CITIZENS COMMUNITY FOUNDATION INC: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CITIZENS COMMUNITY FOUNDATION INC (EIN 20-3537437)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349101566
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)
Timestamp2013-11-15T12:43:12-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILSON & COMPANY PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1120AddressLine1
CitySOMERSETCity
StateKYState
ZIP Code42502ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN203537437EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CITIZENS COMMUNITY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCITINameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1145 WOODLAND DRIVEAddressLine1
CitySOMERSETCity
StateKYState
ZIP Code42502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCLAY PARKER DAVISName
TitleDIRECTORTitle
Date Signed2013-11-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM J WILSON IIIName
Phone6066785158Phone
Date Prepared2013-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY302156FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss753InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm753InterestOnSavingsNetInvstIncm
Total Revenue And Expenses753TotalRevenueAndExpenses
Total Net Investment Income753TotalNetInvestmentIncome
Taxes Rev And Expnss47TaxesRevAndExpnss
Tot Opr Expenses Rev And Expnss47TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss9000ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps9000ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss9047TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps9000TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-8294ExcessOfRevenueOverExpenses
Net Investment Income753NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY310450SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY302156SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV302156SavingsAndTempCashInvstEOYFMV
Total Assets BOY310450TotalAssetsBOY
Total Assets EOY302156TotalAssetsEOY
Total Assets EOYFMV302156TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY310450UnrestrictedBOY
Unrestricted EOY302156UnrestrictedEOY
Total Net Assets BOY310450TotalNetAssetsBOY
Total Net Assets EOY302156TotalNetAssetsEOY
Total Liabilities Net Assets BOY310450TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY302156TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY310450TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-8294ExcessOfRevenueOverExpenses
Subtotal302156Subtotal
Total Net Assets Fund Balances EOY302156TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year135000QualifyingDistributionsYear1
Noncharitable Assets Year1322855NoncharitableAssetsYear1
Distribution Ratio Year10.108408DistributionRatioYear1
Qualifying Distributions Year232480QualifyingDistributionsYear2
Noncharitable Assets Year2360000NoncharitableAssetsYear2
Distribution Ratio Year20.090222DistributionRatioYear2
Noncharitable Assets Year3359998NoncharitableAssetsYear3
Qualifying Distributions Year420000QualifyingDistributionsYear4
Noncharitable Assets Year4382780NoncharitableAssetsYear4
Distribution Ratio Year40.052249DistributionRatioYear4
Qualifying Distributions Year520000QualifyingDistributionsYear5
Noncharitable Assets Year5384372NoncharitableAssetsYear5
Distribution Ratio Year50.052033DistributionRatioYear5
Total Distribution Ratio0.302912TotalDistributionRatio
Average Distribution Ratio0.075728AverageDistributionRatio
Net Noncharitable Assets304857NetNoncharitableAssets
Adjusted Noncharitable Assets23086AdjustedNoncharitableAssets
One Percent Net Investment Income8OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One23094AdjNonchrtblAssetsAndOnePct
Qualifying Distributions9000QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax15InvestmentIncomeExciseTax
Subtotal15Subtotal
Tax Based On Investment Income15TaxBasedOnInvestmentIncome
Tax Due15TaxDue

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
States Filed WithKYStatesFiledWith
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress
Books In Care Of Person NameCLAY PARKER DAVISBooksInCareOfPersonName
Books In Care Of Phone Number6066799229BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1145 WOODLAND AVENUEAddressLine1
CitySOMERSETCity
StateKYState
ZIP Code42501ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Business HoldingsfalseBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
CLAY PARKER DAVIS
145 WOODLAND DRIVESOMERSETKY42501DIRECTOR3.00000
CY WADDLE
780 JARVIS AVENUESOMERSETKY42501DIRECTOR3.00000
HARRIS RAKESTRAW III
3593 HIGHWAY 39SOMERSETKY42503DIRECTOR3.00000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Description1N/ADescription1

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances309500AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets309500TotalFMVOfUnusedAssets
Adj Total FMV Of Unused Assets309500AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable4643CashDeemedCharitable
Net Noncharitable Assets304857NetNoncharitableAssets
Minimum Investment Return15243MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return15243MinimumInvestmentReturn
Tax Based On Investment Income15TaxBasedOnInvestmentIncome
Total Tax15TotalTax
Distributable Amount Before Adj15228DistributableAmountBeforeAdj
Distributable Amount Before Ded15228DistributableAmountBeforeDed
Distributable Amount As Adjusted15228DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions9000ExpensesAndContributions
Qualifying Distributions9000QualifyingDistributions
Adj Qualifying Distributions9000AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted15228DistributableAmountAsAdjusted
Excess Distri Carryover Year51134ExcessDistriCarryoverYear5
Excess Distri Carryover Year41007ExcessDistriCarryoverYear4
Excess Distri Carryover Year231094ExcessDistriCarryoverYear2
Excess Distri Carryover Year118889ExcessDistriCarryoverYear1
Total Excess Distri Carryover52124TotalExcessDistriCarryover
Qualifying Distributions9000QualifyingDistributions
Applied To Current Year9000AppliedToCurrentYear
Excess Distri Cyov App CY Corpus6228ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY6228ExcessDistriCyovAppliedCY
Total Corpus45896TotalCorpus
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year45896ExcessDistriCyovToNextYear
Excess From Year227007ExcessFromYear2
Excess From Year118889ExcessFromYear1

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (3 entries)

Business Name Line2RecipientBusinessName/BusinessNameLine2Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
GEORGETOWN COLLEGE
GEORGETOWN COLLEGE400 EAST COLLEGE STREETGEORGETOWNKY40324NONENONEDONATION - DONEE'S GENERAL PURPOSE$5,000
THE CENTER FOR RURAL DEVELOPMENT
THE CENTER FOR RURAL DEVELOPMENT2292 SOUTH HIGHWAY 27SOMERSETKY42501NONENONEEDUCATION$2,000
BLUE GRASS COUNCIL BSA
BLUE GRASS COUNCIL BSA3445 RICHMOND ROADLEXINGTONKY40509NONENONEDONATION - DONEE'S GENERAL PURPOSE$2,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year9000TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$753ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$753ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA753TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Compensation Explanation CompensationExplanation

Compensation Compensation (3 entries)

CLAY PARKER DAVIS
CY WADDLE
HARRIS RAKESTRAW III

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryTAXES AND LICENSECategory
Amount$47Amount

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