BOYS AND GIRLS CLUB OF ASSABET VALLEY INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BOYS AND GIRLS CLUB OF ASSABET VALLEY INC (EIN 23-7105393)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-12-15
IRS object ID
201533499349301023
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)
Return2015-12-15T13:32:42-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237105393EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOYS AND GIRLS CLUB OF ASSABET VALLEY INCBusinessNameLine1Txt
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
Signature2015-10-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPETER P VOCATURAPreparerPersonNm
PTINP00572048PTIN
Phone7816479339PhoneNum
Preparation2015-10-23PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

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$497,288GrossReceiptsAmt
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 Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee42TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$219,995PYContributionsGrantsAmt
CY Contributions Grants$156,672CYContributionsGrantsAmt
PY Program Service Revenue$211,279PYProgramServiceRevenueAmt
CY Program Service Revenue$260,827CYProgramServiceRevenueAmt
PY Investment Income$181PYInvestmentIncomeAmt
CY Investment Income$56CYInvestmentIncomeAmt
PY Other Revenue$28,304PYOtherRevenueAmt
CY Other Revenue$46,594CYOtherRevenueAmt
PY Total Revenue$459,759PYTotalRevenueAmt
CY Total Revenue$464,149CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$84,505PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$82,778CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$263,175PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$299,192CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$26,575CYTotalFundraisingExpenseAmt
PY Other Expenses$75,640PYOtherExpensesAmt
CY Other Expenses$83,556CYOtherExpensesAmt
PY Total Expenses$423,320PYTotalExpensesAmt
CY Total Expenses$465,526CYTotalExpensesAmt
PY Revenues Less Expenses$36,439PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,377CYRevenuesLessExpensesAmt
Total Assets BOY$376,192TotalAssetsBOYAmt
Total Assets EOY$414,163TotalAssetsEOYAmt
Total Liabilities BOY$9,708TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,056TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$366,484NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$365,107NetAssetsOrFundBalancesEOYAmt
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$372,137ExpenseAmt
Revenue$260,827RevenueAmt
DescYOUTH SERVICES - PROVIDES EDUCATIONAL, CULTURAL AND RECREATIONAL ACTIVITES TO THE YOUTH OF THE ASSABET VALLEY AREADesc
Total Program Service Expenses$372,137TotalProgramServiceExpensesAmt
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee42EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 (10 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)$0$0$0
FRED ASTRAUSKAS
DIRECTOR/PRESIDENT/TREASURER2.00Yes (X)Yes (X)$0$0$0
THOMAS LENT
DIRECTOR/VICE PRESIDENT/SECRETARY2.00Yes (X)Yes (X)$0$0$0
GARNET GLOVER
DIRECTOR2.00Yes (X)$0$0$0
WENDY ALLEGRONE-LESLIE
EXECUTIVE DIRECTOR40.00$71,543$0$0Yes (X)
RYAN PRATT
PROGRAM DIRECTOR40.00$1,372$0$0Yes (X)
NICHOLAS CACCIOLFI
OPERATIONS DIRECTOR40.00$38,194$0$0Yes (X)
PATRICK BISHOP
YOUTH SERVICES DIRECTOR40.00$11,900$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$123,009TotalReportableCompFromOrgAmt
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$14,805MembershipDuesAmt
Government Grants$20,000GovernmentGrantsAmt
All Other Contributions$121,867AllOtherContributionsAmt
Total Contributions$156,672TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUMMER & VACATION PROG900099$164,216$164,216
AFTER SCHOOL PROGRAM900099$82,908$82,908
ADULT PROGRAMS900099$10,914$10,914
FACILITY RENTAL900099$2,789$2,789
FieldValueIRS element (for citing)
Total Program Service Revenue$260,827TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$56TotalRevenueColumnAmt
Exclusion$56ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$78,579FundraisingGrossIncomeAmt
Fundraising Direct Expenses$33,139FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,440TotalRevenueColumnAmt
Exclusion$45,440ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescNET VENDING INCOMEDesc
Business453000BusinessCd
Total Revenue Column$1,154TotalRevenueColumnAmt
Exclusion$1,154ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,154OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$464,149TotalRevenueColumnAmt
Related Or Exempt Func Income$260,827RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$46,650ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$82,778TotalAmt
Program Services$82,778ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$123,009TotalAmt
Program Services$76,022ProgramServicesAmt
Management And General$32,436ManagementAndGeneralAmt
Fundraising$14,551FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$138,446TotalAmt
Program Services$131,060ProgramServicesAmt
Management And General$3,799ManagementAndGeneralAmt
Fundraising$3,587FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,232TotalAmt
Program Services$4,936ProgramServicesAmt
Management And General$864ManagementAndGeneralAmt
Fundraising$432FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,891TotalAmt
Program Services$4,666ProgramServicesAmt
Management And General$816ManagementAndGeneralAmt
Fundraising$409FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,614TotalAmt
Program Services$20,287ProgramServicesAmt
Management And General$3,550ManagementAndGeneralAmt
Fundraising$1,777FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,241TotalAmt
Program Services$3,150ProgramServicesAmt
Management And General$6,615ManagementAndGeneralAmt
Fundraising$2,476FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,254TotalAmt
Program Services$216ProgramServicesAmt
Management And General$453ManagementAndGeneralAmt
Fundraising$585FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,941TotalAmt
Program Services$2,987ProgramServicesAmt
Management And General$10,694ManagementAndGeneralAmt
Fundraising$1,260FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,185TotalAmt
Program Services$10,228ProgramServicesAmt
Management And General$2,661ManagementAndGeneralAmt
Fundraising$296FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,489TotalAmt
Program Services$10,340ProgramServicesAmt
Management And General$1,034ManagementAndGeneralAmt
Fundraising$115FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
UTILITIES$12,797$10,877$1,440$480
PERMITS, FEES & LICENSE$9,893$9,893$0$0
TELEPHONE$2,972$892$1,664$416
PAYROLL SERVICE$2,754$2,181$382$191

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,030TotalAmt
Program Services$1,624ProgramServicesAmt
Management And General$406ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$465,526TotalAmt
Program Services$372,137ProgramServicesAmt
Management And General$66,814ManagementAndGeneralAmt
Fundraising$26,575FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$175,849BOYAmt
EOY$176,877EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,354BOYAmt
EOY$39,234EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,405BOYAmt
EOY$7,803EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$507,927LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$317,678LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$172,584BOYAmt
EOY$190,249EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$376,192BOYAmt
EOY$414,163EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,708BOYAmt
EOY$23,730EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,708BOYAmt
EOY$49,056EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,340BOYAmt
EOY$149,940EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,613BOYAmt
EOY$44,058EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$147,531BOYAmt
EOY$171,109EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$366,484BOYAmt
EOY$365,107EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$376,192BOYAmt
EOY$414,163EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,377ReconcilationRevenueExpnssAmt
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$127,158CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$208,214CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$224,116CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$219,995CurrentTaxYearMinus1YearAmt
Current Tax Year$156,672CurrentTaxYearAmt
Total$936,155TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$127,158CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$208,214CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$224,116CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$219,995CurrentTaxYearMinus1YearAmt
Current Tax Year$156,672CurrentTaxYearAmt
Total$936,155TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$137,713SubstantialContributorsTotAmt
Public Support Total170$798,442PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$137CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$181CurrentTaxYearMinus1YearAmt
Current Tax Year$56CurrentTaxYearAmt
Total$468TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,787CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172CurrentTaxYearMinus1YearAmt
Current Tax Year$1,154CurrentTaxYearAmt
Total$4,823TotalAmt
FieldValueIRS element (for citing)
Total Support$941,446TotalSupportAmt
Gross Receipts Rltd Activities$1,008,595GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84810PublicSupportCY170Pct
Public Support PY1700.87080PublicSupportPY170Pct
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$207,479DepreciationAmt
Book Value$22,521BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,927OtherCostOrOtherBasisAmt
Depreciation$110,199DepreciationAmt
Book Value$67,728BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$190,249TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$497,288TotalRevEtcAuditedFinclStmtAmt
Other Revenue$33,139OtherRevenueAmt
Revenue Not Reported$33,139RevenueNotReportedAmt
Revenue Subtotal$464,149RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$464,149TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$498,665TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$33,139OtherExpensesIncludedAmt
Expenses Not Reported$33,139ExpensesNotReportedAmt
Expenses Subtotal$465,526ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$465,526TotalExpensesPerForm990Amt

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$30,603GrossReceiptsEvent1Amt
Gross Revenue Event1$30,603GrossRevenueEvent1Amt
Other Direct Expenses Event1$16,400OtherDirectExpensesEvent1Amt
Event2ANNUAL MEETING DINNEREvent2Nm
Gross Receipts Event2$18,848GrossReceiptsEvent2Amt
Gross Revenue Event2$18,848GrossRevenueEvent2Amt
Other Direct Expenses Event2$8,775OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$15,827GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$15,827GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$4,837OthDirectExpnssOtherEventsAmt
Gross Receipts Total$65,278GrossReceiptsTotalAmt
Gross Revenue Total Events$65,278GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$30,012OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$30,012DirectExpenseSummaryEventsAmt
Net Income Summary$35,266NetIncomeSummaryAmt

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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