TY 2015 Form 990EZ

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)

Do not enter social security numbers on this form as it may be made public.

Information about Form 990-EZ and its instructions is at www.irs.gov/form990.

OMB No. 1545-1150

2015

Open to Public
Inspection

Check if applicable:

Address change

Name change

Initial return

Final return/terminated

Amended return

Application pending

C Name of organization
Kiwanis Club of Jefferson
co Robert A Schwarzkopf

Number and street (or P. O. box, if mail is not delivered to street address)115 E Lincoln Way
Room/suite

City or town, state or province, country, and ZIP or foreign postal code Jefferson, IA50129

D Employer identification number

42-6120837

E Telephone number

(515) 386-3158

F Group Exemption
Number bullet

0026

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? Provide volunteer service and grants to aid governmental, charitable and educational organizations and programs, with emphasis on youth
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 Provide scholarships to students graduating from Greene County High School for first year of college (Grants $ 2,500) If this amount includes foreign grants, check here ...			28a	2,500
29 Provide grant to ISU Extension Office to operate child mentoring program (Grants $ 500) If this amount includes foreign grants, check here ...			29a	500
30 Provide grant to Greene County Christian Action Resource Center (ARC) to provide clothing and food to needy families (Grants $ 1,533) If this amount includes foreign grants, check here ...			30a	1,533
Provide grant to Bell Tower Community Foundation to fund admissions to public tourist attraction for children. (Grants $ 2,000) If this amount includes foreign grants, check here ...		2,000
Provide grant to Youth and Shelter Services to conduct youth education program called Teen Maze (Grants $ 750) If this amount includes foreign grants, check here ...		750
Grant to American Cancer Society to promote and contribute to Relay For Life event (Grants $ 1,250) If this amount includes foreign grants, check here ...		1,250
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	8,533

(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-)
Sherry Palmer President	5.00	0
Robert A Schwarzkopf Treasurer	5.00	0
Marla Siruta Secretary	5.00	0

Yes

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 .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

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
NONE

Total number of other employees paid over $100,000 ... bullet

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
NONE

Return Reference	Explanation
Grants and Similar Amounts Paid In Excess of $5,000.1	Class of Activity: Charitable \| Donee's Name: Misc grants \| Donee's Address: Various Jefferson IA 50129 \| Cash Amount Given: $18336
Grants and Similar Amounts Paid In Excess of $5,000.2	\| Donee's Name: Kiwanis International \| Donee's Address: 3636 Woodrow Trace Indianapolis IN 46268 \| Relationship of Donee: National organization \| Cash Amount Given: $5056
Other Expenses.1	Meals for weekly meetings $12525
Other Expenses.2	Web site $491
Other Expenses.3	Civic organization dues $375
Other Expenses.4	Board meetings $198
Other Expenses.5	Interclubs $171
Other Expenses.6	Aktion other admin exp $165
Other Expenses.7	Officers' installation $116
Other Expenses.8	District conference meetings $114
Other Expenses.9	Misc & office exp $114
Other Expenses.10	Aktion meal & meeting exp $25
Other Expenses.11	Aktion bank charges $17
Other Expenses.15	Rounding $-1

Return Reference

Explanation

Grants and Similar Amounts Paid In Excess of $5,000.1

Class of Activity: Charitable | Donee's Name: Misc grants | Donee's Address: Various Jefferson IA 50129 | Cash Amount Given: $18336

Grants and Similar Amounts Paid In Excess of $5,000.2

| Donee's Name: Kiwanis International | Donee's Address: 3636 Woodrow Trace Indianapolis IN 46268 | Relationship of Donee: National organization | Cash Amount Given: $5056

Other Expenses.1

Meals for weekly meetings $12525

Other Expenses.2

Web site $491

Other Expenses.3

Civic organization dues $375

Other Expenses.4

Board meetings $198

Other Expenses.5

Interclubs $171

Other Expenses.6

Aktion other admin exp $165

Other Expenses.7

Officers' installation $116

Other Expenses.8

District conference meetings $114

Other Expenses.9

Misc & office exp $114

Other Expenses.10

Aktion meal & meeting exp $25

Other Expenses.11

Aktion bank charges $17

Other Expenses.15

Rounding $-1

1	Contributions, gifts, grants, and similar amounts received ....................	1	1,968
2	Program service revenue including government fees and contracts ...............	2
3	Membership dues and assessments ...........................	3	21,665
4	Investment income ...........................	4	17
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	5,120
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	26,358
c	Less: direct expenses from gaming and fundraising events ...	6c	12,826
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d	18,652
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	42,302

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	4,600
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	27,251
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 .......	21	31,851

Sign Here

	Signature of officer	Date

	Type or print name and title

Software ID:	15000324
Software Version:	2015v3.0

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

10	Grants and similar amounts paid (list in Schedule O) ............	10	23,392
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
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ..............	15
16	Other expenses (describe in Schedule O) ..............	16	14,310
17	Total expenses. Add lines 10 through 16 ..............	17	37,702

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










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