Form990-EZ
Click to see attachment
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except private foundation)
bullet Do not enter Social Security numbers on this form as it may be made public. By law, the
IRS generally cannot redact the information on the form.
bullet Information about Form 990-EZ and its instructions is at www.irs.gov/form990.
OMB No. 1545-1150
2013
Open to Public
Inspection
A
For the 2013 calendar year, or tax year beginning 07-01-2013, and ending 06-30-2014
B
Check if applicable:
C Name of organization
HONOLULU SERTOMA CLUB
 
Number and street (or P. O. box, if mail is not delivered to street address)2735-A Henry Street
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code Honolulu, HI968171142
D Employer identification number

27-0154146
E Telephone number

(808) 595-2999
F Group Exemption
Number. . bullet5409
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bullethttp://www.HonoluluSertoma.orgJ Tax-exempt status(check only one)?Click to see attachment(   ) bullet(insert no.) or
K Form of organization:  
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . . . bullet $ 48,146
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)Check if the organization used Schedule O to respond to any question in this Part I...................
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1 32,476
2 Program service revenue including government fees and contracts ............ 2 11,460
3 Membership dues and assessments...................... 3 350
4 Investment income........................... 4 0
5a Gross amount from sale of assets other than inventory........ 5a 0
b Less: cost or other basis and sales expenses........... 5b 0
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c 0
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a 0
b Gross income from fundraising events (not including $ 0 of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b 3,860
c Less: direct expenses from gaming and fundraising events....... 6c 1,940
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d 1,920
7a Gross sales of inventory, less returns and allowances........ 7a 0
b Less: cost of goods sold................. 7b 0
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c 0
8 Other revenue (describe in Schedule O) ..................... 8 0
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet 9 46,206
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10 14,030
11 Benefits paid to or for members........................ 11 0
12 Salaries, other compensation, and employee benefits................ 12 0
13 Professional fees and other payments to independent contractors............ 13 0
14 Occupancy, rent, utilities, and maintenance................... 14 0
15 Printing, publications, postage, and shipping................... 15 103
16 Other expenses (describe in Schedule O) .................... 16 31,856
17 Total expenses. Add lines 10 through 16 ................. Bullet 17 45,989
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 217
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return)................ 19 48,706
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20 0
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 48,923
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2013)
Form 990-EZ (2013)
Page 2
Part IIBalance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year
22Cash, savings, and investments................
48,706
22
48,923
23Land and buildings....................
0
23
0
24Other assets (describe in Schedule O) ..........
0
24
0
25Total assets......................
48,706
25
48,923
26
Total liabilities (describe in Schedule O) .............
0
26
0
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
48,706
27
48,923
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? The Honolulu Sertoma Club is organized exclusively for charitable and educational purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under section 501 (c) (3) of the Internal Revenue Code, or corresponding section of any future federal tax code. The Honolulu Sertoma Club serves the community directly and through the George B. Carter Serteens Club of Hawaii, a trade name of the Honolulu Sertoma Club. The Honolulu Sertoma Club performs charitable community service projects, including but not limited to, hearing safety and hearing health projects as part of Sertoma International's hearing charity mission. The Honolulu Sertoma Club provides leadership training and mentorship to Hawaii's Gifted and Talented Youth.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 The Honolulu Sertoma Club (the name of the organization is a composite of SERvice TO Mankind) was established to continue the Serteen (SERvice TEEN) program and bring Sertoma back to Hawaii. The core members are Serteen alumni and people associated with the Serteen program. The George B. Carter Serteens Club of Hawaii consists of gifted and talented students from public and private middle and high schools on Oahu who test in the top 2% on a nationally recognized achievement test. The George B. Carter Serteens Club of Hawaii provides social interaction and leadership training for gifted and talented students who wish to serve the community. Guided by the Honolulu Sertoma Club, the Serteens Club of Hawaii continues to emphasize leadership, peer association and community service. The Honolulu Sertoma Club offers life-long community service opportunities to its student and adult members. Every year, the Serteens youth group develops and executes several community service projects, in addition to the Honolulu Sertoma Club's community service mission of providing leadership development training and mentorship to the gifted and talented youth comprising Serteens. In the 2013-2014 academic year, the Serteens held monthly leadership development meetings, three fundraisers to fund operations and numerous charitable service projects to benefit the community. In addition to the youth-developed community service projects, the Honolulu Sertoma Club hosts two educational enrichment camps. The first is in July, which is our Leadership Camp, and the second is in February, which is our Knights Motivational Camp. In July 2013, the Honolulu Sertoma Club sponsored a leadership camp for Hawaii gifted and talented student members of the George B. Carter Serteens Club of Hawaii. The camp is appropriately called "Leadership Camp" and focuses on supporting the Serteen mission of social interaction by: Providing positive peer association; and providing the opportunity for youths in grades 7-12 to expand their leadership skills and knowledge. Leadership Camp focused on supporting the Serteen mission of leadership training by developing the following leadership competencies: Communications skills Serp - Serteen officers are required to communicate effectively through the Serp, the monthly club newsletter, information about the camp. Phone Trees - The Serteen officers and committee members are required to effectively use phone trees to communicate information and gather information. Emails - The Serteen officers and committee members are required to effectively use emails to communicate information and gather information. Website - The Serteen officers and committee members are required to effectively use the website to communicate with the club. Analytical skills Decision-making - Serteen officers are required to assess situations and make the appropriate decisions. Strategic thinking skills Annual planning - Officers are require to plan out activities for the whole year. The Serteens are required to convert their ideas into plans and to identify resources required. Fundraising - The resources required identified in planning is converted into a target budget for the club and the club organizes a fundraiser to fund their operational budget for the year. Camp planning - Initial planning for the Knights Motivational Camp occurs in the first two officer meetings. It goes into high gear in July after the Leadership Camp. Plan books - Those Serteens who choose to start their plan books develop strategic planning skills. The plan book requires Serteens to identify goals and objectives that are to be achieved. Planning skills Camp planning - The officers and committee members are all involved in developing their planning skills as they plan out their portions of the camp. Objectives - The planning all starts out with identifying objectives and then planning their activities to meet those objectives. Activity Worksheets -The Serteens plan their activities using an "Activity Worksheet" which serves as a checklist for them. Complexity - In general, the members are taught to keep things simple. However, some plans, like the camps get into levels of complexity that require assistance from the advisors. Problem solving skills Address problems that come up. They are required to manage the various crises. Self and other development skills Plan book - We want the Serteens to develop a plan book and use it as their road map to success. Continuous learning - Seminars at KMC use the theme chosen by the Serteen VP of Leadership Development and focus on the 5+1+1 areas we emphasize throughout the year and in the plan books: Physical, Social, Spiritual, Financial, Educational/Professional, Personal and Community. The Honolulu Sertoma Club awarded $10,000 in scholarships to seven graduating high school seniors going to college through a program administered by Honolulu Sertoma. The grant money came from a charitable contribution from the Cottington Trust. In February, the Honolulu Sertoma Club took 25 Serteens to Kilauea Military Camp, Hawaii Volcanoes National Park for their annual Knights Motivational Camp. The Honolulu Sertoma Club sponsors this annual trip. The Sertomans provided program support, seminars and mentoring for the Serteens. The plan book is an effort to get Serteens to write down their goals. This serves to help the Serteen refine their goals and allows the Sertomans and others to mentor the Serteens. The plan book areas we have chosen are physical, social, spiritual, financial, educational/professional, personal, and community. The objective is to get Serteens to think about how they can contribute to their community - no matter where they end up. Many Serteen Alumni continue to contribute to their communities in various ways. Several seminars were presented by Honolulu Sertoma Club members. Sertomans also made themselves available for individual discussions and mentoring. Seminars included financial decision-making; ; developing personal mission statements, personal values, and goals; physical goal setting - the Mauna Kea climb; public speaking; long term goal setting; and dealing with obstacles. The camp normally includes two planned hikes - one along the Kilauea Crater Rim and the other up Mauna Kea. The Mauna Kea hike was successful. The Honolulu Sertoma Club produced and printed 2000 Safe Ears hearing safety brochures to distribute to local schools for young people to protect their hearing health. This community service project was in support of Sertoma International's hearing health mission. In addition to this, Sertoma members provide charitable contributions to support Sertoma's hearing health mission. In April, the Honolulu Sertoma Club sponsored its annual appreciation banquet for the Serteens youth group. This awards banquet highlighted the numerous community service projects and leadership development activities that the Serteens participated in and recognized the outgoing seniors graduating from our educational enrichment program. Outgoing student leaders were recognized for their contributions and the newly elected student leaders were inducted in their terms of office. The newly elected Serteen officers attended leadership training seminars and workshops sponsored by Honolulu Sertoma members in May. They developed and planned upcoming community service projects, special event fundraisers and social projects for the 2014-2015 academic year.
(Grants $ 14,030) If this amount includes foreign grants, check here ...MediumBullet		 28a 31,520
29
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		29a
30
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		30a
31 Other program services (describe in Schedule O)
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a).......... bullet 32 31,520
Part IV
List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated — see the instructions for Part IV)Check if the organization used Schedule O to respond to any question in this Part IV............
(a) Name and title (b) Average
hours per week
devoted to position		 (c)Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-) 		(d) Health benefits, contributions to employee benefit plans,
and deferred compensation		 (e) Estimated amount
of other compensation
Maria GliddenPresident 5 0 0 0
Byron InouyeVice President 5 0 0 0
David TejadaVice President 5 0 0 0
Siddarth SavaraVice President 5 0 0 0
TreasurerDaniel Patterson 5 0 0 0
Sergeant at ArmsKeane Nishimoto 5 0 0 0
SecretaryKristl Patterson 10 0 0 0
Darryl ChingChairman of the Board of Directors 15 0 0 0
Diana ThompsonDirector 1 0 0 0
Nicole HanabusaDirector 3 0 0 0
Jared KuroiwaDirector 5 0 0 0
Kelly KawaokaDirector 5 0 0 0
Caren NodaDirector 3 0 0 0
Steven NakanoDirector 1 0 0 0
Form 990-EZ (2013)
Form 990-EZ (2013)
Page 3
Part V
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions) ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O
35b
 
 
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes," complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
0
b
Did the organization file Form 1120-POL for this year?...................
37b
 
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..
38a
 
No
b
If “Yes," complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet0 ; section 4912 bullet0 ; section 4955 bullet0
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefittransaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I ......
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958...bullet0
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization...........................bullet0
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T ......................
40e
 
No
41List the states with which a copy of this return is filed. bulletHI
42aThe organization's books are in care of bulletDaniel Patterson Telephone no. bullet (808) 595-2999
Located at bullet2735-A Henry StreetHonolulu,HI ZIP + 4bullet968171142
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes," enter the name of the foreign country: bullet
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
42c
 
No
If “Yes," enter the name of the foreign country: bullet
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990-EZ................................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completedinstead of Form 990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule O ............................
44d
 
 
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?.........
45a
 
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions)......................
45b
 
No
Form 990-EZ (2013)
Form 990-EZ (2013)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes," complete Schedule C, Part I. ..............
46
 
No
Part VI
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51 Check if the organization used Schedule O to respond to any question in this Part VI ................
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................
47
 
No
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
No
b
If "Yes," was the related organization a section 527 organization?................
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee (b) Average
hours per week
devoted to position		 (c) Reportable compensation
(Forms W-2/1099-MISC) 		(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
NONE
f
Total number of other employees paid over $100,000 .................bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and business address of each independent contractor (b) Type of service (c) Compensation
NONE
d
Total number of other independent contractors each receiving over $100,000..........bullet  
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ...............bullet
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name bullet

Firm's EIN bullet
Firm's address bullet



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2013)


Form 990-EZ, Special Condition Description:
Special Condition Description

Additional Data


Software ID: 13000241
Software Version: v1.00
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.
right arrow 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
HONOLULU SERTOMA CLUB
 
Employer identification number

27-0154146
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
f
g
(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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
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.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
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 ..................................................... right arrow
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) right arrow (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.") . 16,924 9,176 26,240 33,381 31,823 117,544
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...... 18,148 18,133 17,156 12,484 11,460 77,381
3 Gross receipts from activities that are not an unrelated trade or business under section 513.. 6,756 5,198 4,061 3,494 3,860 23,369
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... 0 0 0 0 0 0
5 The value of services or facilities furnished by a governmental unit to the organization without charge.. 0 0 0 0 0 0
6 Total. Add lines 1 through 5. 41,828 32,507 47,457 49,359 47,143 218,294
7a Amounts included on lines 1, 2, and 3 received from disqualified persons... 0 0 0 0 0 0
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 0 0
c Add lines 7a and 7b.. 0 0 0 0 0 0
8 Public support (Subtract line 7c from line 6.) 218,294
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6... 41,828 32,507 47,457 49,359 47,143 218,294
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 0 0 0 0 0 0
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. 0 0 0 0 0 0
c Add lines 10a and 10b. 0 0 0 0 0 0
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. 0 0 0 0 0 0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) .. 0 0 0 0 0 0
13 Total support. (Add lines 9, 10c, 11, and 12.).. 41,828 32,507 47,457 49,359 47,143 218,294
14
Section C. Computation of Public Support Percentage
15
15
100 %
16
16
100 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
b
20
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: 13000241
Software Version: v1.00
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet 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
HONOLULU SERTOMA CLUB
 
Employer identification number

27-0154146
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......................... 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
HONOLULU SERTOMA CLUB
  		Employer identification number

27-0154146
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(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
HONOLULU SERTOMA CLUB
  		Employer identification number

27-0154146
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
HONOLULU SERTOMA CLUB
  		Employer identification number

27-0154146
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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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: 13000241
Software Version: v1.00
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
HONOLULU SERTOMA CLUB
 
Employer identification number

27-0154146
Return Reference Explanation
Form 990-EZ, Part I, Line 10 $10,000 in scholarship awards from the Cottington Scholarship program for gifted youth; $3,653.50 for Sertoma charity projects; $376.09 for Hearing Safety Program.
Form 990-EZ, Part I, Line 16 Program Service Expenses: $2953.22 Serteens Appreciation Banquet; $19376.09 Serteens Knights Motivational Camp; $8765.50 Serteens Leadership Camp; $186.85 Sertoma liability insurance; $183.83 Serteens programs; $54.19 Honolulu Sertoma Club programs. Other Miscellaneous Expenses: $84.60 Bank account check order fee; $30.35 Bank account check refill fee; $50.00 State of Hawaii Department of the Attorney General charity registration fee; $171.43 State of Hawaii Department of Taxation General Excise Tax for special fundraisers.
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: 13000241
Software Version: v1.00