TY 2012 Form 990EZ


	1	Contributions, gifts, grants, and similar amounts received...............	1
2	Program service revenue including government fees and contracts ............	2
3	Membership dues and assessments......................	3	109,019
4	Investment income...........................	4	160
5a	Gross amount from sale of assets other than inventory........	5a
b	Less: cost or other basis and sales expenses...........	5b
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000) .	6a
b	Gross income from fundraising events (not including $ 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
c	Less: direct expenses from gaming and fundraising events.......	6c
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances........	7a
b	Less: cost of goods sold.................	7b
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) .....................	8	9,969
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8..............	9	119,148
	10	Grants and similar amounts paid (list in Schedule O) .................	10
11	Benefits paid to or for members........................	11
12	Salaries, other compensation, and employee benefits................	12	46,189
13	Professional fees and other payments to independent contractors............	13	12,200
14	Occupancy, rent, utilities, and maintenance...................	14	12,829
15	Printing, publications, postage, and shipping...................	15	242
16	Other expenses (describe in Schedule O) ....................	16	42,369
17	Total expenses. Add lines 10 through 16 .................	17	113,829
	18	Excess or (deficit) for the year (Subtract line 17 from line 9)............	18	5,319
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	286,395
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20	-10,954
21	Net assets or fund balances at end of year. Combine lines 18 through 20.........	21	280,760

Contributions, gifts, grants, and similar amounts received...............

Program service revenue including government fees and contracts ............

Membership dues and assessments......................

109,019

Investment income...........................

160

Gross amount from sale of assets other than inventory........

Less: cost or other basis and sales expenses...........

Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......

Gaming and fundraising events

Gross income from gaming (attach Schedule G if greater than $15,000) .

Gross income from fundraising events (not including $ of contributions
from fundraising events reported on line 1) (attach Schedule G if the

sum of such gross income and contributions exceeds $15,000)

Less: direct expenses from gaming and fundraising events.......

Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)

Gross sales of inventory, less returns and allowances........

Less: cost of goods sold.................

Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........

Other revenue (describe in Schedule O) .....................

9,969

Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet

119,148

Grants and similar amounts paid (list in Schedule O) .................

Benefits paid to or for members........................

Salaries, other compensation, and employee benefits................

46,189

Professional fees and other payments to independent contractors............

12,200

Occupancy, rent, utilities, and maintenance...................

12,829

Printing, publications, postage, and shipping...................

242

Other expenses (describe in Schedule O) ....................

42,369

Total expenses. Add lines 10 through 16 ................. Bullet

113,829

Excess or (deficit) for the year (Subtract line 17 from line 9)............

5,319

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)................

286,395

Other changes in net assets or fund balances (explain in Schedule O) ..........

-10,954

Net assets or fund balances at end of year. Combine lines 18 through 20......... Bullet

280,760

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 PURPOSE OF THE FORMATION AND OPERATION OF THIS NON-PROFIT CORPORATION IS TO PROMOTE HEALTH AND SOCIAL WELFARE OF IT'S MEMBERS IN THE OWNERSHIP OF A SWIMMING POOL AND OTHER RECREATIONAL FACILITIES, TOGETHER WITH SUCH ACTIVITIES, IN THE COUNTY OF GUILFORD AND THE STATE OF NORTH CAROLINA, FOR THE EXCLUSIVE USE OF IT'S MEMBERS AND THEIR FAMILITES AS STATED UNDER ARTICLE VI.
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 HEALTH AND SOCIAL WELFFARE WERE ACCOMPLISHED THROUGHOUT THE COMMUNITY. (Grants $ ) If this amount includes foreign grants, check here ...	28a
29 (Grants $ ) If this amount includes foreign grants, check here ...	29a
30 (Grants $ ) If this amount includes foreign grants, check here ...	30a
31 Other program services (describe in Schedule O) (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32

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 PURPOSE OF THE FORMATION AND OPERATION OF THIS NON-PROFIT CORPORATION IS TO PROMOTE HEALTH AND SOCIAL WELFARE OF IT'S MEMBERS IN THE OWNERSHIP OF A SWIMMING POOL AND OTHER RECREATIONAL FACILITIES, TOGETHER WITH SUCH ACTIVITIES, IN THE COUNTY OF GUILFORD AND THE STATE OF NORTH CAROLINA, FOR THE EXCLUSIVE USE OF IT'S MEMBERS AND THEIR FAMILITES AS STATED UNDER ARTICLE VI.

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 HEALTH AND SOCIAL WELFFARE WERE ACCOMPLISHED THROUGHOUT THE COMMUNITY.
(Grants $ ) If this amount includes foreign grants, check here ... MediumBullet

28a

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

(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
ROBERT SIMPSONPRESIDENT	2.00	0
BRENT LIMERVICE PRESIDE	2.00	0
JAN GREESONSECRETARY	15.00	0
TONJA WALKERSECRETARY	15.00	0

(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

ROBERT SIMPSON Click to see attachment

PRESIDENT

2.00

BRENT LIMER Click to see attachment

VICE PRESIDE

2.00

JAN GREESON Click to see attachment

SECRETARY

15.00

TONJA WALKER Click to see attachment

SECRETARY

15.00

(a) Name and title of each employee paid more than $100,000

(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

(a) Name and address of each independent contractor paid more than $100,000

(b) Type of service

(c) Compensation

- 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.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

GIBSONVILLE COUNTRY CLUB INC

Employer identification number

56-0855628

Identifier	Return Reference	Explanation
OTHER REVENUE	FORM 990-EZ, PART I, LINE 8	CONCESSION SALES 4,294 SWIM/DIVE TEAM INCOME 3,810 DECK FEE 1,247 GUEST/VISITOR FEES 491 OTHER INCOME 127 TOTAL 9,969
OTHER EXPENSES	FORM 990-EZ, PART I, LINE 16	EXPENSES MEMBERSHIP EXPENSES 300 6230 LICENSES AND PERMITS 359 6820 TAXES:6830 FEDERAL 149 6820 TAXES:6840 LOCAL 1,797 6820 TAXES:6850 PROPERTY 2,686 8010 OTHER EXPENSES 6 8010 OTHER EXPENSES:SQUARE -118 8010 OTHER EXPENSES:BANK SE 36 POOL EXPENSES 951 POOL EXPENSES:MISCELLANEOUS - 3,354 SOCIAL ACTIVITIES - POOL 301 8010 OTHER EXPENSES:INTERES 8,417 6180 INSURANCE 1,098 6180 INSURANCE:DIRECTOR'S & 589 6180 INSURANCE:6185 LIABI 2,471 6180 INSURANCE:6420 WORK 3,738 POOL EXPENSES:CONTRACTED 11,900 CONCESSION EXPENSES 2,294 SWIM-DIVE TEAMS EXPENSES 999 CONCESSION EXPENSES:SALES 457 SWIM-DIVE TEAMS EXPENSES: 300 TENNIS TEAM EXPENSES 164 6550 OFFICE SUPPLIES 116 6240 MISCELLANEOUS:SERV 5 TOTAL 42,369
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990-EZ, PART I, LINE 20	BOOK / TAX DEPRECIATION DIFFERENCE -10,954
OTHER ASSETS	FORM 990-EZ, PART II, LINE 24	ACCOUNTS RECEIVABLE 1,325 4,345 OTHER NOTES AND LOANS 0 131,829 INVENTORIES FOR SALE OR USE 100 100 LANDSCAPING 0 2,607 LESS ACCUMULATED DEPRECIATION 0 2,607 ATHLETIC EQUIPMENT 0 365 LESS ACCUMULATED DEPRECIATION 0 365 EQUIPMENT FIXTURES 0 1,842 LESS ACCUMULATED DEPRECIATION 0 1,842 FILE CABINET 0 83 LESS ACCUMULATED DEPRECIATION 0 83 MINITURE GOLF COURSE 0 1,455 LESS ACCUMULATED DEPRECIATION 0 1,455 SWIMMING POOL 0 28,340 LESS ACCUMULATED DEPRECIATION 0 28,340 BATH HOUSE 0 9,584 LESS ACCUMULATED DEPRECIATION 0 9,584 EQUIPMENT FIXTURES 0 545 LESS ACCUMULATED DEPRECIATION 0 545 TENNIS COURT 0 1,609 LESS ACCUMULATED DEPRECIATION 0 1,609 ATHLETIC EQUIPMENT 0 31 LESS ACCUMULATED DEPRECIATION 0 31 LANDSCAPING 0 77 LESS ACCUMULATED DEPRECIATION 0 77 TENNIS COURT 0 10,826 LESS ACCUMULATED DEPRECIATION 0 10,826 ATHLETIC EQUIPMENT 0 993 LESS ACCUMULATED DEPRECIATION 0 993 TENNIS COURT 0 3,128 LESS ACCUMULATED DEPRECIATION 0 3,128 TENNIS COURT 0 287 LESS ACCUMULATED DEPRECIATION 0 287 LANDSCAPING 0 6,650 LESS ACCUMULATED DEPRECIATION 0 6,650 ATHLETIC EQUIPMENT 0 413 LESS ACCUMULATED DEPRECIATION 0 413 CARPET GOLF COURSE 0 520 LESS ACCUMULATED DEPRECIATION 0 520 EQUIPMENT FIXTURES 0 1,129 LESS ACCUMULATED DEPRECIATION 0 1,129 PICNIC SHELTER 0 3,978 LESS ACCUMULATED DEPRECIATION 0 3,978 DIVING BOARD 0 697 LESS ACCUMULATED DEPRECIATION 0 697 LANDSCAPING 0 2,913 LESS ACCUMULATED DEPRECIATION 0 2,913 EQUIPMENT FIXTURES 0 2,952 LESS ACCUMULATED DEPRECIATION 0 2,952 PUMP HOUSE 0 10,428 LESS ACCUMULATED DEPRECIATION 0 10,428 PICNIC SHELTER 0 176 LESS ACCUMULATED DEPRECIATION 0 176 SWIMMING POOL 0 358 LESS ACCUMULATED DEPRECIATION 0 358 LANDSCAPING 0 1,852 LESS ACCUMULATED DEPRECIATION 0 1,852 PUMP HOUSE 0 4,683 LESS ACCUMULATED DEPRECIATION 0 4,683 TENNIS COURT 0 414 LESS ACCUMULATED DEPRECIATION 0 414 TENNIS COURT 0 7,799 LESS ACCUMULATED DEPRECIATION 0 7,799 EQUIPMENT FIXTURES 0 245 LESS ACCUMULATED DEPRECIATION 0 245 PUMP HOUSE 0 1,218 LESS ACCUMULATED DEPRECIATION 0 1,218 DIVING BOARD 0 717 LESS ACCUMULATED DEPRECIATION 0 717 EQUIPMENT FIXTURES 0 1,427 LESS ACCUMULATED DEPRECIATION 0 1,427 JOGGING TRACK 0 1,528 LESS ACCUMULATED DEPRECIATION 0 1,528 POOL TABLE 0 115 LESS ACCUMULATED DEPRECIATION 0 115 WATER COOLER 0 402 LESS ACCUMULATED DEPRECIATION 0 402 DIVING BOARD 0 951 LESS ACCUMULATED DEPRECIATION 0 951 TABLES & CHAIRS 0 418 LESS ACCUMULATED DEPRECIATION 0 418 MOWER 0 250 LESS ACCUMULATED DEPRECIATION 0 250 FIXTURES 0 1,497 LESS ACCUMULATED DEPRECIATION 0 1,497 EQUIPMENT 0 1,150 LESS ACCUMULATED DEPRECIATION 0 1,150 OFFICE EQUIPMENT 0 134 LESS ACCUMULATED DEPRECIATION 0 134 CHAIRS 0 290 LESS ACCUMULATED DEPRECIATION 0 290 TABLES 0 196 LESS ACCUMULATED DEPRECIATION 0 196 UMBRELLAS 0 575 LESS ACCUMULATED DEPRECIATION 0 575 UMBRELLAS 0 693 LESS ACCUMULATED DEPRECIATION 0 693 TELEVISION 0 297 LESS ACCUMULATED DEPRECIATION 0 297 GAZEBO 0 160 LESS ACCUMULATED DEPRECIATION 0 160 FURNITURE 0 897 LESS ACCUMULATED DEPRECIATION 0 897 POOL RENOVATION 0 34,972 LESS ACCUMULATED DEPRECIATION 0 34,972 TENNIS COURT RENOVATION 0 16,580 LESS ACCUMULATED DEPRECIATION 0 7,650 CASH REGISTER 0 138 LESS ACCUMULATED DEPRECIATION 0 138 POOL RENOVATION 0 3,000 LESS ACCUMULATED DEPRECIATION 0 1,386 MICROWAVE OVEN 0 138 LESS ACCUMULATED DEPRECIATION 0 138 POOL RENOVATION 0 6,828 LESS ACCUMULATED DEPRECIATION 0 3,150 BATH HOUSE 0 5,439 LESS ACCUMULATED DEPRECIATION 0 2,363 TENNIS COURTS 0 21,300 LESS ACCUMULATED DEPRECIATION 0 9,282 FURNITURE 0 109 LESS ACCUMULATED DEPRECIATION 0 109 FENCE 0 750 LESS ACCUMULATED DEPRECIATION 0 750 SWIMMING POOL RENOVATIONS 0 10,140 LESS ACCUMULATED DEPRECIATION 0 4,420 TABLES & CHAIRS 0 510 LESS ACCUMULATED DEPRECIATION 0 510 UMBRELLAS 0 445 LESS ACCUMULATED DEPRECIATION 0 445 SHELVES 0 188 LESS ACCUMULATED DEPRECIATION 0 188 WATER HEATER 0 670 LESS ACCUMULATED DEPRECIATION 0 670 REFRIGERATOR 0 656 LESS ACCUMULATED DEPRECIATION 0 656 ICE MACHINE 0 355 LESS ACCUMULATED DEPRECIATION 0 355 TABLES & CHAIRS 0 354 LESS ACCUMULATED DEPRECIATION 0 354 EQUIPMENT 0 1,731 LESS ACCUMULATED DEPRECIATION 0 1,731 GRILL 0 414 LESS ACCUMULATED DEPRECIATION 0 414 UMBRELLAS 0 3,979 LESS ACCUMULATED DEPRECIATION 0 3,979 ROBOT 0 1,739 LESS ACCUMULATED DEPRECIATION 0 1,739 PINGPONG TABLE 0 398 LESS ACCUMULATED DEPRECIATION 0 398 UMBRELLAS 0 478 LESS ACCUMULATED DEPRECIATION 0 478 BENCHES 0 691 LESS ACCUMULATED DEPRECIATION 0 691 TABLE 0 2,300 LESS ACCUMULATED DEPRECIATION 0 2,300 POOL COVER 0 3,458 LESS ACCUMULATED DEPRECIATION 0 3,458 SWIMMING POOL IMPROVEMENTS 0 28,959 LESS ACCUMULATED DEPRECIATION 0 1,710 FOOSBALL TABLE 0 1,544 LESS ACCUMULATED DEPRECIATION 0 1,544 ICE MACHINE 0 2,681 LESS ACCUMULATED DEPRECIATION 0 2,681 CHAIRS 0 2,253 LESS ACCUMULATED DEPRECIATION 0 2,253 PARKING LOT 0 25,100 LESS ACCUMULATED DEPRECIATION 0 1,482 ROOF 0 8,500 LESS ACCUMULATED DEPRECIATION 0 502 COUNTER 0 275 LESS ACCUMULATED DEPRECIATION 0 275 POST LIGHTS 0 550 LESS ACCUMULATED DEPRECIATION 0 550 TROY BUILT MOWER 0 1,356 LESS ACCUMULATED DEPRECIATION 0 1,356 REFRIGERATOR 0 321 LESS ACCUMULATED DEPRECIATION 0 321 CHAISE LOUNGE 0 765 LESS ACCUMULATED DEPRECIATION 0 765 GRILL 0 384 LESS ACCUMULATED DEPRECIATION 0 384 10 CHAIRS 0 310 LESS ACCUMULATED DEPRECIATION 0 310 BASKETBALL GOAL 0 449 LESS ACCUMULATED DEPRECIATION 0 449 DIVING BOARD 0 895 LESS ACCUMULATED DEPRECIATION 0 895 10 TABLES 0 1,786 LESS ACCUMULATED DEPRECIATION 0 1,786 GAS GRILL 0 100 LESS ACCUMULATED DEPRECIATION 0 100 9 CHAISE LOUNGES 0 809 LESS ACCUMULATED DEPRECIATION 0 73 POOL RENOVATION 0 159,896 LESS ACCUMULATED DEPRECIATION 0 24,600 10 UMBRELLAS 0 800 LESS ACCUMULATED DEPRECIATION 0 71 BLOWER 0 300 LESS ACCUMULATED DEPRECIATION 0 27 CLUB HOUSE RENOVATIONS 0 5,834 LESS ACCUMULATED DEPRECIATION 0 750 TV 0 730 LESS ACCUMULATED DEPRECIATION 0 65 SPEAKERS/AMP 0 297 LESS ACCUMULATED DEPRECIATION 0 26 BULLETIN BOARD 0 400 LESS ACCUMULATED DEPRECIATION 0 36 24 CHAIRS 0 500 LESS ACCUMULATED DEPRECIATION 0 44 FENCE GATE 0 800 LESS ACCUMULATED DEPRECIATION 0 50 RESURFACE TENNIS COURT 0 11,055 LESS ACCUMULATED DEPRECIATION 0 689 LOCKERS 0 1,103 LESS ACCUMULATED DEPRECIATION 0 98 ORGANIZATION COSTS 167 167 TOTAL 1,592 386,337
OTHER LIABILITIES	FORM 990-EZ, PART II, LINE 26	UNSECURED NOTES AND LOANS PAYABLE 150,272 131,829
PRIMARY EXEMPT PURPOSE	FORM 990-EZ, PART III	THE PURPOSE OF THE FORMATION AND OPERATION OF THIS NON-PROFIT CORPORATION IS TO PROMOTE HEALTH AND SOCIAL WELFARE OF IT'S MEMBERS IN THE OWNERSHIP OF A SWIMMING POOL AND OTHER RECREATIONAL FACILITIES, TOGETHER WITH SUCH ACTIVITIES, IN THE COUNTY OF GUILFORD AND THE STATE OF NORTH CAROLINA, FOR THE EXCLUSIVE USE OF IT'S MEMBERS AND THEIR FAMILITES AS STATED UNDER ARTICLE VI.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

Person Name	Explanation
ROBERT SIMPSON
BRENT LIMER
JAN GREESON
TONJA WALKER

Person Name

Explanation

ROBERT SIMPSON

BRENT LIMER

JAN GREESON

TONJA WALKER

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	Signature of officer	Date

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