TY 2018 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) THOMAS ARCURI...................................................................... DIRECTOR	2.00 .................	X
(3) JAMES FURNEY...................................................................... DIRECTOR	2.00 .................	X
(4) KELLEY GREEN...................................................................... DIRECTOR	2.00 .................	X
(5) JOSEPH S GRIESBECK...................................................................... DIRECTOR	2.00 .................	X
(6) JUSTIN GUALTIERI...................................................................... DIRECTOR	2.00 .................	X
(7) MARK HINMAN...................................................................... DIRECTOR	2.00 .................	X
(8) CHARLES MESSENGER...................................................................... DIRECTOR	2.00 .................	X
(9) MATTHEW MOGEL...................................................................... DIRECTOR	2.00 .................	X
(10) MICHAEL A POLCE...................................................................... DIRECTOR	2.00 .................	X
(11) GIBRAN A TALLIM...................................................................... DIRECTOR	2.00 .................	X
(12) LOUIS J VIVIANI...................................................................... DIRECTOR	2.00 .................	X
(13) DOUGLAS J TARDUGNO...................................................................... IMMEDIATE PAST PRESIDENT	2.00 .................	X
(14) MARK D VACCA...................................................................... PRESIDENT	10.00 .................		X
(15) DOUGLAS W BARTELL...................................................................... FIRST VICE PRESIDENT	10.00 .................		X
(16) JON DAVIDSON...................................................................... SECOND VICE PRESIDENT	10.00 .................		X
(17) KATHLEEN L SALCE...................................................................... 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) THOMAS ARCURI......................................................................
DIRECTOR

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

(3) JAMES FURNEY......................................................................
DIRECTOR

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

(4) KELLEY GREEN......................................................................
DIRECTOR

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

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

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

(6) JUSTIN GUALTIERI......................................................................
DIRECTOR

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

(7) MARK HINMAN......................................................................
DIRECTOR

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

(8) CHARLES MESSENGER......................................................................
DIRECTOR

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

(9) MATTHEW MOGEL......................................................................
DIRECTOR

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

(10) MICHAEL A POLCE......................................................................
DIRECTOR

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

(11) GIBRAN A TALLIM......................................................................
DIRECTOR

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

(12) LOUIS J VIVIANI......................................................................
DIRECTOR

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

(13) DOUGLAS J TARDUGNO......................................................................
IMMEDIATE PAST PRESIDENT

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

(14) MARK D VACCA......................................................................
PRESIDENT

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

(15) DOUGLAS W BARTELL......................................................................
FIRST VICE PRESIDENT

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

(16) JON DAVIDSON......................................................................
SECOND VICE PRESIDENT

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

(17) KATHLEEN L SALCE......................................................................
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) PAUL D'AIUTO........................................................................
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) Donor advised funds	(b) Funds and other accounts
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 ........


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 7/25/06, 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 11B	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	REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 79,592. MANAGEMENT AND GENERAL EXPENSES 3,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,556. UTILITIES: PROGRAM SERVICE EXPENSES 63,807. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,807. FERTILIZER AND CHEMICALS: PROGRAM SERVICE EXPENSES 59,569. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,569. GOLF EVENTS: PROGRAM SERVICE EXPENSES 49,299. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,299. MISCELLANEOUS EXPENSES: PROGRAM SERVICE EXPENSES 163. MANAGEMENT AND GENERAL EXPENSES 38,383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,546. SWIMMING PROGRAM: PROGRAM SERVICE EXPENSES 32,342. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,342. OUTSIDE CART RENTAL: PROGRAM SERVICE EXPENSES 25,738. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,738. GAS AND OIL: PROGRAM SERVICE EXPENSES 15,593. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,593. GRASS SEED: PROGRAM SERVICE EXPENSES 10,716. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,716. SPECIAL EVENTS: PROGRAM SERVICE EXPENSES 7,881. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,881. CREDIT CARD FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,580. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,580. EQUIPMENT AND CART BARNS: PROGRAM SERVICE EXPENSES 7,166. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,166. SAND AND TOPSOIL: PROGRAM SERVICE EXPENSES 5,814. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,814. GOLF HANDICAPPED PROGRAM: PROGRAM SERVICE EXPENSES 5,276. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,276. TRAINING: PROGRAM SERVICE EXPENSES 4,237. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,237. WATERFRONT MAINTENANCE: PROGRAM SERVICE EXPENSES 3,983. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,983. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,804. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,804. DUES AND LICENSES: PROGRAM SERVICE EXPENSES 3,603. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,603. DUES AND LICENSES: PROGRAM SERVICE EXPENSES 186. MANAGEMENT AND GENERAL EXPENSES 1,098. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,284. TENNIS PROGRAM: PROGRAM SERVICE EXPENSES 972. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 972. SOCIAL EVENTS: PROGRAM SERVICE EXPENSES 510. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 510.
FORM 990, PART XI, LINE 9:	INTERFUND TRANSFERS 2,295.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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 2018 (Part V, line 2a) ......	5	78
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	-3,552

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	1,075,529	1,108,596
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	488	410
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	86,205	556,205
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,162,222	1,665,211
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)	388,470	676,131
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)....	646,800	1,111,427
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,035,270	1,787,558
19	Revenue less expenses. Subtract line 18 from line 12.......	126,952	-122,347
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,023,799	2,240,056
21	Total liabilities (Part X, line 26).............	489,473	825,782
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,534,326	1,414,274

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,545,644 including grants of $ ) (Revenue $ 1,664,801 )
	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 expenses1,545,644

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	897,737	897,737
b	CART INCOME	713910	75,499	75,499
c	SPORTS ACTIVITIES	713910	74,060	74,060
d	SPECIAL ASSESSMENTS	713910	33,980	33,980
e	INITIATION FEES	713910	24,130	24,130
f	All other program service revenue.		3,190	3,190
g	Total. Add lines 2a–2f ....		1,108,596

3 Investment income (including dividends, interest, and othersimilar amounts) ......			410			410
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		713910	546,481	546,481
b	MISCELLANEOUS INCOME		713910	9,724	9,724
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			556,205
12	Total revenue. See Instructions......			1,665,211	1,664,801	0	410

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 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	588,637	559,971	28,666
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	2,594		2,594
10	Payroll taxes ...........	84,900	81,796	3,104
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)	31,471	31,471
12	Advertising and promotion ....
13	Office expenses .......	9,770		9,770
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 ...........	17,124	17,124
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	101,264	101,264
23	Insurance ...	44,085		44,085
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	UBIT TAXES	1,002		1,002
b	FOOD AND BEVERAGE PURCH	276,257	276,257
c	SUPPLIES	101,314	101,314
d	PROPERTY TAXES	97,864		97,864
e	All other expenses	431,276	376,447	54,829
25	Total functional expenses. Add lines 1 through 24e	1,787,558	1,545,644	241,914	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 ........			60,671	1	382,722
2	Savings and temporary cash investments .........			363,295	2	257,232
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			36,307	4	71,674
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	11,204
9	Prepaid expenses and deferred charges ......				9	254
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,090,343
b	Less: accumulated depreciation	10b	1,573,373	1,563,526	10c	1,516,970
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)...			2,023,799	16	2,240,056

17	Accounts payable and accrued expenses .....	42,188	17	35,611
18	Grants payable ...		18
19	Deferred revenue .........	8,531	19	461,912
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 ..	438,754	23	328,259
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		25
26	Total liabilities. Add lines 17 through 25..	489,473	26	825,782

	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 .....	1,207,220	30	1,130,681
31	Paid-in or capital surplus, or land, building or equipment fund ...	327,106	31	283,593
32	Retained earnings, endowment, accumulated income, or other funds	0	32	0
33	Total net assets or fund balances ...........	1,534,326	33	1,414,274
34	Total liabilities and net assets/fund balances ........	2,023,799	34	2,240,056

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 ....	2,018,840	822,127	1,196,713
c	Leasehold improvements
d	Equipment ....	1,071,503	751,246	320,257
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,516,970

(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