HENDERSONVILLE KIWANIS CLUB FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HENDERSONVILLE KIWANIS CLUB FOUNDATION INC (EIN 56-1831941)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-07-17
IRS object ID
201421989349300822
Schema version
2012v2.3
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)
Timestamp2014-07-17T15:56:15-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CRAWLEY LEE & COMPANY PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5595AddressLine1
CityASHEVILLECity
StateNCState
ZIP Code288135595ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561831941EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HENDERSONVILLE KIWANIS CLUB FOUNDATBusinessNameLine1
Business Name Line2INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHENDNameControl
Phone8286549770Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2138AddressLine1
CityHENDERSONVILLECity
StateNCState
ZIP Code287932138ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT GRAY JRName
TitleTREASURERTitle
Phone8286549770Phone
Date Signed2014-07-31DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES A LEE CPAName
Phone8282745524Phone
Date Prepared2014-07-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT GRAY JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2138AddressLine1
CityHENDERSONVILLECity
StateNCState
ZIP Code28793ZIPCode
FieldValueIRS element (for citing)
Gross Receipts67250GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionSERVING THE CHILDREN OF THE WORLD - TO CHANGE THE WORLD ONE CHILD AND ONE COMMUNITY AT A TIME.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers145TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year22402ContributionsGrantsPriorYear
Contributions Grants Current Year26823ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year97InvestmentIncomePriorYear
Investment Income Current Year87InvestmentIncomeCurrentYear
Other Revenue Prior Year18564OtherRevenuePriorYear
Other Revenue Current Year17825OtherRevenueCurrentYear
Total Revenue Prior Year41063TotalRevenuePriorYear
Total Revenue Current Year44735TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year33710GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY41941GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2171OtherExpensePriorYear
Other Expenses Current Year1898OtherExpensesCurrentYear
Total Expenses Prior Year35881TotalExpensesPriorYear
Total Expenses Current Year43839TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5182RevenuesLessExpensesPriorYear
Revenues Less Expenses CY896RevenuesLessExpensesCY
Total Assets BOY61310TotalAssetsBOY
Total Assets EOY62206TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY61310NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62206NetAssetsOrFundBalancesEOY
Mission DescriptionSERVING THE CHILDREN OF THE WORLD - TO CHANGE THE WORLD ONE CHILD AND ONE COMMUNITY AT A TIME.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense41941Expense
Grants41941Grants
Revenue18823Revenue
DescriptionGRANTS AND BENEVOLENT ACTIVITIES, PROVIDED NUMEROUS MAN-HOURS PERFORMING COMMUNITY SERVICES.Description
Total Program Service Expense41941TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT GRAY JRBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8284501516TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11409 STANWOOD LNAddressLine1
CityHENDERSONVILLECity
StateNCState
ZIP Code287396009ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
MARCUS JONES
MEMBER AT LA1.00X000
STEPHANIE BAGBY
PRESIDENT1.00X000X
BEN MCKAY
VICE PRESIDE1.00X000X
SARAH MARKHAM
SECRETARY1.00X000X
ROBERT GRAY
TREASURER1.00X000X
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Related Organizations8000RelatedOrganizations
All Other Contributions18823AllOtherContributions
Total Contributions26823TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column87TotalRevenueColumn
Exclusion$87ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events39549GrossIncomeFundraisingEvents
Fundraising Direct Expenses22515FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column17034TotalRevenueColumn
Exclusion$17,034ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSALES TAX REFUNDSDescription
Business Code900099BusinessCode
Total Revenue Column791TotalRevenueColumn
Related Or Exempt Function Income791RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue791TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column44735TotalRevenueColumn
Related Or Exempt Function Income791RelatedOrExemptFunctionIncome
Exclusion$17,121ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total41941Total
Program Services41941ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
SALES TAX PAID937937
KIWANIS INT'L & DISTRICT900900
POSTAGE6161

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total43839Total
Program Services41941ProgramServices
Management And General1898ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY28117BOY
EOY20657EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY33193BOY
EOY41549EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY61310BOY
EOY62206EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY15355BOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY45955BOY
EOY62206EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61310BOY
EOY62206EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61310BOY
EOY62206EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses896ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13734CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16624CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22402CurrentTaxYearMinus1Year
Current Tax Year26823CurrentTaxYear
Total113142Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13734CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16624CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22402CurrentTaxYearMinus1Year
Current Tax Year26823CurrentTaxYear
Total113142Total
FieldValueIRS element (for citing)
Public Support Total170113142PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years62CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years158CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year97CurrentTaxYearMinus1Year
Current Tax Year87CurrentTaxYear
Total453Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years644CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1650CurrentTaxYearMinus1Year
Current Tax Year39549CurrentTaxYear
Total41843Total
FieldValueIRS element (for citing)
Total Support155438TotalSupport
Gross Receipts From Admissions Etc791GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.72790PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97170PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1APPLE FESTIVALNameOfEvent1
Gross Receipts Event110561GrossReceiptsEvent1
Gross Revenue Event110561GrossRevenueEvent1
Other Direct Expenses Event13039OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event25385GrossReceiptsEvent2
Gross Revenue Event25385GrossRevenueEvent2
Other Direct Expenses Event22471OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events23603GrossReceiptsOtherEvents
Gross Revenue Other Events23603GrossRevenueOtherEvents
Other Direct Expenses Other Events17005OtherDirectExpensesOtherEvents
Gross Receipts Total39549GrossReceiptsTotal
Gross Revenue Total Events39549GrossRevenueTotalEvents
Other Direct Expenses Total Events22515OtherDirectExpensesTotalEvents
Direct Expense Summary Events22515DirectExpenseSummaryEvents
Net Income Summary17034NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantGRANTS AND OTHER ASSISTANTypeOfGrant
Amount Of Cash Grant41941AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6MEMBERS OF THE KIWANIS CLUB OF HENDERSONVILLE, INC. ARE ALSO MEMBERS OF THIS CORPORATION.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD MEMBERS ARE ELECTED BY THE BOARD OF DIRECTORS OF THE KIWANIS CLUB OF HENDERSONVILLE, INC. - A RELATED ENTITY. THESE ELECTED BOARD MEMBERS THEN NOMINATE AND ELECT THE TREASURER AND SECRETARY OF THE HENDERSONVILLE KIWANIS CLUB FOUNDATION, INC.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BMEMBER APPROVAL IS REQUIRED FOR ANY CHANGES TO THE BY-LAWS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY THE SECRETARY AND TREASURER BEFORE SIGNING AND FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CIT IS THE POLICY OF THE CLUB THAT ALL MEMBERS OF THE BOARD OF DIRECTORS HAVE A DUTY TO BE FREE FROM THE INFLUENCE OF A CONFLICTING INTEREST WHEN THEY ACT ON BEHALF OF THE CLUB WITH RESPECT TO DEALING WITH THIRD PARTIES. THEY ARE EXPECTED TO DEAL WITH ALL BUSINESS OF THE CLUB ON THE SOLE BASIS OF THAT WHICH IS IN THE BEST INTEREST OF THE CLUB, WITHOUT FAVOR OR PREFERENCE TO THIRD PARTIES BASED ON PERSONAL CONSIDERATIONS. 1-NO MEMBER OF THE BOARD OF DIRECTORS WHO IS A PARTNER, OFFICER, OR EMPLOYEE OF A PARTNERSHIP, FIRM, OR CORPORATION OR WHO OWNS OR CONTROLS, DIRECTLY OR INDIRECTLY, WHETHER BY HIMSELF OR HERSELF OR THROUGH HIS OR HER SPOUSE OR A MEMBER OF HIS OR HER FAMILY, OR HAS A SIGNIFICANT PERSONAL FINANCIAL INTEREST IN SUCH ENTITY, SHALL ACT ON BEHALF OF THE CLUB IN CONNECTION WITH ANY DEALINGS WITH SUCH PARTNERSHIP, FIRM, OR CORPORATION. 2-WHEN ANY CONFLICT OF INTEREST AS DESCRIBED ABOVE IS RELEVANT TO A MATTER REQUIRING ACTION BY THE BOARD OF DIRECTORS, THE INTERESTED PERSON SHALL CALL IT TO THE ATTENTION OF THE BOARD, PROVIDE ANY AND ALL RELEVANT INFORMATION, AND SHALL NOT PARTICIPATE IN THE FINAL DELIBERATION OR DECISION REGARDING THE MATTER UNDER CONSIDERATION, NOR VOTE ON THE MATTER. AT THE DISCRETION OF THE DISINTERESTED BOARD MEMBERS PRESENT THE PERSON MAY BE REQUIRED TO LEAVE THE MEETING DURING THE DISCUSSION AND THE VOTING ON THE MATTER. 3-THE MINUTES OF THE MEETING OF THE BOARD SHALL REFLECT THAT THE CONFLICT OF INTEREST WAS DISCLOSED, WHETHER THE INTERESTED MEMBER WAS PRESENT, AND THAT SUCH MEMBER DID NOT VOTE. WHEN THERE IS A DOUBT AS TO WHETHER A MATERIAL CONFLICT OF INTEREST EXISTS, THE MATTER SHALL BE RESOLVED BY A VOTE OF THE BOARD OR COMMITTEE, EXCLUDING THE MEMBER CONCERNING WHOSE SITUATION THE DOUBT HAS ARISEN. 4-A COPY OF THIS CONFLICT OF INTEREST POLICY SHALL BE FURNISHED TO EACH MEMBER OF THE BOARD OF DIRECTORS ANNUALLY AND A CONFLICT OF INTEREST STATEMENT SHALL BE SUBMITTED BY EACH BOARD MEMBER AND KEPT ON FILE BY THE CLUB SECRETARY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE FOR REVIEW BY THE PUBLIC, ON REQUEST TO THE SECRETARY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1KIWANIS CLUB OF HENDERSONVILLE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2138AddressLine1
CityHENDERSONVILLECity
StateNCState
ZIP Code287932138ZIPCode
FieldValueIRS element (for citing)
EIN566062721EIN
Primary ActivitiesCIVIC CLUBPrimaryActivities
Legal Domicile StateNCLegalDomicileState
Exempt Code Section501C4ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KIWANIS CLUB OF HENDERSONVILLE INC
C8000FAIR MARKET VALUE
KIWANIS CLUB OF HENDERSONVILLE INC
P2520FAIR MARKET VALUE

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