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
ARLINGTON LIONS CLUB HOLDING CORP
 
Number and street (or P. O. box, if mail is not delivered to street address)6523 COMMERCE STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code JACKSONVILLE, FL322115411
D Employer identification number

59-1850939
E Telephone number

(904) 744-9844
F Group Exemption
Number. . bullet  
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bulletN/AJ Tax-exempt status(check only one)?( 2) 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 $ 187,500
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  
2 Program service revenue including government fees and contracts ............ 2  
3 Membership dues and assessments...................... 3  
4 Investment income........................... 4 187,500
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 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet 9 187,500
VerticalExpenses 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  
13 Professional fees and other payments to independent contractors............ 13  
14 Occupancy, rent, utilities, and maintenance................... 14 20,215
15 Printing, publications, postage, and shipping................... 15  
16 Other expenses (describe in Schedule O) .................... 16 148,618
17 Total expenses. Add lines 10 through 16 ................. Bullet 17 168,833
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 18,667
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)................ 19 343,316
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20  
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 361,983
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................
20,804
22
24,905
23Land and buildings....................
406,512
23
380,767
24Other assets (describe in Schedule O) ..........
 
24
66,311
25Total assets......................
427,316
25
471,983
26
Total liabilities (describe in Schedule O) .............
84,000
26
110,000
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
343,316
27
361,983
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? CHARITABLE FOUNDATION
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 PROVIDE FACILITIES FOR THE EXEMPT PURPOSE OF THE ORGANIZATIONS OF ARLINGTON LION'S FOUNDATION, INC. & ARLINGTON LIONS INTERNATIONAL, INC.
(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 32  
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
REED TILLISClick to see attachmentPRESIDENT 20.00 0    
TONY DIRITOClick to see attachment1ST VICE PRE 15.00 0    
RICK LEWISClick to see attachment2ND VICE PRE 15.00 0    
JIM RUBELClick to see attachmentSECRETARY 15.00 0    
JACK CARRClick to see attachmentTREASURER 20.00 0    
GEOFF SNELLClick to see attachmentDIRECTOR 6.00 0    
RON STEELERClick to see attachmentDIRECTOR 6.00 0    
DARWIN COYClick to see attachmentDIRECTOR 6.00 0    
WILLIAM TRAMUTOLOClick to see attachmentDIRECTOR 6.00 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
 
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 bullet   ; section 4912 bullet   ; section 4955 bullet  
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
 
 
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...bullet  
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization...........................bullet  
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. bullet
42aThe organization's books are in care of bulletCHARLES LARGEN Telephone no. bullet (904) 652-3394
Located at bullet6523 COMMERCE STREETJACKSONVILLE,FL ZIP + 4bullet32211
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
 
 
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..
48
 
 
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
 
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
 
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
 
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:  
Software Version:  
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
ARLINGTON LIONS CLUB HOLDING CORP
 
Employer identification number

59-1850939
Return Reference Explanation
FORM 990-EZ, PART I, LINE 16 LIONS CLUB FACILITIES BUILDING REPAIRS AND MAINTENANCE 12,630 EQUIPMENT MAINTENANCE 11,703 YARD MAINTENANCE 8,681 INSURANCE 12,141 JANITORIAL 39,627 LICENSE AND FEES 848 OFFICE EXPENSE 1,903 PEST CONTROL 912 SECURITY 307 UTILITIES 37,234 PROPERTY TAXES 4,268 INVESTMENT EXPENSE 3,049 EXPENSES NON-INVESTMENT DEPRECIATION 15,315 TOTAL 148,618
FORM 990-EZ, PART II, LINE 24 EQUIPMENT 0 10,972 LESS ACCUMULATED DEPRECIATION 0 10,972 SMOKE EATERS 0 1,812 LESS ACCUMULATED DEPRECIATION 0 1,812 A/C - 2 TON UNIT 0 15,050 LESS ACCUMULATED DEPRECIATION 0 7,526 CHAIR TRUCK 0 60 LESS ACCUMULATED DEPRECIATION 0 60 TABLE CADDY 0 229 LESS ACCUMULATED DEPRECIATION 0 229 AFFORDABLE HOM 0 8,585 LESS ACCUMULATED DEPRECIATION 0 8,585 H/W HEATER 0 586 LESS ACCUMULATED DEPRECIATION 0 586 WATER SOFTNER 0 300 LESS ACCUMULATED DEPRECIATION 0 300 TOILET PARTITION 0 2,335 LESS ACCUMULATED DEPRECIATION 0 2,335 BINGO EQ ELECTRIC 0 1,400 LESS ACCUMULATED DEPRECIATION 0 1,400 BUFFER 0 1,122 LESS ACCUMULATED DEPRECIATION 0 1,122 COLOR TV 0 625 LESS ACCUMULATED DEPRECIATION 0 625 REPAIR ICE MACHINE 0 1,750 LESS ACCUMULATED DEPRECIATION 0 1,750 HEAT PUMP 6.5 T 0 9,556 LESS ACCUMULATED DEPRECIATION 0 9,556 BINGO EQUIPMENT 0 311 LESS ACCUMULATED DEPRECIATION 0 311 ICE MACHINE 0 2,242 LESS ACCUMULATED DEPRECIATION 0 2,242 HEAT PUMP 7.5T 0 7,781 LESS ACCUMULATED DEPRECIATION 0 7,781 AIR CONDITIONER UNIT 0 24,900 LESS ACCUMULATED DEPRECIATION 0 6,197 COMPUTER MONITOR 0 278 LESS ACCUMULATED DEPRECIATION 0 278 GRILL BOXES 0 627 LESS ACCUMULATED DEPRECIATION 0 627 FIRE ESTINGUISHER 0 154 LESS ACCUMULATED DEPRECIATION 0 154 60 GAS RANGE 0 2,850 LESS ACCUMULATED DEPRECIATION 0 2,632 ELECTRIC FRYER 0 623 LESS ACCUMULATED DEPRECIATION 0 576 WORK TABLE 0 612 LESS ACCUMULATED DEPRECIATION 0 565 COOK CABINET 0 4,139 LESS ACCUMULATED DEPRECIATION 0 3,823 DISHWASHER 0 5,081 LESS ACCUMULATED DEPRECIATION 0 4,693 WORKTABLES (2) 0 1,710 LESS ACCUMULATED DEPRECIATION 0 1,579 SINK 0 1,020 LESS ACCUMULATED DEPRECIATION 0 942 EXHAUST HOOD 0 13,465 LESS ACCUMULATED DEPRECIATION 0 12,437 DESK 0 281 LESS ACCUMULATED DEPRECIATION 0 259 EXECUTIVE DESK 0 366 LESS ACCUMULATED DEPRECIATION 0 338 LATERAL FILE 0 208 LESS ACCUMULATED DEPRECIATION 0 192 LIBRARY SHELVES 0 134 LESS ACCUMULATED DEPRECIATION 0 124 FILE CABINET 0 110 LESS ACCUMULATED DEPRECIATION 0 101 HUTCH 0 232 LESS ACCUMULATED DEPRECIATION 0 214 DESK 0 110 LESS ACCUMULATED DEPRECIATION 0 101 HUTCH 0 159 LESS ACCUMULATED DEPRECIATION 0 147 CORNER DESK 0 147 LESS ACCUMULATED DEPRECIATION 0 136 HUTCH 0 159 LESS ACCUMULATED DEPRECIATION 0 147 LATERAL FILE 0 208 LESS ACCUMULATED DEPRECIATION 0 192 EXEC DESK 0 366 LESS ACCUMULATED DEPRECIATION 0 338 COMPUTER 0 150 LESS ACCUMULATED DEPRECIATION 0 150 TELEVISION 0 2,140 LESS ACCUMULATED DEPRECIATION 0 2,140 MICROWAVE 0 142 LESS ACCUMULATED DEPRECIATION 0 142 COMPUTER MONITOR 0 240 LESS ACCUMULATED DEPRECIATION 0 240 SECURITY CAMERA & INSTALLATION 0 2,200 LESS ACCUMULATED DEPRECIATION 0 2,200 KITCHEN RENOVATION 0 2,823 LESS ACCUMULATED DEPRECIATION 0 834 GAS GRILL 0 1,381 LESS ACCUMULATED DEPRECIATION 0 1,301 KITCHEN STORAGE 0 14,469 LESS ACCUMULATED DEPRECIATION 0 3,255 FENCE 0 7,062 LESS ACCUMULATED DEPRECIATION 0 3,177 SMOKING SECTION WINDOW & FAN 0 4,082 LESS ACCUMULATED DEPRECIATION 0 918 13 CHAIRS - DEN 0 3,130 LESS ACCUMULATED DEPRECIATION 0 2,432 CARPET - DEN 0 3,060 LESS ACCUMULATED DEPRECIATION 0 2,884 COUCH, CHAIRS & BAR STOOLS 0 1,377 LESS ACCUMULATED DEPRECIATION 0 1,070 END TABLES - DEN 0 321 LESS ACCUMULATED DEPRECIATION 0 250 ICE MACHINE 0 3,054 LESS ACCUMULATED DEPRECIATION 0 2,878 WARMER 0 364 LESS ACCUMULATED DEPRECIATION 0 343 FREEZER & RACKS 0 3,683 LESS ACCUMULATED DEPRECIATION 0 3,471 FOOD WARMING BIN 0 250 LESS ACCUMULATED DEPRECIATION 0 236 DBL WIDE REFRIDGERATOR 0 2,884 LESS ACCUMULATED DEPRECIATION 0 2,718 GAS FRYER 0 727 LESS ACCUMULATED DEPRECIATION 0 685 TV'S 0 16,178 LESS ACCUMULATED DEPRECIATION 0 15,246 CARPET FOR CLUB 0 17,500 LESS ACCUMULATED DEPRECIATION 0 16,492 CHAIRS FOR WORSHIP 0 17,407 LESS ACCUMULATED DEPRECIATION 0 13,523 PLASTIC GUARDS ON TABLES 0 475 LESS ACCUMULATED DEPRECIATION 0 448 BINGO HALL COUNTERS 0 1,600 LESS ACCUMULATED DEPRECIATION 0 1,243 22 LCD TV - BACK ROOM 0 246 LESS ACCUMULATED DEPRECIATION 0 232 VACUUM CLEANERS (2) 0 953 LESS ACCUMULATED DEPRECIATION 0 898 COPY MACHINE 0 3,985 LESS ACCUMULATED DEPRECIATION 0 3,296 CONCESSION EQUIPMENT 0 331 LESS ACCUMULATED DEPRECIATION 0 274 VARIOUS 0 291,378 LESS ACCUMULATED DEPRECIATION 0 291,378 DEPOSIT 0 8,402 TOTAL 0 66,311
FORM 990-EZ, PART II, LINE 26 DUE TO ARLINGTON LIONS CLUB CHARITY 84,000 110,000
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:  
Software Version:  

TY 2013 CompensationExplanation
Name:
ARLINGTON LIONS CLUB HOLDING CORP
EIN: 59-1850939
Person Name Explanation
REED TILLIS  
TONY DIRITO  
RICK LEWIS  
JIM RUBEL  
JACK CARR  
GEOFF SNELL  
RON STEELER  
DARWIN COY  
WILLIAM TRAMUTOLO