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
JORDAN CREEK ELEMENTARY SCHOOL PARENT FACULTY CLUB
Employer identification number
26-3509721
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.") ....
92,369
77,791
91,068
261,228
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..
92,369
77,791
91,068
261,228
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.
261,228
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..
92,369
77,791
91,068
261,228
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,150
1,272
642
3,064
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..
38,979
35,436
74,415
11
Total support (Add lines 7 through 10).
338,707
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
36,078
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.") .
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......
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.
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.)
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...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
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.).
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
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
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
BACK TO SCHOOL NIGHT PICNIC 2,571 CUSTOM SCHOOL SUPPLY (PREPACKAGED BOX OF SCHOOL SUPPLIES, SOLD TO PARENTS FOR COST, PROVIDES EXACT SUPPLIES USED IN GRADE LEVEL AND REDUCES WRONG PURCHASES AND MISSING ITEMS. ALSO PROVIDES EXACT SAME SUPPLIES TO EVERY STUDENT) 7,865 DIRECTORIES 403 WAFFLE BREAKFAST 4,252 BOOK FAIR 4,685 YEARBOOK SALES 5,638 SPIRIT WEAR 10,022 OTHER INCOME 2010 38,979
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
JORDAN CREEK ELEMENTARY SCHOOL PARENT FACULTY CLUB
Employer identification number
26-3509721
Identifier
Return Reference
Explanation
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
SPELLING CHALLENGE EVENT COSTS 956 0 AUCTION OF DONATED GOODS SUPPLIES 5,894 FOOD & DRINKS 6,344 SOFTWARE 1,530 EXPENSES MISCELLANEOUS 470 LIABILITY INSURANC 220 BANK FEES 394 AVAIRY RESERVE 1,002 BOARD HOSPITALITY 9 BOOK CLUB 255 CLASSROOM TEACHER ALLOW 5,231 DOLLARS FOR SCHOLARS 500 FIELD TRIPS 3,250 CULTURAL DAY 5,609 GEOGRAPHY BEE 180 GRADE LEVEL EXPENSES 10,028 HOSPITALITY 739 LEARNING RESOURCE CENTER 500 RED RIBBON 92 SENIORS COME HOME 102 STAFF RECOGNITION DINNER 250 TALKING CANVAS 17 YOUNG ADULT LIBRARY 1,394 SPENDING REQUESTS 33,304 TOTAL 78,270
ALL OTHER ACHIEVEMENTS
FORM 990-EZ, PART III, LINE 31
PART III OTHER PROGRAM SERVICES: AVIARY RESERVE: THE PFC PURCHASED AND MAINTAINS A BIRD AVIARY IN THE ENTRANCE OF JORDAN CREEK ELEMENTARY SCHOOL TO PROVIDE AN OPPORTUNITY FOR ADDITIONAL STUDENT LEARNING. THESE FUNDS COVER THE COST OF THE ONGOING AVIARY MAINTENANCE. 1,002 WAS SPENT. BOOK CLUB: A READING CLUB WHICH DIRECTS MONEY TO PAY FOR ANY ADDITIONAL BOOKS NEEDED FOR STUDENTS TO READ NOT CURRENTLY AVAILABLE AT JORDAN CREEK ELEMENTARY. PURCHASED BOOKS THEN BECOME PART OF THE LIBRARY. 255 SPENT. DOLLARS FOR SCHOLARS: THE PFC GIVES THE 501(C)3 WEST DES MOINES COMMUNITY SCHOOLS FOUNDATION MONEY TO USE FOR A SCHOLARSHIP TO BE GIVEN TO A PAST JORDAN CREEK STUDENT MEETING SPECIFIC CRITERIA AS DEFINED BY THAT ORGANIZATION. 500 SPENT. FIELD TRIPS: THE PFC PROVIDES MONEY EACH YEAR TO USE FOR EDUCATIONAL FIELD TRIPS THAT MAY HAVE BEEN ELIMINATED DUE TO LACK OF FUNDS AVAILABLE IN THE SCHOOL'S BUDGET. 3,250 SPENT. GRADE LEVEL EXPENSES: THESE ARE A VARIETY OF SMALL EXPENSES NEEDED FOR ACTIVITIES IN THE SCHOOL. 10,028 SPENT. HOSPITALITY: THE PFC COMMITTEE PROVIDES VARIOUS MEALS FOR THE TEACHERS DURING CONFERENCES AND OTHER SCHOOL EVENTS WHEN TEACHERS ARE REQUIRED TO BE AT SCHOOL WITHOUT BREAKS. MUCH OF THE FOOD IS DONATED BY PFC VOLUNTEERS, SOME MONEY IS NEEDED FOR ADDITIONAL MEALS AND TO PROVIDE CLEAN UP AND SET UP ITEMS. 739 SPENT. LANDSCAPING: THE PFC PROVIDES FUNDS TO ENSURE A DECENT SCHOOL APPEARANCE AS WELL AS IMPROVED SAFETY FROM ADEQUATE GROUND COVER. MONEY IS USED FOR FERTILIZING, WEEDING, REPLACING PLANTS AND TREES. SCHOOL DISTRICT'S BUDGET ONLY ALLOWS FOR MOWING. NO MONEY SPENT THIS YEAR. LEARNING RESOURCE CENTER: THE PFC PROVIDES FUNDS TO THE LEARNING RESOURCE CENTER FOR JORDAN CREEK ELEMENTARY TEACHERS TO UTILIZE THE LRC'S RESOURCES THROUGHOUT THE YEAR FREE OF CHARGE. SERVICES INCLUDE COLOR PRINTOUTS, LAMINATION, BULLETIN BOARD CUT OUTS, AND OTHER CLASSROOM SUPPORT TOOLS. 500 SPENT. RED RIBBON: THE PFC PROVIDES FUNDS TO THE JORDAN CREEK ELEMENTARY GUIDANCE COUNSELOR TO MARK RED RIBBON WEEK (A "SAY NO TO DRUGS" CAMPAIGN) WITH RED RIBBONS THROUGHOUT THE SCHOOL. 92 SPENT. STAFF RECOGNITION DINNER: THE PFC PROVIDES FUNDS TO THE 501(C)3 WEST DES MOINES COMMUNITY SCHOOLS FOUNDATION TOWARD A DINNER WHICH RECOGNIZES TEACHERS FROM THROUGHOUT OUR DISTRICT FOR YEARS OF SERVICE AND OTHER ACCOMPLISHMENTS. 250 SPENT. YOUNG ADULT LIBRARY: THE PFC PROVIDES FUNDS FOR A SCHOOL DISTRICT WIDE LIBRARY AT THE DISTRICT'S LEARNING RESOURCE CENTER AVAILABLE FOR ALL TEACHERS AND STUDENTS TO UTILIZE TO HELP SUPPLEMENT READING PROGRAMS AVAILABLE AT THE SCHOOL LEVEL. 1,394 SPENT. OTHER MISCELLANEOUS PROJECTS: 702 SPENT.
UNREPORTED INCOME ON FORM 990-T EXPLANATION
FORM 990-EZ, PART V, LINE 35
INCOME FROM LINE 2 AND 6A WAS NOT REPORTED ON A 990-T. ALL INCOME FOR THE ORGANIZATION IS PERFORMED FOR THE ORGANIZATION WITHOUT COMPENSATION. INCOME FROM THE ANNUAL AUCTION IS DERIVED FROM MERCHANDISE THAT SUBSTANTIALLY WAS PROVIDED BY GIFTS OR DONATIONS. ALL OF THE PROGRAM SERVICE INCOME REPORTED ON LINE 2 IS SUBSTANTIALLY RELATED TO THE ORGANIZATION'S EXEMPT PURPOSE OF THE WELFARE AND EDUCATION OF CHILDREN. SALES OF SCHOOL SUPPLIES AND BOOKS PROMOTE THE EDUCATION OF THE CHILDREN AND THE SALE OF COLORED T SHIRTS USED DURING FIELD TRIPS AND OUTINGS PROMOTES THE SAFETY OF THE CHILDREN DURING THOSE OUTINGS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.