FAWN LAKE COUNTRY CLUB INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FAWN LAKE COUNTRY CLUB INC (EIN 27-3547144)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-14
IRS object ID
201223199349303302
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)
Timestamp2012-11-14T11:54:10-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN540737372EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PBGH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1725 JACKSON STREET SUITE 210AddressLine1
CityFREDERICKSBURGCity
StateVAState
ZIP Code22401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN273547144EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAWN LAKE COUNTRY CLUBBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAWNNameControl
Phone5409726014Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111305 LONG STREET DRIVEAddressLine1
CitySPOTSYLVANIACity
StateVAState
ZIP Code22551ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAN HARRISName
TitleTREASURERTitle
Phone5409726014Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMIKE KENNISONName
PTINP01034564PTIN
Phone5403713566Phone
Date Prepared2012-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAN HARRISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111305 LONG STREET DRIVEAddressLine1
CitySPOTSYLVANIACity
StateVAState
ZIP Code22551ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2305200GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.FAWNLAKECC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionFAWN LAKE COUNTRY CLUB IS A NON-PROFIT CORPORATION DEDICATED TO THE PROMOTION AND SUPPORT OF GOLF, TENNIS AND RELATED SOCIAL ACTIVITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees50TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year961959ProgramServiceRevenuePriorYear
Program Service Revenue CY1501483ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year-5019InvestmentIncomeCurrentYear
Other Revenue Prior Year243671OtherRevenuePriorYear
Other Revenue Current Year384589OtherRevenueCurrentYear
Total Revenue Prior Year1205630TotalRevenuePriorYear
Total Revenue Current Year1881053TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year793408SalariesEtcPriorYear
Salaries Etc Current Year1192511SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year392678OtherExpensePriorYear
Other Expenses Current Year725018OtherExpensesCurrentYear
Total Expenses Prior Year1186086TotalExpensesPriorYear
Total Expenses Current Year1917529TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19544RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-36476RevenuesLessExpensesCY
Total Assets BOY475813TotalAssetsBOY
Total Assets EOY430258TotalAssetsEOY
Total Liabilities BOY456269TotalLiabilitiesBOY
Total Liabilities EOY466790TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19544NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-36532NetAssetsOrFundBalancesEOY
Mission DescriptionFAWN LAKE COUNTRY CLUB IS A NON-PROFIT CORPORATION DEDICATED TO THE PROMOTION AND SUPPORT OF SOCIAL ACTIVITIES TO IT'S MEMBERS INCLUDING GOLF,TENNIS AND DINING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROMOTES AND PROVIDES SOCIAL ACTIVITIES TO IT'S MEMBERS INCLUDING GOLF, TENNIS AND DINING.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees50NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Initiation Fees$24,000InitiationFeesAmount
Gross Receipts$0GrossReceiptsAmount
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FAWN LAKE COUNTRY CLUBBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5409726014TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111305 LONG STREET DRIVEAddressLine1
CitySPOTSYLVANIACity
StateVAState
ZIP Code22551ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
KRISTEN SWANSON
DIRECTOR2.00X000
HUGH RISSEEUW
DIRECTOR2.00X000
LLOYD HARRISON
DIRECTOR2.00X000
ED GILLIS
DIRECTOR - ADJUNCT MEMBER2.00X000
BOB STUMPF
CHAIRMAN4.00000X
LYNN MANTHEI
VICE CHARIMAN4.00000X
DAN HARRIS
TREASURER8.00000X
BOB MYER
SECRETARY4.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP DUES71391011207921120792
GOLF713910352874352874
ROOM RENTALS7139101779117791
MISCELLANEOUS71391091699169
TENNIS713910857857
FieldValueIRS element (for citing)
Total Program Service Revenue1501483TotalProgramServiceRevenue

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other5019Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-5019Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5019TotalRevenueColumn
Related Or Exempt Function Income-5019RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory803717GrossSalesOfInventory
Cost Of Goods Sold419128CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column384589TotalRevenueColumn
Related Or Exempt Function Income384589RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1881053TotalRevenueColumn
Related Or Exempt Function Income1881053RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1028994Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total64412Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total99105Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11313Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12244Total

Advertising Advertising

FieldValueIRS element (for citing)
Total12558Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11399Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total13051Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total98389Total

Travel Travel

FieldValueIRS element (for citing)
Total842Total

Interest Interest

FieldValueIRS element (for citing)
Total8617Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26749Total

Insurance Insurance

FieldValueIRS element (for citing)
Total30634Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
MAINTENANCE130386
EQUIPMENT RENTAL/MAINTE90446
SUPPLIES75915
CONTRACT SERVICES44298

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total158177Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1917529Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY104341BOY
EOY73793EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY224729BOY
EOY224289EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY2253EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY52972BOY
EOY52626EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9815BOY
EOY24120EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis87404LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec34227LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY83956BOY
EOY53177EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY475813BOY
EOY430258EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY287685BOY
EOY110336EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY116593BOY
EOY131159EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY51991BOY
EOY221082EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY4213EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY456269BOY
EOY466790EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19544BOY
EOY-36532EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19544BOY
EOY-36532EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY475813BOY
EOY430258EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-36476ReconcilationRevenueExpenses
Reconcilation Other Changes-19600ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited0FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis68812OtherCostOrOtherBasis
Depreciation34227Depreciation
Book Value34585BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18592OtherCostOrOtherBasis
Book Value18592BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings53177TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEPOSITSDescription
Amount$4,213Amount
FieldValueIRS element (for citing)
Total Of Amounts4213TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11RETURNS PROVIDED ARE REVIEWED INDEPENDENTLY BY EACH MEMBER.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST. INTERESTED PARTIES MAY CONTACT THE ACCOUNTING MANAGER AT 11305 LONG STREET DRIVE; SPOTSYLVANIA, VA 22551.
FORM 990, PART XI, LINE 5:PRIOR PERIOD ADJUSTMENTS: -19,600.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XI, LINE 5FAWN LAKE COUNTRY CLUB OMITTED A LIABILITY FOR REFUNDS OF INITIATION FEES DUE TO MEMBERS IN THE AMOUNT OF $19,600 IN THE TAX YEAR ENDING JUNE 30, 2011. THIS ENTRY TO THE OPENING FUND BALANCE IS TO REFLECT THE PROPER BEGINNING BALANCE AS OF JULY 1, 2011.ADJUSTMENT TO OPENING FUND BALANCE

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