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
2011
Open to Public Inspection
Name of the organization
QUINSIPPI SOCCER LEAGUE ASSOCIATION
Employer identification number
23-7417694
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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—2011.
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—2010.
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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
54,626
51,080
43,155
37,506
34,647
221,014
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......
13,569
14,162
6,023
33,754
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
2,001
2,001
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.
54,626
51,080
56,724
51,668
42,671
256,769
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.)
256,769
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
54,626
51,080
56,724
51,668
42,671
256,769
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
748
3,722
1,126
701
537
6,834
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
748
3,722
1,126
701
537
6,834
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.)
13
Total support (Add lines 9, 10c, 11 and 12.).
55,374
54,802
57,850
52,369
43,208
263,603
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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
97.410 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
91.480 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
3.000 %
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
2.000 %
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011
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
2011
Open to Public Inspection
Name of the organization
QUINSIPPI SOCCER LEAGUE ASSOCIATION
Employer identification number
23-7417694
Identifier
Return Reference
Explanation
OTHER REVENUE
FORM 990-EZ, PART I, LINE 8
MISCELLANEOUS INCOME 2,001 TOTAL 2,001
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
EXPENSES ADVERTISING 100 OFFICE SUPPLES 515 INSURANCE 2,128 OFFICIALS 6,671 SHIRTS 948 BANK CHARGES 28 REAL ESTATE TAXES 3,386 NATIONAL AFFILIATION FEES 5,919 MISCELLANEOUS 690 FEES 85 COMMISSIONER FEES 2,500 NON-INVESTMENT DEPRECIATION 5,132 TOTAL 28,102
OTHER ASSETS
FORM 990-EZ, PART II, LINE 24
FENCE 0 8,879 LESS ACCUMULATED DEPRECIATION 0 8,879 SEEDING/FERTILIZER 0 8,873 LESS ACCUMULATED DEPRECIATION 0 8,873 DRAINAGE PIPE 0 550 LESS ACCUMULATED DEPRECIATION 0 550 GARAGE DOOR 0 498 LESS ACCUMULATED DEPRECIATION 0 498 BENCHES 0 544 LESS ACCUMULATED DEPRECIATION 0 544 SCOREBOARD 0 5,996 LESS ACCUMULATED DEPRECIATION 0 5,996 DRAINAGE PIPE 0 604 LESS ACCUMULATED DEPRECIATION 0 604 GRADING & DOZER WORK 0 16,000 LESS ACCUMULATED DEPRECIATION 0 7,583 FENCING CHAIN LINK CONS CONTRACTORS 0 4,989 LESS ACCUMULATED DEPRECIATION 0 4,989 PAVING LOT 0 24,000 LESS ACCUMULATED DEPRECIATION 0 24,000 PAVED LOT 0 30,000 LESS ACCUMULATED DEPRECIATION 0 30,000 PAVED LOT 0 13,013 LESS ACCUMULATED DEPRECIATION 0 13,013 LANDSCAPING 0 3,750 LESS ACCUMULATED DEPRECIATION 0 3,750 TILING 0 1,458 LESS ACCUMULATED DEPRECIATION 0 1,401 LANDSCAPING 0 2,616 LESS ACCUMULATED DEPRECIATION 0 2,456 BLEACHERS 0 10,500 LESS ACCUMULATED DEPRECIATION 0 10,092 LAND IMPROVEMENTS 0 37,255 LESS ACCUMULATED DEPRECIATION 0 37,255 LAND IMPROVEMENTS 0 9,932 LESS ACCUMULATED DEPRECIATION 0 9,932 BUILDING 0 50,588 LESS ACCUMULATED DEPRECIATION 0 23,239 CARPETING 0 2,005 LESS ACCUMULATED DEPRECIATION 0 2,005 GOAL POSTS 0 3,299 LESS ACCUMULATED DEPRECIATION 0 3,299 NETS 0 832 LESS ACCUMULATED DEPRECIATION 0 832 SIGNS 0 4,525 LESS ACCUMULATED DEPRECIATION 0 4,525 30' GATE 0 1,164 LESS ACCUMULATED DEPRECIATION 0 1,164 WATER HEATER 0 370 LESS ACCUMULATED DEPRECIATION 0 370 WATER LINE/METER 0 3,500 LESS ACCUMULATED DEPRECIATION 0 3,500 HIGH WHEEL MOWER 0 788 LESS ACCUMULATED DEPRECIATION 0 788 FIELD STRIPER 0 418 LESS ACCUMULATED DEPRECIATION 0 418 GOAL POSTS 0 1,639 LESS ACCUMULATED DEPRECIATION 0 1,639 COMPUTER 0 1,621 LESS ACCUMULATED DEPRECIATION 0 1,621 NETS 0 300 LESS ACCUMULATED DEPRECIATION 0 300 PRINTER 0 209 LESS ACCUMULATED DEPRECIATION 0 209 WATER HEATER 0 186 LESS ACCUMULATED DEPRECIATION 0 186 BENCH STAKES 0 192 LESS ACCUMULATED DEPRECIATION 0 192 POPCORN MACHINE 0 503 LESS ACCUMULATED DEPRECIATION 0 503 HOT DOG MACHINE 0 268 LESS ACCUMULATED DEPRECIATION 0 268 MICROWAVE 0 177 LESS ACCUMULATED DEPRECIATION 0 177 CASH REGISTER 0 130 LESS ACCUMULATED DEPRECIATION 0 130 WEST FENCE 0 10,157 LESS ACCUMULATED DEPRECIATION 0 10,157 NORTH FENCE 0 9,459 LESS ACCUMULATED DEPRECIATION 0 9,459 WEST FENCE 0 10,529 LESS ACCUMULATED DEPRECIATION 0 10,529 ARCHITENICS 0 377 LESS ACCUMULATED DEPRECIATION 0 377 COMPUTERS 0 1,945 LESS ACCUMULATED DEPRECIATION 0 1,945 FURNACE 0 1,318 LESS ACCUMULATED DEPRECIATION 0 1,157 NETS 0 1,222 LESS ACCUMULATED DEPRECIATION 0 1,222 SHELTER HOUSE 0 12,136 LESS ACCUMULATED DEPRECIATION 0 4,989 ELECTRIC IN SHELTER HSE 0 621 LESS ACCUMULATED DEPRECIATION 0 233 FREEZER 0 370 LESS ACCUMULATED DEPRECIATION 0 370 EQUIPMENT 0 463 LESS ACCUMULATED DEPRECIATION 0 401 EQUIPMENT 0 2,021 LESS ACCUMULATED DEPRECIATION 0 707 ROOF ON CONCESSION BUILDING 0 1,500 LESS ACCUMULATED DEPRECIATION 0 250 ROUNDING 0 0 TOTAL 0 46,713
FIRST ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 28
ORGANIZATION PROVIDES INSTRUCTION AND TRAINING TO YOUTH UNDER THE AGE OF 16 IN THE GAME OF SOCCER. RECREATIONAL LEAGUES ARE HELD FOR COMPETITION AND TRAINING IN THE GAME OF SOCCER. CONCESSIONS ARE SOLD FOR THE CONVENIENCE OF THE PARTICIPANTS AND THEIR FAMILIES. TEAM FEES ARE CHARGED TO MAINTAIN THE FACILITY AND COVER OPERATING EXPENSES.
ALL OTHER ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 31
DEPRECIATION ON SOCCER COMPLEX. SAME ACCOMPLISHMENTS AS 1.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.