TY 2015 Form 990EZ

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; optional for others.)
What is the organization's primary exempt purpose? TO PROVIDE SERVICE TO OTHERS, PROMOTE INTEGRITY, AND ADVANCE WORLD UNDERSTANDING, GOODWILL, AND PEACE.
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 TO PROMOTE THE ADVANCEMENT OF GOODWILL AND PEACE THROUGH THE IDEAL OF SERVICE ABOVE SELF. THIS IS DONE LOCALLY AND INTERNATIONALLY THROUGH EVENTS SUCH AS PROJECT HEATS ON, SENIOR HARVEST BALL, AND THE CHILDREN'S BIKE GIVE-AWAY. (Grants $ ) If this amount includes foreign grants, check here ...	28a	40,020
29 AVOIDABLE BLINDNESS - ONCE A YEAR, AN EYE DOCTOR, WHO IS ALSO A MEMBER OF THE BURTON ROTARY CLUB, AND A GROUP OF ROTARIANS DONATE THEIR TIME AND TRAVEL TO EMPALME, MEXICO FOR APPROXIMATLEY TEN DAYS TO DELIVER THOUSANDS OF PAIRS OF EYEGLASSES. THE EYEGLASSES, WHICH ARE DONATED FROM VARIOUS COMMUNITIES AND PURCHASED THROUGH COMMUNITY SUPPORT, ARE GIVEN TO PATIENTS WHO ARE IN ONE FORM OR ANOTHER VISUALLY DISABLED. THE PATIENTS ARE EXAMINED AND FITTED FOR EYEGLASSES FREE OF CHARGE. OVER THE LAST SEVENTEEN YEARS, TENS OF THOUSANDS OF PAITENTS HAVE RECEIVED TREATMENT THROUGH THE AVOIDABLE BLINDNESS PROGRAM. (Grants $ ) If this amount includes foreign grants, check here ...	29a	25,951
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	65,971

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; optional for others.)

What is the organization's primary exempt purpose? TO PROVIDE SERVICE TO OTHERS, PROMOTE INTEGRITY, AND ADVANCE WORLD UNDERSTANDING, GOODWILL, AND PEACE.

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 TO PROMOTE THE ADVANCEMENT OF GOODWILL AND PEACE THROUGH THE IDEAL OF SERVICE ABOVE SELF. THIS IS DONE LOCALLY AND INTERNATIONALLY THROUGH EVENTS SUCH AS PROJECT HEATS ON, SENIOR HARVEST BALL, AND THE CHILDREN'S BIKE GIVE-AWAY.
(Grants $ ) If this amount includes foreign grants, check here ... MediumBullet

28a

40,020

29 AVOIDABLE BLINDNESS - ONCE A YEAR, AN EYE DOCTOR, WHO IS ALSO A MEMBER OF THE BURTON ROTARY CLUB, AND A GROUP OF ROTARIANS DONATE THEIR TIME AND TRAVEL TO EMPALME, MEXICO FOR APPROXIMATLEY TEN DAYS TO DELIVER THOUSANDS OF PAIRS OF EYEGLASSES. THE EYEGLASSES, WHICH ARE DONATED FROM VARIOUS COMMUNITIES AND PURCHASED THROUGH COMMUNITY SUPPORT, ARE GIVEN TO PATIENTS WHO ARE IN ONE FORM OR ANOTHER VISUALLY DISABLED. THE PATIENTS ARE EXAMINED AND FITTED FOR EYEGLASSES FREE OF CHARGE. OVER THE LAST SEVENTEEN YEARS, TENS OF THOUSANDS OF PAITENTS HAVE RECEIVED TREATMENT THROUGH THE AVOIDABLE BLINDNESS PROGRAM.
(Grants $ ) If this amount includes foreign grants, check here ... MediumBullet

29a

25,951

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

65,971

(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
BRAD HABERMEHL PRESIDENT	2.00	0
TIM LOOK SECRETARY	2.00	0
STEVEN TREECE TREASURER	2.00	0
CHRIS HAMILTON DIRECTOR	2.00	0
JON RAGNONE DIRECTOR	2.00	0
JOSEPH SEFA DIRECTOR	2.00	0
MARILYN COSTIGAN DIRECTOR	2.00	0
JEFF ALLEN DIRECTOR	2.00	0
JOE SIMPSON DIRECTOR	2.00	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

BRAD HABERMEHL

PRESIDENT

2.00

TIM LOOK

SECRETARY

2.00

STEVEN TREECE

TREASURER

2.00

CHRIS HAMILTON

DIRECTOR

2.00

JON RAGNONE

DIRECTOR

2.00

JOSEPH SEFA

DIRECTOR

2.00

MARILYN COSTIGAN

DIRECTOR

2.00

JEFF ALLEN

DIRECTOR

2.00

JOE SIMPSON

DIRECTOR

2.00

(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

(a) Name and business address of each independent contractor

(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 990-EZ 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

2015

Open to Public
Inspection

Name of the organization

ROTARY CLUB OF BURTON

Employer identification number

38-2554209

Return Reference	Explanation
FORM 990-EZ, PART I, LINE 16	AVOIDABLE BLINDNESS TRAVEL EXPENSES 1,000 BANK FEES 103 EQUIPMENT AND SUPPLIES 24,848 EXPENSES MISCELLANEOUS 20 FACILITIES AND OTHER 12,272 WEBSITE 695 MEETING EXPENSES 3,917 DUES AND SUBSCRIPTIONS 120 MISCELLANEOUS 1,099 MEMBERSHIP DUES-RI 3,274 MEMBERSHIP DUES-DISTRICT 210 MEMBERSHIP MEALS 11,652 SUPPLIES 193 SUPPORT/DONATION 12,399 TOTAL 71,802
FORM 990-EZ, PART I, LINE 20	UNREALIZED LOSSES -7,924
FORM 990-EZ, PART II, LINE 26	LITERACY PROJECT 3,160 61 PREPAID DUES 169 145
FORM 990-EZ, PART III	TO PROVIDE SERVICE TO OTHERS, PROMOTE INTEGRITY, AND ADVANCE WORLD UNDERSTANDING, GOODWILL, AND PEACE.
FORM 990-EZ, PART III, LINE 28	TO PROMOTE THE ADVANCEMENT OF GOODWILL AND PEACE THROUGH THE IDEAL OF SERVICE ABOVE SELF. THIS IS DONE LOCALLY AND INTERNATIONALLY THROUGH EVENTS SUCH AS PROJECT HEATS ON, SENIOR HARVEST BALL, AND THE CHILDREN'S BIKE GIVE-AWAY.
FORM 990-EZ, PART III, LINE 29	AVOIDABLE BLINDNESS - ONCE A YEAR, AN EYE DOCTOR, WHO IS ALSO A MEMBER OF THE BURTON ROTARY CLUB, AND A GROUP OF ROTARIANS DONATE THEIR TIME AND TRAVEL TO EMPALME, MEXICO FOR APPROXIMATLEY TEN DAYS TO DELIVER THOUSANDS OF PAIRS OF EYEGLASSES. THE EYEGLASSES, WHICH ARE DONATED FROM VARIOUS COMMUNITIES AND PURCHASED THROUGH COMMUNITY SUPPORT, ARE GIVEN TO PATIENTS WHO ARE IN ONE FORM OR ANOTHER VISUALLY DISABLED. THE PATIENTS ARE EXAMINED AND FITTED FOR EYEGLASSES FREE OF CHARGE. OVER THE LAST SEVENTEEN YEARS, TENS OF THOUSANDS OF PAITENTS HAVE RECEIVED TREATMENT THROUGH THE AVOIDABLE BLINDNESS PROGRAM.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Contributions, gifts, grants, and similar amounts received ....................	1	11,869
2	Program service revenue including government fees and contracts ...............	2	35,577
3	Membership dues and assessments ...........................	3
4	Investment income ...........................	4	5,564
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	33,745
c	Less: direct expenses from gaming and fundraising events ...	6c	7,861
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d	25,884
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	78,894

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	5,643
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	112,408
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20	-7,924
21	Net assets or fund balances at end of year. Combine lines 18 through 20 .......	21	110,127

Sign Here

	Signature of officer	Date

	Type or print name and title

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

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	1,300
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ..............	15	149
16	Other expenses (describe in Schedule O) ..............	16	71,802
17	Total expenses. Add lines 10 through 16 ..............	17	73,251