TY 2013 Form 990EZ


	1	Contributions, gifts, grants, and similar amounts received...............	1	11,286
2	Program service revenue including government fees and contracts ............	2	43,420
3	Membership dues and assessments......................	3	29,746
4	Investment income...........................	4	9,695
5a	Gross amount from sale of assets other than inventory........	5a	78,622
b	Less: cost or other basis and sales expenses...........	5b	56,318
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c	22,304
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..............	9	116,451
	10	Grants and similar amounts paid (list in Schedule O) .................	10	22,171
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	2,713
15	Printing, publications, postage, and shipping...................	15	489
16	Other expenses (describe in Schedule O) ....................	16	57,427
17	Total expenses. Add lines 10 through 16 .................	17	82,800
	18	Excess or (deficit) for the year (Subtract line 17 from line 9)............	18	33,651
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	292,709
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20	13,837
21	Net assets or fund balances at end of year. Combine lines 18 through 20.........	21	340,197

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? Club, Community anbd International Service
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 Club and Vocational Service-Membership committee club attendance on a regular basis by its approximately 45 members; Club Website available to all members; fellowhip consists of club meetings, annual golf tournament, scholarship dinner dance, and Christmas party as well as fund raising activities such as the Memorial and Labor Day Chicken Barbecues and Holiday fruit sales and raffles; summer meetings at Grant Camp; directors meetings; local newspater announces Club events; weekly programs consist of guest speaker and club assemblies. (Grants $ 0) If this amount includes foreign grants, check here ...	28a	43,029
29 Community Service provided by Club annual Rotarian and Citizen of the Year awards; merry mulch every January; guest speakers address cultural and environmental issues; donate time to Vermont Food Shelf; donate to local organizations; mock hiring interviews at local high school and college and Rotary Youth Leadership Awards (RYLA). (Grants $ 0) If this amount includes foreign grants, check here ...	29a	25,438
30 International Service provided through World Community service; support of Rotary youth exchange program and interaction with exchange students; support Rotary International Foundation and Polio Plus; youth exchange program and involvement with World projects such as Haiti and Chile as they arise; Awarding Paul Harris Fellowships. (Grants $ 0) If this amount includes foreign grants, check here ...	30a	10,327
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	78,794

(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
Mike RossPast President	2.00	0	0	0
Mel AdamsVice President	2.00	0	0	0
Randy GarnerPresident	4.00	0	0	0
Sheila JacobsSecretary	2.00	0	0	0
Arnold SpahnTreasurer	10.00	0	0	0
Joe BoydPublic Relations Director	2.00	0	0	0
Leo ConnollyService Projects Director	2.00	0	0	0
Mona ColtonPresident Elect	2.00	0	0	0
Larry RichburgRotary Foundation Director	2.00	0	0	0
Wayne WarnerVice Chair	2.00	0	0	0
Gary DirMembership Director	2.00	0	0	0
Jeff HebertSurnise Treasurer	2.00	0	0	0

- TIN:

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.

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

Rotary Club of Randolph

Employer identification number

03-6007350

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

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).

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 ..................................................

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

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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


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

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).

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

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 ....................... right arrow

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 ..................... right arrow

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 ..................................................... right arrow

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 ................................................ right arrow

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

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.") .	57,921	43,179	44,807	37,460	41,032	224,399
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......	23,920	21,305	32,005	61,226	43,420	181,876
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.	81,841	64,484	76,812	98,686	84,452	406,275
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...						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
c	Add lines 7a and 7b..						0
8	Public support (Subtract line 7c from line 6.)						406,275

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...	81,841	64,484	76,812	98,686	84,452	406,275
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	36,154	42,761	4,511	9,236	31,999	124,661
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.	36,154	42,761	4,511	9,236	31,999	124,661
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.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..	117,995	107,245	81,323	107,922	116,451	530,936

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

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

76.520 %

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

79.330 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

23.480 %

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

20.670 %

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 ........ right arrow

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 ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

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.
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

Rotary Club of Randolph

Employer identification number

03-6007350

Return Reference	Explanation
Form 990-EZ, Part I, Line 4 - Other Investment Income	Description: Interest. Amount: 24. Description: Dividends. Amount: 9671. Total Included on Form 990-EZ, line 4: 9695.
Form 990-EZ, Part I, Line 10 - Payments to Affiliates	Affiliate Name: Rotary international. Affiliate Address: 1560 Sherman AVE LI 1 Evanston, IL 60201. Purpose of Payment: Dues. Amount of Payment: 1253.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support. Grantee Name: Colchester Milton Rotary. Grantee Address: PO Box 82 Colchester, VT 05446. Date of Gift: 08/21/13. Amount Given: 100.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Innovative Creations Reading Program. Grantee Name: OSSU Public Schools. Grantee Address: 24 Central St Randolph, VT 05060. Date of Gift: 04/21/14. Amount Given: 684.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support- Emergency Relief. Grantee Name: Randolph Food Shelf. Grantee Address: PO Box 202 Randolph, VT 05060. Date of Gift: 11/12/13. Amount Given: 1000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Last Mile Ride. Grantee Name: Gifford Medical Center. Grantee Address: Main St Randolph, VT 05060. Date of Gift: 05/14/14. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support. Grantee Name: David's House. Grantee Address: PO Box 660 Lebanon, NH 03766. Date of Gift: 12/05/13. Amount Given: 250.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Tech equipment. Grantee Name: Randolph Elementary School. Grantee Address: Forest St. Randolph, VT 05060. Date of Gift: 03/28/14. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: New Flags. Grantee Name: American Legion Post. Grantee Address: c/o Pierce 249 Partridge Hill Randolph, VT 05060. Date of Gift: 05/23/14. Amount Given: 450.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Christmas Program. Grantee Name: Safe Haven. Grantee Address: 4 Highland Ave Randolph, VT 05060. Date of Gift: 11/20/13. Amount Given: 350.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Arts Bus. Grantee Name: Chandler Center for the Arts. Grantee Address: Main St Randolph, VT 05060. Date of Gift: 03/28/14. Amount Given: 575.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Literacy Program Support . Grantee Name: Central Vermont Basic Education. Grantee Address: 12 S Main St. Randolph, VT 05060. Date of Gift: 12/05/13. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support. Grantee Name: White River Craft Center. Grantee Address: 50 Randolph Ave Randolph, VT 05060. Date of Gift: 11/12/13. Amount Given: 1000.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Heating Oil. Grantee Name: CVCAC. Grantee Address: 35 Ayers Brook Road Randolph, VT 05060. Date of Gift: 11/20/13. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Water fountain. Grantee Name: Chandler Center for the Arts. Grantee Address: Main St Randolph, VT 05060. Date of Gift: 04/14/14. Amount Given: 1109.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Uniforms. Grantee Name: Randolph Youth Baseball. Grantee Address: PO Box 372 Randolph, VT 05060. Date of Gift: 12/05/13. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support- Annjual Fund. Grantee Name: White River Valley Ambulance. Grantee Address: 3190 Pleasant Street Bethel, VT 05032. Date of Gift: 01/23/14. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support. Grantee Name: RACDC. Grantee Address: Main St Randolph, VT 05060. Date of Gift: 12/05/13. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Haiti Relief. Grantee Name: Community Health Initiative. Grantee Address: PO Box 5908 Coralville, IA 52241. Date of Gift: 01/11/14. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: College Scholarships. Grantee Name: Randolph Union High School. Grantee Address: Forest St. Randolph, VT 05060. Date of Gift: 05/24/14. Amount Given: 9500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support. Grantee Name: ShelterBoxUSA. Grantee Address: 8374 Market St #203 Lakewood Ranch, FL 34202. Date of Gift: 08/16/13. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support. Grantee Name: ShelterBoxUSA. Grantee Address: 8374 Market St #203 Lakewood Ranch, FL 34202. Date of Gift: 05/14/14. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support. Grantee Name: Randolph Senior Center. Grantee Address: 6 Hale St Randolph, VT 05060. Date of Gift: 12/05/13. Amount Given: 500.
Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid	Activity Classification: Program Support. Grantee Name: Salvation Farms Inc. Grantee Address: PO Box 1174 Morrisville, VT 05661. Date of Gift: 11/12/13. Amount Given: 400. Total included on Form 990-EZ, line 10: 20918.
Form 990-EZ, Part I, Line 16 - Other Expenses	Description: Advertising. Amount: 1389. Description: Membership Dues and Assessments. Amount: 2157. Description: Treasurer Expense. Amount: 333. Description: Meetings, Conferences and conventions. Amount: 17478. Description: Flowers and Condolences. Amount: 108. Description: Supplies. Amount: 127. Description: Club service expenses. Amount: 1713. Description: Rotary Youth Leadership Awards. Amount: 1500. Description: Rotary Foundation International Service. Amount: 8477. Description: Youth Exchange Program Expense. Amount: 100. Description: Community service expenses. Amount: 13382. Description: Vocational Service Project Expense. Amount: 5207. Description: Club social Events. Amount: 877. Description: Fund Raising Expenses - Golf tournament. Amount: 4579. Total to Form 990-EZ, line 16: 57427.
Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets	Description: Unrealized Gains on investments. Amount: 13837.
Form 990-EZ, Part II, Line 24 - Other Assets	Description: Supplies on hand. Beg. of Year Amount: 288. End of Year Amount: 317.

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:

- TIN:

TY 2013 TransferPrsnlBnftContractsDecl

Name:

Rotary Club of Randolph

EIN: 03-6007350

Declaration:

The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract.

Sign Here

	Signature of officer	Date

	Type or print name and title