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
GENEVA CAMP & RETREAT CENTER
Employer identification number
38-1417381
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.") ....
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) 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
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
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.") .
803,672
681,674
1,036,714
1,637,949
952,420
5,112,429
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......
1,428,835
1,535,346
1,574,940
1,642,458
1,777,563
7,959,142
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.
2,232,507
2,217,020
2,611,654
3,280,407
2,729,983
13,071,571
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
192,000
85,000
590,000
448,000
275,953
1,590,953
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..
192,000
85,000
590,000
448,000
275,953
1,590,953
8
Public support (Subtract line 7c from line 6.)
11,480,618
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...
2,232,507
2,217,020
2,611,654
3,280,407
2,729,983
13,071,571
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
10,438
33,254
21,773
18,591
25,619
109,675
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
10,438
33,254
21,773
18,591
25,619
109,675
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.)
..
-2,903
1,515
15,585
24,709
38,906
13
Total support. (Add lines 9, 10c, 11, and 12.)..
2,240,042
2,251,789
2,633,427
3,314,583
2,780,311
13,220,152
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
86.840 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
81.950 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
1.000 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.000 %
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:
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.
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
GENEVA CAMP & RETREAT CENTER
Employer identification number
38-1417381
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
GENEVA'S MISSION IS TO PROVIDE CAMPING EXPERIENCES WHICH HELP YOUTH DEVELOP AND DEEPEN THEIR RELATIONSHIP WITH JESUS CHRIST AND TO PROVIDE AN ENVIRONMENT IN WHICH CHURCH AND NON-PROFIT ORGANIZATIONS CAN RETREAT TO BOTH PERSONALLY AND ORGANIZATIONALLY RENEW AND REFOCUS.
FORM 990, PAGE 2, PART III, LINE 4A
ADDITION, GENEVA SPONSORS COMMUNITY EVENTS SUCH AS SWIM LESSONS, END OF SUMMER POOL PARTY, COMMUNITY OPEN HOUSE, AND SPRING SWIM TO BENEFIT A LOCAL FAMILY IN THE COMMUNITY. THE CAMP ALSO SERVES AS AN ELECTION POLLING LOCATION FOR THE TOWNSHIP.
FORM 990, PAGE 6, PART VI, LINE 11B
THE INTERNAL REVENUE SERVICE FORM 990 SHALL BE FILED ANNUALLY AS REQUIRED BY LAW. THE EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER (STAFF ACCOUNTANT) SHALL REVIEW THE FORM 990 AS PREPARED BY THE AUDITOR TO INSURE IT ACCURATELY PORTRAYS THE FINANCIAL CONDITION OF THE ORGANIZATION, AND THE EXECUTIVE COMMITTEE OF THE BOARD SHALL APPROVE THE FINAL VERSION OF THE FORM PRIOR TO SIGNING AND FILING THE FORM. EACH MEMBER OF THE BOARD OF DIRECTORS SHALL ALSO BE GIVEN A COPY OF THE FORM 990 FOR REVIEW. IF ANY BOARD MEMBER HAS A QUESTION OR CONCERN ABOUT THE ACCURACY OF THE INFORMATION CONTAINED IN THE FORM, HE / SHE SHALL NOTIFY THE EXECUTIVE DIRECTOR OF THAT CONCERN. IF, AFTER MEETING WITH THE EXECUTIVE DIRECTOR, THE BOARD MEMBER IS NOT SATISFIED WITH THE RESPONSE HE / SHE RECEIVED, HE / SHE SHALL NOTIFY THE PRESIDENT OF THE BOARD AND ASK THAT THE ISSUE BE REVIEWED BY THE FULL BOARD AND THE CPA FIRM WHICH PREPARED THE FORM. SHOULD THAT DISCUSSION RESULT IN A BOARD DECISION TO REVISE THE FORM 990 AND THE ORIGINAL FORM HAD ALREADY BEEN FILED, AN AMENDED FORM 990 SHALL THEN BE FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 12C
MEMBERS OF THE BOARD AND STAFF OF GENEVA ARE EXPECTED TO PLACE THE WELFARE OF GENEVA ABOVE OTHER BUSINESS AND PERSONAL INTEREST WHEN THEY ARE CARRYING OUT THEIR FIDUCIARY RESPONSIBILITIES ON BEHALF OF GENEVA. IT IS EXPECTED THAT STAFF AND BOARD MEMBERS WILL DISCLOSE ALL RELATIONSHIPS AND BUSINESS AFFILIATIONS WHICH MAY NOW, OR MIGHT IN THE FUTURE POTENTIALLY CONFLICT WITH THE INTERESTS OF GENEVA OR BRING PERSONAL GAIN TO THEM, THEIR FAMILY OR BUSINESS. BOARD MEMBERS AND KEY EMPLOYEES WILL BE REQUIRED ANNUALLY AS PART OF THEIR BOARD OR PERSONNEL EVALUATION TO DISCLOSE ANY INTEREST THAT COULD GIVE RISE TO A CONFLICT OF INTEREST. MEMBERS OF THE STAFF OR BOARD WHO HAVE A CONFLICT OF INTEREST OR WHO ARE A RELATED PARTY IN ANY MATTER SHALL REFRAIN FROM PARTICIPATING IN THE CONSIDERATION OF THE PROPOSED TRANSACTION, AND SHALL NOT VOTE ON SUCH MATTERS. BECAUSE OF PARTICULAR EXPERTISE OR KNOWLEDGE, HOWEVER, THE BOARD MAY REQUEST INFORMATION OR INTERPRETATIONS FROM THE PERSON INVOLVED. TRANSACTIONS WITH RELATED PARTIES TO BOARD OR STAFF MEMBERS OR INVOLVING POTENTIAL CONFLICTS OF INTEREST MAY BE UNDERTAKEN ONLY IF THE FOLLOWING ARE OBSERVED: 1. THE POTENTIAL CONFLICT OR RELATIONSHIP IS FULLY DISCLOSED IN THE INFORMATION PRESENTED OR THE DISCUSSION HELD PRIOR TO THE TRANSACTION BEING APPROVED. 2. THE RELATED PARTY IS EXCLUDED FROM THE APPROVAL OF SUCH TRANSACTION. 3. A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS, AND 4. THE BOARD OF DIRECTORS HAS DEMONSTRATED THAT THE TRANSACTION IS IN THE BEST INTEREST OF GENEVA. ANY INDIVIDUAL WHO IS UNCERTAIN AS TO WHETHER A CONFLICT OF INTEREST EXISTS, SHALL DISCLOSE THE POSSIBLE CONFLICT TO EITHER THE EXECUTIVE DIRECTOR OR THE PRESIDENT OF THE BOARD PRIOR TO ENGAGING IN THE TRANSACTION.
FORM 990, PAGE 6, PART VI, LINE 15A
THE SALARY AND BENEFITS OF THE EXECUTIVE DIRECTOR SHALL BE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND WILL BE APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. GUIDELINES CONSIDERED IN SETTING THE COMPENSATION PACKAGE OF THE EXECUTIVE DIRECTOR SHALL INCLUDE COMPARISONS WITH THE MINISTERIAL SALARY SCHEDULE FOR THE RCA SYNOD OF THE GREAT LAKES, SALARY SURVEYS OF SIMILAR POSITIONS IN OTHER NONPROFIT ORGANIZATIONS OF SIMILAR SIZE AND BUDGETS, AND THE RELATIONSHIP TO OTHER SALARIES WITHIN THE GENEVA STAFF. THE EXECUTIVE DIRECTOR SETS ALL OTHER SALARIES BASED ON EMPLOYEE PERFORMANCE AND THE LOCAL NON-PROFIT MARKETPLACE.
FORM 990, PAGE 6, PART VI, LINE 19
IT IS THE POLICY OF GENEVA CAMP & RETREAT CENTER TO MAKE AVAILABLE TO THE GENERAL PUBLIC CERTAIN KEY DOCUMENTS AS REQURIED BY LAW AND THE PUBLIC INTEREST. THESE WILL BE COMPILED BY THE OFFICE MANAGER AND MADE AVAILABLE FOR REVIEW IN GENEVA'S BUSINESS OFFICE UPON REQUEST (GENEVA CAN FULFILL THIS REQUIREMENT BY POSTING THESE DOCUMENTS IN A PDF FILE ON OUR WEBSITE). IF A REQUEST IS MADE IN PERSON, THE MATERIALS WILL BE AVAILABLE ON THE SAME BUSINESS DAY; IF THE REQUEST IS MADE IN WRITING THE MATERIALS WILL BE FORWARDED TO THE REQUESTOR WITHIN 30 DAYS OF RECEIVING THE REQUEST. PERSONS REQUESTING COPIES OF ANY FORMS WILL BE CHARGED FOR THE COST OF COPYING ON A PER PAGE BASIS (CURRENTLY THE IRS PERMITS A CHARGE OF UP TO .20/PAGE PLUS POSTAGE.) DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION INCLUDE THE FOLLOWING: A) APPLICATION FOR TAX-EXEMPT STATUS (FORM 1023), ALONG WITH SUPPORTING DOCUMENTS B) COPY OF THE IRS EXEMPTION RULING LETTER C) THE THREE MOST RECENT FORMS 990 WITH SCHEDULES, ATTACHMENTS AND SUPPORTING DOCUMENTS (BUT NOT INCLUDING THE NAMES OF CONTRIBUTORS ON SCHEDULE B OR ANY IDENTIFYING INFORMATION IN SCHEDULE B PART II) AND THE FORM 990-T. D) ARTICLES OF INCORPORATION AND BYLAWS E) THE MOST RECENT AUDITED FINANCIAL STATEMENT F) LISTING OF THE MEMBERS OF THE BOARD OF DIRECTORS G) CONFLICT OF INTEREST POLICY
FORM 990, PART XI, LINE 9
COST OF INVENTORY SOLD 69,110 COST OF INVENTORY SOLD -69,110
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.