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. See separate instructions. 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
UCI University Club Inc
Employer identification number
95-2504946
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
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).
f
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
..................................................
g
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
No
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)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
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.") ....
465
566
12
1,043
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
465
566
12
1,043
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)..
0
6
Public support. Subtract line 5 from line 4.
1,043
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..
465
566
12
1,043
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
1
55
56
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
0
11
Total support (Add lines 7 through 10).
1,099
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
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.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
0 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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
.......................
b
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
.....................
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
.....................................................
b
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
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
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.)..
14
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.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
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
........
b
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
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
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:
13000170
Software Version:
2013v3.1
-
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.
Attach to Form 990 or 990-EZ.
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
UCI University Club Inc
Employer identification number
95-2504946
Return Reference
Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process
The ANNUAL IRS FormS 990 AND 990-T, FTB FORMS 109 AND 199, AND CALIFORNIA ATTORNEY GENERAL'S FORM RRF-1 ARE provided to each board member for their review at A board meeting for the purpose of review an approval. The board votes on the approval of the forms presented and the vote IS documented accordingly in the minutes. THE BOARD'S APPROVAL OF THE FORMS ARE REQUIRED BEFORE THE RETURNS are FILED WITH THE GOVERNMENT AGENCIES.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
Management provides AN ANNUAL questionnaire to KEY employees, officers and directors to gather information WITH THE INTENT to discover INTERESTS THAT COULD BE A conflict WITH THE ORGANIZATION. Conflicts of interest brought to the attention of management ARE investigated and dealt with ACCORDINGLY to maintain the integrity of the organization WITH THE INTENDED RESULT TO eliminating the issue.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management
All salaries are compared with industry averages to assure they are within range.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
Internet research is done on an annual basis to confirm that key employeeS' wages are not overstated. THE KEY WEB SITES THAT ARE USED TO COMPLETE THE SALARY ANALYSIS ARE MONSTER.COM AND SALARY.COM USING THE SALARY WIZARDS THAT ARE AVAILABLE on those sites. THE WIZARDS PROVIDE FOR AN OVERALL ANALYSIS OF COMPENSATION PACKAGES.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
ALTHOUGH THE ORGANIZATION HAS ITS OWN POLICIES AND PROCEDURES, MANY OF THEM MIRROR THOSE ADOOPTED BY THE UNIVERSITY OF CALIFORNIA, IRVINE CAMPUS WHICH ARE AVAILABLE ON THE UNIVERSITY'S INTRANET SITE. THE ORGANIZAITON'S UNIQUE POLICIES AND PROCEDURES are AVAILBABLE FOR INSPECTION UPON REQUEST IN THE ORGANIZATION'S Accounting office in A folder labeled "OPEN TO PUBLIC INSPECTION."
Form 990, Part IX, Line 24e: Other Expenses
Bank & Merchant fees: Column (A) - Total = $11304; Column (B) - Program Services = $11304; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Parking Permits: Column (A) - Total = $4850; Column (B) - Program Services = $4850; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
Postage and Shipping: Column (A) - Total = $1087; Column (B) - Program Services = $1087; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
PROMOTION: Column (A) - Total = $2339; Column (B) - Program Services = $2339; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
Repairs Office Equipment: Column (A) - Total = $97; Column (B) - Program Services = $97; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
TELEPHONE AND COMMUNICATION: Column (A) - Total = $1549; Column (B) - Program Services = $1549; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
Uncollectible Receiveables: Column (A) - Total = $1097; Column (B) - Program Services = $1097; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
PART IX, LINE 16
OCCUPANCY EXPENSES BILLED BY THE UNIVERSITY OF CALIFORNIA, IRVINE CAMPUS: EXTERMINATION FEES $ 3,017 LIABILITY INSURANCE 7,522 LAWN MAINTENANCE 4,439 FACILITY RENT 1 BUILDING REPAIRS AND MAINTENANCE 5,274 UTILITIES 17,447 ------- TOTAL OCCUPANCY FEES $37,700 =======
PART IX, LINE 16
THE UNIVERSITY OF CALIFORNIA, IRVINE CAMPUS OWNS THE LAND ON WHICH THE UCI UNIVERSITY CLUB, INC'S BUILDING AND PREMISES ARE LOCATED. THE RENT CHARGED IS ONE DOLLAR PER YEAR FOR THE USE OF THE LAND DUE TO THE ORGANIZATION'S CONTRIBUTION EFFORTS TO THE UNIVERSITY'S EDUCATION PROGRAMS.
PART V, LINE 7g
THE ORGANIZATION DID NOT RECEIVE ANY QUALIFIED INTELLECTUAL PROPERTY, THEREFORE IT WAS NOT REQUIRED TO FILE FORM 8899.
PART V, LINE 7h
THE ORGANIZATION DID NOT RECEIVE CONTRIBUTIONS OF CARS, BOATS, AIRPLANES, AND OTHER VEHICLES, THEREFORE IT WAS NOT REQUIRED TO FILE A FORM 1098-C.
SCHEDULE R, PART V, LINE 1N
THE ORGANIZATION USED THE SAME EMPLOYEES AS U CLUB CATERING SERVICES, INC. THE ORGANIZATION REPORTED ALL WAGES ON THEIR PAYROLL RETURNS AND GOT REIMBURSED FROM U CLUB CATERING SERVICES, INC. FOR THEIR SHARE OF THE EMPLOYEE SERVICES THEY USED. THEY WERE CHARGED AND PAID FOR THE FOLLOWING COSTS RELATED TO THE EMPLOYEES THEY USED: KITCHEN AND DINING ROOM EMPLOYEES $217,510 MANAGEMENT EMPLOYEES, OFFICER 117 ADMINISTRATIVE EMPLOYEES 112,983 PAYROLL TAXES 33,549 PAYROLL PROCESSING FEES 1,386 -------- TOTAL REIMBURSEMENT RECEIVED FOR SHARED EMPLOYEES $365,545 ========
SCHEDULE R, PART V, LINE 1P
THE ORGANIZATION SHARED IN THE RENT OF THE FOLLOWING WITH U CLUB CATERING SERVICES, INC. THE ORGANIZATION PAID FOR THE RENTAL EXPENSE AND CHARGED U CLUB CATERING SERVICES, INC. FOR REIMURSEMENT OF THIER PORTION OF THE RENTALS AS FOLLOWS: KITCHEN AND CATERING EQUIPMENT $46,985 OFFICE EQUIPMENT 999 ------- TOTAL REIMBURSEMENT RECEIVED FROM U CLUB CATERING SERVICES, INC. $47,984 =======
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.