TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) J STEVEN DEHIMER...................................................................... DIRECTOR	2.00 .................	X
(2) DOUGLAS W BARTELL...................................................................... DIRECTOR	2.00 .................	X
(3) RICHARD W PARK...................................................................... DIRECTOR	2.00 .................	X
(4) STEPHAN A GRANACKI...................................................................... DIRECTOR	2.00 .................	X
(5) JOSEPH S GRIESBECK...................................................................... DIRECTOR	2.00 .................	X
(6) LOUIS J VIVIANI...................................................................... DIRECTOR	2.00 .................	X
(7) MATTHEW L MOGEL...................................................................... DIRECTOR	2.00 .................	X
(8) MICHAEL A POLCE...................................................................... DIRECTOR	2.00 .................	X
(9) STEVEN D REED...................................................................... DIRECTOR	2.00 .................	X
(10) KATHLEEN L SALCE...................................................................... DIRECTOR	2.00 .................	X
(11) ROBERT J SPINDLER...................................................................... DIRECTOR	2.00 .................	X
(12) GIBRAN A TALLIM...................................................................... DIRECTOR	2.00 .................	X
(13) DANIEL M TAURONEY...................................................................... IMMEDIATE PAST PRESIDENT	2.00 .................	X
(14) STEVEN K FLANDERS...................................................................... PRESIDENT	10.00 .................		X
(15) DOUGLAS J TARDUGNO DDS...................................................................... FIRST VICE PRESIDENT	10.00 .................		X
(16) MARK D VACCA...................................................................... SECOND VICE PRESIDENT	10.00 .................		X
(17) CHARLES G MESSENGER...................................................................... SECRETARY	10.00 .................		X

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(1) J STEVEN DEHIMER......................................................................
DIRECTOR

2.00
.................

(2) DOUGLAS W BARTELL......................................................................
DIRECTOR

2.00
.................

(3) RICHARD W PARK......................................................................
DIRECTOR

2.00
.................

(4) STEPHAN A GRANACKI......................................................................
DIRECTOR

2.00
.................

(5) JOSEPH S GRIESBECK......................................................................
DIRECTOR

2.00
.................

(6) LOUIS J VIVIANI......................................................................
DIRECTOR

2.00
.................

(7) MATTHEW L MOGEL......................................................................
DIRECTOR

2.00
.................

(8) MICHAEL A POLCE......................................................................
DIRECTOR

2.00
.................

(9) STEVEN D REED......................................................................
DIRECTOR

2.00
.................

(10) KATHLEEN L SALCE......................................................................
DIRECTOR

2.00
.................

(11) ROBERT J SPINDLER......................................................................
DIRECTOR

2.00
.................

(12) GIBRAN A TALLIM......................................................................
DIRECTOR

2.00
.................

(13) DANIEL M TAURONEY......................................................................
IMMEDIATE PAST PRESIDENT

2.00
.................

(14) STEVEN K FLANDERS......................................................................
PRESIDENT

10.00
.................

(15) DOUGLAS J TARDUGNO DDS......................................................................
FIRST VICE PRESIDENT

10.00
.................

(16) MARK D VACCA......................................................................
SECOND VICE PRESIDENT

10.00
.................

(17) CHARLES G MESSENGER......................................................................
SECRETARY

10.00
.................

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(18) JOHN A NASH........................................................................
TREASURER

15.00
.......................

(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......	1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................	2e
3	Subtract line 2e from line 1..................	3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................	4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........	1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................	2e
3	Subtract line 2e from line 1...................	3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................	4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5

Return Reference	Explanation
PART X, LINE 2:	THE FINANCIAL STATEMENTS DO NOT INCLUDE UNCERTAIN TAX POSITIONS PER FIN 48.

- 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

TEUGEGA COUNTRY CLUB OF ROME NY INC

Employer identification number

15-0467950

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE IRS FORM 990 AND 990T IS PROVIDED TO THE BOARD OF DIRECTORS. IT IS REVIEWED WITH ACCOUNTANT BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE PRESIDENT OF THE BOARD OF DIRECTORS MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION C, LINE 18	ALL FILINGS OF THE ENTITY AVAILABLE UPON REQUEST TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	ALL FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 24E	FERTILIZER AND CHEMICALS: PROGRAM SERVICE EXPENSES 46,359. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,359. MISCELLANEOUS EXPENSES: PROGRAM SERVICE EXPENSES -331. MANAGEMENT AND GENERAL EXPENSES 43,848. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,517. OUTSIDE CART RENTAL: PROGRAM SERVICE EXPENSES 28,112. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,112. SWIMMING PROGRAM: PROGRAM SERVICE EXPENSES 24,622. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,622. GAS AND OIL: PROGRAM SERVICE EXPENSES 15,167. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,167. SUPPLIES: PROGRAM SERVICE EXPENSES 12,778. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,778. SAND AND TOPSOIL: PROGRAM SERVICE EXPENSES 8,136. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,136. CREDIT CARD FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,339. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,339. SOCIAL EVENTS: PROGRAM SERVICE EXPENSES 6,027. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,027. GOLF HANDICAPPED PROGRAM: PROGRAM SERVICE EXPENSES 4,450. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,450. WATERFRONT MAINTENANCE: PROGRAM SERVICE EXPENSES 3,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,687. GRASS SEED: PROGRAM SERVICE EXPENSES 3,226. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,226. SPECIAL EVENTS: PROGRAM SERVICE EXPENSES 1,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,747. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,444. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,444. TRAINING: PROGRAM SERVICE EXPENSES 1,022. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,022. DUES AND LICENSES: PROGRAM SERVICE EXPENSES 704. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 704. TENNIS PROGRAM: PROGRAM SERVICE EXPENSES 676. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 676. DUES AND LICENSES: PROGRAM SERVICE EXPENSES 219. MANAGEMENT AND GENERAL EXPENSES -76. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143. EQUIPMENT AND CART BARNS: PROGRAM SERVICE EXPENSES 88. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88. DEPRECIATION 990T: PROGRAM SERVICE EXPENSES -3,532. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -3,532.
FORM 990, PART XI, LINE 9:	INTERFUND TRANSFERS 8,020.

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	Briefly describe the organization’s mission or most significant activities: THE PURPOSE OF TEUGEGA COUNTRY CLUB IS TO PROVIDE A VENUE FOR MEMBERS TO SEEK FELLOWSHIP WITH INDIVIDUALS THAT SHARE SIMILAR INTERESTS. A SOCIETY OF PERSONAL CONTACT, COMMINGLING, AND FACE-TO-FACE INTERACTION STRENGTHEN OLD FRIENDSHIPS AND CULTIVATES NEW ONES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	31
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	4,642

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,004	0
9	Program service revenue (Part VIII, line 2g) .........	1,142,699	1,162,997
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	919	829
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	66,978	61,760
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,211,600	1,225,586
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	371,382	400,184
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	752,579	664,399
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,123,961	1,064,583
19	Revenue less expenses. Subtract line 18 from line 12.......	87,639	161,003
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,010,036	2,066,469
21	Total liabilities (Part X, line 26).............	825,911	713,321
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,184,125	1,353,148

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 825,117 including grants of $ ) (Revenue $ 1,224,757 )
	TEUGEGA COUNTRY CLUB IS A RECREATIONAL CLUB THAT MAINTAINS A LIMITED MEMBERSHIP. THE CLUB'S MEMBERS SHARE COMMON INTERESTS, AMONG WHICH ARE THE ADVANCEMENT AND CULTIVATION OF THE GAME OF GOLF.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses825,117

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......

		Business Code
2a	DUES	713910	839,601	839,601
b	SPECIAL ASSESSMENTS	713910	113,841	113,841
c	SPORTS ACTIVITIES	713910	81,691	81,691
d	CART INCOME	713910	81,082	81,082
e	INITIATION FEES	713910	23,950	23,950
f	All other program service revenue.			22,832	22,832
g Total.Add lines 2a–2f.....			1,162,997

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			829			829
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	RESTAURANT CONTRACT		713910	45,000	45,000
b	MISCELLANEOUS INCOME		713910	10,146	10,146
c	MISCELLANEOUS INCOME		713910	6,614	6,614
d	All other revenue ....
e	Total. Add lines 11a–11d ......			61,760
12	Total revenue. See Instructions......			1,225,586	1,224,757	0	829

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	346,903	319,903	27,000
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	10,454	8,394	2,060
10	Payroll taxes ...........	42,827	39,500	3,327
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	5,905	5,905
12	Advertising and promotion ....
13	Office expenses .......	16,021		16,021
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	18,906	18,906
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	104,341	104,341
23	Insurance ...	28,953		28,953
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PROPERTY TAXES	94,040		94,040
b	REPAIRS AND MAINTENANCE	79,356	63,846	15,510
c	UTILITIES	56,441	56,441
d	GOLF EVENTS	54,724	54,724
e	All other expenses	205,712	153,157	52,555
25	Total functional expenses. Add lines 1 through 24e	1,064,583	825,117	239,466	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			60,473	1	41,804
2	Savings and temporary cash investments .........			365,009	2	343,407
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			50,823	4	107,738
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........				8
9	Prepaid expenses and deferred charges ......			29,149	9	1,068
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,840,855
b	Less: accumulated depreciation	10b	1,268,403	1,504,582	10c	1,572,452
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,010,036	16	2,066,469

17	Accounts payable and accrued expenses .....	58,045	17	55,140
18	Grants payable ...		18
19	Deferred revenue .........	7,230	19	8,490
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	757,662	23	646,036
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	2,974	25	3,655
26	Total liabilities. Add lines 17 through 25..	825,911	26	713,321

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets		27
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....	856,371	30	1,032,242
31	Paid-in or capital surplus, or land, building or equipment fund ...	327,754	31	320,906
32	Retained earnings, endowment, accumulated income, or other funds	0	32	0
33	Total net assets or fund balances ...........	1,184,125	33	1,353,148
34	Total liabilities and net assets/fund balances ........	2,010,036	34	2,066,469

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

1a	Land ...
b	Buildings	1,961,169	644,312	1,316,857
c	Leasehold improvements
d	Equipment ...	879,686	624,091	255,595
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,572,452

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
SALES TAX PAYABLE	3,655
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,655
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII