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
ATLANTA CONCORDE FIRE SOCCER ASSOCIATION INC
Employer identification number
58-1569954
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.") .
48,914
11,790
460
12,045
36,644
109,853
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......
1,839,657
2,222,161
865,646
2,268,504
2,402,214
9,598,182
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.
1,888,571
2,233,951
866,106
2,280,549
2,438,858
9,708,035
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
5,000
5,000
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
c
Add lines 7a and 7b..
5,000
5,000
8
Public support (Subtract line 7c from line 6.)
9,703,035
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...
1,888,571
2,233,951
866,106
2,280,549
2,438,858
9,708,035
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
40
78
33
80
98
329
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
40
78
33
80
98
329
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
100,574
100,574
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
17,837
6,204
2,253
3,983
5,703
35,980
13
Total support. (Add lines 9, 10c, 11, and 12.)..
1,906,448
2,240,233
868,392
2,284,612
2,545,233
9,844,918
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
98.560 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.300 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
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
ATLANTA CONCORDE FIRE SOCCER ASSOCIATION INC
Employer identification number
58-1569954
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS DEVELOPED COLLABORATIVELY WITH THE PRESIDENT, TREASURER, EXECUTIVE DIRECTOR, CONTRACT BOOKKEEPER, AND THE CPA WHO PREPARES THE TAX RETURN. THE FORM 990 IS THEN PREPARED AND REVIEWED BY THE ABOVE. IT IS SIGNED BY THE CPA WHO PREPARED THE FINAL DOCUMENT THEN SIGNED BY THE PRESIDENT. THE FORM 990 IS THEN DISTRIBUTED TO THE BOARD AND REVIEWED AT THEIR NEXT OFFICIALLY CALLED MEETING.
FORM 990, PART VI, SECTION B, LINE 12C
ANY DIRECTOR, OFFICER, OR KEY EMPLOYEE OF CONCORDE FIRE SOCCER ASSOCIATION, INC., WHO HAS AN INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION, SHALL MAKE A PROMPT AND FULL DISCLOSURE OF HIS/HER INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS KNOWN TO SUCH PERSON ABOUT THE CONTRACT OR TRANSACTION WHICH MIGHT REASONABLY BE ADVERSE TO THE CORPORATION'S INTEREST. THE BODY TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE BY A VOTE OF SEVENTY-FIVE PERCENT (75%)OF THE BOARD MEMBERS ENTITLED TO VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT OF INTEREST IS DEEMED TO EXIST, SUCH PERSON SHALL NOT VOTE ON, NOR USE HIS OR HER PERSONAL INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION, OR RESPOND TO QUESTIONS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTION. SUCH PERSON MAY BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT BUT MAY NOT BE COUNTED WHEN THE BOARD OR COMMITTEE OF THE BOARD TAKES ACTION ON THE TRANSACTION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. A REVIEW OF ANY CONFLICT OF INTEREST OCCURS AT EACH BOARD MEETING. THERE HAVE BEEN NO MATERIAL CONFLICTS DURING THESE PERIODS OF TIME.
FORM 990, PART VI, SECTION B, LINE 15
THE PRESIDENT, VICE PRESIDENT AND TREASURER FORM THE COMPENSATION COMMITTEE. THEY GATHER COMPARABLE DATA THEN DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER TOP SALARIED PERSONS INCLUDING A REVIEW AND APPROVAL OF COMPARABLE DATA FROM OTHER SOCCER PROGRAMS FOR EXECUTIVE DIRECTOR, DIRECTOR OF COACHING OR OTHER PROGRAM DIRECTORS THAT ARE FUNCTIONALLY COMPARABLE IN POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THIS COMPARISON INCLUDES BASE SALARY, BONUSES AND EMPLOYER PROVIDED HEALTH BENEFITS FROM WHICH ALL THE COMPENSATION FACTORS ARE CONSIDERED. THE COMPENSATION RECOMMENDED AND AGREED UPON BY THE COMPENSATION COMMITTEE THEN DOCUMENTED IN AN ADDENDUM TO THE EMPLOYMENT AGREEMENT AND EXECUTED BY THE EMPLOYEE, THE PRESIDENT, VICE PRESIDENT AND THE TREASURER. EXCEPT FOR THE EXECUTIVE DIRECTOR, NO OFFICERS ARE GIVEN COMPENSATION. THERE ARE NO OTHER KEY EMPLOYEES OTHER THAN THE EXECUTIVE DIRECTOR DESCRIBED ABOVE.
FORM 990, PART VI, SECTION C, LINE 19
ALL CORPORATE DOCUMENTS ARE HELD BY THE APPROPRIATE PARTY FOR SAFEKEEPING EITHER AT THE CONCORDE FIRE OFFICE WITH THE EXCUTIVE DIRECTOR, THE BOOKKEEPER OR OFFICE MANAGER; OR, IN THE OFFICE OF THE PRESIDENT. ALL DOCUMENTS ARE AVAILABLE FOR OBSERVATION BY ANYONE WHO REQUESTS A REVIEW.
FORM 990, PART VII
LARRY LORD - 801 MT. PARAN RD NW, ATLANTA, GA 30327. ADAM FULLER - 1418 DRESDEN DRIVE, SUITE 220, ATLANTA, GA 30319. JOHN ELLIOT - 1890 WINDHAM PARK, ATLANTA, GA 30324. KEVIN CAROME - 1555 PEACHTREE ST NE, ATLANTA, GA 30309. WILL HAZLETON - 1704 MEADOWDALE AVE, ATLANTA, GA 30306. JODY YOUNG - 3333 PIEDMONT RD, NE, STE 2010, ATLANTA, GA 30305. JERRY COUVARAS - 1495 MT. PARAN RD NW, ATLANTA, GA 30327. GLENN LURIE - 1025 LENOX PARK BLVD, ATLANTA, GA 30319.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.