BOYS & GIRLS CLUB OF MITCHELL COUNTY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BOYS & GIRLS CLUB OF MITCHELL COUNTY INC (EIN 58-1976071)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-14
IRS object ID
201322269349302947
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)
Timestamp2013-08-14T14:05:20-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VALENTI RACKLEY & ASSOCIATES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1208 W PARK AVEAddressLine1
CityVALDOSTACity
StateGAState
ZIP Code31602ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581976071EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOYS & GIRLS CLUBS OF MITCHELLBusinessNameLine1
Business Name Line2COUNTY INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlBOYSNameControl
Phone2293369500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 606AddressLine1
CityCAMILLACity
StateGAState
ZIP Code31730ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameONDREA DAVISName
TitleCHIEF PROFESSIONAL OFFICERTitle
Phone2293369500Phone
Date Signed2013-08-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameNICHOLAS J VALENTIJRCPA CFPName
Phone2292478005Phone
Date Prepared2013-08-14DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonONDREA DAVISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1P O BOX 606AddressLine1
CityCAMILLACity
StateGAState
ZIP Code31730ZIPCode
FieldValueIRS element (for citing)
Gross Receipts836596GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BGCMC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO INSPIRE AND ENABLE ALL YOUNG PEOPLE, ESPECIALLY THOSE FROM DISADVANTAGED CIRCUMSTANCES, TO REALIZE THEIR FULL POTENTIAL AS PRODUCTIVE, RESPONSIBLE, AND CARING CITIZENS.ActivityOrMissionDescription
Nbr Voting Members Governing Body30NbrVotingMembersGoverningBody
Nbr Independent Voting Members30NbrIndependentVotingMembers
Total Nbr Employees116TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year625405ContributionsGrantsPriorYear
Contributions Grants Current Year834180ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9384ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3947InvestmentIncomePriorYear
Investment Income Current Year2176InvestmentIncomeCurrentYear
Other Revenue Current Year202OtherRevenueCurrentYear
Total Revenue Prior Year638736TotalRevenuePriorYear
Total Revenue Current Year836558TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year476709SalariesEtcPriorYear
Salaries Etc Current Year706641SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year34637TotalFundrsngExpCurrentYear
Other Expense Prior Year177651OtherExpensePriorYear
Other Expenses Current Year233188OtherExpensesCurrentYear
Total Expenses Prior Year654360TotalExpensesPriorYear
Total Expenses Current Year939829TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-15624RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-103271RevenuesLessExpensesCY
Total Assets BOY710562TotalAssetsBOY
Total Assets EOY610077TotalAssetsEOY
Total Liabilities BOY19164TotalLiabilitiesBOY
Total Liabilities EOY21950TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY691398NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY588127NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO INSPIRE AND ENABLE ALL YOUNG PEOPLE, ESPECIALLY THOSE FROM DISADVANTAGED CIRCUMSTANCES, TO REALIZE THEIR FULL POTENTIAL AS PRODUCTIVE, RESPONSIBLE, AND CARING CITIZENS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense171460Expense
DescriptionPROVIDED SERVICES RELATED TO POWER HOUR, TRIPLE PLAY, PROJECT LEARN, SMART MOVES, HEALTH/PHYSICAL EDUCATION, CAREER LAUNCH, MONEY MATTERS KEYSTONE CLUBS, YOUTH OF THE YEAR, AND YOUTH EMPLOYMENT PROGRAMDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense357048Expense
DescriptionPROVIDED ADDITIONAL HELP TO CHILDREN TO IMPROVE THEIR ACADEMIC PERFORMANCE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense58880Expense
DescriptionPREVENTION AND TREATMENT OF SUBSTANCE ABUSEDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense212904Expense
DescriptionOTHER PROGRAMS AND SERVICES WERE RELATED TO THE TEEN CENTER PROGRAM, SUMMER FOOD PROGRAM, AND JOB CREATION/PRESERVATIONDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp212904TotalOfOtherProgramServiceExp
Total Program Service Expense800292TotalProgramServiceExpense
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 EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
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 IndividualsfalseGrantsToIndividuals
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees116NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members30NbrVotingGoverningBodyMembers
Number Independent Voting Members30NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonONDREA DAVISNamePerson
Telephone Number2293369500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 S HARNEY STAddressLine1
CityCAMILLACity
StateGAState
ZIP Code31730ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ONDREA DAVIS
CPO40.00XX6000000
RICK WATERS
PRESIDENT5.00XX000
ROBERT RICHARDSON
VICE-PRESIDE5.00XX000
SUSAN KEIGANS
TREASURER5.00XX000
KATIE THOMAS
SECRETARY5.00XX000
BEN HAYWARD
BOARD MEMBER1.00X000
BARBARA HILLIARD
BOARD MEMBER1.00X000
NICHOLE HILLIARD
BOARD MEMBER1.00X000
SANDRA HOLTON
BOARD MEMBER1.00X000
KIRK POLLOCK
BOARD MEMBER1.00X000
BENNETT ADAMS
BOARD MEMBER1.00X000
KEVIN BROOKS
BOARD MEMBER1.00X000
ZELDA COLLIER
BOARD MEMBER1.00X000
CADER COX
BOARD MEMBER1.00X000
ELIZABETH CRUMBLEY
BOARD MEMBER1.00X000
GUSTINE HAYWARD
BOARD MEMBER1.00X000
DERRICK KEATON
BOARD MEMBER1.00X000
PHILIP KELSON
BOARD MEMBER1.00X000
JAMIE LAWRENCE
BOARD MEMBER1.00X000
PAT MCCASKILL
BOARD MEMBER1.00X000
OBERIA MILLS
BOARD MEMBER1.00X000
JOHN ROCK
BOARD MEMBER1.00X000
ROBERT RUMBLE
BOARD MEMBER1.00X000
JOE THOMAS
BOARD MEMBER1.00X000
VERNON TWITTY JR
BOARD MEMBER1.00X000
JUD VANN
BOARD MEMBER1.00X000
RICHARD WATERS
BOARD MEMBER1.00X000
PARKER WESTBROOK
BOARD MEMBER1.00X000
ANNETTE WILLIAMS
BOARD MEMBER1.00X000
GREG WILLIAMS
BOARD MEMBER1.00X000
BOYD WILLIAMSON
BOARD MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org60000TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Membership Dues7773MembershipDues
Fundraising Events48417FundraisingEvents
Government Grants580245GovernmentGrants
All Other Contributions197745AllOtherContributions
Total Contributions834180TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2214TotalRevenueColumn
Exclusion$2,214ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other38Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-38Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-38TotalRevenueColumn
Related Or Exempt Function Income-38RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events48417CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCONCESSION INCOMEDescription
Total Revenue Column202TotalRevenueColumn
Exclusion$202ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue202TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column836558TotalRevenueColumn
Related Or Exempt Function Income-38RelatedOrExemptFunctionIncome
Exclusion$2,416ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total60000Total
Management And General36000ManagementAndGeneral
Fundraising24000Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total542254Total
Program Services529984ProgramServices
Management And General12180ManagementAndGeneral
Fundraising90Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total56541Total
Program Services39579ProgramServices
Management And General13570ManagementAndGeneral
Fundraising3392Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total47846Total
Program Services42104ProgramServices
Management And General3828ManagementAndGeneral
Fundraising1914Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13773Total
Management And General13773ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10711Total
Program Services9640ProgramServices
Management And General964ManagementAndGeneral
Fundraising107Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12868Total
Program Services6204ProgramServices
Management And General5619ManagementAndGeneral
Fundraising1045Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total29318Total
Program Services23310ProgramServices
Management And General5061ManagementAndGeneral
Fundraising947Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9943Total
Program Services8949ProgramServices
Management And General895ManagementAndGeneral
Fundraising99Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total3890Total
Management And General3890ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21309Total
Program Services19179ProgramServices
Management And General1919ManagementAndGeneral
Fundraising211Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total14284Total
Program Services12856ProgramServices
Management And General1286ManagementAndGeneral
Fundraising142Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
21ST CENTURY GRANT5634656346
JANITORIAL13927107242785418
REPAIRS/MAINTENANCE8537768376886
TRANSPORTATION61056105

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total32177Total
Program Services27629ProgramServices
Management And General2362ManagementAndGeneral
Fundraising2186Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total939829Total
Program Services800292ProgramServices
Management And General104900ManagementAndGeneral
Fundraising34637Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY105445BOY
EOY51248EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY255893BOY
EOY152940EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY125740BOY
EOY156958EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7946BOY
EOY9569EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis497372LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec279479LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY194301BOY
EOY217893EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21237BOY
EOY21469EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY710562BOY
EOY610077EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6983BOY
EOY21950EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12181BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19164BOY
EOY21950EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY691398BOY
EOY588127EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY691398BOY
EOY588127EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY710562BOY
EOY610077EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-103271ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years539131CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years526957CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years761767CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year634789CurrentTaxYearMinus1Year
Current Tax Year834180CurrentTaxYear
Total3296824Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years539131CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years526957CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years761767CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year634789CurrentTaxYearMinus1Year
Current Tax Year834180CurrentTaxYear
Total3296824Total
FieldValueIRS element (for citing)
Public Support Total1703296824PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7754CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6950CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5363CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3947CurrentTaxYearMinus1Year
Current Tax Year2176CurrentTaxYear
Total26190Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year202CurrentTaxYear
Total202Total
FieldValueIRS element (for citing)
Total Support3323216TotalSupport
Public Support Pertcentage1700.99210PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98910PublicSupportPertcentPriorYear
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5000OtherCostOrOtherBasis
Book Value5000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis231600OtherCostOrOtherBasis
Depreciation90944Depreciation
Book Value140656BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3359OtherCostOrOtherBasis
Depreciation109Depreciation
Book Value3250BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis157076OtherCostOrOtherBasis
Depreciation108398Depreciation
Book Value48678BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis100337OtherCostOrOtherBasis
Depreciation80028Depreciation
Book Value20309BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings217893TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt836596TotRevenueEtcAuditedFinclStmt
Other Revenues38OtherRevenues
Revenue Not Rptd F99038RevenueNotRptdF990
Revenue Subtotal836558RevenueSubtotal
Total Revenue Per Form990836558TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt939867TotExpensesEtcAuditedFinclStmt
Other Expenses Included38OtherExpensesIncluded
Expenses Not Rptd F99038ExpensesNotRptdF990
Expenses Subtotal939829ExpensesSubtotal
Total Expenses Per Form990939829TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DLOSS ON DISPOSAL OF CAPITAL ASSET 38
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DLOSS ON DISPOSAL OF CAPITAL ASSET 38

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1TENNIS TOURNAMENameOfEvent1
Gross Receipts Event126000GrossReceiptsEvent1
Charitable Contributions Event126000CharitableContributionsEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event216122GrossReceiptsEvent2
Charitable Contributions Event216122CharitableContributionsEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events5860GrossReceiptsOtherEvents
Charitable Contrib Other Events5860CharitableContribOtherEvents
Gross Receipts Total47982GrossReceiptsTotal
Charitable Contributions Total47982CharitableContributionsTotal

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DOTHER PROGRAMS AND SERVICES WERE RELATED TO THE TEEN CENTER PROGRAM, SUMMER FOOD PROGRAM, AND JOB CREATION/PRESERVATION
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2RICHARD WATERS RICK WATERS OFFICER PRESIDENT FATHER AND SON JUD VAN SUSAN KEIGANS OFFICER TREASURER FATHER AND DAUGHTER BEN HAYWARD GUSTINE HAYWARD OFFICER OFFICER HUSBAND AND WIFE
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BREVIEW BY AUDIT AND FINANCE COMMITTEE
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CREQUIRE STAFF TO SIGN COMPLIANCE WITH POLICY
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPARABLE BOYS AND GIRLS CLUBS' SALARIES AND LOCAL SALARIES
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPARABLE BOYS AND GIRLS CLUBS' SALARIES AND LOCAL SALARIES
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9LOSS ON DISPOSAL OF CAPITAL ASSET 38 LOSS ON DISPOSAL OF CAPITAL ASSET -38

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