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 monetary support | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 19,358 | 19,358 | ||||
| 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 | 19,358 | 19,358 | ||||
| 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. | 19,358 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 19,358 | 19,358 | ||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 2 | 2 | ||||
| 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). | 19,360 | |||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (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) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (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 Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| OTHER REVENUE | FORM 990-EZ, PART I, LINE 8 | SPECIAL EVENTS 5,770 CONCESSIONS 4,200 SIGNAGE 3,200 HALL OF FAME 1,115 REFUNDS 8 TOTAL 14,293 |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES INTEREST 2,040 ADM-OFFICE SUPPLIES 733 ADM-TELEPHONE 1,896 ADM-POSTAGE 182 ADM-INSURANCE 451 ADM-MISCELLANEOUS 144 PROG FEES-BOYS BASKETBALL 3,060 PROG FEES-BOYS BASEBALL 1,142 PROG FEES-GIRLS BASKETBAL 180 PROG FEES-GIRLS VOLLEYBAL 2,632 PROG FEES-LADIES VOLLEYBA 2,172 PROG FEES-MENS VOLLEYBALL 2,268 PROG FEES-SCORING,SUPERVI 495 PROG FEES-PHILLIPS FIELD 8,495 PROG FEES-YOUTH BASKETBAL 630 PROG FEES-YOUTH VOLLEYBAL 225 CONCESSIONS-SUPPLIES 3,367 PROGRAMS-IL VS MO 560 EMPLOYEE HEALTH BENEFITS 4,000 HALL OF FAME. 1,206 MARANATHA PARK 732 EQUIPMENT MAINTENANCE 624 AWARDS & TROPHIES 523 ATHLETIC SUPPLIES 569 KIWANIS 50 GAS ALLOCATION 5,570 MISCELLANEOUS 276 AUTOMATIC TRANSFER CHARGE 2 PROG FEES-SUMMER BASEBALL 395 UTILITIES -GYM 8,636 ATH EQP-BLDG FUND 269 EQUIP-NEW PROGRAMS 184 RETURNED DEPOSIT 50 NON-INVESTMENT DEPRECIATION 7,389 TOTAL 61,147 |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990-EZ, PART I, LINE 20 | OTHER DECREASES -2 BOOK / TAX DEPRECIATION DIFFERENCE -278 |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | OTHER NOTES AND LOANS 0 65,880 OFFICE FURN & FIXTURES 2,988 4,080 BUILDING & IMPROVEMENTS 365,900 365,900 ACCUMULATED DEPRECIATION 0 0 LESS ACCUMULATED DEPRECIATION 321,856 329,526 TOTAL 47,032 106,334 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | UNSECURED NOTES AND LOANS PAYABLE 75,745 65,880 |
| 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 |