2011-11-11T11:40:15-06:00 2010-12-31 BOLINGER SEGARS GILBERT AND MOSS LLP 8215 NASHVILLE AVENUE LUBBOCK TX 79423 990 2010-01-01 134281766 COSERV CHARITABLE FOUNDATION COSE 9403217800 7701 SOUTH STEMMONS FREEWAY CORINTH TX 762101842 DONNIE CLARY 9403217800 2011-11-09 1 Matt R Willis 8067473806 2011-11-09 2010 2016-03-07 17:11:31Z DONNIE CLARY 7701 SOUTH STEMMONS FREEWAY CORINTH TX 762101842 723640 0 X WWW.COSERVCHARITABLEFOUNDATION.COM X 2004 TX TO PROVIDE CRITICAL SERVICES TO FAMILIES WITHIN THE COMMUNITY BY SPONSORING LOCAL NOT-FOR-PROFITS. 3 0 0 15 0 0 667091 712974 0 0 452 531 0 0 667543 713505 553019 638470 0 0 0 0 0 0 0 0 0 553019 638470 114524 75035 358817 434179 590 917 358227 433262 X TO PROVIDE (1) FINANCIAL ASSISTANCE TO INDIVIDUALS AND THEIR FAMILIES THROUGH SPECIFIC ASSISTANCE AND CONTRIBUTIONS TO LOCAL CHARITIES AND COMMUNITY PROJECTS, AND (2) GRANTS TO LOCAL NOT-FOR-PROFIT ENTITIES, INCLUDING MUNICIPALITIES, THAT PROVIDE CRITICAL SERVICES TO THE COMMUNITY. 0 0 248722 248722 THE ORGANIZATION APPROVED AND DISTRIBUTED GRANTS TO 15 LOCAL VOLUNTEER FIRE DEPARTMENTS, POLICE DEPARTMENTS AND OTHER FIRST RESPONDER GROUPS FOR THE PURCHASE OF NEEDED EQUIPMENT TO PROVIDE RESPECTIVE SERVICES TO THE COMMUNITIES IN WHICH THESE GROUPS RESIDE. 389748 389748 THE ORGANIZATION APPROVED AND DISTRIBUTED GRANTS TO 37 COMMUNITY NON-PROFIT ORGANIZATIONS TO SUPPORT THEIR PROGRAMS AND SERVICES. 638470 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X X DONNIE CLARY TREASURER 9403217800 7701 SOUTH STEMMONS FREEWAY CORINTH TX 76210 JOE FORMAN 1.50 X X 0 241176 78814 STEPHEN CHISM 2.00 X 0 131533 17643 DONNIE CLARY 1.00 X X 0 295429 91076 STACIA SIMS 0.60 X X 0 212492 46847 0 880630 234380 0 0 1 0 0 26775 686199 712974 531 531 10135 26775 10135 0 713505 0 0 531 638470 638470 638470 638470 0 0 358817 434179 358817 434179 590 917 590 917 X 358227 433262 358227 433262 358817 434179 75035 0 X X 0 1 0 X 0 X 562492 542992 614152 667091 712974 3099701 562492 542992 614152 667091 712974 3099701 3099701 3696 4094 1705 452 531 10478 3110179 46686 0.99660 0.99610 X 0 713505 638470 75035 0 75035 723640 10135 10135 713505 0 713505 648605 10135 10135 638470 0 638470 Part XII, Line 2d - Other Adjustments: GOLF TOURNAMENT FUNDRAISING EXPENSES REPORTED AS SPECIAL EVENT 10,135. Part XIII, Line 2d - Other Adjustments: GOLF TOURNAMENT FUNDRAISING EXPENSES REPORTED AS SPECIAL EVENT 10,135. GOLF TOURNAMENT 36910 26775 10135 10084 51 36910 26775 10135 10084 51 10135 0 1 NRECA INTERNATIONAL FOUNDATION c/o WACHOVIA BANK PO BOX 75877 BALTIMORE MD 212758777 521409279 501(c)(3) 10000 SUPPORT HAITI RELIEF RSVP SERVING DENTON COUNTY 1400 CRESCENT SUITE 3 DENTON TX 76201 751959871 501(c)(3) 8000 SUPPORT PERTUSSIS EDUCATION PROGRAM RICHARDSON REGIONAL MEDICAL CENTER FOUNDATION INC 401 W CAMPBELL ROAD RICHARDSON TX 750803416 751788520 501(c)(3) 5000 SPONSORSHIP FEE FOR "WILDRIDE" AGAINST CANCER BIKE RALLY ALLEN COMMUNITY OUTREACH 301 WEST BOYD DR STE 3 ALLEN TX 75013 751986190 501(c)(3) 15000 FOOD SUPPLIES FOR FOOD PANTRY SOUTHWESTERN DIABETIC FOUNDATION PO BOX 918 GAINESVILLE TX 76241 756002547 501(c)(3) 5000 PURCHASE MEDICAL TERMINAL COMPUTERS FOR CAMP SWEENEY MANE GAIT 3160 N CUSTER ROAD MCKINNEY TX 75071 261525268 501(c)(3) 10769 SADDLES FOR EQUESTRIAN THERAPY RIDING LESSONS. LAKE CITIES VOLUNTEER FIRE DEPARTMENT 3101 SOUTH GARRISON CORINTH TX 76210 751453222 CITY OF CORINTH 24000 SEVEN PORTABLE RADIOS AND AUXILLARY EQUIPMENT FRISCO FAMILY SERVICES INC 8780 THIRD STREET FRISCO TX 75034 752530888 501(c)(3) 44666 DAY TO DAY LIVING EXPENSES AND FANS, HEATERS, AND BLANKETS LITTLE ELM FIRE DEPARTMENT BOX 620 SUPPORT COMPANY PO BOX 604 LITTLE ELM TX 75068 753141220 501(c)(3) 6500 GENERATOR, TIRES, LETTERING/STRIPES/PAINT AND REAR CAMERA FOR RETROFITTING THE REHAB 2 RESPONSE VEHICLE LITTLE ELM FIRE DEPARTMENT 100 W ELDORADO PARKWAY LITTLE ELM TX 75068 751360556 CITY OF LITTLE ELM 20638 PURCHASE HEARTSMART MONITOR YMCA OF METROPOLITAN DALLAS-CROSS TIMBERS 2021 CROSS TIMBERS ROAD FLOWER MOUND TX 75028 752661763 501(c)(3) 10000 ANNUAL PARTNERS CAMPAIGN SUMMER DAY CAMP AND SWIMMING AND WATER SAFETY PROGRAMS JUSTIN VOLUNTEER FIRE DEPT 310 N SEALY AVE JUSTIN TX 76247 752213204 CITY OF JUSTIN, TX 35416 PURCHASED 2 PHYSIO CONTROL LIFEPAK 15 MONITOR CHRISTIAN COMMUNITY ACTION 200 S MILL ST LEWISVILLE TX 75057 237319371 501(c)(3) 59601 DAY TO DAY LIVING EXPENSES, FANS AND A/C, HEATERS AND BLANKETS COMMUNITY SERVICES INC PO BOX 612 CORSICANA TX 75151 756051334 501(c)(3) 11493 DAY TO DAY LIVING EXPENSES HEATERS AND BLANKETS NORTHWEST CHRISTIAN COMMUNITY SERVICES 108 PECAN STREET ROANOKE TX 76262 752206095 501(c)(3) 6000 SNACK PACK MINISTRY OF JUSTIN ELEMENTARY SCHOOL KRUM PUBLIC LIBRARY PO BOX 780 KRUM TX 76249 751426220 CITY OF KRUM 7000 SEVEN COMPUTERS TOWN OF NORTHLAKE POLICE DEPARTMENT PO BOX 729 JUSTIN TX 76247 752414814 CITY OF NORTHLAKE 24660 FIVE NEW RUGGED COMPUTERS FOR EMERGENCY VEHICLES OUR DAILY BREAD 300 W OAK STREET DENTON TX 76201 750939941 501(c)(3) 5000 WEEKEND SNACK PROGRAM SENIORS IN MOTION AUXILLARY PO BOX 271756 FLOWER MOUND TX 75027 271237633 501(c)(3) 5250 PURCHASE COMPUTER/SOFTWARE/PRINTER WEBSITE THE SUSAN G KOMEN RACE FOR THE CURE PO BOX 261730 PLANO TX 75026 751835298 501(c)(3) 7500 FUNDS FOR CANCER RESEARCH (EVENT SPONSOR) EMPOWERING AMERICA'S FUTURE PO BOX 295713 GAINESVILLE TX 75029 264573957 501(c)(3) 18800 COMPUTER SOFTWARE LICENSES, LAPTOP/SOFTWARE AND SMART BOARD MATH MANIPULATIVES AND INSURANCE CITY OF PILOT POINT POLICE DEPT PO BOX 457 PILOT POINT TX 76258 756002842 CITY OF PILOT POINT 15189 PURCHASED 3 PANASONIC TOUGH CF-31 BOOK COMPUTERS AND DOCKING STATIONS. CITY OF PILOT POINT FIRE DEPARTMENT PO BOX 457 PILOT POINT TX 76258 756002842 CITY OF PILOT POINT 18985 SEVEN TOUGH BOOK COMPUTERS FOR EMERGENCY VEHICLES DENTON COUNTY FRIENDS OF THE FAMILY INC PO BOX 640 DENTON TX 762022242 751734175 501(c)(3) 12000 DEFRAY INCREASED RENT EXPENSES. DOUBLE OAK POLICE DEPARTMENT 320 WAKETON ROAD DOUBLE OAK TX 75077 751772076 CITY OF DOUBLE OAK 15000 NEW PATROL CAR AND ADVANCED LICENSE PLATE READER SYSTEM. INTERFAITH MINISTRIES OF DENTON 1109 N ELM ST DENTON TX 76201 752442459 501(c)(3) 10000 THE APPLE TREE PROJECT (SCHOOL SUPPLIES) SEARCH ONE RESCUE TEAM PO BOX 294398 LEWISVILLE TX 75029 752022717 501(c)(3) 9850 CERTIFICATION FOR K9 UNITS IN NORTH TEXAS SPIRITHORSE THERAPEUTIC RIDING CENTER 1960 POST OAK DRIVE CORINTH TX 76210 043609719 501(c)(3) 15000 IRRIGATION SYSTEM PEDIPLACE 502 S OLD ORCHARD STE 126 LEWISVILLE TX 75067 752512752 501(c)(3) 25000 SUPPORTED 'HEALTHY KIDS PROGRAM' DAY STAY FOR ADULTS 4845 SOUTH I-35 E 100 CORINTH TX 76210 752840904 501(c)(3) 10000 FOOD AND TRANSPORTATION EXPENSES. ERA VOLUNTEER FIRE DEPT PO BOX 159 ERA TX 76238 841690717 CITY OF ERA, TX 10000 SUPPORT PURCHASE OF NEW FIRE VEHICLE. PONDER VOLUNTEER FIRE DEPARTMENT PO BOX 386 PONDER TX 76259 752237267 CITY OF PONDER, TX 26000 18 SETS OF BUNKER GEAR VOLUNTEERS IN SERVICE TO OTHERS PO BOX 607 GAINESVILLE TX 76241 751721053 501(c)(3) 9128 FANS AND A/C UNITS AND DAY TO DAY LIVING EXPENSES ; HEATERS AND BLANKETS AUBREY FIRE DEPARTMENT AUXILLARY 200 W SYCAMORE SUITE B AUBREY TX 762274628 264280070 CITY OF AUBREY, TX 11670 COVERSION OF RETIRED AMBULANCE TO REHAB VEHICLE CAMP SUMMIT 17210 CAMPBELL RD STE 180-W DALLAS TX 75252 752484486 501(c)(3) 10676 REPLACED TWO HVAC SYSTEMS IN MAIN LODGE. FAMILY READINESS GROUP CO TRINITY UMC 633 HOBSON DENTON TX 76205 254909585 501(c)(3) 5000 FUNDING TO SUPPORT ACTIVITIES FOR FAMILIES OF DEPLOYED MILITARY. NORTH TEXAS FOOD BANK 4500 S COCKREL HILL ROAD DALLAS TX 75236 751785357 501(c)(3) 15000 FUNDING TO PURCHASE FOOD SUPPLIES FOR DISTRIBUTION TO 13 AREA FOOD BANKS. SNOWBALL EXPRESS 1333 CORPORATE DRIVE STE 105 IRVING TX 75038 205627830 501(c)(3) 5000 FUNDING TO SUPPORT MILITARY FAMILIES. COLLIN INTERVENTION TO YOUTH INC 902 E 16TH STREET PLANO TX 75074 752213291 501(c)(3) 19200 SUPPLIES, COUNSELING SERIVCES, PRINTING EXPENSES AND MEDICAL SERVICES RIDING UNLIMITED INC 9168 T N SKILES ROAD PONDER TX 76259 752331905 501(c)(3) 10000 EQUIPMENT UPGRADES AND SCHOLARSHIP PROGRAMS CITY OF CORINTH POLICE DEPARTMENT 2003 S CORINTH ST CORINTH TX 76210 751453222 CITY OF CORINTH 22292 EQUIPMENT AND LICENSING FOR E-CITATION PROGRAM 29 12 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: ALL GRANTS AND OTHER ASSISTANCE ARE AWARDED BY THE FOUNDATION'S BOARD OF DIRECTORS. AWARDS ARE BASED ON EITHER EMERGENCY AND SEASONAL NEEDS OR APPLICATIONS SUBMITTED BY GOVERNMENTAL AND NON-PROFIT ORGANIZATIONS. ALL REQUESTING ORGANIZATIONS ARE REQUIRED TO COMPLETE A BASIC APPLICATION AND SUBMIT A TYPED NARRATIVE OF THE ORGANIZATION'S STATEMENT OF PURPOSE, PROJECT DESCRIPTION, PROJECT GOALS/OBJECTIVES, AND EXPLANATION OF HOW FUNDS WILL BE USED. ADDITIONALLY, THE REQUESTING ORGANIZATION, WHERE APPLICABLE, MUST PROVIDE AN IRS TAX-EXEMPT DETERMINATION LETTER, THEIR CURRENT YEAR'S BUDGET/CASH FLOW STATEMENT, MOST RECENT FORM 990 FILED, A LIST OF THE ORGANIZATION'S BOARD OF DIRECTORS, THE ORGANIZATION'S MOST RECENT ANNUAL REPORT AND LAST TWO AUDIT REPORTS, AND THREE LETTERS OF RECOMMENDATION. 0 0 0 0 0 0 0 0 0 JOE FORMAN 0 217876 0 7220 0 16080 0 58758 0 20056 0 319990 0 0 DONNIE CLARY 0 271754 0 8985 0 14690 0 62499 0 28577 0 386505 0 0 STACIA SIMS 0 193458 0 5952 0 13082 0 35056 0 11791 0 259339 0 0 Supplemental Information Part III ALL COMPENSATION REPORTED ON SCHEDULE J PART II IS RELATED TO THE DIRECTORS EMPLOYMENT WITH DENTON COUNTY ELECTRIC COOPERATIVE, INC. PER THE BY-LAWS NO DIRECTOR OR MEMBER OF ANY COMMMITTEE OF THE BOARD MAY BE PAID COMPENSATION FOR HIS/HER SERVICE AS A DIRECTOR OR COMMITTEE MEMBER OF THE FOUNDATION. Form 990, Part VI, Section A, line 2 DIRECTORS DONNIE CLARY, JOE FORMAN, AND STACIA SIMS ARE EMPLOYEE OFFICERS OF DENTON COUNTY ELECTRIC COOPERATIVE (DBA COSERV ELECTRIC). COSERV ELECTRIC IS A RELATED ENTITY OF THE FOUNDATION. Form 990, Part VI, Section B, line 11 A COPY OF THE FORM 990 WILL BE PRESENTED TO THE BOARD FOR DISCUSSION AND REVIEW PRIOR TO FILING. Form 990, Part VI, Section B, line 12c IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, BOARD MEMBERS MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION ARRANGEMENT. THE CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS. Form 990, Part VI, Section C, line 19 THE FOUNDATION POSTS THE PRIOR YEAR'S AUDITED FINANCIAL STATEMENTS, THE MOST CURRENT MONTH'S UNAUDITED FINANCIAL STATEMENT, THE MOST CURRENT FORM 990, THE FOUNDATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND IRS EXEMPTION LETTER ON ITS WEBSITE. ADDITIONALLY, THE FOUNDATION WILL PROVIDE A COMPLETE COPY OF THEIR AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, OR GOVERNING DOCUMENTS TO ANYONE WHO REQUESTS A COPY. AUDIT COMMITTEE Form 990, Part XII, Line 2c THE BOARD AS A WHOLE IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTING THE INDEPENDENT FINANCIAL STATEMENT AUDITOR. DENTON COUNTY ELECTRIC COOPERATIVE INC DBA COSERV ELECTRIC 7701 SOUTH STEMMONS FREEWAY CORINTH TX 76210 750233075 TO PROVIDE ELECTRIC SERVICE TO MEMBERS AT COST ON A COOPERATIVE BASIS. TX 501(c)(12) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 DENTON COUNTY ELECTRIC COOP INC DBA COSERV ELECTRIC - NA 50000 M CASH DENTON COUNTY ELECTRIC COOP INC DBA COSERV ELECTRIC - NA 50000 N CASH