BOULDER CREST FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BOULDER CREST FOUNDATION (EIN 27-3228310)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-04-09
IRS object ID
201231009349300403
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)
Timestamp2012-04-09T08:19:24-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN273228310EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOULDER CREST RETREAT FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBOULNameControl
Phone8047719588Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118490 BLUERIDGE MOUNTAIN ROADAddressLine1
CityBLUEMONTCity
StateVAState
ZIP Code20135ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEN FALKEName
TitleCHAIRMANTitle
Phone8047719588Phone
Date Signed2012-04-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMIKE KENNISONName
PTINP01034564PTIN
Phone5403713566Phone
Date Prepared2012-04-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnXInitialReturn
Name Of Principal Officer PersonKEN FALKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line118490 BLUERIDGE MOUNTAIN ROADAddressLine1
CityBLUEMONTCity
StateVAState
ZIP Code20135ZIPCode
FieldValueIRS element (for citing)
Gross Receipts634047GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BOULDERCRESTRETREAT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionBOULDER CREST RETREAT INTENDS TO OFFER FACILITIES AND SERVICES TO WOUNDED WARRIORS AND THEIR FAMILIES WHO COME TO REST AND HEAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year634047ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Current Year634047TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY94184TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year108858TotalFundrsngExpCurrentYear
Other Expenses Current Year20916OtherExpensesCurrentYear
Total Expenses Current Year115100TotalExpensesCurrentYear
Revenues Less Expenses CY518947RevenuesLessExpensesCY
Total Assets EOY529835TotalAssetsEOY
Total Liabilities EOY10888TotalLiabilitiesEOY
Net Assets Or Fund Balances EOY518947NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HOUSING AND HEALINGMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense116Expense
DescriptionPROVIDE HOUSING/HEALINGDescription
Total Program Service Expense116TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
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 Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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 Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8047719588TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118490 BLUERIDGE MOUNTAIN ROADAddressLine1
CityBLUEMONTCity
StateVAState
ZIP Code20135ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KEN FALKE
CHAIRMAN10.00XX000
FRED MALEK
VICE CHAIRMAN5.00XX000
JOHN COSTER
DIRECTOR2.00X000
CHRIS FERGUSON
DIRECTOR2.00X000
STEVE KUPKA
DIRECTOR2.00X000
HONORABLE IKE SKELTON
DIRECTOR2.00X000
TOBIN MCGREGOR
DIRECTOR2.00X000
SEAN HAYNES
DIRECTOR2.00X000
ROB VELTRE
DIRECTOR2.00X000
KATHLEEN KEIRNAN
DIRECTOR2.00X000
NEIL POLLARD
DIRECTOR2.00X000
ROB KLINGENSMITH
DIRECTOR2.00X000
TRACEY ELLIS
DIRECTOR2.00X000
MICHAEL WESTPHAL
DIRECTOR2.00X000
JACK CAUSA
DIRECTOR2.00X000
JUSTIN TAFT
DIRECTOR2.00X000
ANNA BIRCH
DIRECTOR2.00X000
HENRY STOEVER
DIRECTOR2.00X000
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
All Other Contributions634047AllOtherContributions
Noncash Contributions513661NoncashContributions
Total Contributions634047TotalContributions

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column634047TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2833Total
Management And General2833ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1250Total
Management And General1250ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total94184Total
Fundraising94184Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1496Total
Management And General1496ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total13402Total
Fundraising13402Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1066Total
Management And General269ManagementAndGeneral
Fundraising797Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total233Total
Program Services116ProgramServices
Fundraising117Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total251Total
Management And General251ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOTHER EXPENSESDescription
Total385Total
Management And General27ManagementAndGeneral
Fundraising358Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total115100Total
Program Services116ProgramServices
Management And General6126ManagementAndGeneral
Fundraising108858Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY122166EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY1257EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis406645LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec233LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY406412EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY529835EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY10888EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY10888EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
EOY518947EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY518947EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY529835EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses518947ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year264047CurrentTaxYear
Total264047Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year264047CurrentTaxYear
Total264047Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total178755AmountsSubstContributorsTotal
Public Support Total17085292PublicSupportTotal170
Total Support264047TotalSupport
First5 Years170XFirst5Years170
General ExplanationSCHEDULE A, PART IV, LIST OF UNUSUAL GRANTS: DONATION OF LAND DATE: 12/27/11 AMOUNT: 370000.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis370000OtherCostOrOtherBasis
Book Value370000BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36645OtherCostOrOtherBasis
Depreciation233Depreciation
Book Value36412BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings406412TotalOfBookValueLandBuildings
Total Revenue634047TotalRevenue
Total Expenses115100TotalExpenses
Excess Or Deficit For Year518947ExcessOrDeficitForYear
Excess Or Deficit Per FS518947ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt634047TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal634047RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990634047TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt115100TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal115100ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990115100TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationMANAGEMENT EVALUATED THE FOUNDATIONS TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THE INCOME TAXES TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION. THE FOUNDATION EXPECTS TO FILE FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, ANNUALLY WITH THE UNITED STATES DEPARTMENT OF THE TREASURY. THIS IS THE FIRST YEAR OF OPERATIONS FOR THE FOUNDATION; THEREFORE, THERE ARE NO PRIOR YEAR RETURNS SUBJECT TO EXAMINATION BY THE IRS.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (3 entries)

Name Of IndividualNameOfIndividualAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
ANNABEL HUGHES33679 SNICKERSVILLE TURNPIKEBLUEMONTVA20135GRANT WRITING, SUPPORT IN HOUSE FUNDRAISING00668210
SUSAN SMITHPO BOX 1264MIDDLEBURGVA20118GRANT WRITING00213630
SARAH FEHRERPO BOX 8947FAIRFAXVA22931GRANT WRITING0060000
FieldValueIRS element (for citing)
Total Retained By Contractors94184TotalRetainedByContractors
Licensed StatesVALicensedStates

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990370000NoncashContribsRptdF990
Method Of Determining RevenuesAPPRAISALMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XFIXED ASSETS136645BILLS
XEXPENSES1107016BILLS
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE BOARD AND BOOKKEEPER REVIEWS FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT THE PERSON HAS RECEIVED, READ, UNDERSTOOD AND AGREED TO COMPLY WITH THE POLICY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO PUBLIC UPON REQUEST.

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