Form990-EZ
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
bullet Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.
bulletThe organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-1150
2010
Open to Public
Inspection
A
For the 2010 calendar year, or tax year beginning 01-01-2010, and ending 12-31-2010
B
Check if applicable:
C Name of organization
FRATERNAL ORDER OF POLICE 21 LIMA
 
Number and street (or P. O. box, if mail is not delivered to street address)750 W ROBB AVENUE
  Room/suite
City or town, state or country, and ZIP + 4 LIMA, OH45801
D Employer identification number

23-7115916
E Telephone number

F Group Exemption
Number. . bullet  
G Accounting method: Other (specify) bullet   H Check bulletI Website:bulletNAJ Tax-Exempt status(check only one)—( 8) bullet(insert no.) or
K Check bullet A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts; If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ.. . bullet $ 86,751
Part IRevenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.) Check if the organization used Schedule O to respond to any question in this Part I . . . . . . . .
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received . . . . . . . . . 1 18,344
2 Program service revenue including government fees and contracts . . . . . . . 2 16,356
3 Membership dues and assessments . . . . . . . . . . . . . . 3 20,720
4 Investment income . . . . . . . . . . . . . . . . . . 4 12,183
5a Gross amount from sale of assets other than inventory . . . . 5a  
b Less: cost or other basis and sales expenses . . 5b  
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . . 5c  
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) 6a  
b Gross income from fundraising events (not including $ 19,148 of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceed $15,000) . . . . . . . Click to see attachment
c Less: direct expenses from gaming and fundraising events . . . 6c 14,108
d Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c) 6d 5,040
7a Gross sales of inventory, less returns and allowances . . . . 7a  
b Less: cost of goods sold . . . . . . . . . . 7b  
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) . . . . . . 7c  
8 Other revenue (describe in Schedule O) . . . . . . . . . 8  
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . . 9 72,643
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) . . . . . . . . 10 11,040
11 Benefits paid to or for members . . . . . . . . . . . . . . . 11  
12 Salaries, other compensation, and employee benefits . . . . . . . . . . . 12 3,175
13 Professional fees and other payments to independent contractors . . . . . . . . 13 3,505
14 Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . 14 9,800
15 Printing, publications, postage, and shipping . . . . . . . . . . . . 15 1,251
16 Other expenses (describe in Schedule O) . . . . . . . . . . 16 38,094
17 Total expenses. Add lines 10 through 16 . . . . . . . . . . . . 17 66,865
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . . 18 5,778
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return) . . . . . . . . . . . 19 272,492
20 Other changes in net assets or fund balances (explain in Schedule O) . . . . . . . 20  
21 Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . . Bullet 21 278,270
Part IIBalance Sheets Check if the organization used Schedule O to respond to any question in this Part II. . . . . . . . .

(See the instructions for Part II.)(A) Beginning of year(B) End of year
22Cash, savings, and investments . . . . . . . . . .
270,418
22
231,476
23Land and buildings . . . . . . . . . . . . .
 
23
 
24Other assets (describe in Schedule O) . . . . . .
2,074
24
46,794
25Total assets . . . . . . . . . . . . . .
272,492
25
278,270
26
Total liabilities (describe in Schedule O) . . . . .
 
26
 
27Net assets or fund balances (line 27 of column (B) must agree with line 21) .
272,492
27
278,270
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2010)
Form 990-EZ (2010)
Page 2
Part IIIStatement of Program Service Accomplishments Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? ASSISTING WITH POLICE OFFICERS EDUCATION INSURANCE
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 POLICE OFFICER INSURANCE PROGRAM POLICE OFFICER INSURANCE PROGRAM
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet		 28a 8,643
29 GRANTS/SCHOLARSHIPS TO LAW ENFORCEMENT EDUCATION & STUDENTS/SUPPORT ORGANIZATION GRANTS/SCHOLARSHIPS TO LAW ENFORCEMENT EDUCATION & STUDENTS/SUPPORT ORGANIZATION
(Grants $ 8,217) If this amount includes foreign grants, check here ...MediumBullet		 29a  
30 SPONSOR FOR EXPLORER POST 21
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet		 30a  
MISCELLANEOUS DONATIONS TO ORGANIZATIONS MISCELLANEOUS DONATIONS TO ORGANIZATIONS
(Grants $ 2,823) If this amount includes foreign grants, check here ...MediumBullet		  
31 Other program services (describe in Schedule O) . . . . . . . . . . . .
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a) . . . . . . . . . bullet 32 8,643
Part IVList of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instructions for Part IV.) Check if the organization used Schedule O to respond to any question in this Part IV . . . . . . . .
(a) Name and address (b) Title and average
hours per week
devoted to position		 (c) Compensation
(If not paid,
enter -0-.) 		(d) Contributions to
employee benefit plans &
deferred compensation		 (e) Expense
account and
other allowances
LEON CAMPBELL
6295 BILLYMACK
ELIDA,OH45807
 TRUSTEE002.00 0    
MICHAEL WATKINS
5431 RIVER RIDGE
ELIDA,OH45807
 PRESIDENT002.00 0    
MICHAEL WHITE
3001 INWOOD
LIMA,OH45806
 REC SECRETARY002.00 0    
ALAN MEFFERD
1517 ELLISON DR
LIMA,OH45805
 FIN SECRETARY004.00 1,500    
BERLIN CARROLL
563 HEFNER DR
LIMA,OH45801
 TREASURER004.00 1,675    
DENNIS MORGAN
2455 SHERWOOD DR
LIMA,OH45805
 VICE PRESIDENT002.00 0    
BRAD BATY
1618 N KENILWORTH
LIMA,OH45805
 2ND VICE PRESIDENT002.00 0    
RANDY DEVELBISS
1227 BRICE AVENUE
LIMA,OH45805
 SERGEANT AT ARMS002.00 0    
JOHN D PARKER
2280 REINELL
LIMA,OH45805
 TRUSTEE002.00 0    
PATRICIA WOGERMAN
1242 LATHAM AVENUE
LIMA,OH45805
 TRUSTEE002.00 0    
Form 990-EZ (2010)
Form 990-EZ (2010)
Page 3
Part VOther Information(Note the statement requirements in the instructions for Part V.)YesNo Check if the organization used Schedule O to respond to any question in this Part V . . . .
33
Did the organization engage in any activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ..............
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the change on Schedule O (see instructions). ...................
34
 
No
35
If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, explain in Schedule O why the organization did not report the income on Form 990-T. ........................
a
Did the organization have unrelated business gross income of $1,000 or more or was it a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements?
35a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year? (see instructions) ........
35b
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N .............
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
 
b
Did the organization file Form 1120-POL for this year? ...............
37b
 
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
38a
 
No
b
If “Yes,” complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9 ......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities ....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet   ; section 4912 bullet   ; section 4955 bullet  
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I. ....
40b
 
 
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 ..bullet  
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization ...................bullet  
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T. .................
40e
 
 
41List the states with which a copy of this return is filed. bullet
42aThe organization's books are in care of bulletSIELSCHOTT WALSH CPA'S INC Telephone no. bullet (419) 222-2001
Located at bullet711 DEAN AVE
LIMA,OH ZIP + 4bullet45804
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes,” enter the name of the foreign country: bullet  
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside of the U.S.?
42c
 
No
If “Yes,” enter the name of the foreign country: bullet  
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year . . . bullet43
 
44a
Did the organization maintain any donor advised funds? If "Yes", Form 990 must be completed instead of
Yes
No
Form 990-EZ.. . . . . . . . . . . . . . . . . . . .
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If ‘Yes,’ Form 990 must be completed instead of Form990-EZ. . . . . . . . .
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year? . . . . . . .
44c
 
No
d
If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If ‘No,’ provide an explanation in Schedule O. . . . . . . . .
44d
 
No
45
Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. . . . . . . . .
45
 
No
45a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. .
45a
 
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I. . . . . . . . . .
46
 
No
Form 990-EZ (2010)
Form 990-EZ (2010)
Page 4
Part VI
Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47-49b and 52. Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . .
Yes
No
47
Did the organization engage in lobbying activities? If "Yes," complete Schedule C, Part II . . . .
47
 
 
48
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . .
48
 
 
49a
Did the organization make any transfers to an exempt non-charitable related organization? . . . .
49a
 
 
b
If "Yes," was the related organization a section 527 organization? . . . . . . . . .
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each employee paid more than $100,000 (b) Title and average
hours per week
devoted to position		 (c) Compensation
 (d) Contributions to
employee benefit plans &
deferred compensation		 (e) Expense
account and
other allowances
NONE
50(f)
Total number of other employees paid over $100,000 . . . . . . . . . . . . . bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation
NONE
51(d)
Total number of other independent contractors each receiving over $100,000 . . . . . . . bullet  
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ....................
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(See instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2010)

Additional Data


Software ID: 10000149
Software Version: 2010.2.15

Form 990-EZ, Special Condition Description:
Special Condition Description
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
FRATERNAL ORDER OF POLICE 21 LIMA
 
Employer identification number

23-7115916
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
FRATERNAL ORDER OF POLICE 21 LIMA
  		Employer identification number

23-7115916
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
FRATERNAL ORDER OF POLICE 21 LIMA
  		Employer identification number

23-7115916
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
FRATERNAL ORDER OF POLICE 21 LIMA
  		Employer identification number

23-7115916
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID: 10000149
Software Version: 2010.2.15
SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FRATERNAL ORDER OF POLICE 21 LIMA
 
Employer identification number

23-7115916
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

GOLF OUTING
(event type) 		(b) Event #2

PANCAKE DAY
(event type) 		(c) Other Events

4
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 3,412 11,755 3,981 19,148
2 Less: Charitable
contributions . . . 		       
3 Gross income (line 1
minus line 2) . . . 		3,412 11,755 3,981 19,148
VerticalDirectExpenses 4 Cash prizes . . . 400   325 725
5 Non-cash prizes . .        
6 Rent/facility costs . . 616     616
7 Food and beverages . . 350 2,932 1,498 4,780
8 Entertainment . . .        
9 Other direct expenses . 1,014 4,611 2,362 7,987
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 14,108
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 5,040
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID: 10000149
Software Version: 2010.2.15
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.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FRATERNAL ORDER OF POLICE 21 LIMA
 
Employer identification number

23-7115916
Identifier Return Reference Explanation
Form 990-EZ Part V 35 THE REVENUE OF 16,356 REPORTED ON FORM 990-EZ, PART 1, LINE 35 IS INCOME RELATED TO THE EXEMPT PURPOSE. THEREFORE, NO 990-T IS REQUIRED.
Form 990   0
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee AARON T LINK 959 N. ELIZABETH
    ST. LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee JACQUELYN M DUNHAM 1783
    HOMEWARD LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee JESSICA M LADD 18217 ROAD 20-R
    FT JENNINGS OH 45844, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee ASHLEY S EVANS 3001 INWOOD DR
    LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee KAYLA EVANS 3001 INWOOD DR
    LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee CORY M WHITE 3001 INWOOD DR
    LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee DEBORAH L MARTIN 1068 W MARKET
    ST LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee JENNIFER N MARTIN 1068 W
    MARKET ST LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee JESSICA MEARS 1529 PUTTERS
    LANE LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee DANIELLE R RICKER 2214 LOST
    CREEK BLVD LIMA OH 45804, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee MICHELLE L KOHLER 1866 DILLER
    ROAD LIMA OH 45807, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee EMILY A GARLOCK 2306 BRITT AVE
    LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee AARON L CORTES 1251 WONDERLICK
    RD LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee BRYAN C WOGERMAN 1242 LATHAM
    AVE LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee CHARI B MAULT 5036 EAST RD
    LIMA OH 45807, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee ELIZABETH M CRITES 1705
    MCBRIDE RD DELPHOS OH 45833, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee BENJAMIN D CRITES 1705 MCBRIDE
    RD DELPHOS OH 45833, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee ASHLEE C ELCHERT 310 MARCELLA
    LANE CRIDERSVILLE OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee MITCHELL E CURTIS 3005 N COOL
    RD LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee JENNIFER L MEARS 1529 PUTTERS
    LANE LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee JEREMY T MCNAMARA 512 ASHWOOD
    LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee PATRICK T MAGINNITY 722 W
    MURPHY AVE LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee SARAH A CLARK 901 FT JENNINGS
    RD DELPHOS OH 45833, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee JOSIE M DUNHAM 1783 HOMEWARD
    LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee SARAH M BAKER 1150 S GRUBB RD
    LIMA OH 45805, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee ALEXIS L MCDANIEL 1729
    ACKERMAN RD HARROD OH 45850, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee BROOKE A SHULTZ 3650 REDBUD
    LANE LIMA OH 45801, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee BRIDGET M BALL 542 PROSPECT
    AVE LIMA OH 45804, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee ANDREW S CRESS 105 W PENDLETON
    COLUMBUS GROVE OH 45830, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee RYAN A BAILEY 824 BARBARA
    WAPAKONETA OH 45895, Cash Grant 265, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee STEPHANIE D SARNO 2210 W HIGH
    ST LIMA OH 45801, Cash Grant 267, Relationship Blood
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee DARE OF ALLEN COUNTY 333 N
    MAIN ST LIMA OH 45801-4468, Cash Grant 250, Relationship
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee FOP21 CHARITIES 5431 RIVER
    RIDGE ST ELIDA OH 45807, Cash Grant 25, Relationship
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee FOP21 CHARITIES 5431 RIVER
    RIDGE ST ELIDA OH 45807, Cash Grant 25, Relationship
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee FOP21 CHARITIES 5431 RIVER
    RIDGE ST ELIDA OH 45807, Cash Grant 400, Relationship
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee FOP21 CHARITIES 5431 RIVER
    RIDGE ST ELIDA OH 45807, Cash Grant 25, Relationship
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee FOP21 CHARITIES 5431 RIVER
    RIDGE ST ELIDA OH 45807, Cash Grant 240, Relationship
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee FOP21 CHARITIES 5431 RIVER
    RIDGE ST ELIDA OH 45807, Cash Grant 750, Relationship
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee SPECIAL OLYMPICS 3303
    WINCHESTER PIKE COLUMBUS OH 43232, Cash Grant 250, Relationship
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee MCGRUFF NCPC 2001 JEFFERSON
    DAVIS HWY, SUITE 901 ARLINGTON VA 22202, Cash Grant 858, Relationship
    Form 990-EZ, Part I, Line 16, Other Expenses Conferences, conventions, and meetings 1,519
    Form 990-EZ, Part I, Line 16, Other Expenses BANK SERVICE CHARGES 48
    Form 990-EZ, Part I, Line 16, Other Expenses BELEVOLENCE GIFTS 1,655
    Form 990-EZ, Part I, Line 16, Other Expenses PER CAPITA DUES 6,119
    Form 990-EZ, Part I, Line 16, Other Expenses EXPLORER POST 21 EXPENSES 15,475
    Form 990-EZ, Part I, Line 16, Other Expenses LIFE INSURANCE 8,643
    Form 990-EZ, Part I, Line 16, Other Expenses INTERNET 359
    Form 990-EZ, Part I, Line 16, Other Expenses OFFICE SUPPLIES 411
    Form 990-EZ, Part I, Line 16, Other Expenses KIDS CHRISTMAS 578
    Form 990-EZ, Part I, Line 16, Other Expenses MISCELLANEOUS 932
    Form 990-EZ, Part I, Line 16, Other Expenses SUPPLIES 1,797
    Form 990-EZ, Part I, Line 16, Other Expenses FOREIGN TAX 15
    Form 990-EZ, Part I, Line 16, Other Expenses OFFICER LIABILITY BOND 543
    Form 990-EZ, Part II, Line 24, Other Assets DIVIDENDS RECEIVABLE Beginning of year 2,074,
    End of year 2,810
    Form 990-EZ, Part II, Line 24, Other Assets LOAN RECEIVABLE Beginning of year 0, End of
    year 43,984
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID: 10000149
Software Version: 2010.2.15