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.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PEACH BOWL INC
Employer identification number
58-1052332
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
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—2011.
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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
869,668
898,335
1,062,530
1,043,760
1,197,954
5,072,247
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......
18,059,567
18,025,669
19,566,031
20,597,164
27,480,336
103,728,767
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
18,929,235
18,924,004
20,628,561
21,640,924
28,678,290
108,801,014
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
2,526,157
2,716,432
2,920,429
3,139,121
3,386,250
14,688,389
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.
0
0
0
0
c
Add lines 7a and 7b..
2,526,157
2,716,432
2,920,429
3,139,121
3,386,250
14,688,389
8
Public support (Subtract line 7c from line 6.)
94,112,625
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
18,929,235
18,924,004
20,628,561
21,640,924
28,678,290
108,801,014
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
508,009
641,720
471,201
667,644
522,521
2,811,095
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
508,009
641,720
471,201
667,644
522,521
2,811,095
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
49,450
51,700
56,700
73,000
239,000
469,850
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
45,216
266,640
308,615
301,229
333,938
1,255,638
13
Total support. (Add lines 9, 10c, 11, and 12.)..
19,531,910
19,884,064
21,465,077
22,682,797
29,773,749
113,337,597
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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
83.037 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
81.496 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
2.480 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
3.006 %
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to 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) 2012
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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PEACH BOWL INC
Employer identification number
58-1052332
Identifier
Return Reference
Explanation
COMPENSATION INFORMATION
FOMR 990, PART VI, SECTION B, QUESTION 15
PEACH BOWL, INC. HAS NO EMPLOYEES. THE METRO ATLANTA CHAMBER PROVIDES MANAGEMENT AND SUPPORT SERVICES TO THE BOWL PER THE 1/1/2010 SEPARATION AND MANAGEMENT SERVICE AGREEMENT. THE PEACH BOWL INC. HAS A COMPENSATION COMMITTEE THAT REVIEWS AND APPROVES EMPLOYEE COMPENSATION. THE COMPENSATION COMMITTEE USES COMPENSATION SURVEYS AND OTHER INDEPENDENT DATA TO SET COMPETITIVE COMPENSATION LEVELS. THE COST OF EMPLOYEES ASSIGNED TO THE BOWL IS REIMBURSED BY PEACH BOWL, INC.
DELEGATION OF MANAGEMENT DUTIES
FORM 990, PART VI, SECTION A, QUESTION 3
IN JAN OF 2010, PEACH BOWL INC. ENTERED INTO A SEPARATION AND MANAGEMENT AGREEMENT WITH THE METROPOLITAN ATLANTA CHAMBER OF COMMERCE, INC. UNDER WHICH THE CHAMBER PROVIDES GENERAL AND ADMINISTRATIVE MANAGEMENT, STAFF AND SUPPORT ACTIVITIES THAT PEACH BOWL, INC. BELIEVES IT COULD NOT PROVIDE AS EFFICIENTLY OR ECONOMICALLY ITSELF. THIS AGREEMENT IS NO LONGER IN EFFECT AS OF DECEMBER 31, 2012.
CONTEMPORANEOUS DOCUMENTATION OF MEETINGS
FORM 990, PART VI, SECTION A, QUESTION 8
PEACH BOWL INC. MAINTAINS MINUTES FOR ALL MEETINGS HELD BY THE GOVERNING BODY AND COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY.
governing body review
form 990, part vi, section b, question 11
THE FORM 990 WAS PREPARED BY A PUBLIC ACCOUNTING FIRM WITH INPUT FROM THE MANAGEMENT COMPANY'S ACCOUNTING STAFF. A DRAFT COPY WAS REVIEWED BY KEY ACCOUNTING STAFF, THE PRESIDENT AND CEO AND THE TREASURER. EACH PERSON INDIVIDUALLY REVIEWED THE FORM AND CHANGES WERE SUBMITTED TO THE TAX PREPARER. THE FINAL RETURN WAS REVIEWED AND APPROVED BY THE PRESIDENT AND CEO. THE FORM 990 WAS THEN SUBMITTED TO THE AUDIT COMMITTEE FOR FINAL REVIEW AND APPROVAL. COMMENTS AND SUGGESTED CHANGES WERE INCORPORATED INTO THE FINAL RETURN. THE FINALIZED FORM IS PROVIDED TO THE COMPLETE BOARD PRIOR TO FILING AND IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Disclosures
Form 990, Part VI, Section C, Line 19
PEACH BOWL, INC. MAKES ITS FORM 990 AVAILABLE FOR INSPECTION UPON REQUEST. PEACH BOWL, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTERESTS POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.
CONFLICT OF INTEREST POLICY
FORM 990, PART VI, LINE 12
ANNUALLY, EACH EMPLOYEE AND BOARD MEMBER IS REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY. THIS IS DOCUMENTED BY A SIGNED CONFIRMATION STATEMENT FROM EACH PERSON. IF THE EMPLOYEE OR BOARD MEMBER HAS A POTENTIAL CONFLICT OF INTEREST WITH A PERSON, FIRM OR ENTITY WHICH DOES BUSINESS WITH, OR PROPOSES TO DO BUSINESS WITH THE BOWL, THEY MUST DISCLOSE THIS IN WRITING.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.