Form990-EZ
Click to see attachment
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
bullet Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.
bulletThe organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-1150
2012
Open to Public
Inspection
A
For the 2012 calendar year, or tax year beginning 01-01-2012, and ending 12-31-2012
B
Check if applicable:
C Name of organization
PACKERLAND KENNEL CLUB INC
 
Number and street (or P. O. box, if mail is not delivered to street address)PO BOX 10244
 
Room/suite
City or town, state or country, and ZIP + 4 GREEN BAY, WI54307
D Employer identification number

39-6076169
E Telephone number

(920) 468-5580
F Group Exemption
Number. . bullet  
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bulletWWW.PACKERLANDKENNELCLUB.COMJ Tax-exempt status(check only one)—( 4) bullet(insert no.) or
K Check bullet A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . bullet $ 92,602
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)Check if the organization used Schedule O to respond to any question in this Part I...................
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1  
2 Program service revenue including government fees and contracts ............ 2 85,971
3 Membership dues and assessments...................... 3 6,330
4 Investment income........................... 4 301
5a Gross amount from sale of assets other than inventory........ 5a  
b Less: cost or other basis and sales expenses........... 5b  
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c  
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a  
b Gross income from fundraising events (not including $   of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b  
c Less: direct expenses from gaming and fundraising events....... 6c  
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d  
7a Gross sales of inventory, less returns and allowances........ 7a  
b Less: cost of goods sold................. 7b  
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c  
8 Other revenue (describe in Schedule O) ..................... 8  
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet 9 92,602
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10  
11 Benefits paid to or for members........................ 11  
12 Salaries, other compensation, and employee benefits................ 12  
13 Professional fees and other payments to independent contractors............ 13 685
14 Occupancy, rent, utilities, and maintenance................... 14 31,189
15 Printing, publications, postage, and shipping................... 15  
16 Other expenses (describe in Schedule O) .................... 16 68,938
17 Total expenses. Add lines 10 through 16 ................. Bullet 17 100,812
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 -8,210
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return)................ 19 317,866
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20  
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 309,656
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2012)
Form 990-EZ (2012)
Page 2
Part IIBalance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year
22Cash, savings, and investments................
266,871
22
266,924
23Land and buildings....................
42,775
23
6,078
24Other assets (describe in Schedule O) ..........
8,220
24
36,654
25Total assets......................
317,866
25
309,656
26
Total liabilities (describe in Schedule O) .............
 
26
 
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
317,866
27
309,656
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? PROMOTE DOG BREEDING, ALONG WITH PROTECTING AND ADVANCING THE INTEREST IN PUREBRED DOGS.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 SERVED APPROXIMATELY 238 MEMBERS AND 130 TRAINEES, 2 DOG SHOWS, AGILITY TRIALS, OPEN HOUSE AND VARIOUS OUTREACH ACTIVITIES
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet
28a 100,812
29
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet
29a
30
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet
30a
31 Other program services (describe in Schedule O)
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet
31a
32 Total program service expenses (add lines 28a through 31a).......... bullet 32 100,812
Part IV
List of Officers, Directors, Trustees, and Key Employees List each one even if not compensated (see the instructions for Part IV)Check if the organization used Schedule O to respond to any question in this Part IV............
(a) Name and title (b) Average
hours per week
devoted to position
(c)Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-)
(d) Health benefits, contributions to employee benefit plans,
and deferred compensation
(e) Estimated amount
of other compensation
KEITH W ROSINClick to see attachmentPRESIDENT 7.00 0    
MARY SCOTTClick to see attachmentVICE PRESIDE 5.00 0    
SARA HALLAMClick to see attachmentTREASURER 8.00 0    
JULIE SALEMIClick to see attachmentSECRETARY 5.00 0    
SANDRA DUNANDClick to see attachmentCORRESPONDIN 5.00 0    
LES BEAMClick to see attachmentDIRECTOR 3.00 0    
BELINDA FREEMANClick to see attachmentDIRECTOR 3.00 0    
SANDY SOLCZClick to see attachmentDIRECTOR 3.00 0    
MARY ELLEN BROWNClick to see attachmentDIRECTOR 3.00 0    
BRENDA HALKOSKIClick to see attachmentDIRECTOR 3.00 0    
GWENDOLYNN NEWMANClick to see attachmentDIRECTOR 3.00 0    
Form 990-EZ (2012)
Form 990-EZ (2012)
Page 3
Part V
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions) ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O
35b
 
 
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
 
b
Did the organization file Form 1120-POL for this year?...................
37b
 
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..
38a
 
No
b
If “Yes,” complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet   ; section 4912 bullet   ; section 4955 bullet  
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefittransaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I ......
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958...bullet  
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization...........................bullet  
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T ......................
40e
 
No
41List the states with which a copy of this return is filed. bullet
42aThe organization's books are in care of bulletSARAH HALLAM Telephone no. bullet (920) 366-0331
Located at bulletW162 PEARL STONEIDA,WI ZIP + 4bullet54155
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes,” enter the name of the foreign country: bullet
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
42c
 
No
If “Yes,” enter the name of the foreign country: bullet
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990-EZ................................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completedinstead of Form 990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule O ............................
44d
 
 
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?.........
45a
 
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions)......................
45b
 
No
Form 990-EZ (2012)
Form 990-EZ (2012)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes,” complete Schedule C, Part I. ..............
46
 
No
Part VI
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51 Check if the organization used Schedule O to respond to any question in this Part VI ................
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................
47
 
 
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..
48
 
 
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
 
b
If "Yes," was the related organization a section 527 organization?................
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee paid more than $100,000 (b) Average
hours per week
devoted to position
(c) Reportable compensation
(Forms W-2/1099-MISC)
(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
 
f
Total number of other employees paid over $100,000 .................bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation
 
d
Total number of other independent contractors each receiving over $100,000..........bullet  
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ...............bullet
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name bullet

Firm's EIN bullet
Firm's address bullet



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2012)


Form 990-EZ, Special Condition Description:
Special Condition Description

Additional Data


Software ID:  
Software Version:  
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.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
PACKERLAND KENNEL CLUB INC
 
Employer identification number

39-6076169
Identifier Return Reference Explanation
OTHER EXPENSES FORM 990-EZ, PART I, LINE 16 EXPENSES ADVERTISING 1,725 POSTAGE 1,300 SUPPLIES 1,255 INSURANCE 2,203 AGILITY TRIAL - SPRING 8,847 AGILITY TRIAL - SUMMER 8,755 AGILITY EQUIPMENT MAINT 1,623 AKC MATCH 596 DOG SHOW EXPENSE 18,988 DONATION 144 PRINTING & REPRODUCTION 558 SODA MACHINE LEASE 179 OTHER BUSINESS EXPENSE 814 TRAINING EQUIPMENT 713 SPECIAL EVENTS 11,489 SUNSHINE CLUB 312 TRAINING CLASSES 3,470 NON-INVESTMENT DEPRECIATION 5,967 TOTAL 68,938
OTHER ASSETS FORM 990-EZ, PART II, LINE 24 INVENTORIES FOR SALE OR USE 8,220 5,910 SEWER & WATER 0 2,382 LESS ACCUMULATED DEPRECIATION 0 2,382 FENCE 0 4,890 LESS ACCUMULATED DEPRECIATION 0 4,890 ASPHALT 0 8,603 LESS ACCUMULATED DEPRECIATION 0 8,603 ASPHALT 0 2,000 LESS ACCUMULATED DEPRECIATION 0 2,000 LEVEL BACKYARD 0 10,370 LESS ACCUMULATED DEPRECIATION 0 8,097 ASPHALT RESEALING 0 1,600 LESS ACCUMULATED DEPRECIATION 0 1,600 LANDSCAPING BACKYARD 0 15,515 LESS ACCUMULATED DEPRECIATION 0 4,346 BUILDING 0 26,985 LESS ACCUMULATED DEPRECIATION 0 26,985 ADDITION 0 1,828 LESS ACCUMULATED DEPRECIATION 0 1,828 TILE 0 160 LESS ACCUMULATED DEPRECIATION 0 160 CEILING TILE 0 1,730 LESS ACCUMULATED DEPRECIATION 0 1,730 AIR CONDITIONING 0 6,750 LESS ACCUMULATED DEPRECIATION 0 6,750 STORAGE SHED 0 947 LESS ACCUMULATED DEPRECIATION 0 947 STORAGE SHED 0 1,000 LESS ACCUMULATED DEPRECIATION 0 1,000 VENT SHAFTS 0 1,957 LESS ACCUMULATED DEPRECIATION 0 1,716 VANITY 0 113 LESS ACCUMULATED DEPRECIATION 0 113 AIR CONDITIONER 0 3,239 LESS ACCUMULATED DEPRECIATION 0 2,187 BATHROOM REMODEL 0 525 LESS ACCUMULATED DEPRECIATION 0 203 AIR HANDLING SYSTEM 0 16,318 LESS ACCUMULATED DEPRECIATION 0 7,072 PATCH & COAT ROOF 0 1,560 LESS ACCUMULATED DEPRECIATION 0 494 50 CHAIRS 0 154 LESS ACCUMULATED DEPRECIATION 0 154 TABLE & FILING CABINET 0 124 LESS ACCUMULATED DEPRECIATION 0 124 CABINETS 0 400 LESS ACCUMULATED DEPRECIATION 0 400 CHAIRS 0 200 LESS ACCUMULATED DEPRECIATION 0 200 TABLES 0 233 LESS ACCUMULATED DEPRECIATION 0 233 DEHUMIDIFIER 0 308 LESS ACCUMULATED DEPRECIATION 0 308 PHOTOCOPY MACHINE 0 2,395 LESS ACCUMULATED DEPRECIATION 0 2,395 COMPUTER 0 2,028 LESS ACCUMULATED DEPRECIATION 0 2,028 DESK & FILE CABINET 0 1,168 LESS ACCUMULATED DEPRECIATION 0 1,168 EQUIPMENT 0 190 LESS ACCUMULATED DEPRECIATION 0 190 LAPTOP COMPUTER 0 1,875 LESS ACCUMULATED DEPRECIATION 0 1,875 FLOOR SCRUBBER 0 3,133 LESS ACCUMULATED DEPRECIATION 0 3,133 LARGE DOOR MAT 0 299 LESS ACCUMULATED DEPRECIATION 0 299 LAPTOP COMPUTER 0 1,680 LESS ACCUMULATED DEPRECIATION 0 1,680 SOFTWARE 0 253 LESS ACCUMULATED DEPRECIATION 0 253 MINOLTA COPIER 0 7,530 LESS ACCUMULATED DEPRECIATION 0 7,530 WEEDWACKER 0 157 LESS ACCUMULATED DEPRECIATION 0 157 OFFICE COMPUTER 0 1,121 LESS ACCUMULATED DEPRECIATION 0 891 AGILITY LAPTOP 0 1,146 LESS ACCUMULATED DEPRECIATION 0 477 STORAGE CABINETS 0 130 LESS ACCUMULATED DEPRECIATION 0 130 EXERCISE PENS 0 349 LESS ACCUMULATED DEPRECIATION 0 349 TV & VCR 0 367 LESS ACCUMULATED DEPRECIATION 0 367 GATES 0 91 LESS ACCUMULATED DEPRECIATION 0 91 GATES 0 169 LESS ACCUMULATED DEPRECIATION 0 169 2 AGILITY TUNNELS 0 382 LESS ACCUMULATED DEPRECIATION 0 382 AGILITY TIRE JUMP 0 444 LESS ACCUMULATED DEPRECIATION 0 444 MATS & RING GATES 0 2,449 LESS ACCUMULATED DEPRECIATION 0 2,449 AGILITY EQUIPMENT 0 2,231 LESS ACCUMULATED DEPRECIATION 0 2,231 AGILITY EQUIPMENT 0 435 LESS ACCUMULATED DEPRECIATION 0 435 MATTING 0 2,550 LESS ACCUMULATED DEPRECIATION 0 2,550 MATTING 0 7,650 LESS ACCUMULATED DEPRECIATION 0 7,650 EQUIPMENT 0 61 LESS ACCUMULATED DEPRECIATION 0 61 EQUIPMENT 0 720 LESS ACCUMULATED DEPRECIATION 0 720 AGILITY EQUIPMENT 0 290 LESS ACCUMULATED DEPRECIATION 0 290 AGILITY EQUIPMENT 0 336 LESS ACCUMULATED DEPRECIATION 0 336 AGILITY EQUIPMENT 0 336 LESS ACCUMULATED DEPRECIATION 0 336 EQUIPMENT 0 225 LESS ACCUMULATED DEPRECIATION 0 225 OBEDIENCE JUMPS 0 881 LESS ACCUMULATED DEPRECIATION 0 881 AGILITY WHEEL 0 335 LESS ACCUMULATED DEPRECIATION 0 335 AGILITY EQUIPMENT DOLLIES 0 34 LESS ACCUMULATED DEPRECIATION 0 34 TUNNEL BAGS 0 176 LESS ACCUMULATED DEPRECIATION 0 176 A-FRAME ALUMINUM 0 459 LESS ACCUMULATED DEPRECIATION 0 459 TUNNEL 0 236 LESS ACCUMULATED DEPRECIATION 0 236 MATS 0 3,595 LESS ACCUMULATED DEPRECIATION 0 3,340 ELECTRONIC TIMERS 0 3,109 LESS ACCUMULATED DEPRECIATION 0 2,442 DOGWALK 0 1,199 LESS ACCUMULATED DEPRECIATION 0 840 WEAVE POLES 0 607 LESS ACCUMULATED DEPRECIATION 0 239 EQUIPMENT 0 577 LESS ACCUMULATED DEPRECIATION 0 577 TABLES 0 127 LESS ACCUMULATED DEPRECIATION 0 127 TABLES 0 190 LESS ACCUMULATED DEPRECIATION 0 190 LIBRARY 0 64 LESS ACCUMULATED DEPRECIATION 0 64 BOOKS 0 201 LESS ACCUMULATED DEPRECIATION 0 201 BOOKS & RACKS 0 148 LESS ACCUMULATED DEPRECIATION 0 148 TOSHIBA LAPTOP 0 981 LESS ACCUMULATED DEPRECIATION 0 360 CARPETRIEVER 28 XP IND VACUUM 0 2,096 LESS ACCUMULATED DEPRECIATION 0 324 SHARP COPIER 0 151 LESS ACCUMULATED DEPRECIATION 0 33 EQUIPMENT 0 451 LESS ACCUMULATED DEPRECIATION 0 135 TOTAL 8,220 36,654
PRIMARY EXEMPT PURPOSE FORM 990-EZ, PART III PROMOTE DOG BREEDING, ALONG WITH PROTECTING AND ADVANCING THE INTEREST IN PUREBRED DOGS.
UNFILED OR UNREPORTED INCOME ON FORM 990-T FORM 990-EZ, PART V, LINE 35B PROGRAM SERVICE REVENUE IS NOT CONSIDERED UNRELATED BUSINESS TAXABLE INCOME BECAUSE THE INCOME IS GENERATED WHILE FULFILLING THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  

TY 2012 CompensationExplanation
Name:
PACKERLAND KENNEL CLUB INC
EIN: 39-6076169
Person Name Explanation
KEITH W ROSIN  
MARY SCOTT  
SARA HALLAM  
JULIE SALEMI  
SANDRA DUNAND  
LES BEAM  
BELINDA FREEMAN  
SANDY SOLCZ  
MARY ELLEN BROWN  
BRENDA HALKOSKI  
GWENDOLYNN NEWMAN