2013-11-05T14:22:56-06:00 2012-12-31 750882037 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2012-01-01 134281766 COSERV CHARITABLE FOUNDATION COSE 9403217800 7701 SOUTH STEMMONS FREEWAY CORINTH TX 762101842 DONNIE CLARY 9403217800 2013-10-30 1 MATT R WILLIS P00419741 8067473806 2013-10-30 2012 2016-03-07 17:11:31Z DONNIE CLARY 7701 SOUTH STEMMONS FREEWAY CORINTH TX 762101842 804051 0 X WWW.COSERVCHARITABLEFOUNDATION.COM X 2004 TX TO PROVIDE CRITICAL SERVICES TO FAMILIES WITHIN THE COMMUNITY BY SPONSORING LOCAL NOT-FOR-PROFITS. 3 0 0 15 0 0 760233 793159 0 0 470 464 0 0 760703 793623 653013 948125 0 0 0 0 0 0 0 0 0 653013 948125 107690 -154502 548849 386450 7897 0 540952 386450 X TO PROVIDE (1) FINANCIAL ASSISTANCE TO INDIVIDUALS AND THEIR FAMILIES THROUGH SPECIFIC ASSISTANCE AND CONTRIBUTIONS TO LOCAL CHARITIES AND COMMUNITY PROJECTS, AND (2) GRANTS TO LOCAL NOT-FOR-PROFIT ENTITIES, INCLUDING MUNICIPALITIES, THAT PROVIDE CRITICAL SERVICES TO THE COMMUNITY. 0 0 361666 361666 THE ORGANIZATION APPROVED AND DISTRIBUTED GRANTS TO 17 LOCAL VOLUNTEER FIRE DEPARTMENTS, POLICE DEPARTMENTS AND OTHER FIRST RESPONDER GROUPS FOR THE PURCHASE OF NEEDED EQUIPMENT TO PROVIDE RESPECTIVE SERVICES TO THE COMMUNITIES IN WHICH THESE GROUPS RESIDE. 586459 586459 THE ORGANIZATION APPROVED AND DISTRIBUTED 92 GRANTS TO 74 NON-PROFIT ORGANIZATIONS IN 28 COMMUNITIES TO SUPPORT THEIR PROGRAMS AND SERVICES. 948125 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X X DONNIE CLARY TREASURER 9403217800 7701 SOUTH STEMMONS FREEWAY CORINTH TX 76210 JOE FORMAN 1.50 50.00 X X 0 258864 113055 DONNIE CLARY 1.00 50.00 X X 0 334894 122298 STACIA SIMS 0.60 45.00 X X 0 224273 77399 0 818031 312752 0 0 1 0 0 35522 757637 793159 464 464 10428 35522 10428 0 793623 0 0 464 948125 948125 948125 948125 0 0 548849 386450 548849 386450 7897 0 7897 0 X 540952 386450 540952 386450 548849 386450 -154502 0 X X 0 1 X 0 0 X 614152 667091 712974 760233 793159 3547609 614152 667091 712974 760233 793159 3547609 3547609 1705 452 531 470 464 3622 3551231 47337 0.99900 0.99780 X 0 804051 10428 10428 793623 0 793623 958553 10428 10428 948125 0 948125 PART XI, LINE 2D - OTHER ADJUSTMENTS: GOLF TOURNAMENT FUNDRAISING EXPENSES REPORTED AS SPECIAL EVENT 10,428. PART XII, LINE 2D - OTHER ADJUSTMENTS: GOLF TOURNAMENT FUNDRAISING EXPENSES REPORTED AS SPECIAL EVENT 10,428. GOLF TOURNAMENT 45950 35522 10428 10428 45950 35522 10428 10428 10428 0 1 ALLEN COMMUNITY OUTREACH 301 WEST BOYD DR STE 3 ALLEN TX 75013 751986190 501(C)(3) 13542 DAY TO DAY LIVING EXPENSES AMERICAN RED CROSS 4800 HARRY HINES BLVD DALLAS TX 75235 530196605 501(C)(3) 15000 DISASTER RELIEF SUPPLIES ARGYLE VOLUNTEER FIRE DEPT PO BOX 984 ARGYLE TX 76226 237349087 CITY OF ARGYLE 32760 13 SETS OF BUNKER GEAR AUBREY AREA LIBRARY 226 COUNTRYSIDE DR AUBREY TX 76227 751235137 CITY OF AUBREY 13048 TECHNOLOGY UPGRADES BRIDGES 1316 BLUM COURT FLOWER MOUND TX 75028 752945851 501(C)(3) 10900 INSURANCE, LEASE, T-SHIRTS, TRANSPORTATION CAMP SUMMIT 17210 CAMPBELL RD STE 180-W DALLAS TX 75252 752484486 501(C)(3) 7290 TABLES AND CHAIRS CASA OF DENTON COUNTY 614 NORTH BELL AVE DENTON TX 76209 752417472 501(C)(3) 25000 BUILDING RENOVATION CHILDREN'S ADVOCACY CENTER OF COLLIN COUNTY INC 2205 LOS RIOS LANE PLANO TX 75074 752389095 501(C)(3) 17218 FORENSIC INTERVIEWING EQUIPMENT CHRISTIAN COMMUNITY ACTION 200 S MILL ST LEWISVILLE TX 75057 237319371 501(C)(3) 63141 NEW HOPE DAY CARE PROGRAM AND DAILY LIVING EXPENSES. CITY HOUSE INC 902 EAST 16TH ST PLANO TX 75074 752213291 501(C)(3) 10500 MEDICAL SUPPLIES AND TRANSPORTATION CITY OF CORINTH POLICE DEPT 2003 S CORINTH ST CORINTH TX 76210 751453222 CITY OF CORINTH 18896 TRAILER AND EQUIPMENT CITY OF KRUM PO BOX 217 KRUM TX 76249 751426220 CITY OF KRUM 25000 CODE RED EMERGENCY PROGRAM COLLIN COUNTY TEEN COURT PROGRAM 2300 BLOOMDALE RD MCKINNEY TX 75071 756000873 COUNTY OF COLLIN TEX 11680 10 SCHOLARSHIPS & TRAINING EXPENSES COMMUNITIES IN SCHOOLS OF NORTH TEXAS PO BOX 295543 LEWISVILLE TX 75029 752496426 501(C)(3) 6121 6 REMANUFACTURED CUBICLES COMMUNITY LIFELINE 503 N KENTUCKY STREET MCKINNEY TX 75069 752286990 501(C)(3) 19962 LIVING EXPENSES AND 8 COMPUTERS COMMUNITY SERVICES INC PO BOX 612 CORSICANA TX 75151 756051334 501(C)(3) 17430 DAY TO DAY LIVING EXPENSES COOKE COUNTY EMS 305 S CHESTNUT STREET GAINESVILLE TX 76240 756000885 COUNTY OF COOKE, TX 24000 VENTILATORS CYSTIC FIBROSIS FOUNDATION 3102 MAPLE AVENUE SUITE DALLAS TX 75201 751233021 501(C)(3) 5000 SPONSORSHIP DAY STAY FOR ADULTS 4845 SOUTH I-35 E 100 CORINTH TX 76210 752480904 501(C)(3) 22000 REMODELING AND SNACKS DENTON CITY COUNTY DAY SCHOOL 1603 PAISLEY DENTON TX 76209 751285779 CITY OF DENTON 8000 CURRICULUM MATERIALS DENTON COMMUNITY FOOD CTR 109 W SYCAMORE ST DENTON TX 76202 751853436 501(C)(3) 13330 FOOD SUPPLIES DENTON COUNTY MEDICAL SOCIETY 3537 S I35 EAST SUITE 302 DENTON TX 76210 452580460 COUNTY OF DENTON, TX 14300 "CARESCOPE" LICENSING & EQUIPMENT DOUBLE OAK POLICE DEPT 320 WAKETON ROAD DOUBLE OAK TX 75077 751772076 CITY OF DOUBLE OAK 19886 LAPTOPS AND EQUIPMENT EMPOWERING AMERICA' PO BOX 295713 LEWISVILLE TX 75029 264573957 501(C)(3) 5200 LAPTOPS, DOCKING STATION AND SHREDDER FRED MOORE DAY SCHOOL 821 CROSS TIMBERS ST DENTON TX 76205 750971775 501(C)(3) 5000 INFANT CRIBS FRISCO FAMILY SERVICES INC 8780 THIRD STREET FRISCO TX 75034 752530888 501(C)(3) 27454 FOOD PANTRY SUPPLIES AND LIVING EXPENSES GIRL SCOUTS OF NORTHEAST TEXAS 6001 SUMMERSIDE DR DALLAS TX 75252 751101571 501(C)(3) 22600 TECHNOLOGY UPGRADE, SUPPLIES HASLET VOLUNTEER FIRE DEPT 101 MAIN ST HASLET TX 76052 751447477 CITY OF HASLET 25000 LIFELINE 15 PACK HEARTS FOR HOMES 1012B N MASCH BRANCH RD DENTON TX 76207 204637974 501(C)(3) 9300 LASER PRINTER HEROES FOR CHILDREN 1701 NORTH COLLINS SUIT RICHARDSON TX 75080 830489882 501(C)(3) 10000 SOCIAL SERVICE AND FINANCIAL ASSISTANCE HOPE'S DOOR INC 820 AVENUE F SUITE 100 PLANO TX 75074 752038796 501(C)(3) 14996 SHELTER AND VAN REPAIRS HOPE PARK FRISCO PO BOX 5085 FRISCO TX 75035 275078845 501(C)(3) 8000 DEVELOPMENT TO MEET ADA COMPLIANCE INTERFAITH MINISTRIES OF DENTON 1109 N ELM ST DENTON TX 76201 752442459 501(C)(3) 7500 THE APPLE TREE PROJECT (SCHOOL SUPPLIES) JUSTIN ELEMENTARY PO BOX 153 JUSTIN TX 76247 742551377 CITY OF JUSTIN, TX 12000 SNACK PACK PROGRAM JUSTIN VOLUNTEER FIRE DEPARTMENT PO BOX 613 JUSTIN TX 76247 752213204 CITY OF JUSTIN, TX 24070 10 SETS OF BUNKER GEAR KRUM POLICE DEPARTMENT PO BOX 847 KRUM TX 76249 751426220 CITY OF KRUM 24485 MOBILE COMMUNICATIONS EQUIPMENT MAKE A WISH FOUNDATION 6655 DRSEO IRVING TX 75039 751889666 501(C)(3) 7000 SPONSOR A WISH NORTH TEXAS FOOD BANK 4500 S COCKREL HILL ROAD DALLAS TX 75236 751785357 501(C)(3) 15000 FOOD SUPPLIES PEDIPLACE 502 S OLD ORCHARD STE 126 LEWISVILLE TX 75067 752512752 501(C)(3) 15000 LAB SUPPLIES AND TESTING PONDER POLICE DEPT 405 SCHAFFNER ST PONDER TX 76259 751766965 CITY OF PONDER 25274 MOBILE RADIOS & VIDEOS & TECH TRANSFER PROJECT PONDER VOLUNTEER FIRE DEPT PO BOX 386 PONDER TX 76259 751766965 CITY OF PONDER 17163 SPRINKLER SYSTEM PROSPER FIRE DEPARTMENT PO BOX 307 PROSPER TX 75078 756000642 CITY OF PROSPER 25000 ALL TERRAIN VEHICLE RANCH HAND RESCUE 8827 HIGHWAY 377 SOUTH ARGYLE TX 76226 264610450 501(C)(3) 7500 SCHOLARSHIPS RIDING UNLIMITED 9168 T N SKILES RD PONDER TX 76259 752331905 501(C)(3) 8250 RIDING HELMETS AND HAY RSVP SERVING DENTON COUNTY 1400 CRESCENT SUITE 3 DENTON TX 76201 751959871 501(C)(3) 18015 BUILDING RENOVATION PROJECT SANGER POLICE DEPT 301 BOLIVAR SANGER TX 76266 756000661 CITY OF SANGER 25000 LAPTOP COMPUTERS FOR PATROL CARS SANTA'S ELVES 100 W ELDORADO PARKWAY LITTLE ELM TX 75068 611546914 501(C)(3) 5000 GIFTS FOR NEEDY CHILDREN SEARCH ONE RESCUE TEAM PO BOX 294398 LEWISVILLE TX 75029 752022717 501(C)(3) 13319 GENERATOR AND K-9 TRAINING EXPENSE SENIORS IN MOTION AUXILARY PO BOX 271756 FLOWER MOUND TX 75027 271237633 501(C)(3) 8273 LIBRARY SHELVING AND CART SNOWBALL EXPRESS 1333 CORPORATE DRIVE STE 105 IRVING TX 75038 205627830 501(C)(3) 5000 FAMILIES OF MILITARY KILLED OR WOUNDED SPAN INC 1800 MALONE ST DENTON TX 76201 751497010 501(C)(3) 20000 MEALS ON WHEELS PROGRAM SUSAN G KOMEN BREAST CANCER PO BOX 261730 PLANO TX 75026 752356437 501(C)(3) 7500 SPONSORSHIPS THE COLONY PUBLIC LIBRARY 6800 MAIN STREET THE COLONY TX 75056 751570670 CITY OF THE COLONY, 8400 COMPUTER RESOURCES TOWN OF FLOWER MOUND FIRE DEPARTMENT 3838 FORUMS DR FLOWER MOUND TX 75028 751366210 CITY OF FLOWER MOUND 14888 THERMAL IMAGER AND 2 GAS DETECTORS TOWN OF FLOWER MOUND POLICE DEPARTMENT 2121 CROSS TIMBERS RD FLOWER MOUND TX 75028 751366210 CITY OF FLOWER MOUND 25279 2 JET SKIS FOR LAKE PATROL TOWN OF NORTHLAKE POLICE DEPT PO BOX 729 JUSTIN TX 76247 752414814 CITY OF NORTHLAKE 21646 9 PORTABLE RADIOS AND EQUIPMENT WYLIE ISD PO BOX 117 WYLIE TX 75098 141859786 CITY OF WYLIE 5000 BACK TO SCHOOL PROJECT YMCA OF METROPOLITAN DALLAS-CROSS TIMBERS 2021 CROSS TIMBERS ROAD FLOWER MOUND TX 75028 752661763 501(C)(3) 10000 ANNUAL PARTNERS CAMPAIGN 58 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL GRANTS AND OTHER ASSISTANCE ARE AWARDED BY THE FOUNDATION'S BOARD OF DIRECTORS. AWARDS ARE BASED ON EITHER EMERGENCY AND SEASONAL NEEDS OR APPLICATIONS SUBMITTED BY GOVERNMENTAL AND NON-PROFIT ORGANIZATIONS. ALL REQUESTING ORGANIZATIONS ARE REQUIRED TO COMPLETE A BASIC APPLICATION AND SUBMIT A TYPED NARRATIVE OF THE ORGANIZATION'S STATEMENT OF PURPOSE, PROJECT DESCRIPTION, PROJECT GOALS/OBJECTIVES, AND EXPLANATION OF HOW FUNDS WILL BE USED. ADDITIONALLY, THE REQUESTING ORGANIZATION, WHERE APPLICABLE, MUST PROVIDE AN IRS TAX-EXEMPT DETERMINATION LETTER, THEIR CURRENT YEAR'S BUDGET/CASH FLOW STATEMENT, MOST RECENT FORM 990 FILED, A LIST OF THE ORGANIZATION'S BOARD OF DIRECTORS, THE ORGANIZATION'S MOST RECENT ANNUAL REPORT AND LAST TWO AUDIT REPORTS, AND THREE LETTERS OF RECOMMENDATION. 0 0 0 0 0 0 0 0 0 JOE FORMAN 0 234279 0 8134 0 16451 0 90790 0 22265 0 371919 0 0 DONNIE CLARY 0 285521 0 34503 0 14870 0 90442 0 31856 0 457192 0 0 STACIA SIMS 0 203250 0 7080 0 13943 0 55458 0 21941 0 301672 0 0 SUPPLEMENTAL INFORMATION PART III ALL COMPENSATION REPORTED ON SCHEDULE J PART II IS RELATED TO THE DIRECTORS EMPLOYMENT WITH DENTON COUNTY ELECTRIC COOPERATIVE, INC. PER THE BY-LAWS NO DIRECTOR OR MEMBER OF ANY COMMMITTEE OF THE BOARD MAY BE PAID COMPENSATION FOR HIS/HER SERVICE AS A DIRECTOR OR COMMITTEE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 2 DIRECTORS DONNIE CLARY, JOE FORMAN, AND STACIA SIMS ARE EMPLOYEE OFFICERS OF DENTON COUNTY ELECTRIC COOPERATIVE (DBA COSERV ELECTRIC). COSERV ELECTRIC IS A RELATED ENTITY OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WILL BE PRESENTED TO THE BOARD FOR DISCUSSION AND REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, BOARD MEMBERS MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION ARRANGEMENT. THE CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION POSTS THE PRIOR YEAR'S AUDITED FINANCIAL STATEMENTS, THE MOST CURRENT MONTH'S UNAUDITED FINANCIAL STATEMENT, THE MOST CURRENT FORM 990, THE FOUNDATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND IRS EXEMPTION LETTER ON ITS WEBSITE. ADDITIONALLY, THE FOUNDATION WILL PROVIDE A COMPLETE COPY OF THEIR AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, OR GOVERNING DOCUMENTS TO ANYONE WHO REQUESTS A COPY. AUDIT COMMITTEE FORM 990, PART XII, LINE 2C THE BOARD AS A WHOLE IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTING THE INDEPENDENT FINANCIAL STATEMENT AUDITOR. DENTON COUNTY ELECTRIC COOPERATIVE INC DBA COSERV ELECTRIC 7701 SOUTH STEMMONS FREEWAY CORINTH TX 76210 750233075 TO PROVIDE ELECTRIC SERVICE TO MEMBERS AT COST ON A COOPERATIVE BASIS. TX 501(C)(12) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 DENTON COUNTY ELECTRIC COOP INC DBA COSERV ELECTRIC - NA 50000 N CASH DENTON COUNTY ELECTRIC COOP INC DBA COSERV ELECTRIC - NA 50000 O CASH