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
ZMOTION RACING FOUNDATION INC
Employer identification number
80-0228554
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.") ....
232,404
783,666
633,807
762,005
2,411,882
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3..
232,404
783,666
633,807
762,005
2,411,882
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)..
0
6
Public Support. Subtract line 5 from line 4.
2,411,882
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..
232,404
783,666
633,807
762,005
2,411,882
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
0
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
0
11
Total support (Add lines 7 through 10).
2,411,882
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
0 %
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.") .
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
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:
11000144
Software Version:
2011v1.5
-
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
ZMOTION RACING FOUNDATION INC
Employer identification number
80-0228554
Identifier
Return Reference
Explanation
SCHEDULE OF VARIOUS PROGRAM SERVICE ACHIEVMENTS
1)April 30, 2011: zMotion membership MS Team Training RideThis is a special zMotion Training ride along A1A with three ride groups A, B, and C. Leaving from the Cove Restaurant at 7:00 am. Location leaving from the Cove Restaurant Hillsboro Blvd & A1A, Estimated 100 riders2)May 7, 2011: zMotion membership MS Team Training RideThis is a special zMotion Training ride along A1A with three ride groups A, B, and C. Leaving from the Cove Restaurant at 7:00 am Location leaving from the Cove Restaurant Hillsboro Blvd & A1A, Estimated 100 riders3)July 10, 2011: Frank Stark RideThe Frank Stark Ride has been a tradition for the last 21 years. ENJOY A SCENIC RIDE OF EITHER 62 OR 30 MILES ALONG THE ATLANTIC COAST FROM BOCA RATON TO THE MANSIONS IN PALM BEACH. This ride is a long standing South Florida tradition that you won't want to miss. Location Boca Raton Florida to Boynton Beach along A1A, Estimated 700 riders4)October 1st & 2nd, 2011: Be Strong Benefiting LiveSTRONGBe Strong benefiting LIVESTRONG INVITES YOU TO PARTICIPATE IN A WALK, RUN OR RIDE TO BENEFIT THE LANCE ARMSTRONG FOUNDATION FOR CANCER RESEARCH SUPPORT. Location leaving from GulfStream Park, Estimated 1000 Riders5)October 14th - 16th, 2011: ROAD TRIP! Mt. Dora Bike FestivalTHIS EVENT FEATURES RIDES FROM 5 TO 100 MILES WITH OPTIONS FOR ALL SKILL LEVELS. The Mount Dora Bike Festival allows you to enjoy the quiet roads and the beautiful scenery of Lake Country, Florida. Location Mt. Dora Florida, Estimated 100 Riders6)November 2011: South Broward Wheeler's Adopt-A-Bike RideMore than 500 cyclists START AT BRIAN PICCOLO PARK &RIDE 32 OR 62 MILES IN WESTERN BROWARD COUNTYand help support the adopt-a-bike program. Location Brian Piccolo Park, Estimated 800 riders7)November 20th, 2011: ROAD TRIP! Horrible Hundred in Clermont, FlClermont. COURSE OPTIONS OF 35, 70, AND 100 MILES ALONG QUIET RURAL ROADS IN LAKE COUNTY. The century course includes all Central Florida's "Mountains" Location Clermont FL, Estimated 100 Riders8)December 3rd, 2011: Member Only Ride with Tom DanielsonMEMBER ONLY GROUP RIDE W/PRO RIDERTOM DANIELSON OF TEAM GARMIN-CERVELO Location Cove Restuartant Hillsboro Blvd & A1A, Estimated 300 riders9)December 4th, 2011: KIDS In Distress Inlet ChallengeJoin over 800 riders AT BAHIA MAR PARKING LOT FOR THE KIDSINLET BENEFITING KIDS IN DISTRESS. 4 ROUTES: 100, 62.5, 31 OR15 MILES WITH A SCENIC ROUTE ALONG A1A, the day is filled withfriendly volunteers & a festive beach celebration at the finish Location Bahia Mar Fort Lauderdale FL, Estimated 1000 Riders10)February 2012: Tour De BrowardTHE TOUR DE BROWARD HAS FOUR KINDS OF EVENTS FOR PEOPLE WITHDIFFERENT FITNESS LEVELS. Enjoy a healthy day at MiramarRegional Park & help raise money to build Broward County'sonly free-standing children's hospital. Enjoy great food, kid's activities and entertainment throughout the day. Location Miramar Regional Park Miramar Fl, Estimated 1000 Riders11)March 2012: Tour De CureThe Tour de Cure raises funds to support the essential efforts of the American diabetes Assoc. RIDE OPTIONS OF 100, 62, 35 AND10 MILES FROM C.B. SMITH PARK. Each dollar you raise supportsdiabetes research, treatment, education and advocacy for adultsand children, touching their lives in critically important ways Location CB Smith Park Davie Fl, Estimated 500 Riders12)May, 2012: Zimmerman MS Bike Ride300 cyclists, volunteers, sponsors, friends and family working and riding together against MS! Ride 50, 75, 110 or the full 150 miles! The two day event kicks off a the Homestead-Miami Speedway, stops overnightat John Pennekamp Park in Key Largo then heads back to Miami on day two.
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
No documents available to the public.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
No review was or will be conducted.
Client Note 1 - ZMOTION RACING FOUNDATION INCFEI# 80-0228554FORM 990 FOR THE F/Y/E 5/31/11------------------------------ATTACHMENT TO SCHEDULE 0 - SCHEDULE OF VARIOUS PROGRAM SERVICE ACHIEVMENTS--------------------------------------------------------------------------Education Seminars------------------ Cycling Education Seminars: The Foundation will reach out to the community through various charitable organizations and local parks to provide ongoing cycling seminars in an effort to recruit people into a sport that provides fitness and inspiration. Ideally, our goal is to recruit over 350 new active members/cyclists into the program and provide a forum for them to understand cycling safety and cycling fitness so that each and every participant has an opportunity for success and an ongoing motivation to live a healthier lifestyle. During the year there will be weekly seminars for approximately two hours each starting with the basics and building upon each point as the riders progress in the boot camps:1.Safety - how to shift, how to ride with a group, how to be SAFE and much more2.Rules of the Road (Share the Road | Ride Right, Drive Right)3.Cycling guidelines4.How to cycle and how to cycle for life5.How to establish riding schedules to complete races/events6.Health benefits7.Nutrition - what to eat and how to prepare for a ride - don't run out of steam8.Positive role model for the community Community Fitness Cycling Boot Camps: ------------------------------------- During the year, the Foundation intends to sponsor seven (7) boot camps throughout Miami-Dade, Broward and Palm Beach Counties, Florida. The boot camps will be run free of charge. The camps will consist of an experienced cyclist volunteer that leads a novice camp group of 20-35 beginning cyclists. Camp leaders teach cycling techniques, safety, bike equipment fundamentals, and provide a general overview of the sport. The cycling boot camps will take what the riders have reviewed in the seminars and apply the skills and rules on the road. There are numerous boot camps ranging from beginner to advanced skill levels. The RidesAs the riders go from boot camp to training camp and become educated, fit and improve their skills they will be able to ride with a training camp that is at their correct level and geographically desirable. During the season, the riders will be given the opportunity to apply what they have learned in the seminars and boot camps by participating in a number of events, both pro and charity rides to fit their skill level. Following are just a few of the opportunities that are available:"April 30, 2011: zMotion membership MS Team Training RideThis is a special zMotion Training ride along A1A with three ride groups A, B, and C. Leaving from the Cove Restaurant at 7:00 am. Location leaving from the Cove Restaurant Hillsboro Blvd & A1A, Estimated 100 riders"May 7, 2011: zMotion membership MS Team Training RideThis is a special zMotion Training ride along A1A with three ride groups A, B, and C. Leaving from the Cove Restaurant at 7:00 am Location leaving from the Cove Restaurant Hillsboro Blvd & A1A, Estimated 100 riders*July 10, 2011: Frank Stark RideThe Frank Stark Ride has been a tradition for the last 21 years. ENJOY A SCENIC RIDE OF EITHER 62 OR 30 MILES ALONG THE ATLANTIC COAST FROM BOCA RATON TO THE MANSIONS IN PALM BEACH. This ride is a long standing South Florida tradition that you won't want to miss. Location Boca Raton Florida to Boynton Beach along A1A, Estimated 700 riders*October 1st & 2nd, 2011: Be Strong Benefiting LiveSTRONGBe Strong benefiting LIVESTRONG INVITES YOU TO PARTICIPATE IN A WALK, RUN OR RIDE TO BENEFIT THE LANCE ARMSTRONG FOUNDATION FOR CANCER RESEARCH SUPPORT. Location leaving from GulfStream Park, Estimated 1000 Riders*October 14th - 16th, 2011: ROAD TRIP! Mt. Dora Bike FestivalTHIS EVENT FEATURES RIDES FROM 5 TO 100 MILES WITH OPTIONS FOR ALL SKILL LEVELS. The Mount Dora Bike Festival allows you to enjoy the quiet roads and the beautiful scenery of Lake Country, Florida. Location Mt. Dora Florida, Estimated 100 Riders*November 2011: South Broward Wheeler's Adopt-A-Bike RideMore than 500 cyclists START AT BRIAN PICCOLO PARK &RIDE 32 OR 62 MILES IN WESTERN BROWARD COUNTYand help support the adopt-a-bike program. Location Brian Piccolo Park, Estimated 800 riders*November 20th, 2011: ROAD TRIP! Horrible Hundred in Clermont, FlClermont. COURSE OPTIONS OF 35, 70, AND 100 MILES ALONG QUIET RURAL ROADS IN LAKE COUNTY. The century course includes all Central Florida's "Mountains" Location Clermont FL, Estimated 100 Riders*December 3rd, 2011: Member Only Ride with Tom DanielsonMEMBER ONLY GROUP RIDE W/PRO RIDERTOM DANIELSON OF TEAM GARMIN-CERVELO Location Cove Restuartant Hillsboro Blvd & A1A, Estimated 300 riders*December 4th, 2011: KIDS In Distress Inlet ChallengeJoin over 800 riders AT BAHIA MAR PARKING LOT FOR THE KIDSINLET BENEFITING KIDS IN DISTRESS. 4 ROUTES: 100, 62.5, 31 OR15 MILES WITH A SCENIC ROUTE ALONG A1A, the day is filled withfriendly volunteers & a festive beach celebration at the finish Location Bahia Mar Fort Lauderdale FL, Estimated 1000 Riders*February 2012: Tour De BrowardTHE TOUR DE BROWARD HAS FOUR KINDS OF EVENTS FOR PEOPLE WITHDIFFERENT FITNESS LEVELS. Enjoy a healthy day at MiramarRegional Park & help raise money to build Broward County'sonly free-standing children's hospital. Enjoy great food, kid's activities and entertainment throughout the day. Location Miramar Regional Park Miramar Fl, Estimated 1000 Riders*March 2012: Tour De CureThe Tour de Cure raises funds to support the essential efforts of the American diabetes Assoc. RIDE OPTIONS OF 100, 62, 35 AND10 MILES FROM C.B. SMITH PARK. Each dollar you raise supportsdiabetes research, treatment, education and advocacy for adultsand children, touching their lives in critically important ways Location CB Smith Park Davie Fl, Estimated 500 Riders*May, 2012: Zimmerman MS Bike Ride 300 cyclists, volunteers, sponsors, friends and family working and riding together against MS! Ride 50, 75, 110 or the full 150 miles! The two day event kicks off a the Homestead-Miami Speedway, stops overnightat John Pennekamp Park in Key Largo then heads back to Miami on day two.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.