TY 2015 Form 990

(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) Michael Burns......................................................................
President

0.00
.................
0.00

(2) Kevin Martin......................................................................
Vice President

0.00
.................
0.00

(3) Kent Cashell......................................................................
Treasurer

0.00
.................
0.00

(4) Dan Depperman......................................................................
Secretary

0.00
.................
0.00

(5) Dr Kevin Redmond......................................................................
Governor

0.00
.................
0.00

(6) Darrell Sams......................................................................
Governor

0.00
.................
0.00

(7) Dr Thomas Kimball......................................................................
Governor

0.00
.................
0.00

(8) Bill Herring......................................................................
Governor

0.00
.................
0.00

(9) Skip Schoettmer......................................................................
Governor

0.00
.................
0.00

(10) Louisa Bergsma......................................................................
VP-Operating

40.00
.................
0.00

114,346

1,058

(11) Dave Oakley......................................................................
VP- Finance

40.00
.................
0.00

83,442

212

(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

(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	2,886,286
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	430,591
e	Add lines 2a through 2d .....................	2e	430,591
3	Subtract line 2e from line 1..................	3	2,455,695
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	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5	2,455,695

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	3,273,098
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	430,591
e	Add lines 2a through 2d....................	2e	430,591
3	Subtract line 2e from line 1...................	3	2,842,507
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	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5	2,842,507

Return Reference	Explanation
Part X, Line 2:	FEDERAL INCOME TAX
Part XI, Line 2d - Other Adjustments:	Cost of Goods Sold included in Revenue 428,149. Rental Property Expenses included in Revenue 2,442.
Part XII, Line 2d - Other Adjustments:	Cost of Goods Sold included in Revenue 428,149. Rental Property Expenses included in Revenue 2,442.

- 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

Clovernook Country Club

Employer identification number

31-0245155

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	STOCKHOLDING MEMBERS
Form 990, Part VI, Section A, line 7a	STOCK HOLDING MEMBERS ELECT 3 BOARD MEMBERS EVERY YEAR TO SERVE 3 YEAR TERMS.
Form 990, Part VI, Section A, line 7b	STOCKHOLDERS WITH VOTING RIGHTS APPROVE CAPITAL EXPENDITURES & BORROWING IN EXCESS OF ESTABLISHED THRESHHOLDS.
Form 990, Part VI, Section A, line 8b	NO COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY
Form 990, Part VI, Section B, line 11	THE FORM 990 IS PREPARED BY THE INDEPENDENT CPA FIRM AND SENT TO THE VP-FINANCE WHO REVIEWS IT WITH THE VP-OPERATIONS PRIOR TO FILING.
Form 990, Part VI, Section B, line 15	COMPENSATION CONTRACT FOR THE TOP MANAGEMENT OFFICIAL IS NEGOTIATED BY THE PRESIDENT OF THE CLUB TAKING INTO CONSIDERATION COMPARABLE DATA. THE CONTRACT IS THEN APPROVED BY THE BOARD OF GOVERNORS.
Form 990, Part VI, Section C, line 19	UPON REQUEST
Form 990, Part IX, line 24e	Chemicals & Supplies: Program service expenses 58,876. Management and general expenses 0. Fundraising expenses 0. Total expenses 58,876. Leased Equipment: Program service expenses 33,665. Management and general expenses 0. Fundraising expenses 0. Total expenses 33,665. Computer Services: Program service expenses 31,804. Management and general expenses 0. Fundraising expenses 0. Total expenses 31,804. Insurance: Program service expenses 31,500. Management and general expenses 0. Fundraising expenses 0. Total expenses 31,500. Miscellaneous: Program service expenses 24,444. Management and general expenses 0. Fundraising expenses 0. Total expenses 24,444. Workers' Compensation Insurance: Program service expenses 16,172. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,172. Activities & Entertainment: Program service expenses 13,673. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,673. Gasoline & Oil: Program service expenses 12,829. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,829. Employee Meals: Program service expenses 11,660. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,660. Contracted Services: Program service expenses 11,634. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,634. Fertilizers: Program service expenses 10,588. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,588. Telephone: Program service expenses 10,069. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,069. Bad Debts- G& A: Program service expenses 9,257. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,257. Dues & Subscriptions: Program service expenses 7,206. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,206. Education: Program service expenses 6,508. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,508. Newspaper Ads: Program service expenses 3,576. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,576. Linen & Laundry: Program service expenses 3,574. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,574. Postage: Program service expenses 3,423. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,423. Licenses: Program service expenses 2,718. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,718. Seeds: Program service expenses 2,457. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,457. Bonus Expenses: Program service expenses 2,111. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,111. Uniforms: Program service expenses 1,762. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,762. Special Board Approved PR: Program service expenses 1,617. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,617. Amortization of Loan Fees: Program service expenses 1,483. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,483. Grounds Improvement: Program service expenses 1,428. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,428. Printing: Program service expenses 374. Management and general expenses 0. Fundraising expenses 0. Total expenses 374. Handicaps: Program service expenses -1,615. Management and general expenses 0. Fundraising expenses 0. Total expenses -1,615.
Form 990, Part XI, line 9:	Increase in Capital Stock 4,800. Net Increase in Equity Bonds 760,370. ROUNDING 11.

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: CLUB IS ORGANIZED FOR THE SOCIAL, RECREATION AND OTHER NON-PROFITABLE PURPOSES OF THE MEMBERS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	105
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	317,399
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	1,877,995	1,684,738
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,386	-3,092
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	906,459	774,049
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,787,840	2,455,695
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)	1,466,010	1,466,964
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)....	1,351,685	1,375,543
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,817,695	2,842,507
19	Revenue less expenses. Subtract line 18 from line 12.......	-29,855	-386,812
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,295,437	5,524,445
21	Total liabilities (Part X, line 26).............	4,357,405	4,208,045
22	Net assets or fund balances. Subtract line 21 from line 20.....	938,032	1,316,400

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	Restaurant, Bar & Clubhouse

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

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	Swimming, Tennis & Other Activities

	(Code: ) (Expenses $ 2,570,677 including grants of $ ) (Revenue $ )
	PROVIDE GOLF, TENNIS, SWIMMING, AND ENTERTAINMENT FOR THE ORGANIZATION'S MEMBERS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 2,570,677 including grants of $ ) (Revenue $ )
4e	Total program service expenses2,570,677

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	197,788	0	1,270

(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	Membership Dues	900099	1,180,584	1,180,584
b	Golf Cart Rental	900099	198,062	157,440	40,622
c	Green Fees	900099	109,584	35,162	74,422
d	Tournament Fees	900099	69,583	69,583
e	Capital Fund	900099	53,134	53,134
f	All other program service revenue.			73,791	67,521	6,270
g Total.Add lines 2a–2f.....			1,684,738

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			411		411
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		4,800
b	Less: rental expenses		2,442
c	Rental income or (loss)		2,358
d	Net rental income or (loss)......			2,358		2,358
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses	3,503
c	Gain or (loss)	-3,503
d	Net gain or (loss).....			-3,503	-3,503
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		1,199,840
b	Less: cost of goods sold ..b		428,149
c	Net income or (loss) from sales of inventory..			771,691	578,375	193,316
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			2,455,695	2,138,296	317,399	0

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 ....	193,639	193,639
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	1,080,272	1,080,272
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,738	1,738
9	Other employee benefits .......	77,872	77,872
10	Payroll taxes ...........	113,443	113,443
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,809	1,809
c	Accounting ...........	18,200	18,200
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)	770	770
12	Advertising and promotion ....	22,314	22,314
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	192,404	192,404
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	153,869	153,869
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	271,830
23	Insurance ...
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	Repairs & Maintenance	165,417	165,417
b	Supplies	89,288	89,288
c	Real Estate Taxes	76,647	76,647
d	Tournament Costs	70,202	70,202
e	All other expenses	312,793	312,793
25	Total functional expenses. Add lines 1 through 24e	2,842,507	2,570,677	0	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 ........			30,718	1	107,108
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			406,532	4	560,538
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	0
8	Inventories for sale or use ........			129,043	8	136,166
9	Prepaid expenses and deferred charges ......			72,830	9	81,106
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	9,918,972
b	Less: accumulated depreciation	10b	5,279,445	4,655,314	10c	4,639,527
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 ...........			1,000	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...			5,295,437	16	5,524,445

17	Accounts payable and accrued expenses .....	357,503	17	322,296
18	Grants payable ...		18
19	Deferred revenue .........	100,945	19	79,424
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 ..	3,508,957	23	3,556,325
24	Unsecured notes and loans payable to unrelated third parties ..	390,000	24	250,000
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		25
26	Total liabilities. Add lines 17 through 25..	4,357,405	26	4,208,045

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	938,032	27	1,187,332
28	Temporarily restricted net assets ...........		28	129,068
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 .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	938,032	33	1,316,400
34	Total liabilities and net assets/fund balances ........	5,295,437	34	5,524,445

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 ...	519,520		519,520
b	Buildings	6,726,386	3,210,269	3,516,117
c	Leasehold improvements
d	Equipment ...
e	Other ...	2,673,066	2,069,176	603,890
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				4,639,527

(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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
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