BOYS & GIRLS CLUBS OF THE WESTERN TREASURE VALLEY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BOYS & GIRLS CLUBS OF THE WESTERN TREASURE VALLEY (EIN 20-8035378)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-07-29
IRS object ID: 201322109349300767
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule B
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-07-29T10:46:38-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Nichols Acctg Group PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	230 N Oregon St	AddressLine1
City	Ontario	City
State	OR	State
ZIP Code	97914	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	208035378	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE BOYS & GIRLS CLUB OF THE WESTERN	BusinessNameLine1
Business Name Line2	TREASURE VALLEY	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	BOYS	NameControl
Phone	5418897979	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 876	AddressLine1
City	ONTARIO	City
State	OR	State
ZIP Code	97914	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LEROY CAMMACK	Name
Title	President	Title
Date Signed	2013-07-31	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Robert S Kemble CPA	Name
PTIN	P00730575	PTIN
Phone	5418811433	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	230153	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.BGCWTV.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2006	YearFormation
State Legal Domicile	OR	StateLegalDomicile
Activity Or Mission Description	THE PURPOSE OF THE CORPORATION SHALL BE TO PROVIDE BEHAVIOR GUIDANCE AND TO PROMOTE THE HEALTH, SOCIAL, EDUCATIONAL, VOCATIONAL, AND CHARACTER DEVELOPMENT OF YOUTH; TO RECEIVE, INVEST, AND DISTRIBUTE FUNDS, AND TO HOLD PROPERTY FOR THE PURPOSE OF THE CORPORATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	20	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	235526	ContributionsGrantsPriorYear
Contributions Grants Current Year	196476	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	19823	ProgramServiceRevenuePriorYear
Program Service Revenue CY	19770	ProgramServiceRevenueCY
Investment Income Prior Year	88	InvestmentIncomePriorYear
Investment Income Current Year	88	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-6770	OtherRevenuePriorYear
Other Revenue Current Year	5926	OtherRevenueCurrentYear
Total Revenue Prior Year	248667	TotalRevenuePriorYear
Total Revenue Current Year	222260	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	153994	SalariesEtcPriorYear
Salaries Etc Current Year	146293	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	70468	OtherExpensePriorYear
Other Expenses Current Year	80797	OtherExpensesCurrentYear
Total Expenses Prior Year	224462	TotalExpensesPriorYear
Total Expenses Current Year	227090	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	24205	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-4830	RevenuesLessExpensesCY
Total Assets BOY	66140	TotalAssetsBOY
Total Assets EOY	61830	TotalAssetsEOY
Total Liabilities EOY	520	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	66140	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	61310	NetAssetsOrFundBalancesEOY
Mission Description	THE PURPOSE OF THE CORPORATION SHALL BE TO PROVIDE BEHAVIOR GUIDANCE AND TO PROMOTE THE HEALTH, SOCIAL, EDUCATIONAL, VOCATIONAL, AND CHARACTER DEVELOPMENT OF YOUTH; TO RECEIVE, INVEST, AND DISTRIBUTE FUNDS, AND TO HOLD PROPERTY FOR THE PURPOSE OF THE CORPORATION.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	184890	Expense
Description	THE BOYS & GIRLS CLUB OF THE WESTERN TREASURE VALLEY IS MEETING ITS MISSION OF SERVING LOCAL YOUTHS THROUGH PROVIDING ACTIVITIES IN THE 5 FOLLOWING CORE AREAS:CHARACTER & LEADERSHIP DEVELOPMENT - THIS PROGRAM EMPOWERS YOUTHS TO POSITIVELY INFLUENCE THEIR ENVIRONMENT AND COMMUNITY, SUSTAIN MEANINGFUL RELATIONSHIPS WITH OTHERS, DEVELOP A POSITIVE SELF-IMAGE, PARTICIPATE IN THE DEMOCRATIC PROCESS, AND RESPECT THEIR OWN AND OTHER'S CULTURAL IDENTITIES.EDUCATION & CAREER DEVELOPMENT - THIS PROGRAM ENCOURAGES YOUTHS TO BECOME SELF-DIRECTED LEARNERS, APPLY LEARNING TO EVERYDAY SITUATIONS, EMBRACE TECHNOLOGY, AND DEVELOP A CURIOSITY FOR LIFE THAT ENCOURAGES LIFELONG LEARNING.ART & CULTURE EXPLORATION - THIS PROGRAM ENABLES YOUTHS TO DEVELOP THEIR CREATIVITY AND CULTURAL AWARENESS THROUGH KNOWLEDGE AND APPRECIATION OF THE VISUAL ARTS, CRAFTS, PERFORMING ARTS, AND CREATIVE WRITING. IT ALSO PROVIDES OPPORTUNITIES FOR YOUTHS TO SHOWCASE THEIR ARTISTIC TALENTS TO GAIN SELF-CONFIDENCE AND THE ABILITY TO PRESENT THEMSELVES IN A PUBLIC VENUE.HEALTH & LIFE SKILLS - THIS PROGRAM DEVELOPS YOUNG PEOPLE'S CAPACITY TO ENGAGE IN POSITIVE BEHAVIORS THAT NURTURE THEIR OWN WELL-BEING, SET PERSONAL GOALS AND LIVE SUCCESSFULLY AS SELF-SUFFICIENT ADULTS.SPORTS, FITNESS, & RECREATION - THIS PROGRAM ENCOURAGES FITNESS, POSITIVE USE OF LEISURE TIME, SKILLS FOR STRESS MANAGEMENT, APPRECIATION FOR THE ENVIRONMENT, AND DEVELOPMENT OF SOCIAL SKILLS.2012 ACCOMPLISHMENTS:WE SERVED OVER 600 KIDS IN 2012.DEMOGRAPHICS: 73% OF YOUTH SERVED ARE OF LATINO HERITAGE.OUR AVERAGE SCHOOL YEAR DAILY ATTENDANCE WAS 122 MEMBERS A DAY WITH AN INCREASE OF OUR TEEN MEMBERSHIP WITH OUR NEW FACILITY. AVERAGE TEEN (7TH GRADE AND UP) SCHOOL YEAR ATTENDANCE WAS 22 OUT OF THE TOTAL 122 A DAY AVERAGE SCHOOL YEAR ATTENDANCE.2012 WAS A YEAR OF MANY ACCOMPLISHMENTS FOR OUR BOYS & GIRLS CLUB. MEMBERS WENT ON A FREE FIELD TRIP TO ROARING SPRINGS. TEENS WENT WHITEWATER RAFTING AND CAMPING. WE RELOCATED TO A NEW FACILITY IN DECEMBER THAT WILL ALLOW US TO INCREASE OUR IMPACT. WE CELEBRATED THE NATIONAL DAY OF PLAY AS A COMMUNITY EVENT WITH LIVE MUSIC, BOUNCE HOUSES, AND FOOD FOR OVER 150 YOUTH AND COMMUNITY MEMBERS. MEMBERS HAD THE OPPORTUNITY TO ATTEND THEMATIC CAMPS DURING THE SUMMER. SOME MEMBERS EVEN LEARNED THE SPORT OF GOLF WITH A LOCAL GOLF NON-PROFIT ORGANIZATION. OVER 200 UNIQUE MEMBERS TOOK PART IN THE POWER HOUR PROGRAM GETTING ASSISTANCE AND TUTORING FOR THEIR SCHOOL WORK.	Description
Total Program Service Expense	184890	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	20	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	THE NICHOLS ACCTG GROUP PC	NamePerson
Telephone Number	5418811433	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	230 N OREGON ST	AddressLine1
City	ONTARIO	City
State	OR	State
ZIP Code	97914	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
PATRICIA SULLIVAN
BOARD MEMBER	1.00	0.00	X	0	0	0
LINDA CUMMINGS
BOARD MEMBER	1.00	0.00	X	0	0	0
TED REUTER
BOARD MEMBER	1.00	0.00	X	0	0	0
PAUL KRAFT
BOARD MEMBER	1.00	0.00	X	0	0	0
REBECCA STRICKER
BOARD MEMBER	1.00	0.00	X	0	0	0
MARK ALEXANDER
BOARD MEMBER	1.00	0.00	X	0	0	0
PAUL VACHEK
Treasurer	5.00	0.00		0	0	0	X
IDALIA STAM
Secretary	5.00	0.00		0	0	0	X
MARTY JUSTUS
Vice President	5.00	0.00		0	0	0	X
LEROY CAMMACK
President	5.00	0.00		0	0	0	X

Field	Value	IRS element (for citing)
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Federated Campaigns	1096	FederatedCampaigns
Membership Dues	3654	MembershipDues
Fundraising Events	44353	FundraisingEvents
Government Grants	42473	GovernmentGrants
All Other Contributions	104900	AllOtherContributions
Total Contributions	196476	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	SUMMER CAMP & CLUB FEES	Description
Total Revenue Column	19770	TotalRevenueColumn
Related Or Exempt Function Income	19770	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	19770	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	88	TotalRevenueColumn
Related Or Exempt Function Income	88	RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	13819	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	44353	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	7893	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	5926	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	222260	TotalRevenueColumn
Related Or Exempt Function Income	19858	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	126105	Total
Program Services	108289	ProgramServices
Management And General	17816	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8156	Total
Program Services	4894	ProgramServices
Management And General	3262	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12032	Total
Program Services	10333	ProgramServices
Management And General	1699	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	5200	Total
Management And General	5200	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3923	Total
Program Services	474	ProgramServices
Management And General	3449	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	36911	Total
Program Services	36173	ProgramServices
Management And General	738	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1109	Total
Program Services	1109	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	0	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7667	Total
Management And General	7667	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES & FEES	5566	3896	1670
SUPPLIES	20421	19722	699

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	227090	Total
Program Services	184890	ProgramServices
Management And General	42200	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	58492	BOY
EOY	18627	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7648	BOY
EOY	43203	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	0	EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	66140	BOY
EOY	61830	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
EOY	520	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	520	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	66140	BOY
EOY	61310	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	66140	BOY
EOY	61310	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	66140	BOY
EOY	61830	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-4830	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	84310	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	198902	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	173426	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	255349	CurrentTaxYearMinus1Year
Current Tax Year	216246	CurrentTaxYear
Total	928233	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	84310	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	198902	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	173426	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	255349	CurrentTaxYearMinus1Year
Current Tax Year	216246	CurrentTaxYear
Total	928233	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	134725	AmountsSubstContributorsTotal
Public Support Total170	793508	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1593	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2151	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	822	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	88	CurrentTaxYearMinus1Year
Current Tax Year	88	CurrentTaxYear
Total	4742	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	7999	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4520	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	-6770	CurrentTaxYearMinus1Year
Current Tax Year	5926	CurrentTaxYear
Total	11675	Total

Field	Value	IRS element (for citing)
Total Support	944650	TotalSupport
Public Support Pertcentage170	0.84000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.77740	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Email Solicitations	X	EmailSolicitations
In Person Solicitations	X	InPersonSolicitations
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	false	AgreementRefFundraising
Licensed States	OR	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SPECIAL EVENTS	NameOfEvent1
Gross Receipts Event1	58172	GrossReceiptsEvent1
Charitable Contributions Event1	44353	CharitableContributionsEvent1
Gross Revenue Event1	13819	GrossRevenueEvent1
Non Cash Prizes Event1	1354	NonCashPrizesEvent1
Other Direct Expenses Event1	6539	OtherDirectExpensesEvent1
Gross Receipts Total	58172	GrossReceiptsTotal
Charitable Contributions Total	44353	CharitableContributionsTotal
Gross Revenue Total Events	13819	GrossRevenueTotalEvents
Non Cash Prizes Total Events	1354	NonCashPrizesTotalEvents
Other Direct Expenses Total Events	6539	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	7893	DirectExpenseSummaryEvents
Net Income Summary	5926	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	DOCUMENTS ARE AVAILABLE BY REQUEST.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	REVIEWED AND SIGNED BY THE EXECUTIVE COMMITTEE AND PRESENTED TO THE BOARD.