2012-05-14T18:08:05-05:00 2011-06-30 BERGER LEWIS ACCOUNTANCY CORP 55 ALMADEN BLVD STE 600 SAN JOSE CA 95113 990EZ 2010-07-01 770230503 ROLE MODEL PROGRAM ROLE 4082460433 2625 ZANKER ROAD SAN JOSE CA 95110 MARYBETH AFFLECK-NACEY 4082460433 2012-05-09 1 LAWRENCE S KUECHLER 4084941200 2012-05-09 2010 2016-02-24 21:20:13Z X X WWW.THEROLEMODELPROGRAM.ORG X 104856 X 80590 109 8149 -8149 24157 24157 0 72550 74407 2273 6725 76 85637 169118 -96568 39302 0 -57266 X 24432 673 4153 0 37235 0 65820 673 26518 57939 39302 -57266 X THE SPECIFIC AND PRIMARY PURPOSES OF THIS CORPORATION ARE TO ENCOURAGE STUDENTS IN SANTA CLARA COUNTY TO STAY IN SCHOOL, TO STAY FREE OF DRUGS AND TO REALIZE MORE OF THEIR POTENTIAL BY ARRANGING SPORTS AND ENTERTAINMENT CELEBRITIES AND COMMUNITY LEADERS TO SPEAK TO THE STUDENTS IN THE CLASSROOMS; TO WORK WITH COUNTY HEALTH AND EDUCATION EXPERTS TO ADDRESS THE PROBLEM OF LOW ACHIEVEMENT IN COUNTY SCHOOLS. THE ROLE MODEL PROGRAM PROVIDED INSPIRATION, EMPOWERMENT AND POSITIVE ADULT ROLE MODELS TO APPROXIMATELY 5,000 UNDERSERVED YOUTH IN LOCAL ELEMENTARY AND MIDDLE SCHOOL CLASSROOMS. STUDENTS LEARN THE PATHWAY TO SUCCESS THROUGH EDUCATION AND COLLEGE ASPIRATIONS. 0 93814 93814 KEVIN BEBER 2625 ZANKER ROAD SAN JOSE CA 95110 3.00 0 0 0 STEVE GUERRERO 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 LOURDES ANDRADE 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 KEVIN BEBER 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 CHRIS JEW 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 ANDREA LICHTER 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 ROBIN LYKINS 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 RON LIND 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 DOLORES SANDOVAL 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 KELLY SNIDER 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 PATRICK SUSEMIHL 2625 ZANKER ROAD SAN JOSE CA 95110 2.00 0 0 0 MARYBETH AFFLECK-NACEY 2625 ZANKER ROAD SAN JOSE CA 95110 40.00 34000 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 CA MARYBETH AFFLECK-NACEY 2625 ZANKER ROAD SAN JOSE CA 95110 4082460433 0 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 280933 357789 283960 278569 80590 1281841 280933 357789 283960 278569 80590 1281841 44704 1237137 864 787 217 72 109 2049 1283890 194476 0.96360 0.94550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED GOLF TOURNAMENT 21952 6216 15736 15736 POKER TOURNAMENT 13657 10721 2936 2936 2 15531 10046 5485 5485 51140 26983 24157 24157 24157 0 OTHER INVESTMENT INCOME FORM 990-EZ, PART I, LINE 4 INTEREST 109.. OCCUPANCY, RENT, UTILITIES AND MAINTENENCE FORM 990-EZ, PART I, LINE 14 DESCRIPTION: DEPRECIATION. AMOUNT: 3,338. DESCRIPTION: OTHER EXPENSES. AMOUNT: 3,387. TOTAL TO FORM 990-EZ, LINE 14: 6,725. OTHER EXPENSES FORM 990-EZ, PART I, LINE 16 DESCRIPTION: TRAINING. AMOUNT: 4,957. DESCRIPTION: MISCELLANEOUS. AMOUNT: 120. DESCRIPTION: PROGRAM SPECIFIC EXPENSES. AMOUNT: 21,923. DESCRIPTION: BAD DEBT EXPENSE. AMOUNT: 23,465. DESCRIPTION: IT EXPENSES. AMOUNT: 998. DESCRIPTION: INSURANCE. AMOUNT: 3,327. DESCRIPTION: FUNDRAISING EXPENSES. AMOUNT: 22,484. DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 947. DESCRIPTION: BANK FEES. AMOUNT: 1,816. DESCRIPTION: TELEPHONE. AMOUNT: 2,002. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 351. DESCRIPTION: EQUIPMENT LEASE. AMOUNT: 3,247. TOTAL TO FORM 990-EZ, LINE 16: 85,637. OTHER ASSETS FORM 990-EZ, PART II, LINE 24 DESCRIPTION: PLEDGES RECEIVABLE. BEG. OF YEAR AMOUNT: 21,605. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID EVENT EXPENSE. BEG. OF YEAR AMOUNT: 6,435. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNT RECEIVABLE. BEG. OF YEAR AMOUNT: 1,861. END OF YEAR AMOUNT: 0. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 7,334. END OF YEAR AMOUNT: 0. OTHER LIABILITIES FORM 990-EZ, PART II, LINE 26 DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 10,018. END OF YEAR AMOUNT: 42,939. DESCRIPTION: LOAN PAYABLE. BEG. OF YEAR AMOUNT: 15,000. END OF YEAR AMOUNT: 15,000. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 1,500. END OF YEAR AMOUNT: 0. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.