Form990-EZ
Click to see list of attachments
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 foundations)
bullet Do not enter social security numbers on this form as it may be made public.
bullet Information about Form 990-EZ and its instructions is at www.irs.gov/form990.
OMB No. 1545-1150
2015
Open to Public
Inspection
A
For the 2015 calendar year, or tax year beginning 07-01-2015, and ending 06-30-2016
B
Check if applicable:
C Name of organization
ROTARY INTERNATIONAL DISTRICT 5690
 
Number and street (or P. O. box, if mail is not delivered to street address)613 QUAIL NEST ROAD
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code WINFIELD, KS67156
D Employer identification number

48-0965443
E Telephone number

(620) 221-6479
F Group Exemption
Numberbullet0573
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bulletWWW.ROTARY5690.ORGJ Tax-exempt status(check only one) - ( 4) 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 $ 78,574
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 30,430
2 Program service revenue including government fees and contracts ............... 2  
3 Membership dues and assessments ........................... 3  
4 Investment income ........................... 4 116
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 48,028
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 .............. Bullet 9 78,574
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ............ 10 124,641
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 1,040
14 Occupancy, rent, utilities, and maintenance ................... 14 7,861
15 Printing, publications, postage, and shipping .............. 15  
16 Other expenses (describe in Schedule O) .............. 16 58,864
17 Total expenses. Add lines 10 through 16 .............. Bullet 17 192,406
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9) ............ 18 -113,832
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) ............ 19 226,811
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20 321
21 Net assets or fund balances at end of year. Combine lines 18 through 20 ....... 21 113,300
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2015)
Form 990-EZ (2015)
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................
228,223
22
114,392
23Land and buildings....................
 
23
 
24Other assets (describe in Schedule O) ..........
1,210
24
968
25Total assets......................
229,433
25
115,360
26
Total liabilities (describe in Schedule O) .............
2,622
26
2,060
27Net assets or fund balances (line 27 of column (B) must agree with line 21)
226,811
27
113,300
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? THE ADMINISTRATION OF ROTARY INTERNATIONAL POLICIES TO HELP LOCAL CLUBS ADVANCE
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 THE ENHANCEMENT OF LOCAL ROTARY CLUBS
(Grants $ 124,641) If this amount includes foreign grants, check here ...MediumBullet		 28a 192,406
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 32 192,406
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
DAVID YODER  
 
DISTRICT GOV 		000.00 0    
DEAN KENNEDY  
 
DISTRICT GOV 		000.00 0    
ROBERT MENDOZA  
 
DISTRICT GOV 		000.00 0    
MARTIN BAUER  
 
PAST DISTRIC 		000.00 0    
SUE PEARCE  
 
PAST DISTRIC 		000.00 0    
LARRY RUMBURG  
 
PAST DISTRIC 		000.00 0    
FRED HEISMEYER  
 
DISTRICT TRA 		000.00 0    
DONNA MEIER PFEIFER  
 
GOVERNOR APP 		000.00 0    
CURTIS DICK  
 
DISTRICT TRE 		000.00 0    
GERI APPEL  
 
DISTRICT SEC 		000.00 0    
Form 990-EZ (2015)
Form 990-EZ (2015)
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 Click to see attachment................
36
Yes
 
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), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit transaction 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
 
No
c
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958bullet  
d
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimbursed by the organizationbullet  
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 bulletCURTIS DICK
 Telephone no. bullet (620) 221-6479
Located at bullet613 QUAIL NEST ROADWINFIELD,KS ZIP + 4bullet67156
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR)
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 insteadof 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 (2015)
Form 990-EZ (2015)
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 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 (2015)

Additional Data


Software ID:  
Software Version:  

Form 990-EZ, Special Condition Description:
Special Condition Description

Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Name of the organization
ROTARY INTERNATIONAL DISTRICT 5690
 
Employer identification number

48-0965443
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
ROTARY INTERNATIONAL DISTRICT 5690
  		Employer identification number
48-0965443
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 3
Name of organization
ROTARY INTERNATIONAL DISTRICT 5690
  		Employer identification number

48-0965443
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
ROTARY INTERNATIONAL DISTRICT 5690
  		Employer identification number

48-0965443
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data


Software ID:  
Software Version:  
SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.

bullet Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet Attach to Form 990 or 990-EZ.
bulletInformation about Schedule N (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 INTERNATIONAL DISTRICT 5690
 
Employer identification number
48-0965443
Part I
Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36.
Part I can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid		 (b) Date of
distribution		 (c) Fair market value of
asset(s) distributed or
amount of transaction
expenses		 (d) Method of
determining FMV for
asset(s) distributed or
transaction expenses		 (e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity




















Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? .........................
2a
 
No
b
Become an employee of, or independent contractor for, a successor or transferee organization? .....................
2b
 
No
c
Become a direct or indirect owner of a successor or transferee organization? .....................
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........
2d
 
No
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) (2015)

Schedule N (Form 990 or 990-EZ) (2015)
Page 2
Part I
Liquidation, Termination, or Dissolution (continued)
Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............
3
 
No
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......
4a
 
No
b
If "Yes," did the organization provide such notice? .....................
4b
 
 
5
Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................
5
 
No
6a
Did the organization have any tax-exempt bonds outstanding during the year? .....................
6a
 
No
b
If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?
6b
 
 
c
If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II
Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid		 (b) Date of
distribution		 (c) Fair market value of
asset(s) distributed or
amount of transaction
expenses		 (d) Method of
determining FMV for
asset(s) distributed or
transaction expenses		 (e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity
RETURN OF PAST DUES 10-01-2015 5,298 CASH 48-6046095 ARKANSAS CITY ROTARY INTERNATIONAL
 
PO BOX 1032
ARKANSAS CITY,KS67005 		4
RETURN OF PAST DUES 10-01-2015 1,650 CASH 73-6113465 ROTARY CLUB OF BEAVER
 
PO BOX 922
BEVER,OK73932 		4
RETURN OF PAST DUES 10-01-2015 1,144 CASH 73-6113467 BOISE CITY ROTARY CLUB
 
PO BOX 657
BOISE CITY,OK73933 		4
RETURN OF PAST DUES 10-01-2015 1,950 CASH 48-6116989 ROTARY INTERNATIONAL - CIMMARON
 
PO BOX 521
CIMMARRON,KS67835 		4
RETURN OF PAST DUES 10-01-2015 4,191 CASH 48-0923728 ROTARY CLUB OF DERBY
 
1136 N ARMSTRONG CT
DERBY,KS67037 		4
RETURN OF PAST DUES 10-01-2015 2,762 CASH 48-6116991 DODGE CITY ROTARY CLUB
 
511 RUNYAN AVE
DODGE CITY,KS67801 		4
RETURN OF PAST DUES 10-01-2015 3,226 CASH 48-6116992 EL DORADO ROTARY CLUB INC
 
BOX 255
EL DORADO,KS67042 		4
RETURN OF PAST DUES 10-01-2015 3,469 CASH 48-6089096 ROTARY INTERNATIONAL GARDEN CITY
 
PO BOX 775
GARDEN CITY,KS67846 		4
RETURN OF PAST DUES 10-01-2015 854 CASH 48-6116996 ROTARY INTERNATIONAL GREENBERG
 
13482 31ST AVENUE
GREENSBURG,KS67054 		4
RETURN OF PAST DUES 10-01-2015 2,362 CASH 73-1204822 ROTARY CLUB OF GUYMON
 
PO BOX 2041
GUYMON,OK73942 		4
RETURN OF PAST DUES 10-01-2015 1,861 CASH 48-6117537 HUGOTON ROTARY
 
PO BOX 533
HUGOTON,KS67951 		4
RETURN OF PAST DUES 10-01-2015 9,399 CASH 48-0650812 ROTARY INTERNATIONAL - HUTCHINSON
 
PO BOX 1701
HUTCHINSON,KS67504 		4
RETURN OF PAST DUES 10-01-2015 1,634 CASH 48-6117000 JOHNSON ROTARY CLUB
 
PO BOX 125
JOHNSON,KS67855 		4
RETURN OF PAST DUES 10-01-2015 2,636 CASH 48-6116426 ROTARY CLUB OF KINGMAN
 
PO BOX 475
KINGMAN,KS67068 		4
RETURN OF PAST DUES 10-01-2015 1,244 CASH 48-6116427 ROTARY INTERNATIONAL - KINSLEY
 
701 E 7TH
KINSLEY,KS67547 		4
RETURN OF PAST DUES 10-01-2015 2,704 CASH 48-6111550 ROTARY CLUB OF LARNED
 
701 FAREWAY DR
LARNED,KS67550 		4
RETURN OF PAST DUES 10-01-2015 3,980 CASH 48-6111811 ROTARY INTERNATIONAL - LIBERAL
 
PO BOX 241
LIBERAL,KS67905 		4
RETURN OF PAST DUES 10-01-2015 3,416 CASH 48-6117005 NEWTON ROTARY CLUB
 
514 W 12TH STREET
NEWTON,KS67114 		4
RETURN OF PAST DUES 10-01-2015 306 CASH 27-2511744 ROTARY CLUB OF OLD TOWN WICHITA
 
427 N BROADWAY
WICHITA,KS67208 		4
RETURN OF PAST DUES 10-01-2015 4,797 CASH 48-6116942 ROTARY INTERNATIONAL - PRATT
 
PO BOX 363
PRATT,KS67124 		4
RETURN OF PAST DUES 10-01-2015 1,218 CASH 48-0663716 ROTARY CLUB OF SUBLETTE
 
PO BOX 183
SUBLETTE,KS67877 		4
RETURN OF PAST DUES 10-01-2015 1,202 CASH 48-6117013 ROTARY INTERNATIONAL - SYRACUSE
 
PO BOX 259
SYRACUSE,KS67878 		4
RETURN OF PAST DUES 10-01-2015 1,070 CASH 73-6113492 ROTARY CLUB OF TEXHOMA
 
PO BOX 252
TEXHOMA,OK73949 		4
RETURN OF PAST DUES 10-01-2015 3,416 CASH 48-6117014 ROTARY CLUB OF ULYSSES
 
PO BOX 232
ULYSSES,KS67880 		4
RETURN OF PAST DUES 10-01-2015 1,787 CASH 48-6117316 WELLINGTON ROTARY CLUB
 
PO BOX 653
WELLINGTON,KS67152 		4
RETURN OF PAST DUES 10-01-2015 2,704 CASH 91-2135667 ROTARY CLUB OF WEST SEDGWICK CO
 
PO BOX 9344
WICHITA,KS67277 		4
RETURN OF PAST DUES 10-01-2015 4,955 CASH 48-1039445 ROTARY CLUB OF WEST WICHITA
 
PO BOX 12064
WICHITA,KS67277 		4
RETURN OF PAST DUES 10-01-2015 26,938 CASH 48-0397556 ROTARY CLUB OF WICHITA INC
 
100 N MAIN NO 1003
WICHITA,KS67202 		4
RETURN OF PAST DUES 10-01-2015 5,725 CASH 48-0679200 WINFIELD ROTARY CLUB
 
PO BOX 307
WINFIELD,KS67156 		4
RETURN OF PAST DUES 10-01-2015 9,225 CASH 48-0977204 ROTARY INTERNATIONAL - EAST WICHITA
 
1124 N RUTLAND
WICHITA,KS67206 		4
RETURN OF PAST DUES 10-01-2015 1,518 CASH 43-1998711 ANDOVER ROTARY CLUB
 
13319 EAST CASTLEWOOD STREET
WICHITA,KS67230 		4
Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? .....................
2a
 
No
b
Become an employee of, or independent contractor for, a successor or transferee organization? .....................
2b
 
No
c
Become a direct or indirect owner of a successor or transferee organization? .....................
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? .....................
2d
 
No
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet
Schedule N(Form 990 or 990-EZ) (2015)

Schedule N (Form 990 or 990-EZ) (2015)
Page 3
Part III
Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule N (Form 990 or 990-EZ) (2015)



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 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 INTERNATIONAL DISTRICT 5690
 
Employer identification number

48-0965443
Return Reference Explanation
FORM 990-EZ, PART I, LINE 8 DISTRICT CONVENTION 45,393 PETS REGISTRATION INCOME 2,635 TOTAL 48,028
FORM 990-EZ, PART I, LINE 10 ARKANSAS CITY ROTARY INT 10/01/2015 PO BOX 1032 ARKANSAS CITY, KS 67005 5,298 0 0 CASH ROTARY INTERNATIONAL - HUTCHINSON 10/01/2015 PO BOX 1701 HUTCHINSON, KS 67504 9,399 0 0 CASH ROTARY CLUB OF WICHITA, INC. 10/01/2015 100 N MAIN, NO 1003 WICHITA, KS 67202 26,938 0 0 CASH WINFIELD ROTARY CLUB 10/01/2015 PO BOX 307 WINFIELD, KS 67156 5,725 0 0 CASH ROTARY INTERNATIONAL - EAST WICHITA 10/01/2015 1124 N RUTLAND WICHITA, KS 67206 9,225 0 0 CASH
FORM 990-EZ, PART I, LINE 16 EXPENSES CONFERENCES, CONVENTIONS 29,276 YTH EXCHANGE & ACTIVITIES 4,406 INTERNET/WEBSITE 2,148 LOCAL CONFERENCES. CONV. 23,034 TOTAL 58,864
FORM 990-EZ, PART I, LINE 20 ACCRUAL TO CASH ADJUSTMENT 321
FORM 990-EZ, PART II, LINE 24 ACCOUNTS RECEIVABLE 1,210 968 TOTAL 1,210 968
FORM 990-EZ, PART II, LINE 26 COUNCIL ON LEGISLATION RESERVE 2,622 2,060
FORM 990-EZ, PART III THE ADMINISTRATION OF ROTARY INTERNATIONAL POLICIES TO HELP LOCAL CLUBS ADVANCE
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:  

TY 2015 TransferPrsnlBnftContractsDecl
Name:
ROTARY INTERNATIONAL DISTRICT 5690
EIN:
48-0965443
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.