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.") .... | ||||||
| 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. | ||||||
| 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). | ||||||






| 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.") . | 180,953 | 192,232 | 223,861 | 409,456 | 706,971 | 1,713,473 |
| 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...... | 119,480 | 404,018 | 411,004 | 516,715 | 738,508 | 2,189,725 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 300,433 | 596,250 | 634,865 | 926,171 | 1,445,479 | 3,903,198 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 6,140 | 3,710 | 5,557 | 5,505 | 27,760 | 48,672 |
| 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. | 6,500 | 6,500 | ||||
| c | Add lines 7a and 7b.. | 6,140 | 3,710 | 5,557 | 5,505 | 34,260 | 55,172 |
| 8 | Public Support (Subtract line 7c from line 6.) | 3,848,026 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 300,433 | 596,250 | 634,865 | 926,171 | 1,445,479 | 3,903,198 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 56 | 1,205 | 354 | 75 | 60 | 1,750 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 56 | 1,205 | 354 | 75 | 60 | 1,750 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 2,840 | 2,294 | 16,861 | 17,628 | 19,406 | 59,029 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 303,329 | 599,749 | 652,080 | 943,874 | 1,464,945 | 3,963,977 |




| Facts And Circumstances Test |
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| Explanation |
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| OTHER INCOME PART III LINE 12 FUNDRAISER INCOME |
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| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART III, LINE 4d | ADDITIONAL PROGRAM SERVICE EXPENSES INCLUDE LEAGUE FEES 81496, FIELD MAINTENANCE 21324, CLUB BANQUET 12650, TRAINING 12513, CLINIC 7554,PERMITS 5150,TRYOUTS 4181, EQUIPMENT SUPPLIES 5065, AND UNIFORM EXPENSES 1902 PLUS PART IX LINES 7 THROUGH 22 COLUMN B EXPENSES OF 137394 FOR TOTAL OTHER PROGRAM SERVICE EXPENSES OF 289229. | |
| PART VI, SECTION A | PART VI LINE 3 - OUTSIDE SERVICE COMPANY WAS RETAINED TO TRANSITION PROGRAM SERVICE OPERATIONS, FINANCIAL OPERATIONS, AND OFFICE OPER. FROM VOLUNTEER STAFF TO PAID STAFF. CONTRACT ENDED 8/31/11. PART VI LINE 6 AND 7 - PARENT OF EACH CHILD IS A MEMBER. EACH MEMBER IS ENTITLED TO VOTE FOR BOARD OF DIRECTORS. | |
| PART VI, SECTION C, LINE 19 | POLICIES ARE AVAILABLE UPON WRITTEN REQUEST BY LETTER OR MAIL. TAX RETURNS ARE AVAILABLE UPON WRITTEN REQUEST AND ON FILE AT CLUB OFFICE. | |
| PART VI, SECTION B, LINE 15 | CONFLICT OF INTEREST DISCUSSION AND DISCLOSURE TAKES PLACE AT BOARD MEETING TO DETERMINE ANY REPORTING OF ITEMS REQUIRED INVOLVING ACTIONS OF BOARD MEMBER TO THE CLUB. DOCUMENT POLICY SUMMARY REGARDING FINANCIAL RECORDS IS REVIEWED ANNUALLY BY THE BOARD AND CPA TO DETERMINE REQUIREMENTS. ALL TAX RECORDS MAINTAINED FOR 7 YEARS FOLLOWING YEAR OF FILING. | |
| FORM 990 - SUPPLEMENTAL INFORMATION | PART VI SECTION B LINE 15 ORGANIZATION CEO EMPLOYMENT CONTRACT REVIEWED BY OUTSIDE LEGAL COUNSEL. |
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