TY 2013 Form 990

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	182,257	2	503,774
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............		4
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............		8
9	Prepaid expenses and deferred charges ..........		9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation .....	10b			10c
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	55,073	15	28,732
16	Total assets. Add lines 1 through 15 (must equal line 34)......	237,330	16	532,506
	17	Accounts payable and accrued expenses .........		17
18	Grants payable .................		18	314,847
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................		25
26	Total liabilities. Add lines 17 through 25.........	0	26	314,847
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	164,560	27	52,803
28	Temporarily restricted net assets ...........	72,770	28	164,856
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	237,330	33	217,659
34	Total liabilities and net assets/fund balances ........	237,330	34	532,506

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

CLUB OF HEARTS INC

Employer identification number

58-6056698

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

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.") ....	903,990	835,553	957,654	985,198	855,134	4,537,529
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	903,990	835,553	957,654	985,198	855,134	4,537,529
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.						4,537,529

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..	903,990	835,553	957,654	985,198	855,134	4,537,529
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	3,786	2,751	1,996	416	296	9,245
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).						4,546,774

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

99.800 %

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

99.650 %

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

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	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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

CLUB OF HEARTS INC

Employer identification number

58-6056698

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization CLUB OF HEARTS INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization CLUB OF HEARTS INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
CLUB OF HEARTS INC

Employer identification number

58-6056698

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CLUB OF HEARTS INC

Employer identification number

58-6056698

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............
d	Equipment ................
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......		0

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM J K GROUP				28,732








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				28,732

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	990,513
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b	135,083
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	135,083
3	Subtract line 2e from line 1.....................			3	855,430
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	855,430

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,010,184
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a	135,083
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e	135,083
3	Subtract line 2e from line 1.....................			3	875,101
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	875,101

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	CLUB OF HEARTS, INC (COH) IS RECOGNIZED AS A CHARITABLE ORGANIZATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 512(A)(1) OF THE CODE, IS SUBJECT TO INCOME TAX. COH CURRENTLY HAS NO UNRELATED BUSINESS INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. MANAGEMENT BELIEVES THAT COH CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AND THEREFORE, HAD NO UNCERTAIN INCOME TAX POSITIONS AT DECEMBER 31, 2013.

Return Reference

Explanation

PART X, LINE 2:

CLUB OF HEARTS, INC (COH) IS RECOGNIZED AS A CHARITABLE ORGANIZATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 512(A)(1) OF THE CODE, IS SUBJECT TO INCOME TAX. COH CURRENTLY HAS NO UNRELATED BUSINESS INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. MANAGEMENT BELIEVES THAT COH CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AND THEREFORE, HAD NO UNCERTAIN INCOME TAX POSITIONS AT DECEMBER 31, 2013.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
CLUB OF HEARTS INC

Employer identification number
58-6056698

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(h) Purpose of grant or assistance
(1) 100 BLACK MEN OF ATLANTA 241 PEACHTREE STREEET NE SUITE 300 ATLANTA,GA30303	58-1721923	501 (C) (3)	13,350	AUDITED FINANCIAL STATEMENT	CHARITABLE
(2) 247 GATEWAY HOMELESS SERVICE CENTER 275 PRYOR ST SW ATLANTA,GA30303	000000000	501 (C) (3)	482	AUDITED FINANCIAL STATEMENT	CHARITABLE
(3) A FRIEND'S HOUSE 111 HENRY PARKWAY MCDONOUGH,GA30253	58-2130097	501 (C) (3)	1,359	AUDITED FINANCIAL STATEMENT	CHARITABLE
(4) AFRICA'S CHILDREN'S FUND 6815 WYNBROKE CIRCLE STONE MOUNTAIN,GA30087	58-2101991	501 (C) (3)	786	AUDITED FINANCIAL STATEMENT	CHARITABLE
(5) AID ATLANTA 1605 PEACHTREE ST ATLANTA,GA30309	58-1537967	501 (C) (3)	6,420	AUDITED FINANCIAL STATEMENT	CHARITABLE
(6) ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION 41 PERIMETER CENTER EAST SUITE 550 ATLANTA,GA30346	58-1492046	501 (C) (3)	20,535	AUDITED FINANCIAL STATEMENT	CHARITABLE
(7) AMERICAN CANCER SOCIETY GEORGIA DIVISION 250 WILLIAMS STREET ATLANTA,GA30303	58-0659875	501 (C) (3)	27,420	AUDITED FINANCIAL STATEMENT	CHARITABLE
(8) AMERICAN DIABETES ASSOCIATION 225 PEACHTREE ST NE SUITE 550 ATLANTA,GA30303	13-1623888	501 (C) (3)	14,786	AUDITED FINANCIAL STATEMENT	CHARITABLE
(9) AMERICAN HEART ASSOCIATION 1101 NORTHCHASE PARKWAY MARIETTA,GA30067	13-5613797	501 (C) (3)	19,921	AUDITED FINANCIAL STATEMENT	CHARITABLE
(10) AMERICAN RED CROSS METROPOLITAN ATLANTA CHAPTER 1955 MONROE DRIVE ATLANTA,GA30324	58-0603132	501 (C) (3)	3,471	AUDITED FINANCIAL STATEMENT	CHARITABLE
(11) AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION (ALS) 1955 CLIFF VALLEY WAY SUITE 116 ATLANTA,GA30329	58-1943490	501 (C) (3)	6,151	AUDITED FINANCIAL STATEMENT	CHARITABLE
(12) ANGEL FLIGHT OF GEORGIA 2000 AIRPORT ROAD SUITE 227 ATLANTA,GA30341	58-1702239	501 (C) (3)	13,941	AUDITED FINANCIAL STATEMENT	CHARITABLE
(13) ARTHRITIS FOUNDATION - GEORGIA CHAPTER 2970 PEACHTREE ROAD NW SUITE 200 ATLANTA,GA30305	58-6011830	501 (C) (3)	3,217	AUDITED FINANCIAL STATEMENT	CHARITABLE
(14) ASSOCIATION ON BATTERED WOMEN OF CLAYTON COUNTY PO BOX 870386 MORROW,GA302870386	58-1538236	501 (C) (3)	336	AUDITED FINANCIAL STATEMENT	CHARITABLE
(15) ATLANTA AIDS PARTNERSHIP FUND 100 EDGEWOOD AVE NE ATLANTA,GA30303	58-0566194	501 (C) (3)	251	AUDITED FINANCIAL STATEMENT	CHARITABLE
(16) ATLANTA ALLIANCE ON DEVELOPMENTAL DISABILITIES 125 CLAIREMONT AVENUE SUITE 300 DECATUR,GA30030	58-0641496	501 (C) (3)	680	AUDITED FINANCIAL STATEMENT	CHARITABLE
(17) ATLANTA CARE CENTER 1718 PEACHTREE ST SUITE 496 S ATLANTA,GA30309	58-1489642	501 (C) (3)	3,429	AUDITED FINANCIAL STATEMENT	CHARITABLE
(18) ATLANTA CENTER FOR SELF SUFFICIENCY 100 EDGEWOOD AVENUE NE SUITE 700 ATLANTA,GA30303	58-1479816	501 (C) (3)	279	AUDITED FINANCIAL STATEMENT	CHARITABLE
(19) ATLANTA CHILDREN'S SHELTER 607 PEACHTREE DT ATLANTA,GA30308	58-1675299	501 (C) (3)	956	AUDITED FINANCIAL STATEMENT	CHARITABLE
(20) ATLANTA COMMUNITY FOOD BANK 732 JOSEPH E LOWERY BOULEVARD NW ATLANTA,GA30318	58-1376648	501 (C) (3)	3,580	AUDITED FINANCIAL STATEMENT	CHARITABLE
(21) ATLANTA DAY SHELTER FOR WOMEN AND CHILDREN 655 ETHEL ST NW ATLANTA,GA30318	58-1679617	501 (C) (3)	8,490	AUDITED FINANCIAL STATEMENT	CHARITABLE
(22) ATLANTA HABITAT FOR HUMANITY 519 MEMORIAL DRIVE SE ATLANTA,GA30312	58-1535414	501 (C) (3)	4,933	AUDITED FINANCIAL STATEMENT	CHARITABLE
(23) ATLANTA LEGAL AID SOCIETY 151 SPRING ST NW ATLANTA,GA30303	58-0568691	501 (C) (3)	120	AUDITED FINANCIAL STATEMENT	CHARITABLE
(24) ATLANTA UNION MISSION 2353 BOLTON RD ATLANTA,GA30318	58-0572430	501 (C) (3)	9,886	AUDITED FINANCIAL STATEMENT	CHARITABLE
(25) ATLANTA URBAN LEAGUE 229 PEACHTREET STREET NE SUITE 300 ATLANTA,GA30303	58-0593386	501 (C) (3)	1,518	AUDITED FINANCIAL STATEMENT	CHARITABLE
(26) AUDITORY VERBAL CENTER OF ATLANTA 1901 CENTURY BLVD NE SUITE 20 ATLANTA,GA30345	58-1305600	501 (C) (3)	369	AUDITED FINANCIAL STATEMENT	CHARITABLE
(27) BIG BROTHERS BIG SISTERS OF METRO ATLANTA 1382 PEACHTREE STREET NE ATLANTA,GA30309	58-0861895	501 (C) (3)	1,699	AUDITED FINANCIAL STATEMENT	CHARITABLE
(28) BLACK CHILD DEVELOPMENT INSTITUTE ATLANTA 2545 EAST BENJAMIN MAYS DR SW ATLANTA,GA30301	52-1697682	501 (C) (3)	1,519	AUDITED FINANCIAL STATEMENT	CHARITABLE
(29) BOY SCOUTS ATLANTA COUNCIL 1800 CIRCLE 75 PARKWAY ATLANTA,GA30339	58-0566122	501 (C) (3)	4,946	AUDITED FINANCIAL STATEMENT	CHARITABLE
(30) BOY SCOUTS FLINT RIVER COUNCIL PO BOX 172 GRIFFIN,GA30224	58-0574922	501 (C) (3)	5,186	AUDITED FINANCIAL STATEMENT	CHARITABLE
(31) BOY SCOUTS NORTHEAST GEORGIA COUNCIL PO BOX 399 JEFFERSON,GA30549	58-0566207	501 (C) (3)	3,645	AUDITED FINANCIAL STATEMENT	CHARITABLE
(32) BOYS & GIRLS CLUBS OF METRO ATLANTA 1275 PEACHTREE STREET NE SUITE 500 ATLANTA,GA30309	58-0566123	501 (C) (3)	2,852	AUDITED FINANCIAL STATEMENT	CHARITABLE
(33) BRAIN TUMOR FOUNDATION FOR CHILDREN 6065 ROSWELL ROAD NE SUITE 505 ATLANTA,GA30328	58-1524616	501 (C) (3)	3,479	AUDITED FINANCIAL STATEMENT	CHARITABLE
(34) BRIDGE BUILDERS INC 600 S CENTRAL AVE STE 200 HAPEVILLE,GA303541928	58-2011812	501 (C) (3)	292	AUDITED FINANCIAL STATEMENT	CHARITABLE
(35) CALVARY CHILDREN'S HOME 1430 LOST MOUNTAIN ROAD POWDER SPRINGS,GA30127	58-0976478	501 (C) (3)	10,404	AUDITED FINANCIAL STATEMENT	CHARITABLE
(36) CALVARY REFUGE CENTER 4265 THURMOND RD FOREST PARK,GA30297	58-2121508	501 (C) (3)	176	AUDITED FINANCIAL STATEMENT	CHARITABLE
(37) CAMP SUNSHINE INC 1850 CLAIRMONT ROAD DECATUR,GA30033	58-1872217	501 (C) (3)	15,331	AUDITED FINANCIAL STATEMENT	CHARITABLE
(38) CANINE ASSISTANTS 3160 FRANCIS ROAD ALPHARETTA,GA30004	58-1974410	501 (C) (3)	13,393	AUDITED FINANCIAL STATEMENT	CHARITABLE
(39) CARING FOR OTHERS INC 3537 BROWNS MILL RD SUITE 2 ATLANTA,GA30354	16-1622195	501 (C) (3)	25	AUDITED FINANCIAL STATEMENT	CHARITABLE
(40) CARRIE STEELE-PITTS HOME 667 FAIRBURN ROAD NW ATLANTA,GA30331	58-0607078	501 (C) (3)	766	AUDITED FINANCIAL STATEMENT	CHARITABLE
(41) CASA FOR CHILDREN 100 NORTH STREET SUITE G22 CANTON,GA30114	58-2563473	501 (C) (3)	124	AUDITED FINANCIAL STATEMENT	CHARITABLE
(42) CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ATLANTA 2401 LAKE PARK DRIVE SE SMYRNA,GA30080	58-1097003	501 (C) (3)	10,028	AUDITED FINANCIAL STATEMENT	CHARITABLE
(43) CENTER FOR FAMILY RESOURCES 995 ROSWELL STREET NE SUITE 100 MARIETTA,GA30060	58-0876634	501 (C) (3)	796	AUDITED FINANCIAL STATEMENT	CHARITABLE
(44) CENTER FOR THE VISUALLY IMPAIRED 739 W PEACHTREE ST NW ATLANTA,GA30308	58-1168874	501 (C) (3)	606	AUDITED FINANCIAL STATEMENT	CHARITABLE
(45) CHEROKEE DAY TRAINING CENTER INC 133 UNIVERTER ROAD CANTON,GA30114	58-1128269	501 (C) (3)	160	AUDITED FINANCIAL STATEMENT	CHARITABLE
(46) CHEROKEE FAMILY VIOLENCE CENTER 100 HEARTHSTONE LANDING DRIVE CANTON,GA30114	58-1650925	501 (C) (3)	240	AUDITED FINANCIAL STATEMENT	CHARITABLE
(47) CHEROKEE LEARNING CENTER 100 CAMPUS DRIVE JASPER,GA30143	58-1684206	501 (C) (3)	160	AUDITED FINANCIAL STATEMENT	CHARITABLE
(48) CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION 1687 TULLIE CIRCLE NE ATLANTA,GA30329	58-1710601	501 (C) (3)	54,879	AUDITED FINANCIAL STATEMENT	CHARITABLE
(49) CHILDRENS VILLAGE AT CHRISTIAN CITY THE 7345 RED OAK ROAD UNION CITY,GA302912338	58-0917609	501 (C) (3)	10,146	AUDITED FINANCIAL STATEMENT	CHARITABLE
(50) CHRIS KIDS INC 1017 FAYETTEVILLE ROAD SUITE B ATLANTA,GA30316	58-1430183	501 (C) (3)	1,773	AUDITED FINANCIAL STATEMENT	CHARITABLE
(51) CITY OF REFUGE INC 1300 JOSEPH E BOONE BLVD NW ATLANTA,GA30314	58-2194642	501 (C) (3)	252	AUDITED FINANCIAL STATEMENT	CHARITABLE
(52) CLAYTON COUNTY FAMILY CARE 1000 MAIN ST FOREST PARK,GA30297	58-6014949	501 (C) (3)	6	AUDITED FINANCIAL STATEMENT	CHARITABLE
(53) COBB COUNTY CENTER FOR CHILDREN & YOUNG ADULTS 2221 AUSTELL ROAD SUITE A MARIETTA,GA30008	58-1451180	501 (C) (3)	1,067	AUDITED FINANCIAL STATEMENT	CHARITABLE
(54) COMMUNITIES IN SCHOOLS OF ATLANTA 600 W PEACHTREE ST NW STE 1250 ATLANTA,GA303083627	58-1152807	501 (C) (3)	600	AUDITED FINANCIAL STATEMENT	CHARITABLE
(55) COMMUNITIES IN SCHOOLS OF DOUGLAS COUNTY INC PO BOX 1077 DOUGLASVILLE,GA30133	75-3232668	501 (C) (3)	15	AUDITED FINANCIAL STATEMENT	CHARITABLE
(56) COMMUNITIES IN SCHOOLS OF GEORGIA INC 600 W PEACHTREE STREET SUITE 1200 ATLANTA,GA30308	58-1912923	501 (C) (3)	6,338	AUDITED FINANCIAL STATEMENT	CHARITABLE
(57) COMMUNITY ACTION CENTER PO BOX 501298 ATLANTA,GA31150	58-1825565	501 (C) (3)	29	AUDITED FINANCIAL STATEMENT	CHARITABLE
(58) COMMUNITY WELCOME HOUSE PO BOX 1631 NEWNAN,GA30264	58-1917626	501 (C) (3)	1,348	AUDITED FINANCIAL STATEMENT	CHARITABLE
(59) COOL GIRLS 621 NORTH AVENUE NE SUITE A220 ATLANTA,GA30308	58-1958246	501 (C) (3)	534	AUDITED FINANCIAL STATEMENT	CHARITABLE
(60) COUNCIL ON AGING FOR COWETA COUNTY PO BOX 73437 NEWNAN,GA302713437	58-1274374	501 (C) (3)	673	AUDITED FINANCIAL STATEMENT	CHARITABLE
(61) COVENANT COMMUNITY 623 SPRING STREET NW ATLANTA,GA30308	58-2010185	501 (C) (3)	1,000	AUDITED FINANCIAL STATEMENT	CHARITABLE
(62) COVENANT HOUSE GEORGIA INC 2488 LAKEWOOD AVE SW ATLANTA,GA30315	13-3523561	501 (C) (3)	1,348	AUDITED FINANCIAL STATEMENT	CHARITABLE
(63) COWETA COUNTY SPECIAL OLYMPICS PO BOX 280 NEWNAN,GA30264	23-7201676	501 (C) (3)	1,997	AUDITED FINANCIAL STATEMENT	CHARITABLE
(64) COWETA ORGANIZATION FOR RIDING REHABILITATION & LEARNING 52 OLIVER POTTS ROAD NEWNAN,GA30263	58-1847517	501 (C) (3)	3,996	AUDITED FINANCIAL STATEMENT	CHARITABLE
(65) CURE CHILDHOOD CANCER & LEUKEMIA 1117 PERIMETER CENTER WEST SUITE N402 ATLANTA,GA30338	58-1244138	501 (C) (3)	9,549	AUDITED FINANCIAL STATEMENT	CHARITABLE
(66) DECATUR COOPERATIVE MINISTRY 115 CHURCH STREET DECATUR,GA30030	58-1082247	501 (C) (3)	957	AUDITED FINANCIAL STATEMENT	CHARITABLE
(67) DECATUR RECREATION DEPARTMENT PO BOX 220 DECATUR,GA30031	58-6000560	501 (C) (3)	276	AUDITED FINANCIAL STATEMENT	CHARITABLE
(68) DIABETES ASSOCIATION OF ATLANTA 100 EDGEWOOD AVE SUITE 1004 ATLANTA,GA30303	58-0973055	501 (C) (3)	2,337	AUDITED FINANCIAL STATEMENT	CHARITABLE
(69) DOUGLAS COUNTY RETARDATION ASSOCIATION PO BOX 1318 DOUGLASVILLE,GA30133	58-1112204	501 (C) (3)	180	AUDITED FINANCIAL STATEMENT	CHARITABLE
(70) DOUGLAS SENIOR SERVICES 6287 FAIRBURN ROAD DOUGLASVILLE,GA30134	58-6001000	501 (C) (3)	393	AUDITED FINANCIAL STATEMENT	CHARITABLE
(71) DRAKE HOUSE INC 10525 CLARA DR ROSWELL,GA30075	20-0943038	501 (C) (3)	1,372	AUDITED FINANCIAL STATEMENT	CHARITABLE
(72) DREAM HOUSE FOR MEDICALLY FRAGILE CHILDREN PO BOX 533 LILBURN,GA30048	58-2654766	501 (C) (3)	5,177	AUDITED FINANCIAL STATEMENT	CHARITABLE
(73) EAGLE RANCH PO BOX 7200 CHESTNUT MOUNTAIN,GA30502	58-1497408	501 (C) (3)	35,862	AUDITED FINANCIAL STATEMENT	CHARITABLE
(74) EAST LAKE FOUNDATION INC 2606 ALSTON DRIVE ATLANTA,GA303173334	58-2204306	501 (C) (3)	6,980	AUDITED FINANCIAL STATEMENT	CHARITABLE
(75) EDUCATION C/O UNITED WAY OF METROPOLITAN ATLANTA 100 EDGEWOOD AVE NE ATLANTA,GA30303	58-0566194	501 (C) (3)	2,754	AUDITED FINANCIAL STATEMENT	CHARITABLE
(76) ELECTRIC KIDS INC 241 RALPH MCGILL BLVD NE ATLANTA,GA30308	58-1936572	501 (C) (3)	14,005	AUDITED FINANCIAL STATEMENT	CHARITABLE
(77) ELKS AIDMORE INC 2394 MORRISON ROAD SW CONYERS,GA300943330	58-0572410	501 (C) (3)	227	AUDITED FINANCIAL STATEMENT	CHARITABLE
(78) EMPTY STOCKING FUND 1975 CENTURY CENTER BLVD SUITE16 ATLANTA,GA303453316	23-7159125	501 (C) (3)	2,351	AUDITED FINANCIAL STATEMENT	CHARITABLE
(79) EXCEPTIONAL OPS PO BOX 2151 PEACHTREE CITY,GA30269	58-0698809	501 (C) (3)	747	AUDITED FINANCIAL STATEMENT	CHARITABLE
(80) FAMILIES FIRST 1105 W PEACHTREE ST NE ATLANTA,GA30309	58-1054331	501 (C) (3)	1,036	AUDITED FINANCIAL STATEMENT	CHARITABLE
(81) FAMILY PROMISE OF GWINNETT COUNTY INC 3495 SUGARLOAF PARKWAY LAWRENCEVILLE,GA300445402	14-1906067	501 (C) (3)	1,649	AUDITED FINANCIAL STATEMENT	CHARITABLE
(82) FAYETTE CARE CLINIC INC 1260 HIGHWAY 54 W SUITE 204 FAYETTEVILLE,GA302144514	20-0314897	501 (C) (3)	2,687	AUDITED FINANCIAL STATEMENT	CHARITABLE
(83) FAYETTE SAMARITANS 126 HICKORY RD FAYETTEVILLE,GA30214	58-1961257	501 (C) (3)	610	AUDITED FINANCIAL STATEMENT	CHARITABLE
(84) FAYETTE SENIOR SERVICES 4 CENTER DRIVE FAYETTEVILLE,GA30215	58-1364158	501 (C) (3)	1,137	AUDITED FINANCIAL STATEMENT	CHARITABLE
(85) FAYETTE YOUTH PROTECTION HOME 150 MARQUIS DR FAYETTEVILLE,GA30214	58-1740987	501 (C) (3)	955	AUDITED FINANCIAL STATEMENT	CHARITABLE
(86) FOREVER FAMILY 387 JOSEPH E LOWERY BLVD SW SUITE 2 2 ATLANTA,GA30310	58-1744556	501 (C) (3)	693	AUDITED FINANCIAL STATEMENT	CHARITABLE
(87) FUTURE FOUNDATION INC 1892 WASHINGTON ROAD EAST POINT,GA30344	58-2636418	501 (C) (3)	152	AUDITED FINANCIAL STATEMENT	CHARITABLE
(88) GEORGIA BAPTIST CHILDREN'S HOME AND FAMILY MINISTRIES 505 WATERWORKS ROAD PALMETTO,GA30268	58-0610066	501 (C) (3)	33,423	AUDITED FINANCIAL STATEMENT	CHARITABLE
(89) GEORGIA CENTER FOR CHILD ADVOCACY 1485 B WOODLAND AVE SE ATLANTA,GA30316	58-1762069	501 (C) (3)	1,079	AUDITED FINANCIAL STATEMENT	CHARITABLE
(90) GEORGIA LAW CENTER ON HOMELESSNESS AND POVERTY 100 EDGEWOOD AVENUE SUITE 1625 ATLANTA,GA30303	58-1850632	501 (C) (3)	504	AUDITED FINANCIAL STATEMENT	CHARITABLE
(91) GEORGIA POWER FAMILY HOUSE 241 RALPH MCGILL BOULEVARD BIN 10230 ATLANTA,GA303083374	58-1649306	501 (C) (3)	11,721	AUDITED FINANCIAL STATEMENT	CHARITABLE
(92) GEORGIA SHERIFFS' YOUTH HOMES PO BOX 1000 3000 HIGHWAY 42N STOCKBRIDGE,GA30281	58-1310087	501 (C) (3)	3,905	AUDITED FINANCIAL STATEMENT	CHARITABLE
(93) GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC PO BOX 3963 ATLANTA,GA30302	58-1845423	501 (C) (3)	47	AUDITED FINANCIAL STATEMENT	CHARITABLE
(94) GEORGIA TRANSPLANT FOUNDATION INC 500 SUGAR MILL RD STE 170-A ATLANTA,GA30350	58-2075193	501 (C) (3)	1,045	AUDITED FINANCIAL STATEMENT	CHARITABLE
(95) GIRL SCOUT COUNCIL OF GREATER ATLANTA 5601 NORTH ALLEN ROAD MABLETON,GA30126	58-0566190	501 (C) (3)	5,692	AUDITED FINANCIAL STATEMENT	CHARITABLE
(96) GIRLS INCORPORATED OF GREATER ATLANTA 1401 PEACHTREE STREET NE SUITE 500 ATLANTA,GA30309	58-1276804	501 (C) (3)	2,086	AUDITED FINANCIAL STATEMENT	CHARITABLE
(97) GOODWILL OF NORTH GEORGIA 235 PEACHTREE STREET NORTH TOWER SUITE 2300 ATLANTA,GA30303	58-0566193	501 (C) (3)	2,213	AUDITED FINANCIAL STATEMENT	CHARITABLE
(98) GWINNETT CHILDREN'S SHELTER PO BOX 527 BUFORD,GA305150527	58-1662180	501 (C) (3)	3,850	AUDITED FINANCIAL STATEMENT	CHARITABLE
(99) HANDS OF HOPE CLINIC 1010 HOSPITAL DR BUILDING B STOCKBRIDGE,GA302817384	42-1591970	501 (C) (3)	728	AUDITED FINANCIAL STATEMENT	CHARITABLE
(100) HARMONY HOUSE DOMESTIC VIOLENCE SHELTER INC 492 N MARIETTA PKWY MARIETTA,GA30060	20-1884900	501 (C) (3)	420	AUDITED FINANCIAL STATEMENT	CHARITABLE
(101) HEALTH C/O UNITED WAY OF METROPOLITAN ATLANTA 100 EDGEWOOD AVE NE ATLANTA,GA30303	58-0566194	501 (C) (3)	1,273	AUDITED FINANCIAL STATEMENT	CHARITABLE
(102) HENRY COUNTY COUNCIL ON AGING 1050 FLORENCE MCGARITY BLVD MCDONOUGH,GA30252	58-1903782	501 (C) (3)	264	AUDITED FINANCIAL STATEMENT	CHARITABLE
(103) HENRY COUNTY COUNCIL ON CHILD ABUSE PO BOX 1525 STOCKBRIDGE,GA30281	58-2002655	501 (C) (3)	526	AUDITED FINANCIAL STATEMENT	CHARITABLE
(104) HENRY COUNTY FULLER CENTER FOR HOUSING INC 354 WATERFRONT DRIVE MCDONOUGH,GA30253	27-3574808	501 (C) (3)	1,942	AUDITED FINANCIAL STATEMENT	CHARITABLE
(105) HI-HOPE SERVICE CENTER 882 HI-HOPE ROAD LAWRENCEVILLE,GA30043	58-1354523	501 (C) (3)	4,323	AUDITED FINANCIAL STATEMENT	CHARITABLE
(106) HOMELESSNESS 100 EDGEWOOD AVE NE ATLANTA,GA30303	58-0566196	501 (C) (3)	3,304	AUDITED FINANCIAL STATEMENT	CHARITABLE
(107) HOUSING INITIATIVE OF NORTH FULTON 89 GROVE WAY ROSWELL,GA30075	58-2051038	501 (C) (3)	500	AUDITED FINANCIAL STATEMENT	CHARITABLE
(108) I CARE 300 E PONCE DE LEON AVE STE 313 DECATUR,GA30030	58-2398925	501 (C) (3)	120	AUDITED FINANCIAL STATEMENT	CHARITABLE
(109) INCOME 100 EDGEWOOD AVE NE ATLANTA,GA30303	58-0566194	501 (C) (3)	504	AUDITED FINANCIAL STATEMENT	CHARITABLE
(110) INTERNATIONAL COMMUNITY SCHOOL 2418 WOOD TRAIL LANE DECATUR,GA30033	72-1526226	501 (C) (3)	43	AUDITED FINANCIAL STATEMENT	CHARITABLE
(111) INTERNATIONAL WOMENS HOUSE INC PO BOX 1327 DECATUR,GA30031	58-2512196	501 (C) (3)	113	AUDITED FINANCIAL STATEMENT	CHARITABLE
(112) JEWISH FAMILY & CAREER SERVICES 4549 CHAMBLEE DUNWOODY ROAD ATLANTA,GA30338	58-1479212	501 (C) (3)	1,383	AUDITED FINANCIAL STATEMENT	CHARITABLE
(113) KATES CLUB INC 1330 WEST PEACHTREE ST STE 520 ATLANTA,GA30309	16-1646487	501 (C) (3)	279	AUDITED FINANCIAL STATEMENT	CHARITABLE
(114) LATIN AMERICAN ASSOCIATION 2750 BUFORD HIGHWAY ATLANTA,GA303243208	58-1237316	501 (C) (3)	993	AUDITED FINANCIAL STATEMENT	CHARITABLE
(115) LAWRENCEVILLE COOPERATIVE MINISTRY INC PO BOX 1328 LAWRENCEVILLE,GA300461328	58-2193039	501 (C) (3)	196	AUDITED FINANCIAL STATEMENT	CHARITABLE
(116) LEUKEMIA & LYMPHOMA SOCIETY GEORGIA CHAPTER 3715 NORTHSIDE PARKWAY 400 NORTHCREEK SUITE 300 ATLANTA,GA30327	13-5644916	501 (C) (3)	8,147	AUDITED FINANCIAL STATEMENT	CHARITABLE
(117) LIGHTHOUSE FAMILY RETREAT INC 45 TECHNOLOGY PKWY S STE 225 NORCROSS,GA300923456	58-2509728	501 (C) (3)	957	AUDITED FINANCIAL STATEMENT	CHARITABLE
(118) LINK COUNSELING CENTER 348 MT VERNON HIGHWAY NE ATLANTA,GA30328	58-1109087	501 (C) (3)	8,600	AUDITED FINANCIAL STATEMENT	CHARITABLE
(119) LITERACY ACTION INC 100 EDGEWOOD AVENUE SUITE 650 ATLANTA,GA30303	58-1053728	501 (C) (3)	5,217	AUDITED FINANCIAL STATEMENT	CHARITABLE
(120) MARCH OF DIMES - GEORGIA CHAPTER 1776 PEACHTREE ST SUITE 100 ATLANTA,GA30309	13-1846366	501 (C) (3)	4,872	AUDITED FINANCIAL STATEMENT	CHARITABLE
(121) MARCUS JEWISH COMMUNITY CENTER OF ATLANTA 5342 TILLY MILL ROAD DUNWOODY,GA30338	58-0566126	501 (C) (3)	569	AUDITED FINANCIAL STATEMENT	CHARITABLE
(122) MARY HALL FREEDOM HOUSE PO BOX 501205 ATLANTA,GA31150	58-2238354	501 (C) (3)	187	AUDITED FINANCIAL STATEMENT	CHARITABLE
(123) MOTHERS AGAINST DRUNK DRIVING 511 E JOHN CARPENTER FWY STE 700 IRVING,TX750623983	94-2707273	501 (C) (3)	2,334	AUDITED FINANCIAL STATEMENT	CHARITABLE
(124) MUSCULAR DYSTROPHY ASSOCIATION 2189 NORTHLAKE PKWY BUILDING 100 SUITE 100 TUCKER,GA33084	13-1665552	501 (C) (3)	2,873	AUDITED FINANCIAL STATEMENT	CHARITABLE
(125) MUST MINISTRIES 1407 COBB PARKWAY NORTH MARIETTA,GA30061	58-2034725	501 (C) (3)	3,913	AUDITED FINANCIAL STATEMENT	CHARITABLE
(126) NATIONAL MULTIPLE SCLEROSIS SOCIETY -GEORGIA CHAPTER 1117 PERIMETER CENTER WEST SUITE E101 ATLANTA,GA30338	58-0652901	501 (C) (3)	11,718	AUDITED FINANCIAL STATEMENT	CHARITABLE
(127) NEW HOPE ENTERPRISES 970 JEFFERSON STREET NORTHWEST ATLANTA,GA303185236	27-0230104	501 (C) (3)	7,959	AUDITED FINANCIAL STATEMENT	CHARITABLE
(128) NEWNAN-COWETA HABITAT FOR HUMANITY PO BOX 2607 NEWNAN,GA30264	58-2031156	501 (C) (3)	781	AUDITED FINANCIAL STATEMENT	CHARITABLE
(129) NICHOLAS HOUSE INC 830 BOULEVARD SE ATLANTA,GA30312	58-1762614	501 (C) (3)	70	AUDITED FINANCIAL STATEMENT	CHARITABLE
(130) NORCROSS COOPERATIVE MINISTRY INC PO BOX 1489 NORCROSS,GA300911489	58-1792414	501 (C) (3)	226	AUDITED FINANCIAL STATEMENT	CHARITABLE
(131) NORTH FULTON COMMUNITY CHARITIES 11270 ELKINS ROAD ROSWELL,GA30076	58-1521088	501 (C) (3)	969	AUDITED FINANCIAL STATEMENT	CHARITABLE
(132) NORTH GEORGIA ANGEL HOUSE 2260 SAM NELSON ROAD CANTON,GA30114	13-4281872	501 (C) (3)	4,472	AUDITED FINANCIAL STATEMENT	CHARITABLE
(133) ODYSSEY FAMILY COUNSELING CENTER 1919 JOHN WESLEY AVENUE COLLEGE PARK,GA30337	58-1295404	501 (C) (3)	300	AUDITED FINANCIAL STATEMENT	CHARITABLE
(134) OUR HOUSE INC 711 COLUMBIA DRIVE DECATUR,GA30030	58-1743333	501 (C) (3)	30	AUDITED FINANCIAL STATEMENT	CHARITABLE
(135) PARENT TO PARENT OF GEORGIA INC 3070 PRESIDENTIAL PARKWAY ATLANTA,GA30340	58-1545706	501 (C) (3)	240	AUDITED FINANCIAL STATEMENT	CHARITABLE
(136) PARTNERSHIP AGAINST DOMESTIC VIOLENCE PO BOX 170225 ATLANTA,GA30317	58-1314556	501 (C) (3)	350	AUDITED FINANCIAL STATEMENT	CHARITABLE
(137) PAUL ANDERSON YOUTH HOME - VIDALIA INC PO BOX 525 VIDALIA,GA30475	58-6041868	501 (C) (3)	6,672	AUDITED FINANCIAL STATEMENT	CHARITABLE
(138) PAULDING COLLABORATIVE FOR CHILDREN AND FAMILIES 335 ACADEMY DRIVE DALLAS,GA30132	31-1538877	501 (C) (3)	497	AUDITED FINANCIAL STATEMENT	CHARITABLE
(139) PLANNED PARENTHOOD OF GEORGIA 75 PIEDMONT AVE SUITE 800 ATLANTA,GA30303	58-6045874	501 (C) (3)	2,036	AUDITED FINANCIAL STATEMENT	CHARITABLE
(140) PREMIER ACADEMY INC 444 ANGIER AVE NE ATLANTA,GA30308	58-1169016	501 (C) (3)	441	AUDITED FINANCIAL STATEMENT	CHARITABLE
(141) PREVENT CHILD ABUSE ROCKDALE PO BOX 81025 CONYERS,GA30013	58-1953388	501 (C) (3)	720	AUDITED FINANCIAL STATEMENT	CHARITABLE
(142) PROJECT OPEN HAND-ATLANTA 181 ARMOUR DRIVE ATLANTA,GA30324	58-1816778	501 (C) (3)	2,264	AUDITED FINANCIAL STATEMENT	CHARITABLE
(143) RECONNECTING FAMILIES INC 1738 COUNTY SERVICES PKWY SW MARIETTA,GA300084012	26-1768592	501 (C) (3)	1,175	AUDITED FINANCIAL STATEMENT	CHARITABLE
(144) REECE CENTER FOR HANDICAPPED HORSEMANSHIP PO BOX 730 SHARPSBURG,GA302770730	58-1589140	501 (C) (3)	3,664	AUDITED FINANCIAL STATEMENT	CHARITABLE
(145) REFUGE PREGNANCY CENTER INC 1307 MILSTEAD AVENUE CONYERS,GA30012	58-1592691	501 (C) (3)	600	AUDITED FINANCIAL STATEMENT	CHARITABLE
(146) REFUGEE FAMILY SERVICES INC 5561-H MEMORIAL DRIVE STONE MOUNTAIN,GA30083	58-2242031	501 (C) (3)	152	AUDITED FINANCIAL STATEMENT	CHARITABLE
(147) ROCKDALE EMERGENCY RELIEF FUND PO BOX 80369 CONYERS,GA30012	51-0195410	501 (C) (3)	661	AUDITED FINANCIAL STATEMENT	CHARITABLE
(148) RUTLEDGE CENTER INC 61 HOSPITAL ROAD NEWNANCOWETA,GA30263	58-1091858	501 (C) (3)	120	AUDITED FINANCIAL STATEMENT	CHARITABLE
(149) SAFEPATH CHILDREN'S ADVOCACY CENTER 736 WHITLOCK AVE 600 MARIETTA,GA30064	58-1662987	501 (C) (3)	1,175	AUDITED FINANCIAL STATEMENT	CHARITABLE
(150) SALVATION ARMY THE METRO ATLANTA AREA COMMAND 1190 W DRUID HILLS DRIVE SUITE 150 ATLANTA,GA30329	58-0660607	501 (C) (3)	8,975	AUDITED FINANCIAL STATEMENT	CHARITABLE
(151) SAMARITANS TOGETHER OF HENRY COUNTY INC 85 BELLAMY PLACE SUITE B STOCKBRIDGE,GA30281	58-2010737	501 (C) (3)	360	AUDITED FINANCIAL STATEMENT	CHARITABLE
(152) SCOTTDALE CHILD DEVELOPMENT CENTER 479 WARREN AVE PO BOX 904 SCOTTDALE,GA30079	58-1281657	501 (C) (3)	1,020	AUDITED FINANCIAL STATEMENT	CHARITABLE
(153) SENIOR CITIZEN SERVICES OF METROPOLITAN ATLANTA 1705 COMMERCE DRIVE ATLANTA,GA30318	58-0960309	501 (C) (3)	317	AUDITED FINANCIAL STATEMENT	CHARITABLE
(154) SENIOR CONNECTIONS INC 5238 PEACHTREE ROAD CHAMBLEE,GA303412718	58-1187876	501 (C) (3)	1,440	AUDITED FINANCIAL STATEMENT	CHARITABLE
(155) SHELTERING ARMS EARLY EDUCATION AND FAMILY CENTERS 385 CENTENNIAL OLYMPIC PARK DRIVE NW ATLANTA,GA303131927	58-0566236	501 (C) (3)	1,265	AUDITED FINANCIAL STATEMENT	CHARITABLE
(156) SHEPHERD CENTER FOUNDATION INC 2020 PEACHTREE ROAD ATLANTA,GA30309	20-1238224	501 (C) (3)	7,392	AUDITED FINANCIAL STATEMENT	CHARITABLE
(157) SHEPHERDS REST MINISTRIES INC PO BOX 737 DALLAS,GA30132	58-2343864	501 (C) (3)	235	AUDITED FINANCIAL STATEMENT	CHARITABLE
(158) SICKLE CELL FOUNDATION OF GEORGIA 2391 BENJAMIN E MAYS DRIVE SW ATLANTA,GA30311	58-1122346	501 (C) (3)	6,807	AUDITED FINANCIAL STATEMENT	CHARITABLE
(159) SOUTHERN CRESCENT HABITAT FOR HUMANITY 170 FLINT RIVER ROAD JONESBORO,GA30238	58-1761611	501 (C) (3)	30	AUDITED FINANCIAL STATEMENT	CHARITABLE
(160) SOUTHWEST FOUNDATION HOSPICE & HOPE CENTER 7225 LESTER ROAD UNION CITY,GA30291	58-1849504	501 (C) (3)	3,469	AUDITED FINANCIAL STATEMENT	CHARITABLE
(161) ST JUDE CHILDREN'S RESEARCH HOSPITAL 501 ST JUDE PLACE WORKPLACE GIVING MEMPHIS,TN38105	62-0646012	501 (C) (3)	17,607	AUDITED FINANCIAL STATEMENT	CHARITABLE
(162) ST JUDE'S RECOVERY CENTER 139 RENAISSANCE PARKWAY ATLANTA,GA30308	58-6045872	501 (C) (3)	1,151	AUDITED FINANCIAL STATEMENT	CHARITABLE
(163) STEPPING STONES EDUCATIONAL THERAPY CENTER 141 FUTRAL ROAD GRIFFIN,GA30224	58-1903238	501 (C) (3)	5,536	AUDITED FINANCIAL STATEMENT	CHARITABLE
(164) SWEETWATER VALLEY CAMP PO BOX 802 AUSTELL,GA30168	58-1992771	501 (C) (3)	854	AUDITED FINANCIAL STATEMENT	CHARITABLE
(165) THE CENTER FOR BLACK WOMENS WELLNESS 477 WINDSOR ST SW SUITE 309 ATLANTA,GA30312	58-2212203	501 (C) (3)	735	AUDITED FINANCIAL STATEMENT	CHARITABLE
(166) THE EDGE CONNECTION C/O KENNESAW STATE UNIVERSITY 1000 CHASTAIN ROAD 3305 KENNESAW,GA30144	58-2634871	501 (C) (3)	534	AUDITED FINANCIAL STATEMENT	CHARITABLE
(167) THE STUDY HALL INC 1010 CREW STREET SW ATLANTA,GA30315	58-1830316	501 (C) (3)	200	AUDITED FINANCIAL STATEMENT	CHARITABLE
(168) UNITED METHODIST CHILDREN'S HOME 500 S COLUMBIA DRIVE DECATUR,GA30030	58-0632081	501 (C) (3)	11,676	AUDITED FINANCIAL STATEMENT	CHARITABLE
(169) UNITED WAY 2-1-1 100 EDGEWOOD AVE NE ATLANTA,GA30303	58-0566194	501 (C) (3)	787	AUDITED FINANCIAL STATEMENT	CHARITABLE
(170) UNITED WAY COMMUNITY IMPACT FUND 100 EDGEWOOD AVE NE ATLANTA,GA30303	58-0566194	501 (C) (3)	133,980	AUDITED FINANCIAL STATEMENT	CHARITABLE
(171) UNITED WAY VIP (VOLUNTEER INVOLVEMENT PROGRAM) 100 EDGEWOOD AVE NE ATLANTA,GA30303	58-0566197	501 (C) (3)	336	AUDITED FINANCIAL STATEMENT	CHARITABLE
(172) USO COUNCIL OF GEORGIA TERMINAL ATRIUM STE 320 600 N TERM PKWY HARTSFIELD-JACKSON AIRPORT ATR ATLANTA,GA303200963	58-0917673	501 (C) (3)	2,019	AUDITED FINANCIAL STATEMENT	CHARITABLE
(173) VISION REHABILITATION SERVICES 3830 S COBB DRIVE SE SUITE 125 SMYRNA,GA30080	58-1550944	501 (C) (3)	325	AUDITED FINANCIAL STATEMENT	CHARITABLE
(174) WELLSTAR FOUNDATION 2000 SOUTH PARK PLACE SUITE 202 ATLANTA,GA30339	58-1627413	501 (C) (3)	1,082	AUDITED FINANCIAL STATEMENT	CHARITABLE
(175) WINSHIP CANCER INSTITUTE OF EMORY UNIVERSITY 1440 CLIFTON ROAD SUITE 170 ATLANTA,GA30322	58-0566256	501 (C) (3)	5,254	AUDITED FINANCIAL STATEMENT	CHARITABLE
(176) YMCA OF METROPOLITAN ATLANTA 100 EDGEWOOD AVE NE SUITE 1100 ATLANTA,GA30303	58-0566253	501 (C) (3)	11,456	AUDITED FINANCIAL STATEMENT	CHARITABLE
(177) YMCA-BUTLER STREET 22 JESSE HILL JR DRIVE SE ATLANTA,GA30303	58-0566253	501 (C) (3)	657	AUDITED FINANCIAL STATEMENT	CHARITABLE
(178) YWCA OF GREATER ATLANTA 957 NORTH HIGHLAND AVENUE NE ATLANTA,GA30306	58-0593442	501 (C) (3)	1,856	AUDITED FINANCIAL STATEMENT	CHARITABLE
(179) YWCA OF NORTHWEST GEORGIA 48 HENDERSON ST MARIETTA,GA30064	58-0617782	501 (C) (3)	1,596	AUDITED FINANCIAL STATEMENT	CHARITABLE
(180) ZION HILL COMMUNITY DEVELOPMENT CORPORATION 2741 BAYARD STREET EAST POINT,GA30344	81-0590367	501 (C) (3)	261	AUDITED FINANCIAL STATEMENT	CHARITABLE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) EMPLOYEE EMERGENCY FUND DISTRIBUTIONS	17	57,702

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	SEE SCHEDULE O
SCHEDULE I, PART IV	SEE SCHEDULE O

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

CLUB OF HEARTS INC

Employer identification number

58-6056698

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT COPY OF THE RETURN WAS DISTRIBUTED TO THE 11 BOARD MEMBERS THRU E-MAIL BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	CLUB OF HEARTS, INC FOLLOWS GEORGIA POWER COMPANY'S CONFLICT OF INTEREST AND WHISTLEBLOWER'S POLICY. EACH YEAR ALL SOUTHERN COMPANY EMPLOYEES ARE REQUIRED TO PARTICIPATE IN AN ANNUAL COMPLIANCE SURVEY THAT IS ADMINISTERED BY E-MAIL. ALL EMPLOYEES MUST ADHERE TO THE SOUTHERN COMPANY CODE OF ETHICS AND COMPLETE THE COMPANY'S ANNUAL CODE OF ETHICS TRAINING BY INTERNET. THE COMPLIANCE AND ETHICS DEPARTMENT MONITORS AND ENFORCES THE POLICY BY REVIEWING SURVEY RESULTS AND INVESTIGATING ANY POSSIBLE WRONGDOINGS.
FORM 990, PART VI, SECTION C, LINE 18	CLUB OF HEARTS, INC POSTS ITS 990 RETURN ON ANOTHER'S WEBSITE AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART VI, SECTION C, LINE 19	CURRENTLY, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR REVIEW UPON REQUEST.
FORM 990, PAGE 12, PART XI, LINE 1	ORGANIZATION USES THE CASH METHOD TO RECORD THE ACTIVITIES. THE ACCRUAL METHOD IS USED TO RECORD GRANT PAYABLES AND GRANT RECEIVABLES.
FORM 990, PAGE 12, PART XI, LINE 2B AND 2C	THE ORGANIZATION HAS A WORKING AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, OF ITS FINANCIAL STATEMENTS, AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
FORM 990, SCHEDULE I	ELIGIBILITY: ELIGIBLE INDIVIDUALS INCLUDE GEORGIA POWER AND SOUTHERN COMPANY SERVICES-GEORGIA EMPLOYEES, RETIREES, AND DEPENDENT FAMILY MEMBERS OF ALL THE FOREGOING WHO ARE EXPERIENCING A FINANCIAL HARDSHIP, RESULTING FROM A CATASTROPHIC EVENT OR SERIOUS ILLNESS AS DEMONSTRATED BY DATA SET FORTH IN THE APPLICATION. - EMPLOYEES MUST BE REGULAR, FULL-TIME OR PART-TIME EMPLOYEES. - RETIREES MUST HAVE ATTAINED AGE 50 (AGE 55 PRIOR TO 1/1/96) AND HAVE A MINIMUM OF 10 YEARS OF SERVICE UNDER THE SOUTHERN COMPANY PENSION PLAN AT THE TIME OF RETIREMENT FROM GEORGIA POWER OR SCS-GEORGIA. IN ADDITION, ELIGIBLE INDIVIDUALS MUST HAVE TERMINATED EMPLOYMENT IN GOOD STANDING AS DETERMINED BY THE COMPANY AND BE IN PENSION-PAYMENT STATUS WHEN THE EEF REQUEST IS FILED. - DEPENDENT FAMILY MEMBERS INCLUDE ONLY THOSE AS DEFINED BY SOUTHERN COMPANY'S MEDICAL GUIDELINES. THESE INDIVIDUALS INCLUDE: - SPOUSE (INCLUDES SURVIVING SPOUSE OF ACTIVE OR RETIRED EMPLOYEES AND PROVISIONAL PAYEES). - UNMARRIED CHILDREN- WHO ARE DEPENDENT UPON YOU FOR FINANCIAL SUPPORT -ARE ELIGIBLE UNTIL THE END OF THE MONTH THEY REACH AGE 26. DEPENDENT CHILDREN INCLUDE YOUR NATURAL CHILDREN, LEGALLY ADOPTED CHILDREN FROM THE DATE OF ADOPTION, CHILDREN FOR WHOM YOU HAVE PRIMARY LEGAL RESPONSIBILITY, AND STEPCHILDREN. - UNMARRIED CHILDREN WHO ARE MENTALLY OR PHYSICALLY HANDICAPPED AND TOTALLY DEPENDENT ON EMPLOYEE/RETIREE FOR SUPPORT, REGARDLESS OF AGE. APPLICATION PROCESS FOR EMPLOYEES: - ELIGIBLE INDIVIDUALS MUST COMPLETE, SIGN, AND RETURN ONE OF THE TWO APPLICABLE APPLICATION FORMS AND SUBMIT COPIES OF ALL APPROPRIATE DOCUMENTATION LISTED BELOW. - APPLICATION DUE TO HOUSE FIRE/NATURAL DISASTER - APPLICATION FOR ALL OTHER EMERGENCY FUND REQUESTS - INCOMPLETE APPLICATIONS OR APPLICATIONS NOT CONTAINING REQUESTED DOCUMENTATION WILL NOT BE CONSIDERED FOR APPROVAL. - REQUESTS MAY BE HANDWRITTEN OR TYPED AND CAN BE FAXED TO CLUB OF HEARTS AT 404-506-1917; MAILED TO CLUB OF HEARTS, 241 RALPH MCGILL BLVD. NE, BIN 10131, ATLANTA, GA 30308; OR SCANNED AND EMAILED TO CLUBHEAR@SOUTHERNCO.COM. - AN APPLICANT CANNOT SUBMIT MORE THAN ONE APPLICATION PER CATASTROPHIC EVENT IN A 12-MONTH PERIOD. - ONLY ONE APPLICATION PER YEAR PER FAMILY UNIT (I.E. TWO MARRIED GPC OR SCS EMPLOYEES OR THEIR DEPENDENTS) IS PERMITTED. - SEPARATE APPLICATION FORMS ARE AVAILABLE FOR RETIREES. FOR FIRES AND OTHER NATURAL DISASTERS: COMPLETELY FILL OUT AND SIGN THE EMERGENCY FUND APPLICATION FOR "FIRES AND OTHER NATURAL DISASTERS" AND SUBMIT COPIES OF ALL APPROPRIATE DOCUMENTATION LISTED BELOW: - DOCUMENTATION REGARDING YOUR EMERGENCY SITUATION (I.E. LOCAL FIRE DEPARTMENT REPORT SHOWING PROOF OF DAMAGE) AND WHAT CAUSED IT. FOR ALL OTHER EMERGENCY FUND REQUESTS: COMPLETELY FILL OUT THE APPLICATION, INCLUDING ALL INFORMATION REGARDING FAMILY MEMBERS LIVING WITH YOU, ALL INCOMES IN THE HOUSEHOLD, ETC., AND SUBMIT THE COMPLETED AND SIGNED APPLICATION ALONG WITH COPIES (NOT ORIGINALS) OF THE FOLLOWING:- DOCUMENTATION REGARDING YOUR EMERGENCY SITUATION (I.E. COPY OF LOCAL FIRE DEPARTMENT REPORT SHOWING PROOF OF FIRE, ETC.) AND WHAT CAUSED IT. - COPIES OF YOUR LAST TWO PAYCHECKS (COPIES CAN BE OBTAINED FROM HR DIRECT). - COPIES OF APPROVED FMLA DOCUMENTATION, SUPPLEMENTAL SECURITY DISABILITY INSURANCE (SSDI) AND WORKERS' COMPENSATION DOCUMENTATION, IF APPLICABLE. - COPIES OF ALL INVOICES FOR WHICH YOU ARE REQUESTING PAYMENT, WHERE APPLICABLE, REQUESTS WILL NOT BE CONSIDERED WITHOUT THE INVOICE. ENSURE INVOICES CONTAIN YOUR NAME OR DEPENDENT'S NAME ON ACCOUNT AND PAYMENT ADDRESS IF REQUEST IS APPROVED. - COPY OF YOUR MOST RECENTLY FILED 1040, 1040A OR 1040EZ INCOME TAX RETURN TO VERIFY DEPENDENTS AND INCOME (DO NOT INCLUDE SCHEDULES). REVIEW PROCESS: - IN AN EFFORT TO BE FAIR AND OBJECTIVE, THE BOARD WILL CONSIDER EACH REQUEST ON A "BLIND BASIS." NO PERSONAL INFORMATION IDENTIFYING THE APPLICANT OR HIS/HER WORKPLACE WILL BE SHARED WITH THE BOARD. - THE BOARD WILL REVIEW APPLICATIONS THROUGH EMAIL OR AT BOARD MEETINGS. - WHILE REVIEWING ANY REQUESTS, THE CLUB OF HEARTS' ADMINISTRATOR AND THE BOARD HAVE THE RIGHT TO OBTAIN ADDITIONAL INFORMATION FROM THE APPLICANT OR OTHER SOURCES, INCLUDING SOUTHERN COMPANY HR DIRECT SERVICE CENTER OR THE APPLICANT'S SUPERVISOR, TO VERIFY THE CLAIM. - EMERGENCY CASH REQUESTS UP TO $1,000 FOR THE SPECIFIC PURPOSE OF COVERING IMMEDIATE EXPENSES SUCH AS A DEATH IN THE FAMILY, FIRES, TORNADOES OR OTHER ACTS OF NATURE MAY BE APPROVED BY TWO OFFICERS OF THE BOARD. ALL OTHER EXPENSES ASSOCIATED WITH THE EVENT MUST BE SUBMITTED VIA AN AMENDED APPLICATION (SEE APPLICATION FOR OTHER EMERGENCY FUND REQUESTS) WITHIN 60 DAYS OF THE INITIAL APPLICATION AND BE APPROVED BY A MAJORITY OF THE BOARD. - FOR ALL OTHER REQUESTS, APPROVAL OF FUNDS MUST BE APPROVED BY A MAJORITY OF THE BOARD. NOTIFICATION PROCESS: - FOLLOWING RECEIPT OF THE APPLICATION AND ALL OTHER REQUESTED INFORMATION BY CLUB OF HEARTS, APPLICANTS WILL BE NOTIFIED IN WRITING WITHIN FIVE BUSINESS DAYS OF THE BOARD'S DECISION. PAYMENT PROCESS: ANY RECIPIENT OF AN EMERGECY CASH CONTRIBUTION UP TO $1,000 SHALL BE REQUIRED TO PROVIDE A SUMMARY OF THOSE EXPENDITURES AND SUPPORTING RECEIPTS TO CLUB OF HEARTS WITHIN 30 DAYS FOLLOWING THE DATE OF DISBURSEMENT. RECIPIENTS ARE REQUIRED TO RETURN ANY FUNDS THAT HAVE NOT BEEN USED FOR THE PURPOSES FOR WHICH THEY WERE GRANTED. - FOR ANY REQUESTS THE BOARD APPROVES OUTSIDE IMMEDIATE EXPENSES, THE APPLICANT MUST SUBMIT COPIES OF BILLS TO BE PAID AND APPROPRIATE SUPPORTING DOCUMENTATION WITH HIS/HER APPLICATION. IF APPROVED, THESE EXPENSES ARE PAID DIRECTLY TO THE VENDOR (I.E. MORTGAGE COMPANY OR MEDICAL PROVIDER). THE MAXIMUM THAT CAN BE AWARDED TO AN APPLICANT IS $5,000 IN A 12-MONTH PERIOD. - AN APPLICANT CANNNOT BE APPROVED FOR MORE THAN ONE APPLICATION IN A 12-MONTH PERIOD. IF AN APPLICATION IS APPROVED, NO FUTURE APPLICATION MAY BE FILED THAT RELATES TO A PREVIOUSLY-APPROVED FUNDING FOR A CATASTROPHIC EVENT OR ILLNESS. AFTER A 12-MONTH PERIOD HAS RUN OUT RELATED TO AN APPROVED APPLICATION, THE APPLICANT MUST INCUR AN ADDITIONAL OR DIFFERENT CATASTROPHIC EVENT OR ILLNESS IN ORDER TO BE CONSIDERED FOR FUNDING THROUGH THE EMPLOYEE EMERGENCY FUND. GRANTS FROM THE EMPLOYEE EMERGENCY FUND ARE MADE POSSIBLE THROUGH THE GENEROUS FINANCIAL SUPPORT OF METRO ATLANTA EMPLOYEES AND RETIREES WHO SUPPORT THIS FUND, PRO RATA CONTRIBUTIONS FROM CLUB OF HEART'S GENERAL FUND, CITIZENS OF GEORGIA POWER, AND INDIVIDUAL CONTRIBUTIONS FROM CGP MEMBERS STATEWIDE. WHEN ALL FUNDS DESIGNATED TO THE EEF HAVE BEEN EXHAUSTED, FUNDS FROM THE GENERAL FUND (IF APPLICABLE) MAY BE USED TO SUPPLEMENT THIS FUND. IF FUNDS ARE NOT AVAILABLE, THE APPLICATION PROCESS MAY BE SUSPENDED UNTIL ADDITIONAL FUNDS BECOME AVAILABLE. FOR MORE INFORMATION, PLEASE CONTACT ANY CLUB OF HEARTS BOARD MEMBER OR THE CLUB OF HEARTS ADMINISTRATOR AT CLUBHEAR@SOUTHERNCO.COM OR 404-506-3030. REVISED (OCTOBER 2008)
FORM 990, PART V, LINES 1C, 2B, 7G AND 7H	THE ORGANIZATION DID NOT RECEIVE CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY AND WAS THEREFORE NOT REQUIRED TO FILE FORM 8899. LIKEWISE, THERE WERE NO CONTRIBUTIONS OF CARS, BOATS, AIRPLANES, OR OTHER VEHICLES, AND FORM 1098-C WAS NOT REQUIRED. THE ORGANIZATION DID NOT HAVE ANY REPORTABLE GAMING (GAMBLING) WINNINGS TO PRIZE WINNERS AND THEREFORE THE BACKUP WITHHOLDING RULES DID NOT APPLY. THE ORGANIZATION DID NOT HAVE ANY EMPLOYEES AND THEREFORE THE FEDERAL EMPLOYMENT TAX RETURNS WERE NOT FILED.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CLUB OF HEARTS INC

Employer identification number

58-6056698

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) GEORGIA POWER COMPANY 241 RALPH MCGILL BLVD BIN 10131 ATLANTA,GA30308 58-0257110	PROVIDE ELECTRICITY TO THE CUSTOMERS	GA	N/A	C				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) GEORGIA POWERSOUTHERN COMPANY SERVICES	C	875,101	AUDITED FINANCIAL STATEMENT

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE AN EFFECTIVE MEANS FOR EMPLOYEES/RETIREES TO DONATE TO HEALTH AND HUMAN SERVICES RELATED, NONDISCRIMINATORY CHARITABLE ORGANIZATIONS, AS WELL AS TO AN EMERGENCY FUND FOR CURRENT AND RETIRED GEORGIA POWER AND SCS- GEORGIA EMPLOYEES AND THEIR DEPENDENT FAMILY MEMBERS WHO ARE EXPERIENCING A FINANCIAL HARDSHIP DUE TO A CATASTROPHIC EVENT OR ILLNESS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	11
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 817,399 including grants of $ 817,399 ) (Revenue $ )
	THE CLUB OF HEARTS PROVIDES GRANTS TO CHARITABLE ORGANIZATIONS. GRANTS WERE MADE TO 181AGENCIES.

4b	(Code: ) (Expenses $ 57,702 including grants of $ 57,702 ) (Revenue $ )
	THE EMPLOYEE EMERGENCY FUND PROVIDES FUNDS FOR EMPLOYEES, RETIREES AND THEIR DEPENDENT FAMILY MEMBERS, WHO ARE EXPERIENCING A FINANCIAL HARDSHIP, RESULTING FROM A CATASTROPHIC EVENT (I.E. DEATH IN FAMILY, FIRE, TORNADO OR OTHER ACT OF NATURE) OR SERIOUS ILLNESS. FUNDS WERE MADE TO 18 EMPLOYEES.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses875,101

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) DONICE WOOD RETIRED IN MAY 2013........................................................................ PROJECT MGR	1.00 .......................	X		0	0	0
(2) ERIN GRIFFIN........................................................................ BOARD OF DIRECTORS	1.00 .......................	X		0	0	0
(3) ANTHONY KEY........................................................................ BOARD OF DIRECTORS	1.00 .......................	X		0	0	0
(4) CHRISTINE LEDOUX........................................................................ BOARD OF DIRECTORS	1.00 .......................	X		0	0	0
(5) SANDY LLOYD........................................................................ BOARD OF DIRECTORS	1.00 .......................	X		0	0	0
(6) TONY CASTRO........................................................................ BOARD OF DIRECTORS	1.00 .......................	X		0	0	0
(7) CHAD KNUDSEN........................................................................ BOARD OF DIRECTORS	1.00 .......................	X		0	0	0
(8) LISA SMITH........................................................................ BOARD OF DIRECTORS	1.00 .......................	X		0	0	0
(9) CHARLIE H ROSSAUGUST 2013-PRESENT........................................................................ PROJECT MGR	1.00 .......................	X		0	0	0
(10) DELIA ABNER........................................................................ SECRETARY	1.00 .......................		X	0	0	0
(11) JEANNICE HALL........................................................................ VICE CHAIR - INFORMATION	1.00 .......................		X	0	0	0
(12) KATIE AGRESS........................................................................ TREASURER	1.00 .......................		X	0	0	0
(13) ROBERT HUDGINS........................................................................ CHAIR	1.00 .......................		X	0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)						(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	985,198	855,134
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	416	296
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	985,614	855,430
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	985,198	875,101
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	0	0
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	985,198	875,101
19	Revenue less expenses. Subtract line 18 from line 12.......	416	-19,671
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	237,330	532,506
21	Total liabilities (Part X, line 26).............	0	314,847
22	Net assets or fund balances. Subtract line 21 from line 20.....	237,330	217,659

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		855,134
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			855,134
			Business Code
2a
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........
3	Investment income (including dividends, interest, and other similar amounts).......			296			296
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			855,430	0	0	296

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	817,399	817,399
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	57,702	57,702
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....
23	Insurance ..............
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	875,101	875,101	0	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).


			(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			1
2	Savings and temporary cash investments .........		182,257	2	503,774
3	Pledges and grants receivable, net ...........			3
4	Accounts receivable, net .............			4
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				6
7	Notes and loans receivable, net .............			7
8	Inventories for sale or use ..............			8
9	Prepaid expenses and deferred charges ..........			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation .....	10b		10c
11	Investments—publicly traded securities ..........			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 .....			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........		55,073	15	28,732
16	Total assets. Add lines 1 through 15 (must equal line 34)......		237,330	16	532,506
17	Accounts payable and accrued expenses .........			17
18	Grants payable .................			18	314,847
19	Deferred revenue ................			19
20	Tax-exempt bond liabilities .............			20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			22
23	Secured mortgages and notes payable to unrelated third parties ..			23
24	Unsecured notes and loans payable to unrelated third parties ....			24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			25
26	Total liabilities. Add lines 17 through 25.........		0	26	314,847
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............		164,560	27	52,803
28	Temporarily restricted net assets ...........		72,770	28	164,856
29	Permanently restricted net assets ...........			29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........			30
31	Paid-in or capital surplus, or land, building or equipment fund .....			31
32	Retained earnings, endowment, accumulated income, or other funds			32
33	Total net assets or fund balances ...........		237,330	33	217,659
34	Total liabilities and net assets/fund balances ........		237,330	34	532,506