Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| 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.") .... | 23,991 | 23,991 | ||||
| 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.. | 23,991 | 23,991 | ||||
| 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. | 23,991 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 23,991 | 23,991 | ||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 14 | 14 | ||||
| 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). | 24,005 | |||||






| 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.) | ||||||
| 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.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| OTHER REVENUE | FORM 990-EZ, PART I, LINE 8 | CONCESSIONS 11,063 SPECIAL EVENTS 7,995 YOUTH SPONSORS 4,400 SIGNAGE 4,250 REFUNDS 134 TOTAL 27,842 |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES INTEREST 2,316 ADM-OFFICE SUPPLIES 1,057 ADM-TELEPHONE 1,746 ADM-POSTAGE 268 ADM-INSURANCE 88 PROG FEES-BOYS BASKETBALL 2,775 PROG FEES-BOYS BASEBALL 2,020 PROG FEES-GIRLS BASKETBAL 1,335 PROG FEES-GIRLS VOLLEYBAL 3,210 PROG FEES-GIRLS SOFTBALL 50 PROG FEES-LADIES VOLLEYBA 1,980 PROG FEES-MENS VOLLEYBALL 2,673 PROG FEES-SCORING,SUPERVI 1,126 PROG FEES-PHILLIPS FIELD 15,148 PROG FEES-YOUTH BASKETBAL 3,574 PROG FEES-YOUTH VOLLEYBAL 815 CONCESSIONS-SUPPLIES 7,917 PROGRAMS-IL VS MO 373 EMPLOYEE HEALTH BENEFITS 4,000 MARANATHA PARK 4,008 EQUIPMENT 200 EQUIPMENT MAINTENANCE 145 AWARDS & TROPHIES 576 KIWANIS 120 GAS ALLOCATION 6,238 MISCELLANEOUS 193 PROG FEES-REFUNDS 50 PROG FEES-SUMMER BASEBALL 1,385 ATH EQP-BLDG FUND 333 MAJOR BLDG IMPROVEMENT 2,214 RETURNED DEPOSIT 150 FUND RAISING ACTIVITIES 3,070 NON-INVESTMENT DEPRECIATION 7,833 TOTAL 78,986 |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990-EZ, PART I, LINE 20 | BOOK / TAX DEPRECIATION DIFFERENCE -2 |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | OTHER NOTES AND LOANS 0 75,745 368,888 368,888 LESS ACCUMULATED DEPRECIATION 314,023 321,856 TOTAL 54,865 122,777 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | MORTGAGE NOTE PAYABLE 85,334 75,745 |
| ALL OTHER ACCOMPLISHMENT | FORM 990-EZ, PART III, LINE 31 | PARTICIPATING RECREATION FOR ALL AGE GROUPS |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
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CHUCK VENTERLOH CHUCK VENTERLOH |
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RUSS HINKAMPER RUSS HINKAMPER |
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MARVIN SCHREACKE MARVIN SCHREACKE |
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ELLEN VONDERHEIDE ELLEN VONDERHEIDE |
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JEFF WELLMAN JEFF WELLMAN |
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RAY HINKAMPER RAY HINKAMPER |
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TOM KLENE TOM KLENE |
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MIKE LIESEN MIKE LIESEN |
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LORI QUEVILLON LORI QUEVILLON |
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GREG REES GREG REES |
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BOB WELDING BOB WELDING |
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FR THOMAS SHAUGHNESSY FR THOMAS SHAUGHNESSY |
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HERB WELLMAN HERB WELLMAN |