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
KEARNEY COMMUNITY THEATRE
Employer identification number
47-0604962
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.") .
62,878
69,451
64,039
46,282
64,531
307,181
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......
159,091
180,436
185,665
172,001
163,880
861,073
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.
221,969
249,887
249,704
218,283
228,411
1,168,254
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
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
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
1,168,254
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...
221,969
249,887
249,704
218,283
228,411
1,168,254
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
11,320
10,461
15,447
11,567
7,445
56,240
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11,320
10,461
15,447
11,567
7,445
56,240
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
578
902
248
291
2,019
13
Total support (Add lines 9, 10c, 11 and 12.).
233,289
260,926
266,053
230,098
236,147
1,226,513
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
95.250 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
94.930 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
4.590 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
4.840 %
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
KEARNEY COMMUNITY THEATRE
Employer identification number
47-0604962
Identifier
Return Reference
Explanation
Form 990, Part VI, Section B, line 11
PRIOR TO FILING THE ANNUAL FORM 990, MEMBERS OF THE BOARD OF DIRECTORS ARE GIVEN A COPY OF THE FORM 990 AND THE COMPILED FINANCIAL STATEMENTS TO REVIEW. UPON APPROVAL OF THE BOARD MEMBERS, THE FORM 990 IS FILED.
Form 990, Part VI, Section B, line 15
THE BOARD OF DIRECTORS PERFORMS STAFF EVALUATIONS ANNUALLY, WHICH INCLUDE A REVIEW OF THE SALARIES PAID TO THEATRE EMPLOYEES.
Form 990, Part VI, Section C, line 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Contact Addresses for Officers, Directors, Etc
Form 990, Part VII
DAVID ROZEMA - 739 WEST 1ST STREET, KEARNEY, NE 68845. MARY HAEVERLE - 721 WEST 21, KEARNEY, NE 68845. JEFF KNAPP - 510 W 24TH, KEARNEY, NE 68845. STAN DART - 2410 65TH AVE PL, KEARNEY, NE 68845. PHYLLIS HAVERKAMP - 4306 PALAMINO RD, KEARNEY, NE 68847. GARY BRANDT - 444104 FAIRACRES ROAD, KEARNEY, NE 68845. SONJA HARMS - 4314 29TH AVE PLACE, KEARNEY, NE 68845. KELLY KRIER - 311 COURT ST, GIBBON, NE 68840. MIKE KENTON - 617 6TH ST, GIBBON, NE 68840. JIM GOEDERT - 4010 AVE R APT H1, KEARNEY, NE 68847. CINDY SYRING - 3309 4TH AVE , KEARNEY, NE 68847. MISHELLE MAUL - 3715 13TH AVE, KEARNEY, NE 68845.
All Other Functional Expenses
Form 990, Part X, line 24f
SALES TAX: Program service expenses 5290. Management and general expenses 0. Fundraising expenses 0. Total expenses 5290. TELEPHONE ISP SERVICE: Program service expenses 4762. Management and general expenses 0. Fundraising expenses 0. Total expenses 4762. WEB MAINTENANCE & ONLINE EXPENSES: Program service expenses 4573. Management and general expenses 0. Fundraising expenses 0. Total expenses 4573. BANK AND CREDIT CARD FEES: Program service expenses 0. Management and general expenses 3498. Fundraising expenses 0. Total expenses 3498. GALA EXPENSES: Program service expenses 3414. Management and general expenses 0. Fundraising expenses 0. Total expenses 3414. SUPPLIES & CLEANING: Program service expenses 0. Management and general expenses 2583. Fundraising expenses 0. Total expenses 2583. ANNUAL MEETING COSTS: Program service expenses 1749. Management and general expenses 0. Fundraising expenses 0. Total expenses 1749. EQUIPMENT EXPENSES: Program service expenses 0. Management and general expenses 1532. Fundraising expenses 0. Total expenses 1532. DUES & SUBSCRIPTIONS: Program service expenses 0. Management and general expenses 637. Fundraising expenses 0. Total expenses 637. GIFTS: Program service expenses 0. Management and general expenses 241. Fundraising expenses 0. Total expenses 241. PLAY SELECTION COMMITTEE: Program service expenses 228. Management and general expenses 0. Fundraising expenses 0. Total expenses 228. SNOW REMOVAL/LAWN CARE: Program service expenses 0. Management and general expenses 146. Fundraising expenses 0. Total expenses 146.
THE BOARD OF DIRECTORS AS A WHOLE SELECTS THE FIRM TO PROVIDE COMPILATION AND TAX SERVICES TO THE KEARNEY COMMUNITY THEATRE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.