2012-08-13T12:10:15-05:00 2011-09-30 MOUNTJOY CHILTON MEDLEY LLP 462 S FOURTH ST SUITE 2000 LOUISVILLE KY 402023445 990 2010-10-01 611267261 PASSPORT INC PASS 8007690210 3421 SIERRA DRIVE BIRMINGHAM AL 35216 DAVID BURROUGHS 8007690210 2012-07-26 1 MARGARET G JOLLY CPA 5027491900 2010 2016-02-24 21:20:13Z DAVID BURROUGHS 3421 SIERRA DRIVE BIRMINGHAM AL 35216 3101548 0 X WWW.PASSPORTCAMPS.ORG X 1994 KY RESOURCES, CAMPS AND CONFERENCES FOR MINISTRY AND MISSION TO AND THROUGH STUDENTS IN THE U.S. AND INTERNATIONALLY. 5 3 68 1095 0 0 405686 1087329 1947445 1872970 264 5720 39516 34701 2392911 3000720 111481 90281 0 0 678059 766860 0 0 19321 1496172 1432698 2285712 2289839 107199 710881 1007437 1736150 926715 963246 80722 772904 X PASSPORT, INC. IS A NATIONAL MINISTRY ORGANIZATION HELPING STUDENTS TO LOOK BEYOND THEMSELVES TO THE WORLD AROUND THEM. STARTED AS A SUMMER MISSIONS CAMP FOR YOUTH, PASSPORT WAS DESIGNED TO JOIN TOGETHER TWO IMPORTANT SUMMER YOUTH EVENTS INTO ONE: THE MISSION TRIP AND THE WEEK OF CAMP. OUR MISSIONS STATEMENT READS: WITH CHRIST AS OUR FOUNDATION, PASSPORT EMPOWERS STUDENTS TO ENCOUNTER CHRIST, EMBRACE COMMUNITY, AND EXTEND GRACE TO THE WORLD. 1 0 1099012 31492 1340383 YOUTH CAMP: GIVES CAMPERS THE OPPORTUNITY TO PARTICIPATE IN BIBLE STUDY, RECREATION, EDUCATIONAL SEMINARS, MISSION WORK, WORSHIP SERVICES AND NIGHTLY SOCIAL EVENTS. OFFERING A HELPING HAND TO THE SURROUNDING COMMUNITIES GIVES CAMPERS THE CHANCE TO GROW IN WAYS THEY MAY NEVER HAVE CONSIDERED. 493759 11576 515862 KIDS CAMP: CAMPERS PARTICIPATE IN BIBLE STUDY, RECREATION, DEVOTIONS, WORSHIP SERVICES AND NIGHTLY SOCIAL EVENTS, PROVIDING AN ACTIVE FAITH-BUILDING EXPERIENCE FOR 3RD TO 6TH GRADERS. 112623 16725 THE ECHO INITIATIVE: PASSPORT RECEIVED A 4-YEAR GRANT FROM THE LILLY ENDOWMENT TO BEGIN A PROGRAM CALLED THE ECHO INITIATIVE. WE ARE CURRENTLY IN THE FIRST YEAR PHASE OF THIS PROJECT. PASSPORT IS PRODUCING CURRICULUM FOR A CHILDREN'S VACATION BIBLE SCHOOL, YOUTH AND YOUNG ADULT SUNDAY SCHOOL SERIES, A LOCAL CHURCH YOUTH AND YOUNG ADULT RETREAT-IN-A-BOX AND PASSPORT CHOICES PROGRAM. 47213 47213 OTHER PROGRAM SERVICES 47213 47213 1752607 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 1 68 1 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 KY X THE ORGANIZATION 8007690210 3421 SIERRA DRIVE BIRMINGHAM AL 35216 DAVID BURROUGHS 60.00 X X 51553 0 41912 COLLEEN BURROUGHS 60.00 X X 52837 0 6688 CAROLYN ANDERSON 0.10 X X 0 0 0 NATHAN HANSON 0.10 X X 0 0 0 GRACE POWELL FREEMAN 0.10 X X 0 0 0 104390 0 48600 0 0 0 0 0 1087329 1087329 YOUTH PROGRAM 900099 1254860 1254860 PASSPORT KIDS 900099 476168 476168 INTERNATIONAL CAMPS 900099 68400 68400 PRODUCTION INCOME 900099 43197 43197 ECHO INITIATIVE 900099 16725 16725 13620 13620 1872970 14728 14728 66751 75759 -9008 -9008 -9008 54565 25069 29496 29496 OTHER INCOME 900099 5205 5205 5205 3000720 1872970 0 40421 44595 44595 500 500 45186 45186 95109 23777 62267 9065 450493 237313 207828 5352 37067 16680 20387 163056 97834 65222 21135 18154 2981 90 90 8602 8602 40716 20487 20229 28263 28263 53283 18232 35051 15341 11678 3663 69263 23300 45963 160096 151826 8270 7494 4946 2548 129 129 29659 29659 36646 33682 2964 CAMP ROOM AND BOARD 763880 763880 CAMP ACTIVITIES AND PRO 206081 206081 MISCELLANEOUS EXPENSES 11097 6193 4904 DUES AND SUBSCRIPTIONS 2058 2058 2289839 1752607 517911 19321 2499 5463 152343 625071 4972 1223 45559 47808 7469 35741 1101805 328910 793434 772895 246035 208 42 953 1872 1007437 1736150 326635 340448 6768 8350 564238 545151 29074 69297 926715 963246 X 0 0 0 0 80722 772904 80722 772904 1007437 1736150 X 710881 -18699 X 0 0 0 X 597803 499516 590727 405686 1087329 3181061 2186624 2112637 2649740 2004384 1927535 10880920 2784427 2612153 3240467 2410070 3014864 14061981 26950 19695 4390 1565 775 53375 0 26950 19695 4390 1565 775 53375 14008606 5464 689 363 264 14728 21508 5464 689 363 264 14728 21508 1644 3171 5205 10020 2789891 2612842 3242474 2413505 3034797 14093509 0.99400 0.99300 0.00150 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 347189 347189 542594 125839 416755 129107 121583 7524 82915 81488 1427 772895 REGISTRATION INCOME 69297 69297 1 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICE WATER PROJECTS - BUILDING WELLS, TOILETS, HANDWASHING STATIONS 45186 0 0 0 0 0 0 45186 0 45186 SUB-SAHARAN AFRICA SCHOOL HYGIENE: 8 VIP LATRINES, 2 HANDWASHING STATIONS 5620 WIRE TRANSFER SUB-SAHARAN AFRICA LATRINES IN 2 CITY SCHOOLS IN LILONGWE CITY SOUTH, SANITATION CLUBS IN MULTIPLE SCHOOLS (10,000); STUDENT WATER AND SANITATION AWARENESS CAMPAIGN (3,167) 13167 WIRE TRANSFER SUB-SAHARAN AFRICA COMPLETION OF PRIOR YEAR PROJECT - CONSTRUCTION OF TOILETS FOR SCHOOLS AND SHALLOW WELLS 1400 WIRE TRANSFER SUB-SAHARAN AFRICA DRILL WELLS FOR HOUSEHOLD LATRINES. DRILL WELLS FOR LATRINES AND WASHING STATIONS IN SCHOOLS. 25000 CHECK 4 0 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: PASSPORT PARTNERS WITH NGOS IN MALAWI TO ASSIST WITH WATER PROJECTS, SUCH AS BUILDING WELLS, CONSTRUCTION OF LATRINES AND HANDWASHING STATIONS IN SCHOOLS, AND HYGIENE EDUCATION. PASSPORT MONITORS THESE GRANTED FUNDS THROUGH REVIEWING THEIR ANNUAL FINANCIAL STATEMENTS, AS WELL AS SUMMARIES OF PROJECTS SUPPORTED INCLUDING A FINANCIAL BREAKDOWN. PERIODICALLY, SITE VISITS TAKE PLACE TO ENSURE ALL PROJECTS ARE BEING ACCOMPLISHED IN A TIMELY MANNER. 1 COOPERATIVE BAPTIST FELLOWSHIP 2930 FLOWERS ROAD SOUTH STE 133 ATLANTA GA 30341 582116771 501(C)(3) 44595 MISSIONARIES IN CHINA, CHINESE PASTOR TRAINING, AND ANGEL HOUSE, A CENTER FOR CHILDREN WITH CEREBRAL PALSY IN CHINA (43,095); SUPPORT INTERNATIONAL MISSIONARY (1,500) 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PASSPORT PARTNERS WITH 501(C)(3) NONPROFITS IN THE UNITED STATES ANNUALLY FOR PROJECTS IN THE US AND AROUND THE WORLD. PASSPORT MONITORS THESE GRANTED FUNDS THROUGH REQUIRING AND REVIEWING THEIR ANNUAL AUDITED FINANCIAL STATEMENTS, AS WELL AS SUMMARIES OF PROJECTS SUPPORTED INCLUDING A FINANCIAL BREAKDOWN. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 PASSPORT RECEIVED A 4-YEAR GRANT FROM THE LILLY ENDOWMENT TO BEGIN A PROGRAM CALLED THE ECHO INITIATIVE. PASSPORT IS PRODUCING A CHILDREN'S VACATION BIBLE SCHOOL CURRICULUM, YOUTH AND YOUNG ADULT SUNDAY SCHOOL SERIES, A LOCAL CHURCH YOUTH AND YOUNG ADULT RETREAT-IN-A-BOX AND NEW MINISTRY MODULES FOR THE PASSPORT CHOICES PROGRAM. WE WILL ALSO CREATE A YOUTH WORKER'S RETREAT, AND BEGIN A PROGRAM CALLED PASSPORTEXPEDITIONS, WHERE YOUTH AND COLLEGE STUDENTS ARE SENT TO A NATIONAL OR INTERNATIONAL PROJECT OR MINISTRY SITE FOR A SHORT-TERM ASSIGNMENT. FORM 990, PART VI, SECTION A, LINE 2 DAVID BURROUGHS AND COLLEEN BURROUGHS HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 PASSPORT'S FINANCIAL MANAGER PROVIDES FINANCIAL INFORMATION, AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990, AND DAVID BURROUGHS, PRESIDENT AND CEO, THEN REVIEWS ALL FINANCIAL DOCUMENTS BEFORE FILING. A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PASSPORT, INC. MONITORS THE CONFLICT OF INTEREST POLICY BY AN ANNUAL REVIEW PREPARED BY THE PRESIDENT, AND PRESENTED TO THE BOARD OF DIRECTORS. POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE BOARD FOR A VOTE. IF IT INVOLVES A BOARD MEMBER, THAT PERSON IS EXCLUDED FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 REASONABLE COMPENSATION FOR DAVID BURROUGHS AND COLLEEN BURROUGHS IS DETERMINED USING COMPARATIVE COMPENSATION SURVEYS AND VOTED ON BY A QUORUM OF THE BOARD OF DIRECTORS, NOT INCLUDING DAVID & COLLEEN. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -18,699.