SOUTH BAY POLICE & FIRE MEMORIAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SOUTH BAY POLICE & FIRE MEMORIAL FOUNDATION (EIN 95-4507403)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2013-11-14
IRS object ID: 201323189349303077
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 D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T09:28:25-08:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Charles McDonough Acctcy Corp	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	21515 Hawthorne Blvd Ste 580	AddressLine1
City	Torrance	City
State	CA	State
ZIP Code	90503	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	954507403	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH BAY POLICE AND FIRE MEMORIAL	BusinessNameLine1
Business Name Line2	FOUNDATION	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	SOUT	NameControl
Phone	3105439244	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1490	AddressLine1
City	HERMOSA BEACH	City
State	CA	State
ZIP Code	90254	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MITCH TAVERA	Name
Title	President & CEO	Title
Date Signed	2013-11-06	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Gregory G Wilson CPA	Name
PTIN	P01381189	PTIN
Phone	3105409559	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	118100	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	sbpoliceandfire.com	WebSite
Year Formation	1995	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	ORGANIZATION'S PRIMARY EXEMPT PURPOSE:TO BENEFIT FAMILIES OF POLICE OFFICERS AND FIREFIGHTERS WHO ARE DISABLED OR KILLED IN THE LINE OF DUTY; THE BENEFIT APPLIES FOR THOSE WHO WERE DISABLED OR KILLED SINCE THE INCEPTION OF THE FOUNDATION	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	13959	ContributionsGrantsPriorYear
Contributions Grants Current Year	25425	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	32538	InvestmentIncomePriorYear
Investment Income Current Year	40836	InvestmentIncomeCurrentYear
Other Revenue Prior Year	32007	OtherRevenuePriorYear
Other Revenue Current Year	22645	OtherRevenueCurrentYear
Total Revenue Prior Year	78504	TotalRevenuePriorYear
Total Revenue Current Year	88906	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	10000	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2400	SalariesEtcPriorYear
Salaries Etc Current Year	2400	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	9142	OtherExpensePriorYear
Other Expenses Current Year	10362	OtherExpensesCurrentYear
Total Expenses Prior Year	11542	TotalExpensesPriorYear
Total Expenses Current Year	22762	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	66962	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	66144	RevenuesLessExpensesCY
Total Assets BOY	1083160	TotalAssetsBOY
Total Assets EOY	1151047	TotalAssetsEOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1083160	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1151047	NetAssetsOrFundBalancesEOY
Mission Description	ORGANIZATION'S PRIMARY EXEMPT PURPOSE:TO BENEFIT FAMILIES OF POLICE OFFICERS AND FIREFIGHTERS WHO ARE DISABLED OR KILLED IN THE LINE OF DUTY; THE BENEFIT APPLIES FOR THOSE WHO WERE DISABLED OR KILLED SINCE THE INCEPTION OF THE FOUNDATION	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	10000	Expense
Description	ASSISTANCE PROVIDED DURING THE YEAR TO A DISABLED POLICE OFFICER'S FAMILY	Description
Total Program Service Expense	10000	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	true	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	0	NumberOfEmployees
Employment Tax Returns Filed	false	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	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	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	false	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	true	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	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	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SHEILA MCAFEE	NamePerson
Telephone Number	3105413994	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	42 PENINSULA CENTER 104	AddressLine1
City	ROLLING HILLS EST	City
State	CA	State
ZIP Code	902743506	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector
MARK SMITH
Director	1.00	0.00	0	0	0
KEN SHUCK
Director	1.00	0.00	0	0	0
DAVID LANTZER
Director	1.00	0.00	0	0	0
SHERRY KRAMER
Director	1.00	0.00	0	0	0
CARLOS MENDOZA
Director	1.00	0.00	0	0	0
JOHN NEU
Director	1.00	0.00	0	0	0
GREG MCMULLEN
Director	1.00	0.00	0	0	0
ROBERT CONREY
Secretary	1.00	0.00	0	0	0
LT OSCAR SERRANO
Treasurer	1.00	0.00	0	0	0
MITCH TAVERA
President & CEO	1.00	0.00	0	0	0
KEVIN SMITH
President	1.00	0.00	0	0	0
JOHN BUSHMAN
Director	1.00	0.00	0	0	0
EVE IRVINE
Director	1.00	0.00	0	0	0
FRANK SCOTTO
Director	1.00	0.00	0	0	0
SHEILA MCAFEE
Director	5.00	0.00	2400	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2400	TotalReportableCompFromOrg
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
Fundraising Events	15000	FundraisingEvents
All Other Contributions	10425	AllOtherContributions
Total Contributions	25425	TotalContributions
Total Program Service Revenue	0	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	40836	TotalRevenueColumn
Related Or Exempt Function Income	40836	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	51839	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	15000	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	29194	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	22645	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	88906	TotalRevenueColumn
Related Or Exempt Function Income	40836	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	10000	Total
Program Services	10000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2400	Total
Management And General	2400	ManagementAndGeneral

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	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

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	4295	Total
Management And General	4295	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	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8	Total
Management And General	8	ManagementAndGeneral

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	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

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	2403	Total
Management And General	2403	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral
OUTSIDE SERVICES	150	150
Printing and Publications	240	240
BANK SERVICE CHARGES	1552	1552
MEETING EXPENSE	1571	1571

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	143	Total
Management And General	143	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	22762	Total
Program Services	10000	ProgramServices
Management And General	12762	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	51430	BOY
EOY	51833	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	0	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)
BOY	1000	BOY
EOY	1000	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)
BOY	1030730	BOY
EOY	1098214	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	1083160	BOY
EOY	1151047	EOY

Total Liabilities TotalLiabilities

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

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1083160	BOY
EOY	1151047	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1083160	BOY
EOY	1151047	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1083160	BOY
EOY	1151047	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	66144	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1743	ReconciliationUnrealizedInvest
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	168186	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	953	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3882	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7841	CurrentTaxYearMinus1Year
Current Tax Year	10425	CurrentTaxYear
Total	191287	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	64010	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	76365	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	72579	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	72230	CurrentTaxYearMinus1Year
Current Tax Year	66839	CurrentTaxYear
Total	352023	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	232196	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	77318	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	76461	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	80071	CurrentTaxYearMinus1Year
Current Tax Year	77264	CurrentTaxYear
Total	543310	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	543310	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	25451	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7939	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	35190	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	33497	CurrentTaxYearMinus1Year
Current Tax Year	40835	CurrentTaxYear
Total	142912	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	25451	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7939	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	35190	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	33497	CurrentTaxYearMinus1Year
Current Tax Year	40835	CurrentTaxYear
Total	142912	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Total	0	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	257647	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	85257	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	111651	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	113568	CurrentTaxYearMinus1Year
Current Tax Year	118099	CurrentTaxYear
Total	686222	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.79170	PublicSupportPercentage509
Prior Year Support Percentage	0.76820	PriorYearSupportPercentage
Investment Income Percentage	0.20830	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.23180	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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 D IRS990ScheduleD

Field	Value	IRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt	119843	TotRevenueEtcAuditedFinclStmt
Other Revenues	30937	OtherRevenues
Revenue Not Rptd F990	30937	RevenueNotRptdF990
Revenue Subtotal	88906	RevenueSubtotal
Total Revenue Per Form990	88906	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	51956	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	29194	OtherExpensesIncluded
Expenses Not Rptd F990	29194	ExpensesNotRptdF990
Expenses Subtotal	22762	ExpensesSubtotal
Total Expenses Per Form990	22762	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part XII, Line 2d	Part XII, Line 2d: Other expenses and losses per audited F/S	GOLF TOURNAMENT EXPENSES $29194
Part XI, Line 2d	Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990	GOLF TOURNAMENT EXPENSES $29194 UNREALIZED GAIN ON INVESTMENTS $1743

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	ANNUAL GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	66839	GrossReceiptsEvent1
Charitable Contributions Event1	15000	CharitableContributionsEvent1
Gross Revenue Event1	51839	GrossRevenueEvent1
Other Direct Expenses Event1	29194	OtherDirectExpensesEvent1
Gross Receipts Total	66839	GrossReceiptsTotal
Charitable Contributions Total	15000	CharitableContributionsTotal
Gross Revenue Total Events	51839	GrossRevenueTotalEvents
Other Direct Expenses Total Events	29194	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	29194	DirectExpenseSummaryEvents
Net Income Summary	22645	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	FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	BOARD OF DIRECTORS WILL REVIEW THE TAX RETURNS PRIOR TO FILING.