2012-04-09T08:19:24-05:00 2011-12-31 540737372 PBGH LLP 725 JACKSON STREET SUITE 210 FREDERICKSBURG VA 22401 990 2011-01-01 273228310 BOULDER CREST RETREAT FOUNDATION BOUL 8047719588 18490 BLUERIDGE MOUNTAIN ROAD BLUEMONT VA 20135 KEN FALKE 8047719588 2012-04-02 1 MIKE KENNISON P01034564 5403713566 2012-04-02 2011 2016-02-24 21:20:13Z X KEN FALKE 18490 BLUERIDGE MOUNTAIN ROAD BLUEMONT VA 20135 634047 0 X WWW.BOULDERCRESTRETREAT.ORG X 2010 VA BOULDER CREST RETREAT INTENDS TO OFFER FACILITIES AND SERVICES TO WOUNDED WARRIORS AND THEIR FAMILIES WHO COME TO REST AND HEAL. 18 18 0 0 0 0 634047 0 0 0 634047 0 0 0 94184 108858 20916 115100 518947 529835 10888 518947 PROVIDE HOUSING AND HEALING 0 0 116 PROVIDE HOUSING/HEALING 116 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X THE ORGANIZATION 8047719588 18490 BLUERIDGE MOUNTAIN ROAD BLUEMONT VA 20135 X KEN FALKE 10.00 X X 0 0 0 FRED MALEK 5.00 X X 0 0 0 JOHN COSTER 2.00 X 0 0 0 CHRIS FERGUSON 2.00 X 0 0 0 STEVE KUPKA 2.00 X 0 0 0 HONORABLE IKE SKELTON 2.00 X 0 0 0 TOBIN MCGREGOR 2.00 X 0 0 0 SEAN HAYNES 2.00 X 0 0 0 ROB VELTRE 2.00 X 0 0 0 KATHLEEN KEIRNAN 2.00 X 0 0 0 NEIL POLLARD 2.00 X 0 0 0 ROB KLINGENSMITH 2.00 X 0 0 0 TRACEY ELLIS 2.00 X 0 0 0 MICHAEL WESTPHAL 2.00 X 0 0 0 JACK CAUSA 2.00 X 0 0 0 JUSTIN TAFT 2.00 X 0 0 0 ANNA BIRCH 2.00 X 0 0 0 HENRY STOEVER 2.00 X 0 0 0 0 0 0 0 0 0 0 0 634047 513661 634047 634047 0 0 0 2833 2833 1250 1250 94184 94184 1496 1496 13402 13402 1066 269 797 233 116 117 251 251 OTHER EXPENSES 385 27 358 115100 116 6126 108858 122166 1257 406645 233 0 406412 0 529835 10888 0 10888 X 518947 0 518947 0 529835 518947 0 X 0 1 1 X 0 X 264047 264047 264047 264047 178755 85292 264047 X SCHEDULE A, PART IV, LIST OF UNUSUAL GRANTS: DONATION OF LAND DATE: 12/27/11 AMOUNT: 370000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 370000 370000 36645 233 36412 406412 634047 115100 518947 518947 634047 0 634047 0 634047 115100 0 115100 0 115100 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT 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. X X 1 ANNABEL HUGHES 33679 SNICKERSVILLE TURNPIKE BLUEMONT VA 20135 GRANT WRITING, SUPPORT IN HOUSE FUNDRAISING 0 0 66821 0 SUSAN SMITH PO BOX 1264 MIDDLEBURG VA 20118 GRANT WRITING 0 0 21363 0 SARAH FEHRER PO BOX 8947 FAIRFAX VA 22931 GRANT WRITING 0 0 6000 0 94184 VA X 1 370000 APPRAISAL X FIXED ASSETS 1 36645 BILLS X EXPENSES 1 107016 BILLS 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD AND BOOKKEEPER REVIEWS FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO PUBLIC UPON REQUEST.