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? FUND RAISING FOR LOCAL CHARITIES
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 FUND RAISING FOR LOCAL CHARITIES (Grants $ 37,041) If this amount includes foreign grants, check here ...	28a
29 (Grants $ ) If this amount includes foreign grants, check here ...	29a
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	37,041

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? FUND RAISING FOR LOCAL CHARITIES

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 FUND RAISING FOR LOCAL CHARITIES
(Grants $ 37,041) If this amount includes foreign grants, check here ... MediumBullet

28a

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

37,041

(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
HENRY SNYDER Treasurer	8.00	0
JIM KEMP President	6.00	0
CHAD SCHIEL President Elect	6.00	0
MARK MIHALIK Director	6.00	0
GEORGE SCARBOROUGH Secretary	6.00	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

HENRY SNYDER

Treasurer

8.00

JIM KEMP

President

6.00

CHAD SCHIEL

President Elect

6.00

MARK MIHALIK

Director

6.00

GEORGE SCARBOROUGH

Secretary

6.00

(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

NONE

(a) Name and business address of each independent contractor

(b) Type of service

(c) Compensation

NONE

- 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

EXCHANGE CLUB OF SAN CLEMENTE

Employer identification number

95-6141319

Return Reference	Explanation
Grants and Similar Amounts Paid In Excess of $5,000.1	\| Donee's Name: SEE STATEMENT \| Donee's Address: VARIOUS SAN CLEMENTE CA 92672 \| Cash Amount Given: $16618
Other Expenses.1002	Office Expenses $451
Other Expenses.1012	Insurance $1350
Other Expenses.1	MEALS $22968
Other Expenses.2	CHRISTMAS PARTY $7185
Other Expenses.3	DUES $6703
Other Expenses.4	PICNIC $3775
Other Expenses.5	PREBIHALO GOLF $3483
Other Expenses.6	INSTALLATION $3347
Other Expenses.7	STORAGE $2052
Other Expenses.8	BANK CHARGES $1285
Other Expenses.9	WELFARE $1000
Other Expenses.10	DAY AT THE RACES $720
Other Expenses.11	WEBSITE $477
Other Expenses.13	LEGAL FEES $100
Other Expenses.14	PRESIDENTS FUND $70
Other Expenses.15	TAXES $35
Other Assets.1005	Accounts Receivable - Beginning $4016 Accounts Receivable - Ending $8924
Other Assets.1011	Prepaid Expenses and Deferred Charges - Beginning $1170 Prepaid Expenses and Deferred Charges - Ending $6445

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:	15000324
Software Version:	2015v3.0

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ...............	2	6,968
3	Membership dues and assessments ...........................	3	41,215
4	Investment income ...........................	4
5a	Gross amount from sale of assets other than inventory .....	5a
b	Less: cost or other basis and sales expenses .......	5b	0
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	62,222
c	Less: direct expenses from gaming and fundraising events ...	6c	38,879
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d	23,343
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
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	71,526

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	-2,402
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	29,146
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20	3,118
21	Net assets or fund balances at end of year. Combine lines 18 through 20 .......	21	29,862

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	16,618
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	1,950
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ..............	15	359
16	Other expenses (describe in Schedule O) ..............	16	55,001
17	Total expenses. Add lines 10 through 16 ..............	17	73,928