-
TIN:
Form
990EZ
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.
Go to
www.irs.gov/Form990EZ
for instructions and the latest information.
OMB No. 1545-0047
20
24
Open to Public
Inspection
A
For the 2024 calendar year, or tax year beginning
07-01-2024
, and ending
06-30-2025
B
Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C
Name of organization
ABATE OF NEBRASKA INC
Number and street (or P. O. box, if mail is not delivered to street address)
PO BOX 22764
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LINCOLN
,
NE
685422764
D Employer identification number
47-0607980
E
Telephone number
(402) 366-1789
F
Group Exemption
Number
G
Accounting Method:
Cash
Accrual
Other (specify)
H
Check
required to attach Schedule B
(Form 990, 990-EZ, or 990-PF).
I Website:
J Tax-exempt status
(check only one) -
501(c)(3)
501(c)
(
4
)
(insert no.)
4947(a)(1)
or
527
K
Form of organization:
Corporation
Trust
Association
Other
Incorporated
L
Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ
...........................
$
54,107
Part
Ⅰ
Revenue, Expenses, and Changes in Net Assets or Fund Balances
(see the instructions for Part I)
Check if the organization used Schedule O to respond to any question in this Part I
.....................
1
Contributions, gifts, grants, and similar amounts received
....................
1
9,353
2
Program service revenue including government fees and contracts
................
2
0
3
Membership dues and assessments
.............................
3
22,852
4
Investment income
....................................
4
0
5a
Gross amount from sale of assets other than inventory
.......
5a
0
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
0
6
Gaming and fundraising events
a
Gross income from gaming (attach Schedule G if greater than $15,000)
List of Attached Documents:
// Content
6a
4,350
b
Gross income from fundraising events (not including $
9,353
of contributions from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000)
List of Attached Documents:
// Content
..
6b
13,727
c
Less: direct expenses from gaming and fundraising events
...
6c
0
d
Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)
6d
18,077
7a
Gross sales of inventory, less returns and allowances
......
7a
3,825
b
Less: cost of goods sold
.............
7b
2,850
c
Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a)
.........
7c
975
8
Other revenue (describe in Schedule O)
....................
8
0
9
Total revenue.
Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8
..............
9
51,257
10
Grants and similar amounts paid (list in Schedule O)
................
10
0
11
Benefits paid to or for members
......................
.
11
0
12
Salaries, other compensation, and employee benefits
................
12
20,955
13
Professional fees and other payments to independent contractors
............
13
8,300
14
Occupancy, rent, utilities, and maintenance
...................
14
24,153
15
Printing, publications, postage, and shipping
...................
15
1,249
16
Other expenses (describe in Schedule O)
...................
16
17
Total expenses.
Add lines 10 through 16
.................
17
54,657
18
Excess or (deficit) for the year (Subtract line 17 from line 9)
............
18
-3,400
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
199,824
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
196,424
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I
Form
990-EZ
(2024)
Form 990-EZ (2024)
Page
2
Part
Ⅱ
Balance Sheets
(see the instructions for Part II)
Check if the organization used Schedule O to respond to any question in this Part II
.................
(A)
Beginning of year
(B)
End of year
22
Cash, savings, and investments
................
196,835
22
196,424
23
Land and buildings
....................
0
23
24
Other assets (describe in Schedule O)
..........
2,989
24
25
Total assets
......................
199,824
25
196,424
26
Total liabilities
(describe in Schedule O)
.............
0
26
27
Net assets or fund balances
(line 27 of column (B)
must
agree with line 21)
199,824
27
196,424
Part
Ⅲ
Statement 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?
A Brotherhood Against Totalitarian Enactments or American Bikers Aiming Toward Education ~ ABATE of NE is the only cohesive state organization representing YOU as a motorcycle rider. We are riders from all walks of life throughout the state and membership is open to anyone who is interested in furthering the cause of fair treatment for motorcycle riders. Through an active and involved membership, we can impact the manner in which legislation is made or deterred as it affects motorcycle riders in Nebraska.
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
repealed a helmet law. The right to choose whether or not to wear helmet
(Grants $
0
)
If this amount includes foreign grants, check here
...
28a
8,300
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
8,300
Part
Ⅳ
List of Officers, Directors, Trustees, and Key Employees
(list each one even if not compensated ; see the instructions for Part IV)
Check if the organization used Schedule O to respond to any question in this Part IV
............
(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
Julia Wombacher
State Treasurer
15.00
4,400
0
0
Todd C MIller
State Coordinator/Web Master RTR Editor
15.00
8,923
0
0
Sheri Miller
State Office Manager/Membership Officer
15.00
6,523
0
0
Brad Nelson
District 2 Coordinator
10.00
0
0
0
John Wombacher
District 4 Coordinator
10.00
0
0
0
Roger Ites
District 6 Coordinator
10.00
0
0
0
DJ Martinez
District 3/8 Coordinator
5.00
0
0
0
David Stuebenagel
District 7 Coordinator
10.00
0
0
0
David Duensing
District 11 Coordinator
10.00
0
0
0
Brad Dinnel
District 12 Coordinator
10.00
0
0
0
Steven Benzel
District 13 Coordinator
5.00
0
0
0
Donald Gerdez
District 14 Coordinator
5.00
0
0
0
Caleb Biermann
District 15 Coordinator
10.00
0
0
0
Margerett Cool
State Recording Secretary
5.00
0
0
0
Randy Gear
State Legislature officer
5.00
0
0
0
Form
990-EZ
(2024)
Form 990-EZ (2024)
Page
3
Part
Ⅴ
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V
.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
detailed description of each activity in Schedule O
...................
33
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy
of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the change
on Schedule O. See instructions.
..........................
34
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)?
............
35a
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide
an explanation in Schedule O
35b
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e)
notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during
the year? If “Yes," complete applicable parts of Schedule N
................
36
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions.
37a
0
b
Did the organization file
Form 1120-POL
for this year?
...................
37b
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee
or
were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
..
38a
No
b
If “Yes," complete Schedule L, Part II and enter the total amount involved
.
38b
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9
.......
39a
b
Gross receipts, included on line 9, for public use of club facilities
.....
39b
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911
; section 4912
; section 4955
b
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958
excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that
has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I
40b
No
c
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed on organization
managers or disqualified persons during the year under sections
4912, 4955, and 4958
0
d
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimbursed
by the organization
0
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If "Yes," complete Form 8886-T
................
40e
No
41
List the states with which a copy of this return is filed.
NE
42a
The organization's books are in care of
JULIA l wombacher
Telephone no.
(402) 366-1789
Located at
615 west pine street
SHELBY NE
,
NE
ZIP + 4
68662
Yes
No
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
.
.
42b
No
If “Yes," enter the name of the foreign country:
See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
.
.
.
42c
No
If “Yes," enter the name of the foreign country:
43
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of
Form 1041 -
Check here
......
and enter the amount of tax-exempt interest received or accrued during the tax year
....
43
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead
of Form 990-EZ
.............................
44a
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completed
instead of Form 990-EZ
.............................
44b
No
c
Did the organization receive any payments for indoor tanning services during the year?
.........
44c
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments?
If "No," provide an
explanation in Schedule O
............................
44d
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
.........
45a
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of
Form 990-EZ (see instructions)
......................
45b
No
Form
990-EZ
(2024)
Form 990-EZ (2024)
Page
4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If “Yes," complete Schedule C, Part I.
...........
46
No
Part
Ⅵ
Section 501(c)(3) Organizations Only
All section 501(c)(3) organizations must answer questions 47- 49b and 52, and complete the tables for lines 50 and 51.
Check if the organization used Schedule O to respond to any question in this Part VI
..................
Yes
No
47
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
.......................
47
48
Is the organization a school as described in section 170(b)(1)(A)(ii)?
If "Yes," complete Schedule E
..
48
49a
Did the organization make any transfers to an exempt non-charitable related organization?
......
49a
b
If "Yes," was the related organization a section 527 organization?
................
49b
50
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
f
Total number of other employees paid over $100,000
.............
0
51
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
d
Total number of other independent contractors each receiving over $100,000
..........
0
52
Did the organization complete Schedule A?
NOTE.
All section 501(c)(3) organizations must attach a
completed Schedule A
........................................
Yes
No
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Signature of officer
Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
Check
if
self-employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
May the IRS discuss this return with the preparer shown above? See instructions
.........
Yes
No
Form
990-EZ
(2024)
Additional Data
Software ID:
Software Version:
Form 990-EZ, Special Condition Description:
Special Condition Description
-
TIN:
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Attach to Form 990, 990-EZ, or 990-PF.
Go to
www.irs.gov/Form990
for the latest information.
OMB No. 1545-0047
Name of the organization
ABATE OF NEBRASKA INC
Employer identification number
47-0607980
Organization type
(check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)(
) (enter number) organization
4947(a)(1) nonexempt charitable trust
not
treated as a private foundation
527 political organization
Form 990-PF
501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation
Check if your organization is covered by the
General Rule
or a
Special Rule.
Note:
Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33
1
/3
% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of
(1)
$5,000 or
(2)
2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000
exclusively
for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions
exclusively
for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an
exclusively
religious, charitable, etc., purpose. Don't complete any of the parts unless the
General Rule
applies to this organization because it received
nonexclusively
religious, charitable, etc., contributions totaling $5,000 or more during the year
.........
$
Caution:
An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it
must
answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613X
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page
2
Name of organization
ABATE OF NEBRASKA INC
Employer identification number
47-0607980
Part I
Contributors
(see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
,
$
RESTRICTED
Person
Payroll
Noncash
(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
$
Person
Payroll
Noncash
(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page
3
Name of organization
ABATE OF NEBRASKA INC
Employer identification number
47-0607980
Part II
Noncash Property
(see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
$
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
$
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
$
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
$
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
$
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
$
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page
4
Name of organization
ABATE OF NEBRASKA INC
Employer identification number
47-0607980
Part III
Exclusively
religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor.
Complete columns
(a)
through
(e) and
the following line entry. For organizations completing Part III, enter the total of
exclusively
religious, charitable, etc., contributions of
$1,000 or less
for the year. (Enter this information once. See instructions.)
$
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP 4
Relationship of transferor to transferee
(a)
No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP 4
Relationship of transferor to transferee
(a)
No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP 4
Relationship of transferor to transferee
(a)
No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift is held
(e) Transfer of gift
Transferee's name, address, and ZIP 4
Relationship of transferor to transferee
Schedule B (Form 990) (Rev. 1-2025)
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE G
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the
organization entered more than $15,000 on Form 990-EZ, line 6a.
Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
ABATE OF NEBRASKA INC
Employer identification number
47-0607980
Part I
Fundraising Activities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
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
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
Yes
No
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i)
Name and address of individual
or entity (fundraiser)
(ii)
Activity
(iii)
Did fundraiser have custody or control of contributions?
(iv)
Gross receipts
from activity
(v)
Amount paid to
(or retained by)
fundraiser listed in
col.
(i)
(vi)
Amount paid to
(or retained by)
organization
Yes
No
Total
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page
2
Part II
Fundraising Events.
Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a)
Event #1
District 2 Bike Show
(event type)
(b)
Event #2
(event type)
(c)
Other events
(total number)
(d)
Total events
(add col.
(a)
through col.
(c)
)
1
Gross receipts
.
.
.
.
.
90,377
90,377
2
Less: Contributions
.
.
.
.
0
0
3
Gross income (line 1 minus
line 2)
.
.
.
.
.
.
90,377
0
0
90,377
4
Cash prizes
.
.
.
.
.
5,860
5,860
5
Noncash prizes
.
.
.
.
200
200
6
Rent/facility costs
.
.
.
.
22,901
22,901
7
Food and beverages
.
.
.
0
0
8
Entertainment
.
.
.
.
5
5
9
Other direct expenses
.
.
.
6,540
6,540
10
Direct expense summary. Add lines 4 through 9 in column (d)
.
.
.
.
.
.
.
.
.
.
35,506
11
Net income summary. Subtract line 10 from line 3, column (d)
.
.
.
.
.
.
.
.
.
.
54,871
Part III
Gaming.
Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
(a)
Bingo
(b)
Pull tabs/Instant
bingo/progressive bingo
(c)
Other gaming
(d)
Total gaming (add col.
(a)
through col.
(c)
)
1
Gross revenue
.
.
.
.
.
2
Cash prizes
.
.
.
.
.
3
Noncash prizes
.
.
.
.
4
Rent/facility costs
.
.
.
.
5
Other direct expenses
.
.
.
6
Volunteer labor
.
.
.
.
Yes
%
No
Yes
%
No
Yes
%
No
7
Direct expense summary. Add lines 2 through 5 in column (d)
.
.
.
.
.
.
.
.
.
.
8
Net gaming income summary. Subtract line 7 from line 1, column (d)
.
.
.
.
.
.
.
.
.
9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states?
.
.
.
.
.
.
.
.
Yes
No
b
If "No," explain:
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?
.
.
.
Yes
No
b
If "Yes," explain:
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page
3
11
Does the organization conduct gaming activities with nonmembers?
.
.
.
.
.
.
.
.
.
.
.
Yes
No
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming?
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Yes
No
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
13a
%
b
An outside facility
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name
Address
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue?
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Yes
No
b
If "Yes," enter the amount of gaming revenue received by the organization
$
and the
amount of gaming revenue retained by the third party
$
.
c
If "Yes," enter name and address of the third party:
Name
Address
16
Gaming manager information:
Name
Gaming manager compensation
$
Description of services provided
Director/officer
Employee
Independent contractor
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license?
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Yes
No
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year
$
Part IV
Supplemental Information.
Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference
Explanation
Schedule G (Form 990) (Rev. 1-2025)
Additional Data
Software ID:
Software Version: