Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI-A, Line 2 | Two directors, Geoffrey Post & Henry Lodge, are shareholders & members | |
| of the board of directors of Citizens State Bank in Jasper, TN | ||
| Pt VI-A, Line 8b | No committees have the authority to act on behalf of the board. | |
| Pt VI-B, Line 11a | The treasurer and/or the president review before filing; copies are later | |
| provided to the board. | ||
| Pt VI-B, Line 15 | All employees are actually leased from Marion County. Wages are | |
| set by the non-profit board based on pay-rates and studies conducted | ||
| by the County. The rates are then discussed by the entity's | ||
| board and recorded in the minutes of the organziation. | ||
| Pt VI-C, Line 19 | All information is available at the accounting office of the | |
| organization during their normal business hours. | ||
| Pt VII-A, (D),(E) | Regarding Mark A. Payne, III: All employees are leased by the | |
| organization from Marion County, TN. All payroll taxes | ||
| insurance & benefits paid by the county (as listed in column (E)) | ||
| are fully reimbursed by the corporation. Most employees receive | ||
| a W-2 from Marion County for their regular payroll and a W-2 from | ||
| the organization for bonuses, etc. | ||
| Sch L, Part IV | Geoffrey Post: Mr. Post is a shareholder, director and | |
| President of Citizens State Bank (CSB). As of 12/31, the | ||
| organization had placed deposits of $3,870,389 at CSB. | ||
| $3,366,242 of these funds were participating in CDARS (the | ||
| Certificate of Depoist Account Registrry Service) through | ||
| an agreement with Citizens State. The funds place in these | ||
| agreements with CSB earned approximately $51,500 in interest | ||
| during the year. The organization paid Mr. Post $200 for his | ||
| attendance at a board meetings in 2010. Total transactions | ||
| Form 990, Part IX, Line 24f | SUPPLIES EXPENSE 5153. 5153. WASTE WATER SUPPLIES 532. 532. DUES & SUBSCRIPTIONS 401. 401. TELEPHONE/INTERNET 1740. 1740. EVALUATION & TESTING 15511. 15511. WASTE WATER TESTING 1949. 1949. ENGINEERING 28701. 28701. EQUIPMENT RENTAL EXPENSE 1946. 1946. FINES & PENALTIES 250. 250. SURCHARGE PERMIT 1000. 1000. SOLID WASTE SURCHARGE 48697. 48697. UTILITIES 6155. 6155. WASTE WATER UTILITIES 7993. 7993. SEMINARS 840. 840. BAD DEBTS 2741. 2741. BANK CHARGES 12. 12. EROSION CONTROL 19145. 19145. WASTE W | |
| exceed $3.922 million. | ||
| Sch L, Part IV | Henry Lodge: Mr. Lodge is a shareholder and director of | |
| Citizens State Bank. (See Geoffrey Post -above- for detail | ||
| of transactions with CSB). Mr Lodge is also an officer | ||
| and shareholder of an organization which paid disposal fees | ||
| of $2,967 to the organization in 2010. In addition, Mr. | ||
| Lodge received $100 for his attendance a board meeting. | ||
| Total transactions exceed $3.860 million. |
| Software ID: | 10000104 |
| Software Version: |