$200COMMUNITY OUTREACH
PORTLAND HUMANE SOCIETY
302 N MERIDIANPORTLANDIN47371$300COMMUNITY OUTREACH
RITZ THEATER
202 N MERIDIANPORTLANDIN47371$350COMMUNITY OUTREACH
STATE OF THE HEART HOSPICE
1237 IN-67PORTLANDIN47371$550COMMUNITY OUTREACH
TRI-STATE ENGINE
806 E VOTAW STPORTLANDIN47371$1,853COMMUNITY OUTREACH
VMBC
123 MAIN STPORTLANDIN47371$196COMMUNITY OUTREACH

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CLUB DELIBERATES AND CHOOSES RECIPIENTS WITH BOARD APPROVAL AND DISPERSES FUNDS TO DESERVING ORGANIZATIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AOFFICERS ARE ELECTED TO THE BOARD BY THE MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7BACCORDING TO THE BY-LAWS OF THE ORGANIZATION, CERTAIN ACTIVITIES REQUIRED APPROVAL OF THE MEMBERSHIP
FORM 990, PART VI, SECTION B, LINE 11BEFORE FILING, RETURN IS PROVIDED TO GOVERNING BOARD TO REVIEW
FORM 990, PART VI, SECTION B, LINE 12CREVIEWED ANNUALLY BY EXECUTIVE COMMITTEE
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE PROVIDED UPON REQUEST

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