ADAMS COUNTY COMMUNITY FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ADAMS COUNTY COMMUNITY FOUNDATION INC (EIN 35-1834664)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201233189349303533
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)
Timestamp2012-11-13T13:20:07-00:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Estep Burkey Simmons LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 42AddressLine1
CityMuncieCity
StateINState
ZIP Code473080042ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351834664EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Adams County Community Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlADAMNameControl
Phone2607243939Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1102 N 2nd StAddressLine1
CityDecaturCity
StateINState
ZIP Code467331609ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRoger ThompsonName
TitlePresidentTitle
Date Signed2012-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePatrick BurkeyName
Phone7652847554Phone
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 PersonRoger ThompsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1102 North 2nd StreetAddressLine1
CityDecaturCity
StateINState
ZIP Code46733ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4782538GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.adamscountyfoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionBuilding partnerships between donors and community to enrich and enhance the quality of life in Adams County, Indiana.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers55TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year720691ContributionsGrantsPriorYear
Contributions Grants Current Year362963ContributionsGrantsCurrentYear
Program Service Revenue Prior Year57744ProgramServiceRevenuePriorYear
Program Service Revenue CY62401ProgramServiceRevenueCY
Investment Income Prior Year155417InvestmentIncomePriorYear
Investment Income Current Year518627InvestmentIncomeCurrentYear
Other Revenue Current Year701OtherRevenueCurrentYear
Total Revenue Prior Year933852TotalRevenuePriorYear
Total Revenue Current Year944692TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year349551GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY326106GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year88035SalariesEtcPriorYear
Salaries Etc Current Year91772SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year29624TotalFundrsngExpCurrentYear
Other Expense Prior Year186338OtherExpensePriorYear
Other Expenses Current Year195074OtherExpensesCurrentYear
Total Expenses Prior Year623924TotalExpensesPriorYear
Total Expenses Current Year612952TotalExpensesCurrentYear
Revenues Less Expenses Prior Year309928RevenuesLessExpensesPriorYear
Revenues Less Expenses CY331740RevenuesLessExpensesCY
Total Assets BOY8419717TotalAssetsBOY
Total Assets EOY8148023TotalAssetsEOY
Total Liabilities BOY360883TotalLiabilitiesBOY
Total Liabilities EOY323174TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8058834NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7824849NetAssetsOrFundBalancesEOY
Mission DescriptionBuilding partnerships between donors and community to enrich and enhance the quality of life in Adams County, Indiana.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense273396Expense
Grants239478Grants
Revenue274644Revenue
DescriptionProviding grants to community charitable organizations serving Adams County, Indiana residents and scholarships for college bound Adams County, Indiana students.This is supported by designated and scholarship funds in the Adams County Community Foundation.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense86736Expense
Grants68197Grants
Revenue53866Revenue
DescriptionCommunity programs in Adams County, Indiana and educational opportunities serving Adams County residents in Adams County, Indiana. This is supported by unrestricted and donor-advised funds in the Adams County Community Foundation.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense31560Expense
Grants18431Grants
Revenue115659Revenue
DescriptionCommunity support for Adams County, Indiana residents / families with specific medical and/or remedial related challenges and community support. This is supported by field-of-interest and specialized funds in Adams County Community Foundation.Description
FieldValueIRS element (for citing)
Total Program Service Expense391692TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundstrueDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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 PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonConi MayerNamePerson
Telephone Number2607243939TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1102 N 2nd StAddressLine1
CityDecaturCity
StateINState
ZIP Code467331609ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Dr Roger Thompson
President004.00XX000
Tim Baker
Vice President004.00XX000
Dr Michael Johnson
Treasurer004.00XX000
Cathy Stucky
Secretary004.00XX000
Greg Flemming
Asst. Secretary004.00XX000
James Briggs
Director003.00X000
Becky Cochran
Director003.00X000
Rebecca Durbin
Director003.00X000
Fred Macke
Director003.00X000
Wayne Porter
Director003.00X000
Louise Ray
Director003.00X000
Matt Subler
Director003.00X000
Coni Mayer
Executive Director050.00X6243600
FieldValueIRS element (for citing)
Total Reportable Comp From Org62436TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions362963AllOtherContributions
Total Contributions362963TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionAdministrative FeesDescription
Business Code561000BusinessCode
Total Revenue Column62401TotalRevenueColumn
Related Or Exempt Function Income62401RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue62401TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column188819TotalRevenueColumn
Exclusion$188,819ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4167654Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3837846Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities329808Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column329808TotalRevenueColumn
Exclusion$329,808ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther IncomeDescription
Business Code900099BusinessCode
Total Revenue Column701TotalRevenueColumn
Related Or Exempt Function Income701RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue701TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column944692TotalRevenueColumn
Related Or Exempt Function Income63102RelatedOrExemptFunctionIncome
Exclusion$518,627ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total115350Total
Program Services115350ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total210756Total
Program Services210756ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total61573Total
Program Services18472ProgramServices
Management And General30786ManagementAndGeneral
Fundraising12315Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20312Total
Program Services10156ProgramServices
Management And General10156ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3501Total
Program Services1050ProgramServices
Management And General1751ManagementAndGeneral
Fundraising700Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6386Total
Program Services2235ProgramServices
Management And General1916ManagementAndGeneral
Fundraising2235Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total62401Total
Management And General62401ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total875Total
Management And General875ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19484Total
Management And General19484ManagementAndGeneral

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)
Total64671Total
Program Services25868ProgramServices
Management And General38803ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total6149Total
Management And General4784ManagementAndGeneral
Fundraising1365Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3306Total
Program Services661ProgramServices
Management And General1653ManagementAndGeneral
Fundraising992Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15930Total
Program Services3369ProgramServices
Management And General8515ManagementAndGeneral
Fundraising4046Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total952Total
Program Services286ProgramServices
Management And General476ManagementAndGeneral
Fundraising190Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total370Total
Program Services111ProgramServices
Management And General185ManagementAndGeneral
Fundraising74Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7677Total
Program Services1535ProgramServices
Management And General3839ManagementAndGeneral
Fundraising2303Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3134Total
Program Services627ProgramServices
Management And General1567ManagementAndGeneral
Fundraising940Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Telephone384076819201152
Memberships and Dues955955
Annual Report26402640
Postage Shipping22414481121672

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total449Total
Management And General449ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total612952Total
Program Services391692ProgramServices
Management And General191636ManagementAndGeneral
Fundraising29624Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1488205BOY
EOY1214218EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5665BOY
EOY8844EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8146BOY
EOY1248EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis318263LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec166624LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY159316BOY
EOY151639EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6598343BOY
EOY6621327EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY51578BOY
EOY47599EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY108464BOY
EOY103148EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8419717BOY
EOY8148023EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3385BOY
EOY911EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY118584BOY
EOY103223EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY238914BOY
EOY219040EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY360883BOY
EOY323174EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2354691BOY
EOY1934012EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY923017BOY
EOY967547EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4781126BOY
EOY4923290EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8058834BOY
EOY7824849EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8419717BOY
EOY8148023EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses331740ReconcilationRevenueExpenses
Reconcilation Other Changes-565725ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Community Trust170b1 AviXCommunityTrust170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years396753CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years409871CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years494780CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year570880CurrentTaxYearMinus1Year
Current Tax Year362963CurrentTaxYear
Total2235247Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years396753CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years409871CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years494780CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year570880CurrentTaxYearMinus1Year
Current Tax Year362963CurrentTaxYear
Total2235247Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1258129AmountsSubstContributorsTotal
Public Support Total170977118PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years285914CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years221213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188035CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year205672CurrentTaxYearMinus1Year
Current Tax Year188819CurrentTaxYear
Total1089653Total
FieldValueIRS element (for citing)
Total Support3324900TotalSupport
Public Support Pertcentage1700.29390PublicSupportPertcentage170
Public Support Pertcent Prior Year0.32800PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage
Facts And Circumstances TestPart II Line 17a Adams County Community Foundation normally receives most of its support from numerous donors. In the past three years, the Foundation has received large gifts from estates and donors which are not typical. A gift of 420,436 from Paul Strickler and 248,378 from the David Lee Houck Estate were received in 2009 and 2010, respectively. The public support test has been close to the 33 1/3 requirement each of the last two years and the Foundation expects to pass this test in future years.FactsAndCircumstancesTest

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

FieldValueIRS element (for citing)
Number DA Fs Held6NumberDAFsHeld
Donor Advised Contributions4695DonorAdvisedContributions
Grants Paid From Donor Funds14980GrantsPaidFromDonorFunds
Aggregate DAF Value276189AggregateDAFValue
Disclosed Orgs Legal ControltrueDisclosedOrgsLegalControl
Disclosed For Charitable PurposestrueDisclosedForCharitablePurposes

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5503440BeginningOfYearBalance
Contributions238633Contributions
Investment Earnings Or Losses43760InvestmentEarningsOrLosses
Grants Or Scholarships171630GrantsOrScholarships
Other Expenditures148544OtherExpenditures
Administrative Expenses47393AdministrativeExpenses
End Of Year Balance5418266EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4441945BeginningOfYearBalance
Contributions488030Contributions
Investment Earnings Or Losses786799InvestmentEarningsOrLosses
Grants Or Scholarships138418GrantsOrScholarships
Other Expenditures25076OtherExpenditures
Administrative Expenses49840AdministrativeExpenses
End Of Year Balance5503440EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3297078BeginningOfYearBalance
Contributions47725Contributions
Investment Earnings Or Losses1218221InvestmentEarningsOrLosses
Grants Or Scholarships63655GrantsOrScholarships
Other Expenditures26447OtherExpenditures
Administrative Expenses30977AdministrativeExpenses
End Of Year Balance4441945EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4493390BeginningOfYearBalance
Contributions148440Contributions
Investment Earnings Or Losses-1097385InvestmentEarningsOrLosses
Grants Or Scholarships187076GrantsOrScholarships
Other Expenditures17465OtherExpenditures
Administrative Expenses42826AdministrativeExpenses
End Of Year Balance3297078EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.01000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.91000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.08000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis225373OtherCostOrOtherBasis
Depreciation78097Depreciation
Book Value147276BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis92890OtherCostOrOtherBasis
Depreciation88527Depreciation
Book Value4363BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings151639TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Annuity Reserves$147,112
Agency funds$71,928
FieldValueIRS element (for citing)
Total Of Amounts219040TotalOfAmounts
Total Revenue944692TotalRevenue
Total Expenses612952TotalExpenses
Excess Or Deficit For Year331740ExcessOrDeficitForYear
Net Unrealized GL On Investments-567287NetUnrealizedGLOnInvestments
Other$1,562OtherAmount
Total Adjustments-565725TotalAdjustments
Excess Or Deficit Per FS-233985ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt378359TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-567287NetUnrealizedGainsInvestments
Revenue Not Rptd F990-567287RevenueNotRptdF990
Revenue Subtotal945646RevenueSubtotal
Other Revenues Not Included-954OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-954RevenueNotRptdOnFinStmt
Total Revenue Per Form990944692TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt612344TotExpensesEtcAuditedFinclStmt
Expenses Subtotal612344ExpensesSubtotal
Other Expenses Not Included608OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt608ExpensesNotRptdOnFinStmt
Total Expenses Per Form990612952TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
X2FASB ASC 740 Fin 48 Footnote The Foundation follows the Income Tax topic of FASB ASC. The Foundation now recognizes a tax benefit only if it is more likely than not the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that is greater than 50 likely of being realized on examination.
XI8Change in Agency Fund Net Assets 1,562.
XII4bFASB ASC 958 Agency Fund Transactions -954.
XIII4bFASB ASC Agency Fund Transactions 608.
V4The organizations endowment funds are invested and the income is used for the purpose of paying grants and scholarships.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Decatur Chamber of Commerce
1250 E MonroeDecaturIN46733350825601501c35437Community support
St Joe Cemetery
414 W Madison StreetDecaturIN46733350876349501c334058Comm beautification
Adams Memorial Hospital
1100 Mercer StDecaturIN46733351470257501c3139395Community support
North Adams Administrative Office
625 Stadium DriveDecaturIN46733351086386501c36045Community support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarshipsTypeOfGrant
Number Of Recipients186NumberOfRecipients
Amount Of Cash Grant210756AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I2Adams County Community Foundation, Inc. requires all grantees to complete a final report within 3 months of receiving grant funds. The final grant report contains specific questions to be answered regarding how grant funds received were allocated and serves as verification that grant monies were spent in accordance with the original grant. Receipts of how the money was spent is attached to this proof of use. Finally, an article and photo of the project is shared in press release cont. below
I2...for community awareness. If the foundation feels it necessary, a site visit will also be performed in order to verify that grant funds are used in accordance with the original grant agreement.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI11The ACCF Audit Committee reviews the ACCF audit report and the ACCF Form 990. Copies are also made available to the ACCF Board of Directors at the next available ACCF board meeting for approval.
Form 990 Part VI12cAll volunteers are required to disclose any conflict of interests and to include this as a signed agreement before participation with the committee. At the same time, committee members are required to sign confidentiality agreements. Furthermore, the ACCF allows other scholarship committees to review the scholarship applications for the purposes of scholarship distribution. In all situations, all volunteers of the scholarship committees who utilized the ACCF scholarship application for their scholarship selections are required to submit the conflict of interest forms. Volunteers are required to disclose any relationships. These forms are to be signed by all committee members who have ane exposure to the applications and are to be returned to the ACCF with the applications after the committee has finished with their decisions.
Form 990 Part VI15aCompensation comparisons of other community foundations of like-size were reviewed for administrative positions. Starting salaries and raises were based on performance and length of employment.
Form 990 Part VI19Adams County Community Foundation, Inc. makes its governing documents, conflict of interest policy and financial statements available to the public immediately upon request through the foundations office. Additionally, financial information is made available in its annual report which is widely distributed to the public via mailings and other means of disbursement, as well as on the foundations website. The foundations Form 990 is available online at www.guidestar.org. Form 990 is also immediately available upon request through the foundations office.
Form 990 Part XI5Unrealized Losses -567,287 - Change in FASB ASC 958 Agency Fund Net Assets -1,562.
Form 990 Part VI Section B Line 11 The ACCF Audit Committee reviews the ACCF audit report and the ACCF Form 990. Copies are also made available to the ACCF Board of Directors at the next available ACCF board meeting for approval. Form 990 Part VI Section B Line 12c All volunteers are required to disclose any conflict of interests and to include this as a signed agreement before participation with the committee. At the same time, committee members are required to sign confidentiality agreements. Furthermore, the ACCF allows other scholarship committees to review the scholarship applications for the purposes of scholarship distribution. In all situations, all volunteers of the scholarship committees who utilized the ACCF scholarship application for their scholarship selections are required to submit the conflict of interest forms. Volunteers are required to disclose any relationships. These forms are to be signed by all committee members who have ane exposure to the applications and are to be returned to the ACCF with the applications after the committee has finished with their decisions. Form 990 Part VI Section B Line 15a Compensation comparisons of other community foundations of like-size were reviewed for administrative positions. Starting salaries and raises were based on performance and length of employment. Form 990 Part VI Section C Line 19 Adams County Community Foundation, Inc. makes its governing documents, conflict of interest policy and financial statements available to the public immediately upon request through the foundations office. Additionally, financial information is made available in its annual report which is widely distributed to the public via mailings and other means of disbursement, as well as on the foundations website. The foundations Form 990 is available online at www.guidestar.org. Form 990 is also immediately available upon request through the foundations office. Form 990 Part XI Line 5 Unrealized Losses -567,287 - Change in FASB ASC 958 Agency Fund Net Assets -1,562.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1John and Kay Boch Fund IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1102 N 2nd StAddressLine1
CityDecaturCity
StateINState
ZIP Code467331609ZIPCode
FieldValueIRS element (for citing)
EIN351994040EIN
Primary ActivitiesSupporting OrganizationPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501c3ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1John and Kay Boch Fund IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypecTransactionType
Amount Involved162737AmountInvolved
Method Of Amt DeterminationCash transactionMethodOfAmtDetermination

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