HARDIN COUNTY HUMANE SOCIETY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HARDIN COUNTY HUMANE SOCIETY (EIN 34-1856984)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-04-26
IRS object ID
201211179349300606
Schema version
2011v1.2
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)
Timestamp2012-04-26T10:03:30-00:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Katrina Hughes Collins CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1321 N Market StAddressLine1
CityKentonCity
StateOHState
ZIP Code43326ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341856984EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hardin County Humane SocietyBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHARDNameControl
Phone4196732918Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 329AddressLine1
CityKentonCity
StateOHState
ZIP Code43326ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSusan FetzerName
TitleTreasurerTitle
Date Signed2012-04-26DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKatrina CollinsName
Phone4196731773Phone
Date Prepared2012-04-26DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSue FetzerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14232 Co Rd 49AddressLine1
CityBellefontaineCity
StateOHState
ZIP Code43311ZIPCode
FieldValueIRS element (for citing)
Gross Receipts326144GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.hchumane.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionThe Hardin County Humane Society is dedicated to the prevention and alleviation of animal suffering, the elimination of pet overpopulation, and the education of the public about responsible pet ownership in the area served by the Society. Significant activities include spaying and neutering program, public education program, and fundraising towards a future animal shelter.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year11073ContributionsGrantsPriorYear
Contributions Grants Current Year24804ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year963InvestmentIncomePriorYear
Investment Income Current Year532InvestmentIncomeCurrentYear
Other Revenue Prior Year64423OtherRevenuePriorYear
Other Revenue Current Year58811OtherRevenueCurrentYear
Total Revenue Prior Year76459TotalRevenuePriorYear
Total Revenue Current Year84147TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY621BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year41487OtherExpensePriorYear
Other Expenses Current Year58791OtherExpensesCurrentYear
Total Expenses Prior Year41487TotalExpensesPriorYear
Total Expenses Current Year59412TotalExpensesCurrentYear
Revenues Less Expenses Prior Year34972RevenuesLessExpensesPriorYear
Revenues Less Expenses CY24735RevenuesLessExpensesCY
Total Assets BOY407766TotalAssetsBOY
Total Assets EOY398423TotalAssetsEOY
Total Liabilities BOY146921TotalLiabilitiesBOY
Total Liabilities EOY123940TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY260845NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY274483NetAssetsOrFundBalancesEOY
Mission DescriptionThe Hardin County Humane Society is dedicated to the prevention and alleviation of animal suffering, the elimination of pet overpopulation, and the education of the public about responsible pet ownership in the area served by the Society.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense58611Expense
DescriptionTo provide education as to the care of animals through educational publications to the residents of Hardin County, Ohio. The programs include having animals spayed and neutered. In 2011, approximately 812 animals were spayed and neutered.Description
Total Program Service Expense58611TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
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
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSusan FetzerNamePerson
Telephone Number9375994539TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14243 Co Rd 49AddressLine1
CityBellefontaineCity
StateOHState
ZIP Code43311ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
Steve Flack
President020.00X000
Linda Shaffer
Vice Pres005.00X000
Judy Leiberick
Secretary010.00X000
Susan Fetzer
Treasurer020.00X000
Rosemary Hites
Trustee007.00000X
John Howell
Trustee003.00000X
Phyllis Howell
Trustee015.00000X
Mike Kissling
Trustee007.00000X
Doris Kissling
Trustee007.00000X
Tabitha Williams
Trustee005.00000X
Teresa Holbrook
Trustee007.00000X
Brian Shaffer
Trustee005.00000X
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Membership Dues3697MembershipDues
All Other Contributions21107AllOtherContributions
Total Contributions24804TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column532TotalRevenueColumn
Related Or Exempt Function Income532RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real7538Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7538Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7538TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events1343GrossIncomeFundraisingEvents
Fundraising Direct Expenses492FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column851TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming291927GrossIncomeGaming
Gaming Direct Expenses241505GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column50422TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column84147TotalRevenueColumn
Related Or Exempt Function Income532RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total621Total
Program Services621ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total100Total
Program Services100ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total500Total
Program Services500ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total252Total
Program Services252ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1602Total
Program Services801ProgramServices
Management And General801ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12802Total
Program Services12802ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total7166Total
Program Services7166ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7865Total
Program Services7865ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1183Total
Program Services1183ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Printing costs561561
Pet Food Pantry and Adopted Horse fees60116011
Spaying and Neutering Fees and Foster Dog Fees2006520065
Postage264264

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total420Total
Program Services420ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total59412Total
Program Services58611ProgramServices
Management And General801ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21893BOY
EOY28317EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY84665BOY
EOY67795EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis340314LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec38003LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY301208BOY
EOY302311EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY407766BOY
EOY398423EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY146921BOY
EOY123940EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY146921BOY
EOY123940EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY260845BOY
EOY274483EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY260845BOY
EOY274483EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY407766BOY
EOY398423EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses24735ReconcilationRevenueExpenses
Reconcilation Other Changes-11097ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12183CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15642CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11073CurrentTaxYearMinus1Year
Current Tax Year24804CurrentTaxYear
Total72278Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12183CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15642CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11073CurrentTaxYearMinus1Year
Current Tax Year24804CurrentTaxYear
Total72278Total
FieldValueIRS element (for citing)
Public Support Total17072278PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3577CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3247CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4852CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6301CurrentTaxYearMinus1Year
Current Tax Year8070CurrentTaxYear
Total26047Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13776CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years43556CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51265CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59085CurrentTaxYearMinus1Year
Current Tax Year51273CurrentTaxYear
Total218955Total
FieldValueIRS element (for citing)
Total Support317280TotalSupport
Public Support Pertcentage1700.22780PublicSupportPertcentage170
Public Support Pertcent Prior Year0.21960PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage
Facts And Circumstances TestPart II Line 17a The majority of income for the organization does come directly from the pubic in the form of gaming. The organization conducts bingo one day per week all 52 weeks of the year. The organization normally nets around 1000 per week of net income. The organization is therefore a publicly supported organization. Part IFactsAndCircumstancesTest

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis33430OtherCostOrOtherBasis
Book Value33430BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis306156OtherCostOrOtherBasis
Depreciation37967Depreciation
Book Value268189BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis728OtherCostOrOtherBasis
Depreciation36Depreciation
Book Value692BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings302311TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Bingo291927GrossRevenueBingo
Cash Prizes Bingo224271CashPrizesBingo
Non Cash Prizes Bingo713NonCashPrizesBingo
Other Direct Expenses Bingo16521OtherDirectExpensesBingo
Volunteer Labor BingotrueVolunteerLaborBingo
Volunteer Labor Percentage Bingo1.00000VolunteerLaborPercentageBingo
Gross Revenue Total Gaming291927GrossRevenueTotalGaming
Cash Prizes Total Gaming224271CashPrizesTotalGaming
Non Cash Prizes Total Gaming713NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming16521OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming241505DirectExpenseSummaryGaming
Net Gaming Income Summary50422NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedOHStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmemberstrueGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility1.00000PercentageOfGamingOwnFacility
Name Of Gaming Rec Keeper PersonSusan FetzerNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line14243 Co Rd 49AddressLine1
CityBellefontaineCity
StateOHState
ZIP Code43311ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part XI5The difference of -11097 is the timing difference carried over from year 2010 form 990 less current year depreciation. This was an improvement from year 2010 which was missed on last years 990.
Form 990 Part VI2Board members John and Phyllis Howell are husband and wife. Board members Brian and Linda Shaffer are husband and wiffe. Board members Mike and Doris Kissling are husband and wife.
Form 990 Part VI11aThe board reviews form 990 at its May meeting before it is filed.
Form 990 Part VI12cBoard members are requred to disclose any potential conflict of interests and abstain from voting on issues of which they are in conflict with.
Form 990 Part VI19The organization makes its governing documents, conflict of interest policy, and its financial statements available to the public upon request.
Form 990 Part XI Line 5 The difference of -11097 is the timing difference carried over from year 2010 form 990 less current year depreciation. This was an improvement from year 2010 which was missed on last years 990. Form 990 Part VI Section A Line 2 Board members John and Phyllis Howell are husband and wife. Board members Brian and Linda Shaffer are husband and wiffe. Board members Mike and Doris Kissling are husband and wife. Form 990 Part VI Section B Line 11a The board reviews form 990 at its May meeting before it is filed. Form 990 Part VI Section B Line 12c Board members are requred to disclose any potential conflict of interests and abstain from voting on issues of which they are in conflict with. Form 990 Part VI Section C Line 19 The organization makes its governing documents, conflict of interest policy, and its financial statements available to the public upon request.

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