Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CZECHOSLOVAK GENEALOGICAL SOCIETY INTERNATIONAL INC
Employer identification number
41-1693018
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
67,233
71,335
65,690
65,606
57,500
327,364
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
23,446
79,521
46,580
68,802
32,688
251,037
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
90,679
150,856
112,270
134,408
90,188
578,401
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
578,401
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
90,679
150,856
112,270
134,408
90,188
578,401
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
3,991
8,328
7,048
3,697
2,030
25,094
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
3,991
8,328
7,048
3,697
2,030
25,094
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
880
710
672
450
405
3,117
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
95,550
159,894
119,990
138,555
92,623
606,612
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
95.350 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
95.600 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
4.000 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
4.000 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CZECHOSLOVAK GENEALOGICAL SOCIETY INTERNATIONAL INC
Employer identification number
41-1693018
Identifier
Return Reference
Explanation
AMENDED RETURN EXPLANATION
FORM 990-EZ, PAGE 1, ITEM B
CORRECTED PRESENTATION ON SCHEDULE A PART III, SECTION A, LINE 3 FOR DATA ENTRY ERROR. ALSO ADDED DATA ON LINE 18 OF SCHEDULE A, PART III, SECTION D.
ADDITIONAL INFORMATION
FORM 990-EZ
NASE RODINA (44-46 PAGES) WHICH GOES OUT TO ALL MEMBERS WITH ARTICLES, RESEARCH IDEAS, AND RESOURCES PERTAINING TO FAMILY RESEARCH. MAILED TO APPROX. 3,000 MEMBERS.
OTHER REVENUE
FORM 990-EZ, PART I, LINE 8
ADVERTISING 405 PIONEER CERTIFICATE INCOME 350 POSTAGE/HANDLING FEES 302 TOTAL 1,057
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
SALE OF INVENTORY TRAVEL 2,412 MERCHANT FEES 1,697 MISCELLANEOUS 1,718 EXPENSES ADVERTISING AND PROMOTION 567 OFFICE EXPENSES 6,894 2010 SYMPOSIUM 10,422 MISC CONFERENCES 523 QUARTERLY MEETINGS EXPENSE 1,248 LIBRARY EXPENSES 501 MEMBERSHIP EXPENSES 4,853 TOTAL 30,835
OTHER ASSETS
FORM 990-EZ, PART II, LINE 24
INVENTORIES FOR SALE OR USE 91,634 100,823 PREPAID EXPENSES AND DEFERRED CHARGES 203 92 CZECH GENEALOGY EXHIBIT 1,231 1,231 IMMIGRATION DISPLAY 4,598 4,598 LIBRARY COLLECTION 22,972 23,151 TOTAL 120,638 129,895
THE PURPOSE OF THE CZECHOSLOVAK GENEALOGICAL SOCIETY INTERNATIONAL IS TO PROVIDE A FORUM FOR SHARING INFORMATION AND IDEAS, TO COLLECT AND PUBLISH GENEALOGICAL, CULTURAL AND HISTORICAL RESEARCH MATERIALS AND INFORMATION, TO CREATE AN INTEREST IN OUR ANCESTRY AND HERITAGE, TO PROVIDE A VARIETY OF PROGRAMS, SERVICES AND SPEAKERS TO INFORM AND ASSIST MEMBERS, TO PROVIDE A MEANS OF PURCHASING PUBLICATIONS AND RESEARCH MATERIALS NOT COMMONLY AVAILABLE, ALL RELATING TO OUR ANCESTORS FROM THE ETHNIC GROUPS THAT COMPRISED THE FORMER NATION OF CZECHOSLOVAKIA. CGSI MAINTAINS A WEBSITE, LIBRARY COLLECTION, TRAVELING LIBRARY.
SECOND ACHIEVEMENT
FORM 990-EZ, PART III, LINE 29
LINCOLN SYMPOSIUM, "THEY CAME TO THE HEARTLAND"- LINCOLN, NEBRASKA, APRIL 29-MAY 1, 2010. ATTENDED BY 145 PEOPLE. THERE WERE 8 SPEAKERS, AND 10 SESSIONS. SALINE COUNTY TOUR, "CZECH SPIRIT SURVIVES", RESEARCH OFFERED AT NEBRASKA STATE HISTORICAL SOCIETY, TRAVELING LIBRARY ON SITE, VENDOR SALES AREA, AND ETHNIC EVENING ENTERTAINMENT.
THIRD ACHIEVEMENT
FORM 990-EZ, PART III, LINE 30
TRAVELING LIBRARY PART OF THE QUARTERLY MEETING MAY 22, 2010 IN HOPKINS, MN. SERVED 35 PEOPLE. PART OF THE LINCOLN SYMPOSIUM APRIL 29-MAY 1, 2010. SERVED 75 PEOPLE. SPILLVILLE, IA SEPTEMBER 4, 2010 TRAVELING LIBRARY & QUARTERLY MEETING AS PART OF 150TH ANNIVERSARY CELEBRATION. SERVED 33 PEOPLE.
ALL OTHER ACHIEVEMENTS
FORM 990-EZ, PART III, LINE 31
MARCH 27, 2010 QUARTERLY MEETING. TOM RICE, PROFESSIONAL GENEALOGIST PRESENTED "BECOMING AN AMERICAN: NATURALIZATION. 56 PEOPLE. OCTOBER 30, 2010. LISA ALZO PRESENTED "100 YEARS OF GRATITUDE: A GRANDDAUGHTER'S GENEALOGICAL JOURNEY" 52 PEOPLE. ATTENDANCE AT FESTIVALS PHILLIPS WI, WILBER NE, FRANKLIN WI, SPILLVILLE IA, OMAHA, NE, MONGOMERY MN, NEW PRAGUE MN, ST. PAUL MN.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.