Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 monetary support | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (A)
HIAWATHA GUN CLUB |
386004858 | 9 | No | Yes | Yes | 2,500 | |||
| (B)
KIWAINIS OF IRON COUNTY |
386004858 | 9 | No | Yes | Yes | 200 | |||
| (C)
FOREST PARK SCHOOL DISTRICT |
381849080 | 9 | No | Yes | Yes | 2,000 | |||
| Total | |||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. | 0 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 6,250 | 14,555 | 6,925 | 15,552 | 21,141 | 64,423 |
| 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...... | 64,257 | 48,393 | 44,834 | 60,722 | 62,398 | 280,604 |
| 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. | 70,507 | 62,948 | 51,759 | 76,274 | 83,539 | 345,027 |
| 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.) | 345,027 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 70,507 | 62,948 | 51,759 | 76,274 | 83,539 | 345,027 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,075 | 2,405 | 7,012 | 12,562 | 23,054 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 1,075 | 2,405 | 7,012 | 12,562 | 23,054 | |
| 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.) .. | 3,328 | 3,057 | 6,385 | |||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 73,835 | 67,080 | 54,164 | 83,286 | 96,101 | 374,466 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 13000230 |
| Software Version: | 13.5.0.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990-EZ, Part III, Line 31 | Youth trap shoot support Grants and allocations 2,500, Program service expenses 2,500 |
| Form 990-EZ, Part III, Line 31 | Family fishing contest Grants and allocations 0, Program service expenses 1,900 |
| Form 990-EZ, Part III, Line 31 | Hunting access for handicapped persons Grants and allocations 0, Program service expenses 3,640 |
| Form 990-EZ, Part III, Line 31 | Feed a hungry neighbor Grants and allocations 0, Program service expenses 749 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Equipment rental and maintenance 477 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Supplies 268 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Insurance 541 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Dues 200 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Bank charges 465 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Internet 120 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expenditures - Walleye Habitat 2,508 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expenditures - Youth trap shoot 2,500 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expenditures - Youth Hunt 5,878 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expenditures - Feed A Hungry Neighbor 749 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expenditures - Yell and Tell 200 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expenditures - Hunter Safety 500 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expenditures - Handicap access 3,640 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expenditures - Family fishing 1,900 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Service expendiutres - 4H shooters travel 805 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Annual report 20 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Foreign taxes 83 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Lord Abbett Affiliated Beginning of year 13,581, End of year 0 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Putnam Equity Beginning of year 6,142, End of year 0 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Lord Abbet Bond Debenture Beginning of year 7,777, End of year 0 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Investment Co of America Beginning of year 3,076, End of year 4,073 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Intermediate Bond Fund of America Beginning of year 8,301, End of year 0 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Investment Co of America Beginning of year 14,389, End of year 19,055 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Merck Co Beginning of year 0, End of year 9,720 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Thompson Reuters Beginning of year 0, End of year 9,813 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Verizon Beginning of year 0, End of year 8,856 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-ATT Beginning of year 0, End of year 6,635 |
| Form 990-EZ, Part II, Line 24, Other Assets | Investments-Coca-Cola Beginning of year 0, End of year 7,049 |
| Software ID: | 13000230 |
| Software Version: | 13.5.0.0 |
| Person Name | Explanation |
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