Form990-EZ
Click to see attachment
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 07-01-2010, and ending 06-30-2011
B
Check if applicable:
C Name of organization
HONOLULU SERTOMA CLUB
 
Number and street (or P. O. box, if mail is not delivered to street address)2735-A Henry Street
  Room/suite
City or town, state or country, and ZIP + 4 Honolulu, HI968171142
D Employer identification number

27-0154146
E Telephone number

(808) 595-2999
F Group Exemption
Number. . bullet5409
G Accounting method: Other (specify) bullet   H Check bulletI Website:bulletwww.HonoluluSertoma.orgJ Tax-Exempt status(check only one)—Click to see attachment(   ) 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 $ 38,461
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 8,686
2 Program service revenue including government fees and contracts . . . . . . . 2 18,133
3 Membership dues and assessments . . . . . . . . . . . . . . 3 490
4 Investment income . . . . . . . . . . . . . . . . . . 4 0
5a Gross amount from sale of assets other than inventory . . . . 5a 0
b Less: cost or other basis and sales expenses . . 5b 0
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . . 5c 0
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) 6a 0
b Gross income from fundraising events (not including $ 11,152 of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceed $15,000) . . . . . . .
c Less: direct expenses from gaming and fundraising events . . . 6c 5,954
d Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c) 6d 5,198
7a Gross sales of inventory, less returns and allowances . . . . 7a 0
b Less: cost of goods sold . . . . . . . . . . 7b 0
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) . . . . . . 7c 0
8 Other revenue (describe in Schedule O) . . . . . . . . . 8 0
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . . 9 32,507
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) . . . . . . . . 10 4,168
11 Benefits paid to or for members . . . . . . . . . . . . . . . 11 0
12 Salaries, other compensation, and employee benefits . . . . . . . . . . . 12 0
13 Professional fees and other payments to independent contractors . . . . . . . . 13 0
14 Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . 14 0
15 Printing, publications, postage, and shipping . . . . . . . . . . . . 15 577
16 Other expenses (describe in Schedule O) . . . . . . . . . . 16 27,762
17 Total expenses. Add lines 10 through 16 . . . . . . . . . . . . 17 32,507
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . . 18 0
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 22,967
20 Other changes in net assets or fund balances (explain in Schedule O) . . . . . . . 20 0
21 Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . . Bullet 21 22,967
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 . . . . . . . . . .
22,967
22
22,967
23Land and buildings . . . . . . . . . . . . .
0
23
0
24Other assets (describe in Schedule O) . . . . . .
0
24
0
25Total assets . . . . . . . . . . . . . .
22,967
25
22,967
26
Total liabilities (describe in Schedule O) . . . . .
0
26
0
27Net assets or fund balances (line 27 of column (B) must agree with line 21) .
22,967
27
22,967
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? The Honolulu Sertoma Club is organized exclusively for charitable or educational purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under section 501 (c) (3) of the Internal Revenue Code, or corresponding section of any future federal tax code. The Honolulu Sertoma Club serves the community through the George B. Carter Serteens Club of Hawaii, a trade name youth group of the Honolulu Sertoma Club, and other community service projects that include hearing conservation associated projects as part of Sertoma International's requirements. The Honolulu Sertoma Club provides an organization for interested members of the community to provide leadership training and mentorship to Hawaii's Gifted and Talented Youth.
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 The primary charitable purpose of the Honolulu Sertoma Club is to provide the support and resources for community service in the state of Hawaii, which is accomplished directly by the club and its youth organization, the George B. Carter Serteens Club of Hawaii. Honolulu Sertoma members are mentors and advisors to the student leaders of the George B. Carter Serteens Club of Hawaii. The 36 Honolulu Sertoma members provide leadership training and mentorship services to 53 teen agers (Serteens) from various public and private schools throughout the state. Sertoma organizes community service projects with Serteens to provide charitable services to various individuals and groups. In the process, the student members of Serteens learn about charitable giving and become better citizens in their community. Please note that each meeting itemized below is a community service event for the Honolulu Sertoma members who coach and nurture the leadership skills of the student leaders of Serteens. The largest recipients of grants and scholarship expenses and other expenses were to gifted and talented youth volunteers with Serteens. The Leadership Camp held on July 15-17, 2010 provided leadership training seminars, activities and positive peer association to 40 teen-agers at the YMCA Camp Erdman facility in Waialua, Hawaii. The educational encampment at Kilauea Military Camp at Hawaii Volcanoes National Park on the Big Island of Hawaii was held on February 18, 2011 to February 22, 2011, and involved 13 members of Sertoma providing several educational seminars, self-improvement workshops and peer-association activities to the 40 Serteen members who attended the camp. The Honolulu Sertoma Club developed a "White Paper" on a Sertoma to Serteen Mentorship Program. The Honolulu Sertoma Club developed hearing conservation projects. Honolulu Sertoma held SAFEEARS sessions with students from local public and private schools where hearing safety seminars were held using the DVD presentation Honolulu Sertoma developed, and we provided students with hearing safety kits. Honolulu Sertoma continuously uses the hearing conservation DVD and lesson plan at these ongoing hearing safety presentations. We provide teachers a complete package on hearing conservation that they can use in a hearing conservation class. Honolulu Sertoma also developed and hosts an online educational program on hearing conservation that individuals access through our web site. An individual taking the online course is issued a certificate of completion. With our primary sponsosrship of the George B. Carter Serteens Club, we held several community service activities that include the July 9, 2010 ARTSPREE at the Honolulu Academy of the Arts' Contemporary Museum. This community service project involved 31 Serteens and 7 Sertomans manning booths at the Contemporary Museum's annual open house event open to the public. Over 3000 visitors were served at this public event that showcased art exhibits and art demonstrations to the public. The charitable focus for Sertoma was providing hands-on community service opportunities with the Serteens and exposing Serteen members to the educational, enrichment opportunity to experience art. The July 15, 2010 to July 17, 2010 Leadership Camp (LC 2010) involved taking 40 Serteens along with 7 Sertomans to the YMCA Camp Erdman in Waialua, Hawaii, to attend leadership seminars and activities presented by Sertoma members. The eleven Serteen officers and various members of the camp planning committee received hands on experience in leadership exercises and execution of all camp programs. The members received educational enrichment from the seminars and camp activities. Meetings where the 11 Serteen student officers received leadership training and mentoring occurred every month except in December 2010. At these meetings, officers raised funds, planned and executed community service projects and prepared for their educational enrichment camps. On February 18, 2011 to February 22, 2011, Honolulu Sertoma held the Knights Motivational Camp at Kilauea Military Camp, Hawaii Volcanoes National Park. This community service event involved taking Serteens along with their sponsoring Sertomans to Kilauea Military Camp on the Big Island of Hawaii, to attend leadership seminars and activities presented by Sertoma members. The Serteen officers and various members of the camp planning committee received hands on experience in leadership exercises and execution of all camp programs. The members received educational enrichment from the seminars and camp activities. New Serteens officers were elected from the student membership in March 2011, and in April 2011, these students received intensive leadership training and role orientation during their Officers Retreat. This workshop meeting with the incoming Serteen officers involved 7 Sertoma members providing intensive leadership training and organizational exercises with 11 newly-elected officers. During the workshop, the Serteens accomplished the following: a) Conducted initial teambuilding exercise, discussed communications, established standards b) Drafted Plan for Service Projects, Socials, Fundraising, and Camps c) Drafted Activity Worksheets for each activity. The outgoing and incoming officers and graduating Seniors were recognized at the annual Appreciation Banquet on May 1, 2011. This event recognized several individuals for their contributions to the community and to award scholarship monies to a deserving Serteen. The newly installed Serteen Officers had their second Officers Retreat in May 2011 and began their administrative year at the May general meeting. During the course of the year, the Serteens designed and executed a capital project for the development of a new club T-shirt. This project was completed in February 2011. The Serteens with assistance from Honolulu Sertoma also held two charitable giving projects to support the community. The Alleviate the Suffering project donated $500 to a medical charity and the Serteens raised $372 to donate to the American Red Cross to assist with their pacific tsunami relief project. The Honolulu Sertoma Club raised funds from its membership to support the community service projects of Sertoma, Inc, and its affiliated regional and district organizations.
(Grants $ 4,168) If this amount includes foreign grants, check here ...MediumBullet		 28a 27,661
29
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		29a
30
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		30a
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 27,661
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
Darryl Ching
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 President20 0 0 0
Siddarth Savara
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 Vice-President5 0 0 0
Nicole Hanabusa
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 Vice-President5 0 0 0
Keane Nishimoto
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 Vice-President10 0 0 0
Jared Kuroiwa
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 President-Elect5 0 0 0
Daniel Patterson
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 Treasurer/Secretary10 0 0 0
Maria Quidez
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 Sergeant at Arms5 0 0 0
Kristl Patterson
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 Director-Chair5 0 0 0
Rachel Choy
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 Director5 0 0 0
Royanne Doi
Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI96817
 Director5 0 0 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
 
 
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
0
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 bullet0 ; section 4912 bullet0 ; section 4955 bullet0
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
 
No
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 ..bullet0
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization ...................bullet0
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
 
No
41List the states with which a copy of this return is filed. bulletHI
42aThe organization's books are in care of bulletDaniel Patterson Telephone no. bullet (808) 595-2999
Located at bulletC/O Honolulu Sertoma Club
2735-A Henry Street
Honolulu,HI ZIP + 4bullet968171142
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
 
 
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
 
No
48
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . .
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization? . . . .
49a
 
No
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: 10000077
Software Version: v1.00

Form 990-EZ, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

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.
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
HONOLULU SERTOMA CLUB
 
Employer identification number

27-0154146
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
f
g
(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
(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
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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.") .       16,924 9,176 26,100
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......       18,148 18,133 36,281
3 Gross receipts from activities that are not an unrelated trade or business under section 513..       6,756 5,198 11,954
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...       0 0 0
5 The value of services or facilities furnished by a governmental unit to the organization without charge..       0 0 0
6 Total. Add lines 1 through 5. 0 0 0 41,828 32,507 74,335
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...       0 0 0
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.       0 0 0
c Add lines 7a and 7b.. 0 0 0 0 0 0
8 Public Support (Subtract line 7c from line 6.)           74,335
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... 0 0 0 41,828 32,507 74,335
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..       0 0 0
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.       0 0 0
c Add lines 10a and 10b. 0 0 0 0 0 0
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.       0 0 0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)       0 0 0
13 Total support (Add lines 9, 10c, 11 and 12.). 0 0 0 41,828 32,507 74,335
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
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: 10000077
Software Version: v1.00
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
HONOLULU SERTOMA CLUB
 
Employer identification number

27-0154146
Identifier Return Reference Explanation
F99Z_P01_S00_L10 Form 990-EZ, Part I, Line 10 The following entries are sorted by Date, Grants and Amount: 7/8/2010 Mountain West Region 1st Qtr $54.00, 7/8/2010 Sertoma Quarterly Dues 1st Qtr $420.00, 7/8/2010 Wild West District Sertoma 1st Qtr $144.00, 8/22/2010 Honolulu Sertoma Club Dues to Sertoma Inc. $175.00, 9/7/2010 Honolulu Sertoma Club liability insurance premium, 9/27/2009 $149.40, 10/10/2010 Mountain West Region 2 Qtr $54.00, 10/10/2010 Sertoma Quarterly Dues 2 Qtr $420.00, 10/10/2010 Wild West District Sertoma 2 Qtr $144.00, 11/21/2010 Chartiable Donation Allieviate the Suffering $500.00, 1/8/2011 Mountain West Region 3 Qtr $54.00, 1/8/2011 Sertoma Quarterly Dues 3 Qtr $420.00, 1/8/2011 Wild West District Sertoma 3 Qtr $144.00, 4/9/2011 Mountain West Region 4 Qtr $54.00, 4/9/2011 Sertoma Quarterly Dues 4 Qtr $420.00, 4/9/2011 Wild West District Sertoma 4 Qtr $144.00, 4/17/2011 Charitable Donation American Red Cross Japan Earthquake and Pacific Tsunami Fund $372.00, 4/30/2011 Scholarship to graduating Serteen Sean Cullen $500.00
F99Z_P01_S00_L16 Form 990-EZ, Part I, Line 16 Other Expenses: Hawaii Children and Youth Day booth fee paid for by Bryson Yee $65.00, Annual filing fee with DCCA State of Hawaii $2.50, Deposit Correction Fee for Kristl's 6/21 deposit $3.00, Miscellaneous Expenditure Caitlin Kelly's Bounced Check fee $5.00, Registration Fee for State of Hawaii Charity Registration $25.00, plus Program Expenses of $27,661. The Program Expenses are broken down as follows: Date, Program Service Expense itemization, and Itemized amount. 6/26/2011 AB 2012 deposit $200.00, 4/17/2011 AB Centerpieces Calder Atta $105.15, 5/15/2011 AB DVDs for AB slideshow 2011 $32.95, 4/17/2011 AB Hale Ikena $1,488.00, 5/1/2011 AB Hale Ikena $295.60, 5/25/2011 AB supplies $152.64, 4/10/2011 Food for Officers' Meeting Maria Quidez $64.21, 5/15/2011 Food for OR #2 $79.43, 2/27/2011 KMC 2011 Airfare Keane Nishimoto $7,276.80, 1/15/2011 KMC 2011 Bus for Robert's Hawaii School Bus $384.00, 2/27/2011 KMC 2011 costs & rental vehicle Daniel Patterson $299.96, 3/25/2011 KMC 2011 overpayment refund Lindsey to Doreen Sugita-Tsutsui $4.50, 2/22/2011 KMC 2011 Payment Kilauea Military Camp $7,987.55, 2/22/2011 KMC 2012 deposit for Kilauea Military Camp $1,000.00, 2/27/2011 KMC Dance Decorations $16.10 2/20/2011 KMC Mauna Kea Vans Arnott's Lodge $1,600.00, 2/27/2011 KMC park entrance fee 16 yr + Darryl Ching $115.00, 2/20/2011 KMC van driver's tip Cash $100.00, 2/20/2011 KMC van driver's tip Cash $100.00, 2/20/2011 KMC van driver's tip Cash $100.00, 2/20/2011 KMC van driver's tip Cash $100.00, 8/22/2010 LC 2010 invoice #54855 $4,380.50, 7/15/2010 LC 2010 Payment for bus for LC 2010 $400.00, 7/25/2010 LC 2010 smores $30.33, 8/22/2010 Programs Heart Walk social food Darryl Ching $34.55, 7/25/2010 Programs lei for guest speaker paid by Kelley Ige $6.27, 7/25/2010 Programs Post LC social refreshments Shelly Imamura $15.79, 1/23/2011 T- Shirt New Serteens T-Shirts Darryl Ching $1,261.76, 11/21/2010 T-Shirt Contest prizes Adam Kostylo $30.00
F99Z_P05_S00_L35 Form 990-EZ, Part V, Line 35 The program services revenue for Honolulu Sertoma is not subject to taxation. The fundraisers held by Honolulu Sertoma generated net proceeds of $5198.50, which was entered on line 6c of this form. According to IRS publication 598 (Rev. March 2010), the fundraisers held by Honolulu Sertoma were not "regularly carried on by an exempt organization". These were not regular business activities, but time-limited special events to raise operating funds and grant money by an all-volunteer membership who donated their time and effort. Honolulu Sertoma has no paid employees. These special fundraisers fall under the specific "excluded trade or business activities" section of IRS Publication 598 (Rev. March 2010) and are not "unrelated trade or business income". Because Honolulu Sertoma has no taxable income, the organization has not reported this special activities income on form 990-T.
SchB_P01_S00_L00 Schedule B, Part I No individual contributors contributed $5000 or more; therefore no Schedule B is required.
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: 10000077
Software Version: v1.00