BREMERTON SERVICES ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BREMERTON SERVICES ASSOCIATION (EIN 91-1197374)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-09
IRS object ID
201312219349300646
Schema version
2012v2.1
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)
Timestamp2013-08-09T10:03:03-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911342742EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RYAN JORGENSON & LIMOLI PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17525 PIONEER WAY STE 201AddressLine1
CityGIG HARBORCity
StateWAState
ZIP Code98335ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911197374EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BREMERTON SERVICES ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBREMNameControl
Phone3603778511Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12817 WHEATON WAY 208AddressLine1
CityBREMERTONCity
StateWAState
ZIP Code98310ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH P HORNName
TitleEXECUTIVE DIRECTORTitle
Phone3603778511Phone
Date Signed2013-08-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT RYANName
PTINP00005746PTIN
Phone2538513425Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBORAH P HORNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12817 WHEATON WAY 208AddressLine1
CityBREMERTONCity
StateWAState
ZIP Code98310ZIPCode
FieldValueIRS element (for citing)
Gross Receipts613727GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCHUCKWAGONSENIORNUTRITION.ORGWebSite
Type Of Organization AssociationXTypeOfOrganizationAssociation
Year Formation1983YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A NUTRITION PROGRAM FOR SENIOR CITIZENS 60 YEARS OF AGE OR OLDER OPERATED THROUGH CONGREGATE MEAL SITES AND HOME DELIVERY TO HOMEBOUND SENIORS. NUTRITION EDUCATION AND DIETARY COUNSELING ARE PROVIDED TO ALL PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees11TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year619653ContributionsGrantsPriorYear
Contributions Grants Current Year613569ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year152InvestmentIncomePriorYear
Investment Income Current Year158InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year619805TotalRevenuePriorYear
Total Revenue Current Year613727TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year149317SalariesEtcPriorYear
Salaries Etc Current Year152036SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5784TotalFundrsngExpCurrentYear
Other Expense Prior Year456814OtherExpensePriorYear
Other Expenses Current Year493103OtherExpensesCurrentYear
Total Expenses Prior Year606131TotalExpensesPriorYear
Total Expenses Current Year645139TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13674RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-31412RevenuesLessExpensesCY
Total Assets BOY218196TotalAssetsBOY
Total Assets EOY167925TotalAssetsEOY
Total Liabilities BOY24429TotalLiabilitiesBOY
Total Liabilities EOY5570TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY193767NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY162355NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEALS AND OTHER NUTRITION AND SOCIAL SERVICES TO OLDER PERSONS IN ORDER TO MAINTAIN AND IMPROVE THEIR HEALTH AND SUPPORT THEIR INDEPENDENCE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense170122Expense
DescriptionCONGREGATE MEAL SITES ARE USED TO SERVE HOT NUTRITIOUS MEALS AT NOON IN VARIOUS SITES THROUGHOUT KITSAP COUNTY TO SENIORS 60 YEARS OF AGE OR OLDER.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense393813Expense
DescriptionHOME DELIVERED MEALS ARE USED TO DELIVER NUTRITIOUS MEALS TO PERSONS 60 YEARS OF AGE OR OLDER WHO ARE HOMEBOUND DUE TO ILLNESS OR A DISABILITY AND ARE UNABLE TO PREPARE MEALS THEMSELVES.Description
FieldValueIRS element (for citing)
Total Program Service Expense563935TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees11NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3603778511TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12817 WHEATON WAY 208AddressLine1
CityBREMERTONCity
StateWAState
ZIP Code98310ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
TINA FUERTES
PRESIDENT (FORMER SECRETARY/TREASURER 8/28/12)2.00XX000
ED SAFTICH
FORMER PRESIDENT (8/28/12)2.00XX000
BARBARA MITCHELL
DIRECTOR2.00X000
CARRIE EASTMAN
DIRECTOR (4/1/12)1.00X000
LAURA JULL
DIRECTOR (9/1/12)1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants453944GovernmentGrants
All Other Contributions159625AllOtherContributions
Total Contributions613569TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column158TotalRevenueColumn
Related Or Exempt Function Income158RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column613727TotalRevenueColumn
Related Or Exempt Function Income158RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total54591Total
Program Services27295ProgramServices
Management And General21837ManagementAndGeneral
Fundraising5459Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total88814Total
Program Services66611ProgramServices
Management And General22203ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8631Total
Program Services6473ProgramServices
Management And General2072ManagementAndGeneral
Fundraising86Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12514Total
Management And General12514ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8660Total
Program Services6495ProgramServices
Management And General2165ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12811Total
Program Services7046ProgramServices
Management And General5637ManagementAndGeneral
Fundraising128Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10126Total
Program Services6076ProgramServices
Management And General4050ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12410Total
Program Services9928ProgramServices
Management And General2482ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8709Total
Program Services8709ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total12719Total
Program Services10811ProgramServices
Management And General1908ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEAL SUPPLIES408407408407
NUTRITION EDUCATION40004000
MISCELLANEOUS22131550552111
OPERATING EXPENSES-MEAL534534

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total645139Total
Program Services563935ProgramServices
Management And General75420ManagementAndGeneral
Fundraising5784Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY951BOY
EOY33938EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY136433BOY
EOY94996EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY57127BOY
EOY24558EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2224BOY
EOY1681EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis138872LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec126120LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21461BOY
EOY12752EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY218196BOY
EOY167925EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24429BOY
EOY5570EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24429BOY
EOY5570EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY193767BOY
EOY162355EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY193767BOY
EOY162355EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY218196BOY
EOY167925EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-31412ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years580591CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years602415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years651688CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year619653CurrentTaxYearMinus1Year
Current Tax Year613569CurrentTaxYear
Total3067916Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years580591CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years602415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years651688CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year619653CurrentTaxYearMinus1Year
Current Tax Year613569CurrentTaxYear
Total3067916Total
FieldValueIRS element (for citing)
Public Support Total1703067916PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years456CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years394CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year226CurrentTaxYearMinus1Year
Current Tax Year158CurrentTaxYear
Total1971Total
FieldValueIRS element (for citing)
Total Support3069887TotalSupport
Public Support Pertcentage1700.99940PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99910PublicSupportPertcentPriorYear
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 D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis138872OtherCostOrOtherBasis
Depreciation126120Depreciation
Book Value12752BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12752TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
VACATION PAYABLE$3,170
HEALTH BENEFITS PAYABLE$2,400
FieldValueIRS element (for citing)
Total Of Amounts5570TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt613727TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal613727RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990613727TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt645139TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal645139ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990645139TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationMANAGEMENT BELIEVES THAT IT HAS NO UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO SUBMISSION THE ORGANIZATION'S DIRECTOR PRESENTS THE COMPLETED FORM 990 TO THE BOARD OF DIRECTORS AT ONE OF THEIR REGULARLY SCHEDULED MEETINGS FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE ORGANIZATIONS HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE FINANCIAL STATEMENTS WERE AUDITED BY RYAN, JORGENSON & LIMOLI, P.S. 7525 PIONEER WAY, SUITE 201, GIG HARBOR, WA 98335.

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