ROLE MODEL PROGRAM: Form 990EZ, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ROLE MODEL PROGRAM (EIN 77-0230503)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201141369349202314
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T11:28:34-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERGER LEWIS ACCOUNTANCY CORP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 ALMADEN BLVD STE 600 | AddressLine1 |
| City | SAN JOSE | City |
| State | CA | State |
| ZIP Code | 95113 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770230503 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROLE MODEL PROGRAM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ROLE | NameControl |
| Phone | 4082460433 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1922 THE ALAMEDA No 217 | AddressLine1 |
| City | SAN JOSE | City |
| State | CA | State |
| ZIP Code | 951261436 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Marybeth Affleck-Nacey | Name |
| Title | Executive Director | Title |
| Phone | 4082460433 | Phone |
| Date Signed | 2011-05-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lawrence S Kuechler | Name |
| Phone | 4084941200 | Phone |
| Date Prepared | 2011-05-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Web Site | www.therolemodelprogram.org | WebSite |
| Organization501c | X | Organization501c |
| Gross Receipts | 318934 | GrossReceipts |
| Contributions Gifts Grants Etc | 278569 | ContributionsGiftsGrantsEtc |
| Investment Income | 72 | InvestmentIncome |
| Special Events Gross Revenue | 40293 | SpecialEventsGrossRevenue |
| Special Events Direct Expenses | 40293 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 0 | SpecialEventsNetIncomeLoss |
| Total Revenue | 278641 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 225118 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 21755 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 23902 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 794 | PrintingPublicationsPostage |
| Other Expenses Total | 50286 | OtherExpensesTotal |
| Total Expenses | 321855 | TotalExpenses |
| Excess Or Deficit For Year | -43214 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 82516 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39302 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32422 | BOY |
| EOY | 24432 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4270 | BOY |
| EOY | 4153 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47910 | BOY |
| EOY | 37235 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84602 | BOY |
| EOY | 65820 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2086 | BOY |
| EOY | 26518 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82516 | BOY |
| EOY | 39302 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | THE SPECIFIC AND PRIMARY PURPOSES OF THIS CORPORATION ARE TO ENCOURAGE STUDENTS IN SANTA CLARA COUNTY TO STAY IN SCHOOL, TO STAY FREE OF DRUGS AND TO REALIZE MORE OF THEIR POTENTIAL BY ARRANGING SPORTS AND ENTERTAINMENT CELEBRITIES AND COMMUNITY LEADERS TO SPEAK TO THE STUDENTS IN THE CLASSROOMS; TO WORK WITH COUNTY HEALTH AND EDUCATION EXPERTS TO ADDRESS THE PROBLEM OF LOW ACHIEVEMENT IN COUNTY SCHOOLS. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | THE ROLE MODEL PROGRAM PROVIDED INSPIRATION, EMPOWERMENT AND POSITIVE ADULT ROLE MODELS TO approximately 5,000 UNDERSERVED YOUTH IN LOCAL ELEMENTARY AND MIDDLE SCHOOL CLASSROOMS. STUDENTS LEARN THE PATHWAY TO SUCCESS THROUGH EDUCATION AND COLLEGE ASPIRATIONS. | DescriptionProgramServiceAccom |
| Grants And Allocations | 0 | GrantsAndAllocations |
| Program Service Expenses | 211950 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 211950 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| JB SCHUTTE | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | CHAIR | 2.00 | 0 | 0 | 0 |
| steve Guerrero | ||||||||
| 1922 THE ALAMEDA SUITE 217 | sAN JOSE | CA | 95126 | vice chair | 2.00 | 0 | 0 | 0 |
| Lourdes Andrade | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | bOARD MEMBER | 3.00 | 0 | 0 | 0 |
| Ginna Baldassarre | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Kevin Beber | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Chris Jew | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Andrea Lichter | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| ROBIN LYKINS | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Ron Lind | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Rosa Perez | ||||||||
| 1922 THE ALAMEDA SUITE 217 | sAN JOSE | CA | 95126 | bOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Greg Pinn | ||||||||
| 1922 THE ALAMEDA SUITE 217 | sAN JOSE | CA | 95126 | bOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Dolores Sandoval | ||||||||
| 1922 THE ALAMEDA SUITE 217 | sAN JOSE | CA | 95126 | bOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Kelly Snider | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| Patrick Susemihl | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| MARY JANE VITKOVICH | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | BOARD MEMBER | 2.00 | 0 | 0 | 0 |
| MARYBETH AFFLECK-NACEY | ||||||||
| 1922 THE ALAMEDA SUITE 217 | SAN JOSE | CA | 95126 | EXECUTIVE DIRECTOR | 40.00 | 66000 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYBETH AFFLECK-NACEY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1922 THE ALAMEDa | AddressLine1 |
| City | san jose | City |
| State | CA | State |
| ZIP Code | 951261430 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4082460433 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 285465 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 280933 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 357789 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 283960 | CurrentTaxYearMinus1Year |
| Current Tax Year | 278569 | CurrentTaxYear |
| Total | 1486716 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 285465 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 280933 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 357789 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 283960 | CurrentTaxYearMinus1Year |
| Current Tax Year | 278569 | CurrentTaxYear |
| Total | 1486716 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 78132 | AmountsSubstContributorsTotal |
| Public Support Total170 | 1408584 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1147 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 864 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 787 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 217 | CurrentTaxYearMinus1Year |
| Current Tax Year | 72 | CurrentTaxYear |
| Total | 3087 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1489803 | TotalSupport |
| Gross Receipts From Admissions Etc | 170319 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.94550 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.95460 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 122737 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 85449 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 37288 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 37288 | OtherDirectExpensesEvent1 |
| Name Of Event2 | 20TH ANNIVERSARY LUNCH | NameOfEvent2 |
| Gross Receipts Event2 | 16705 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 13700 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 3005 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 3005 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 139442 | GrossReceiptsTotal |
| Charitable Contributions Total | 99149 | CharitableContributionsTotal |
| Gross Revenue Total Events | 40293 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 40293 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 40293 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract. | Declaration |
Comments