HomeMy Public PortalAboutIRS Information.tifReturn of Organization Exempt From Income Tax
OMB No 1545-0047
Form 990
Department of the Treasury
Internal Revenue Service
Under section 501(c) of the Internal Revenue Code (except black lung benefit trust or
private foundation), section 527, or section 4947(a)(1) nonexempt charitable trust
► The organization may have to use a copy of this return to satisfy state reporting requirements
A For the 2000 calendar year, OR tax year period beginning JUN 1, 2000 and ending MAY 31 , 2001
B
Check if
applicable
Change of
address
Change of
name
Initial
return
Final
return
Amended
return
(use also for
state reporting)
Please
use IRS
label
printorKEY BISCAYNE ATHLETIC CLUB, INC.
sp Number and street (or P 0 box if mail is not delivered to street address)
specficP.O. BOX 490306
Instruc-
tions
C Name of organization
City or town, state or country, and ZIP
KEY BISCAYNE, FL 33149
G Organization type (check only one) ►
X
501(c) ( 3 )1 (insert no) 527
OR I 4947(a)(1)
• Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts
must attach a completed Schedule A (Form 990 or 900-EZ).
J Accounting
method
XI
Cash
Accrual
Other (specify) ►
K Check here ► if the organization's gross receipts are normally not more than $25,000 The
organization d t file t with the IRS, but if the
in the mail
Part i
2000
Open to Public
hts)tecfion
D Employer identification number
23-7118840
Room/suite E Telephone number
(305)361-1883
F Check ►
if application pending
(H and I are not applicable to section 527 orgs )
H(a) Is this a group return for affiliates?
H(b) If "Yes," enter number of affiliates P.
H(c) Are all affiliates included? N/A
(If "No," attach a list )
H(d) Is this a separate return filed by an
organization covered by a group ruling?
I Enter 4 -digit group exemption no (GEN) low
Yes
X
No
Yes No
Yes
X
No
nee no i e a return u organization received a Form 990 Package L Check this box if the organization is not required to
it should file a return without financial data Some states require a complete return. attach Schedule B (Form 990 or 990-EZ) 110 -
Revenue, Expenses, and Changes in Net Assets or Fund Balances
X
Revenue
1 Contributions, gifts, grants, and similar amounts received
a Direct public support
b Indirect public support
c Government contributions (grants)
d Total (add lines la through 1c)
(cash $ 12,587. noncash $ )
la
12,587.
1d
12,587.
1b
1 c
93)
�
6a
�
2 Program service revenue including government fees and
3 Membership dues and assessments
4 Interest on savings and temporary cash investrIAxpAyERis
5 Dividends and interest from securities
6 a Gross rents
b Less rental expenses
c Net rental income or (loss) (subtract line 6b from line 6a)
7 Other investment income (describe ►
8 a Gross amount from sale of assets other
than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) (attach schedule)
d Net gain or (loss) (combine line 8c, columns (A) and (B))
9 Special events and activities (attach schedule)
a Gross revenue (not including $
contracts (from Part VII, line
2
100,162.
3
4
4,594.
5
6c
61t
)
7
(A) Securities
B Other
8d
8a
8b
8c
of contributions
9a
9c
reported on line la)
b Less direct expenses other than fundraising expenses
c Net income or (loss) from special events (subtract line 9b from line 9a)
10 a Gross sales of inventory, less returns and allowances
b Less cost of goods sold
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from
11 Other revenue (from Part VII, line 103)
12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11)
9b
10a
10c
10h
line 10a)
11
12
117,343.
aExpenses
13 Program services (from line 44, column (B))
14 Management and general (from line 44, column (C))
15 Fundraising (from line 44, column (D))
16 Payments to affiliates (attach schedule)
17 Total expenses (add lines 16 and 44, column (A))
13
130,328.
14
9,910.
15
16
17
140,238.
Net
Assets
18 Excess or (deficit) for the year (subtract line 17 from line 12)
19 Net assets or fund balances at beginning of year (from line 73, column (A))
20 Other changes in net assets or fund balances (attach explanation)
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20)
-
18
—22 , 895 .
19
138,033.
PO
0 ,
21
115,138.
VC3VV1
12-1s-oo LHA For Paperwork Reduction Act Notice, see page 1 of the separateanstructions.
Form 990 (2000)
Page 2
Form 990 (2000) KEY BISCAYNE ATHLETIC CLUB, INC. 23-7118840
Par 11 Statement of All organizations must complete column (A) Columns (B), (C), and (D) are required for section 501(c)(3) and
Functional Expenses (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others
Do not Include amounts reported on line
6b, 8b, 9b, lob, or 16 of Part I.
(A) Total
(B) Program
services
(C) Management
and general
(D) Fundraising
22 Grants and allocations (attach schedule)
cash $ noncash $
22
23 Specific assistance to individuals (attach schedule)
24 Benefits paid to or for members (attach schedule)
25 Compensation of officers, directors, etc
26 Other salaries and wages
27 Pension plan contributions
28 Other employee benefits
29 Payroll taxes
30 Professional fundraising fees
31 Accounting fees
32 Legal fees
33 Supplies
34 Telephone
35 Postage and shipping
36 Occupancy
37 Equipment rental and maintenance
38 Printing and publications
39 Travel
40 Conferences, conventions, and meetings
41 Interest
42 Depreciation, depletion, etc (attach schedule)
43 Other expenses (itemize)
a
23
24
25
0 .
0 .
0 .
0 .
26
27
28
29
30
31
950.
950.
32
33
229.
168.
61.
34
1, 212.
1,212.
35
506.
506.
36
37
38
2,430.
804.
1,626.
39
3,252.
3,252.
40
41
42
4,039.
2,201.
1,838.
43a
b
43b
c
43c
��
d
43d
T A
e SEE STATEMENT 1
43e
1PYil ()P1,
465.
44 Total functional expenses (add lines 22 through 43)
Organizations completing columns (B) (D) carry these
totals to lines 13-15
44
140,238.
130,328.
9,910.
0 .
Reporting of Joint Costs. Did you report in column (B) (Program services) any joint costs from a combined educational campaign and
fundraising solicitation"
If "Yes," enter (i) the aggregate amount of these joint costs $
(iii) the amount allocated to Management and general $
Part 111
, (ii) the amount allocated to Program services $
, and (iv) the amount allocated to Fundraising $
Statement of Program Service Accomplishments
Yes XI No
What is the organization's primary exempt purpose"
Program Service
xoenses
(Required for 501(c)(3) and
(4) orgs , and 4947(a)(1)
trusts, but optional for others )
YOUTH SPORTS PROGRAMS
All organizations must descnbe their exempt purpose achievements in a clear and concise manner State the number of clients served, publications issued, etc Discuss
achievements that are not measurable(Section 501 c 3 and 4 organizations and 4947 a 1 nonexempt charitable trusts must also enter the amount ofgrants and
()O O 9 OO P
allocations to others )
a AMATEUR ATHLETIC PROGRAMS FOR CHILDREN WITH PARENTAL COACHING
130,328.
AND PARTICIPATION. PROGRAMS INCLUDE BASEBALL, FOOTBALL,
BASKETBALL, SOCCER, TENNIS AND SOFTBALL. 902 CHILDREN
PARTICIPATED IN THE PROGRAMS. (Grants and allocations $ )
b
(Grants and allocations $ )
c
(Grants and allocations $ )
d
(Grants and allocations $ )
e Other program services (attach schedule) (Grants and allocations $ )
f Total of Program Service Expenses (should equal line 44, column (B), Program services)
023011
12-19-00 2
130,328.
Form 990 (2000)
Form 990 (2000)
Part IV
KEY BISCAYNE ATHLETIC CLUB, INC.
Balance Sheets
23-7118840 Page3
Note: Where required, attached schedules and amounts within the descnption column
should be for end -of -year amounts only
(A)
Beginning of year
(B)
End of year
Assets
45 Cash - non -interest -bearing
46 Savings and temporary cash investments
47 a Accounts receivable
b Less allowance for doubtful accounts
48 a Pledges receivable
b Less allowance for doubtful accounts
49 Grants receivable
50 Receivables from officers, directors, trustees,
and key employees
51 a Other notes and loans receivable
b Less allowance for doubtful accounts
52 Inventories for sale or use
53 Prepaid expenses and deferred charges
54 Investments - securities
55 a Investments - land, buildings, and
equipment basis
b Less accumulated depreciation
56 Investments - other
57 a Land, buildings, and equipment basis
b Less accumulated depreciation STMT
58 Other assets (describe ►
47a
47,106 .
45
26 , 950.
75,000 .
46
75 000.
47c
47b
48a
48c
48b
51a
49
50
51c
51b
55a
52
53
► [____I Cost
FMV
54
55c
55b
1
56
15,927.
57c
13,188.
58
59 Total assets (add lines 45 through 58) (must equal line 74)
13 8 , 033.
5g
115 , 138.
Liabilities
60 Accounts payable and accrued expenses
61 Grants payable
62 Deferred revenue
63 Loans from officers, directors, trustees, and key employees
64 a Tax-exempt bond liabilities
b Mortgages and other notes payable
65 Other liabilities (describe ► )
60
61
62
63
64a
64b
65
66 Total liabilities (add lines 60 through 65)
0 .
66
0 .
Net Assets or Fund Balances
Organizations that follow SFAS 117, check here ►
69 and lines 73 and 74
67 Unrestricted
68 Temporarily restricted
69 Permanently restricted
Organizations that do not follow SFAS 117, check here
70 through 74
70 Capital stock, trust principal, or current funds
71 Paid -in or capital surplus, or land, building, and
72 Retained earnings, endowment, accumulated income,
73 Total net assets or fund balances (add lines 67
column (A) must equal line 19 and column (B) must
74 Total liabilities and net assets / fund balances
X
and complete
lines 67 through
and complete lines
funds
lines 70 through 72,
21)
and 73)
113, 033.
67
90,138.
►
equipment
or
through
equal
(add
25,000.
68
25,000.
69
I
70
fund
other
69 OR
line
lines 66
71
72
138,033 .
73
115 , 138.
138,033.
74
115,138.
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization How the public
perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate
and fully describes, in Part III, the organization's programs and accomplishments
023021
12-19-00
3
KEY BISCAYNE ATHLETIC CLUB, INC.
023031 12-19-00
Form 990 (2000)
Part nV-A Reconciliation of Revenue
per Audited
with Revenue per
part tv-B Reconciliation of Expenses
per Audited
With Expenses per
Financial Statements
Return
Financial Statements
Return
a Total revenue, gains, and other support
per audited financial statements
b Amounts included on line a but not on
line 12, Form 990
(1) Net unrealized gains
on investments $
►
a
N/A
a
b
(1)
(2)
(3)
(4)
Total expenses and losses per
audited financial statements
Amounts included on line a but not on
line 17, Form 990
Donated services
and use of facilities $
►
a
N/A
b
-
b
Prior year adjustments
reported on line 20,
Form 990 $
(2) Donated services
and use of facilities $
(3) Recoveries of prior
year grants $
Losses reported on
line 20, Form 990 $
(4) Other (specify)
$
Other (specify)
$
Add amounts on lines (1) through (4)
c Line a minus line b
d Amounts included on line 12, Form
990 but not on line a
(1) Investment expenses
not included on
line 6b, Form 990 $
►
►
c
d
(1)
(2)
Add amounts on lines (1) through (4)
Line a minus line b
Amounts included on line 17, Form
990 but not on line a
Investment expenses
not included on
line 6b, Form 990 $
►
►
c
c
d
d
(2) Other (specify)
$
Other (specify)
$
Add amounts on lines (1) and (2)
e Total revenue per line 12, Form 990
(line c plus line d)
►
►
a
Add amounts on lines (1) and (2)
Total expenses per line 17, Form 990
(line c plus line d)
►
►
e
e
23-7
Part V List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated.)
(A) Name and address
(B) Title and average hours
per week devoted to
position
(C) Compensation
(if not paid, enter
-0-.)
ions to
(D)contnbutenefit
e ployee bplans & deferred
compensation
(E) Expense
account and
other allowances
STEVEN A. SIMON �� SIMIRECTOR
335 HARBOR LANE T PA
D
0.
0.
0.
KEY BISCAYNE, FL 33149
LUIS ARRORDO
350 GRAPETREE DRIVE, #406
KEY BISCAYNE, FL 33149
DIRECTOR
3
0.
0.
0.
AUDREYLEE LEAVITT
240 ISLAND DRIVE
KEY BISCAYNE, FL 33149
TREASURER & DIRECTOR
5
0.
0.
0.
ALBERT SUAREZ
240 CRANDON BOULEVARD, #104
KEY BISCAYNE, FL 33149
DIRECTOR
3
0.
0.
0.
RITA ZUBILLAGA
245 WOODCREST ROAD
KEY BISCAYNE, FL 33149
DIRECTOR
1
0.
0.
0.
ANA BRENNAN
465 HARBOR DRIVE
KEY BISCAYNE, FL 33149
VICE PRESIDENT
1
& DIRECTOR
0.
0.
0.
ANTHONY RABASSA
300 CYRESS DRIVE
KEY BISCAYNE, FL 33149
SECRETARY & DIRECTOR
1
0.
0.
0.
GERARD LOISEL
310 RIDGEWOOD ROAD
KEY BISCAYNE, FL 33149
DIRECTOR
1
0.
0.
0.
SHARON DIAZGRANADOS
251 CRANDON BOULEVARD, #430
KEY BISCAYNE, FL 33149
DIRECTOR
1
0.
0.
0.
75 Did any officer director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related
organizations, of which more than $10,000 was provided by the related organizations? If "Yes," attach schedule ► L J Yes I X No Form 990 (20001
Form 990 (2000)
Part V
KEY BISCAYNE ATHLETIC CLUB, INC. 23-7118840 Page5
Other Information
N/A
Yes No
78 a
b
79
80 a
b
81 a
b
82 a
b
83 a
b
84 a
b
85
b
e
9
h
86
b
87
b
88
89 a
b
c
d
90 a
b
91
76 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity
77 Were any changes made in the organizing or governing documents but not reported to the IRS?
If "Yes," attach a conformed copy of the changes
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return?
If "Yes," has it filed a tax return on Form 990-T for this year?
Was there a liquidation, dissolution, termination or substantial contraction during the year?
If "Yes," attach a statement
Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
governing bodies, trustees, officers, etc , to any other exempt or nonexempt organization?
If "Yes," enter the name of the organization ►
and check whether it is exempt OR
Enter the amount of political expenditures, direct or indirect, as described in the
instructions for line 81 81 a
nonexempt
0.
76
X
77
78a
N/A 78b
79
80a
Did the organization file Form 1120-POL for this year?
Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than
fair rental value?
If "Yes," you may indicate the value of these items here Do not include this amount as revenue in Part I or as an
expense in Part II (See instructions for reporting in Part III ) 82b
81b
82a
Did the organization comply with the public inspection requirements for returns and exemption applications? 83a X
Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b X
Did the organization solicit any contributions or gifts that were not tax deductible? 84a
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible? N/A 84b
501(c)(4), (5), or(6) organizations. a Were substantially all dues nondeductible by members? N/A 85a
Did the organization make only in-house lobbying expenditures of $2,000 or less? N/A 85b
If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax
owed for the prior year V ' !
Dues, assessments, and similar amounts from memb 5 ` COPY 85c N/A
Section 162(e) lobbying and political expenditures 85d N/A
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e N/A
Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N/A
Does the organization elect to pay the section 6033(e) tax on the amount in 85f? N/A 850
If section 6033(e)(1)(A) dues notice were sent, does the organization agree to add the amount in 85f to its reasonable estimate of dues
allocable to nondeductible lobbying and political expenditures for the following tax year? N/A
501(c)(7) organizations. Enter a Initiation fees and capital contributions included on line 12 86a N/A
Gross receipts, included on line 12, for public use of club facilities 86b N/A
85h
501(c)(12) organizations. Enter a Gross income from members or shareholders
Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them )
87a
N/A
87b
N/A
At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701-3?
If "Yes," complete Part IX
501(c)(3) organizations. Enter Amount of tax imposed on the organization during the year under
section 4911 ► 0 . , section 4912 ► 0 . ; section 4955 ►
501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year or did it become aware of an excess benefit transaction from a prior year?
If 'Yes," attach a statement explaining each transaction
Enter Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912, 4955, and 4958
Enter Amount of tax on line 89c, above, reimbursed by the organization
List the states with which a copy of this return is filed ► FLORIDA
Number of employees employed in the pay period that includes March 12, 2000
0.
►
►
90b
88
89b
0.
Q.
0
The books are in care of ► AUDREYLEE LEAVITT Telephone no to. (305) 361-1883
Located at O. 91 W . MC INTYRE , KEY BISCAYNE , FL
ZIP code ► 33149
92 Section 4947(a)(1) nonexempt chantable trusts filing Form 990 in lieu of Form 1041- Check here
and enter the amount of tax-exempt interest received or accrued during the tax year
023041
12-19-00 5
► 1 92
N/A
Form 990 (2000)
Form 990 (2000) KEY BISCAYNE ATHLETIC CLUB, INC.
Part Vn Analysis of Income -Producing Activities
23-7118840 Page6
Enter gross amounts unless otherwise
indicated
93 Program service revenue
a ATHLETIC PROGRAMS
Unrelated business income
Excluded by section 512, 513, or514
(E)
Related or exempt
function income
Business
code
(B)
Amount
E!CU-
Sion
code
(D)
Amount
100,162.
b
c
d
e
f Medicare/Medicaid payments
g Fees and contracts from government agencies
94 Membership dues and assessments
95 Interest on savings and temporary
cash investments
96 Dividends and interest from securities
97 Net rental income or (loss) from real estate
a debt -financed property
b not debt -financed property
98 Net rental income or (loss) from personal property
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory
101 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory
103 Other revenue
14
4,594.
b TAXPAYER'SCOPY
c
d
e
104 Subtotal (add columns (B), (D), and (E))
0 .
4,594 .
100,1_62.
105 Total (add line 104, columns (B), (D), and (E))
Note: Line 105 plus line id, Part 1, should equal the amount on line 12, Part 1.
Part Vffl Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
♦
Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's
exempt purposes (other than by providing funds for such purposes)
93
FEES ARE RECEIVED FROM PARTICIPANTS TO FUND THE EXPENSES
INCURRED IN OPERATING THE SPORTS PROGRAMS.
Part ix I Information Regarding Taxable Subsidiaries and Disregarded Entities
(A)
Name, address, and EIN of corporation,
partnership, or disregarded entity
(B)
Percentage of
ownership interest
(C)
Nature of activities
(0)
Total income
(E)
End -of -year
assets
N / A
%
► 104,756.
Part X I Information Regarding Transfers Associated with Personal Benefit Contracts
(a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
(b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
Note:/f "Yes" to (b), file Form 8870 and Form 4720 (see instructions)
Please
Sign
Here
Yes
Yes
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 (Important See General Instruction W )
Signature of officer
X
X
No
No
Date Type or print name and title
Paid
Preparer's
Use Only
Preparer's
signature
Date
Check if
self-
employed ►
X
Preparer's SSN or PTIN
Firmsname(oryours ROBERT B . LARKEY, C .P C.P.A.
if self-employed)and 6.9200 S . DADELAND BLVD. , STE . 310
address and ZIP code r MIAMI, FL 33156-2711
EIN ►
023161
12-19-00
6
Phone no ► ( 305) 670-5050
Form 990 (2000)
Organization Exempt Under Section 501(c)(3)
OMB No 1545-0047
SCHEDULE A
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
(Except Private Foundation) and Section 501(e), 501(f), 501(k),
501(n), or Section 4947(a)(1) Nonexempt Charitable Trust
Supplementary Information
► MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.
2000
Name of the organization
Part 1
KEY BISCAYNE ATHLETIC CLUB, INC.
Employer identification number
23 7118840
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions List each one If there are none, enter "None "
(a) Name and address of each employee paid
more than $50,000
(b) Title and average hours
per week devoted to
position
c Compensation
() p
(d) Contributions to
employee benefit
plans & deferred
compensation
(e) Expense
account and other
allowances
NONE
TAXPAYER1S
COPY
Total number of other employees paid
over $50,000
►
0
Part 11 j Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions List each one (whether individuals or firms) If there are none, enter "None ")
(a) Name and address of each independent contractor paid more than $50,000
(b) Type of service
(c) Compensation
NONE
Total number of others receiving over
$50,000 for professional services ►
0
LHA For Paperwork Reduction Act Notice, see page 1 of the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2000
023101
12-09-00
7
Schedule A (Form 990 or 990-EZ) 2000 KEY BISCAYNE ATHLETIC CLUB, INC .
Part III
Statements About Activities
23-7118840 Paget
Yes
No
1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public
opinion on a legislative matter or referendum?
If "Yes," enter the total expenses paid or incurred in connection with the lobbying activates ► $
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI -A Other
organizations checking "Yes," must complete Part VI -B AND attach a statement giving a detailed description of
the lobbying activities.
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any of its trustees, directors,
officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is
affiliated as an officer, director, trustee, majority owner, or principal beneficiary
a Sale, exchange, or leasing of property?
b Lending of money or other extension of credit?
c Furnishing of goods, services, or facilities?
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)?
e Transfer of any part of its income or assets?
If the answer to any question is "Yes," attach a detailed statement explaining the transactions
3 Does the organization make grants for scholarships, fellowships, student loans, etc ?
4 a Do you have a section 403(b) annuity plan for your employees?
b Attach a statement to explain how the organization determines that individuals or organizations receiving grants or loans from it in
furtherance of its charitable programs qualify to receive payments. (See page 2 of the instructions )
Part IV
The organizatio
n is not a private foundati
5
6
7
8
9
10
11a
11b
12
13
X
Reason for Non -Private Foun
on because it is (Ple �
1
X
2a
X
2b
X
2c
X
2d
X
2e
X
3
X
4a
X
tructions )
A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)
A school Section 170(b)(1)(A)(n) (Also complete Part V, page 5 )
A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(ui)
A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v)
A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(m) Enter the hospital's name, city,
and state ►
An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV -A )
An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV -A )
A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV -A )
An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc., functions - subject to certain exceptions, and (2) no more than 33 1/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV -A )
An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in
(1) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2). (See section 509(a)(3) )
Provide the following information about the supported organizations (See page 5 of the instructions )
(a) Name(s) of supported organization(s)
(b) Line number
from above
14
An organization organized and operated to test for public safety Section 509(a)(4) (See page 5 of the instructions )
Schedule A (Form 990 or 990-EZ) 2000
023111
01-09-01
8
Schedule A (Form 990 or 990-EZ) 2000 KEY BISCAYNE ATHLETIC CLUB, INC. 23-7118840 Page 3
Part Wu -A I Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year (or fiscal year
beginning in) ►
(a) 1999
(b) 1998
(c) 1997
(d) 1996
(e) Total
15
Gifts, grants, and contnbutions received
ine28)tincludeunusualgrants Seelin
44,150.
38,593.
36,000.
38,154.
156,897.
16
Membership fees received
93,671.
112,964.
92,656.
79,349.
378,640.
17
Gross receipts from admissions,
merchandise sold or services
performed, or furnishing of facilities
in any activity that is not a business
unrelated to the organization's
charitable, etc , purpose
18
Gross income from interest,
dividends, amounts received from
payments on securities loans (sec-
tion 512(a)(5)), rents, royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired by the
organization after June 30, 1975
3, 512.
3,632.
4,619.
4,330.
16,093.
19
Net income from unrelated business
activities not included in line 18
20
Tax revenues levied for the organization's
benefit and either paid to it or expended
on its behalf
21
The value of services or facilities
furnished to the organization by a
governmental unit without charge
Do not include the value of services
or facilities the public without Ichargely ished to
+l
COPY
22
Other income Attach a schedule Do not
include gain or (loss) from sale of capital
assets
bN1 ey S
23
Total of lines 15 through 22
141,333.
155,189.
133,275.
121,833.
551,630.
24
Line 23 minus line 17
141,333.
155,189.
133,275.
121,833.
551,630.
25
Enter l%ofline 23
1,413.
1,552.
1,333.
1,218.
26
b
c
d
e
f
Organizations described on lines 10
Attach a list (which is not open to public
governmental unit or publicly supported
in line 26a Enter the sum of all these
Total support for section 509(a)(1) test
Add Amounts from column (e) for lines
Public support (line 26c minus line 26d
Public support percentage (line 26e
or 11: a Enter 2% of amount in column (e), line 24 ►
inspection) showing the name of and amount contributed by each person (other than a
organization) whose total gifts for 1996 through 1999 exceeded the amount shown
excess amounts ►
Enter line 24, column (e) ►
18 19
26a
N/A
26b
N/A
26c
N/A
26d
N / A
22 26b ►
total) ►
(numerator) divided by line 26c (denominator)) ►
26e
N/A
26f
N/A
27 Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received from a "disqualified person," attach a list (which is not open
to public inspection) to show the name of, and total amounts received in each year from, each "disqualified person " Enter the sum of such amounts for each year
(1999) 0 . (1998) 0 . (1997) 0 . (1996) 0 .
b For any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount received for each year,
that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines 5 through 11, as well as
individuals ) After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the
excess amounts) for each year
(1999) 0 . (1998) 0 . (1997) 0 . (1996) 0 .
c Add Amounts from column (e) for lines. 15 156,897. 16 378,640.
17 20 21 ►
d Add Line 27a total 0 . and line 27b total 0 . 0-
e Public support (line 27c total minus line 27d total) 110-
f Total support for section 509(a)(2) test Enter amount on line 23, column (e) ► I 27f I 551,630.
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ►
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) ►
27c 535,537.
27d 0.
27e 535,537.
27g
27h
97.0826%
2.9174%
28 Unusual Grants: For an organization described in line 10, 11, or 12, that received any unusual grants during 1996 through 1999, attach a list (which is not open to
public inspection) for each year showing the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not include
these grants in line 15. (See page 5 of the instructions) NONE
023121
12-27-00
9 Schedule A (Form 990 or 990-EZ) 2000
Schedule A (Form 990 or 990-EZ) 2000 KEY BISCAYNE ATHLETIC CLUB, INC.
Part V] Private School Questionnaire
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
23-7118840 Page4
N/A
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing
instrument or in a resolution of its governing body?
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,
and other written communications with the public dealing with student admissions, programs, and scholarships?
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves?
If "Yes," please describe, if "No," please explain (If you need more space attach a separate statement )
32 Does the organization maintain the following
a Records indicating the racial composition of the student body, faculty, and administrative staff?
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis?
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student
admissions, programs, and scholarships?
d Copies of all material used by the organization or on its behalf to solicit contributions?
If you answered "No" to any of the above, please explain (If you need more space, attach a separate statement )
' �y4
33 Does the organization discriminate by race in any way wittf<r+'gc,;tp S COPY
a Students' rights or privileges?
b Admissions policies?
c Employment of faculty or administrative staff?
d Scholarships or other financial assistance?
e Educational policies?
f Use of facilities?
g Athletic programs?
h Other extracurricular activities?
If you answered "Yes" to any of the above, please explain (If you need more space, attach a separate statement )
34 a Does the organization receive any financial aid or assistance from a governmental agency?
b Has the organization's right to such aid ever been revoked or suspended?
If you answered "Yes" to either 34a or b, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 75-50,
1975-2 C B 587, covering racial nondiscrimination? If "No," attach an explanation
Yes No
29
30
31
32a
32b
32c
32d
33a
33b
33c
33d
33e
33f
33g
33h
34a
34b
35
Schedule A (Form 990 or 990-EZ) 2000
023131
12-09-00
10
Schedule A (Form 990 or 990-EZ) 2000 KEY BISCAYNE ATHLETIC CLUB, INC .
Part VI -A
Lobbying Expenditures by Electing Public Charities
(To be completed ONLY by an eligible organization that filed Form 5768)
23-7118840 Page5
N/A
Check here
Check here
If the organization belongs to an affiliated group
If you checked "a" above and "limited control" provisions apply
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred )
(a)
Affiliated group
totals
(b)
To be completed for ALL
electing organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying)
37 Total lobbying expenditures to influence a legislative body (direct lobbying)
38 Total lobbying expenditures (add lines 36 and 37)
39 Other exempt purpose expenditures
40 Total exempt purpose expenditures (add lines 38 and 39)
41 Lobbying nontaxable amount Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
Not over $500,000
Over $500,000 but not over $1,000,000
Over $1,000,000 but not over $1,500,000
Over $1,500,000 but not over $17,000,000
Over $17,000,000
20% of the amount on line 40
$100,000 plus 15% of the excess over $500,000
$175,000 plus 10% of the excess over $1,000,000
$225,000 plus 5% of the excess over $1,500,000
$1,000,000
42 Grassroots nontaxable amount (enter 25% of line 41)
43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36
44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38
..
Caution: If there is an amount on either line 43 or lhnmss4?4, Ybur r16 b
l
N/A
36
37
38
39
40
41
42
43
44
Ilk `, v �Y
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns
below See the instructions for lines 45 through 50 on page 9 of the instructions )
Lobbying Expenditures During 4 -Year Averaging Period N/A
Calendar year (or
fiscal year beginning in) II.
(a)
2000
(b)
1999
(c)
1998
(d)
1997
(e)
Total
45 Lobbying nontaxable
amount
0 .
46 Lobbying ceiling amount
(150% of line 45(e))
0 .
47 Total lobbying
expenditures
0 ,
48 Grassroots nontaxable
amount
0 ,
49 Grassroots ceiling amount
(150% of line 48(e))
0 .
50 Grassroots lobbying
expenditures
0 .
Part V1 -B Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part VI -A)
N/A
During the year, did the organization attempt to influence national, state or local legislation, including any attempt to
influence public opinion on a legislative matter or referendum, through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines c through h)
c Media advertisements
d Mailings to members, legislators, or the public
e Publications, or published or broadcast statements
f Grants to other organizations for lobbying purposes
g Direct contact with legislators, their staffs, government officials, or a legislative body
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means
i Total lobbying expenditures (add lines c through h)
If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities
Yes
No
Amount
0.
023141
12-09-00
11
Schedule A (Form 990 or 990-EZ) 2000
Schedule A (Form 990 0r 990-EZ) 2000 KEY BISCAYNE ATHLETIC CLUB, INC .
Part VII
23-7118840 Pages
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations
a Transfers from the reporting organization to a nonchantable exempt organization of
(i) Cash
(ii) Other assets
b Other transactions
(i) Sales or exchanges of assets with a noncharitable exempt organization
(ii) Purchases of assets from a nonchantable exempt organization
(iii) Rental of facilities, equipment, or other assets
(iv) Reimbursement arrangements
(v) Loans or loan guarantees
(vi) Performance of services or membership or fundraising solicitations
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
d If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market value of the
goods, other assets, or services given by the reporting organization If the organization received less than fair market value in any
transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
(a)
Line no
(b)
Amount involved
(c)
Name of nonchantable exempt organization
Yes
51a(i)
No
X
X
b(i)
b(ii)
b(iv)
b(v)
b(vi)
c
N/A
(d)
Description of transfers, transactions, and sharing arrangements
TAXPAYER'S Cl
PY
52 a
b
Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the
Code (other than section 501(c)(3)) or in section 527? ► Yes
If "Yes," complete the following schedule'
N/A
X
No
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
023151
12-09-00
12
Schedule A (Form 990 or 990-EZ) 2000
2000 DEPRECIATION AND AMORTIZATI ON REP ORT
FORM 990 PAGE 2
990
Asset
No
Description
Date
Acquired
Method
Life
Lin e
No
Unadjusted
Cost Or Basis
Bus %
Excl
Reduction In
Basis -
ITC, 179,
Salvage
Basis For
Depreciation
Accumulated
Depreciation
Current
Sec 179
Amount Of
Depreciation
PROGRAM SERVICES
1-A''''ilvcR'S COPY
,r6.4Ao t
1SOD
1115968L
7 .00
19
6,875.
6,875 .
3,437.
982 ..
2SHED
111594SL
7 .00
19
2,300.
2,300.
1,809.
329.
3FENCING
111595SL
10.0019
8,900.
8,900.
4,005.
890.
* 990 PAGE 2 TOTAL
PROGRAM SERV ICES
18,075 .
0.
18,075 .
9,251.
0.
2,201 .
MANAGEMENT AND GENERAL
4CART
113099SL
5.00
19
7,892 .
7,892 .
789.
1,578.
2000tAPTOP
101600200DD5.00
15B
1,300.
1,300.
260 .
* 990 PAGE 2 TOTAL
MANAGEMENT A ND GENERAL
9,192 .
0.
9,192.
789 .
0.
1,838.
* GRAND TOTAL 990 PAG E 2
DEPR
27,267.
0.
27,267.
10,040.
0.
4,039.
28102
4-27-01
(D) - Asset disposed
13
KEY BISCAYNE ATHLETIC CLUB, INC. 23-7118840
FORM 990
OTHER EXPENSES STATEMENT 1
(A) (B) (C) (D)
PROGRAM MANAGEMENT
DESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING
COACHES COMPENSATION 33,772. 33,772.
SPORTS EQUIPMENT 13,299. 13,299.
PROGRAM EVENTS 2,914. 2,724.
INSURANCE 1,794. 1,794.
REFEREES & UMPIRES 12,990. 12,990.
TROPHIES, PICTURES &
PRIZES 7,839. 7,839.
UNIFORMS 21,317. 21,317.
MEMBERSHIPS &
TOURNAMENT FEES 8,374.
SPORTS MANAGEMENT
FEE
COACHING CLINICS
OTHER
LICENSES
REPAIRS & FIELD
MAINTENANCE
RENT
OUTSOURCED CAMP
OPERATION
TOTAL TO FM 990, LN 43 127,620: 127 156
3,600.
11,110.
24.
136.
2,372.
1,773.
190.
8,259. 115.
3,600.
11,110.
2,372.
1,773.
24.
136.
465.
FORM 990 DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT 2
DESCRIPTION
COST OR ACCUMULATED
OTHER BASIS DEPRECIATION BOOK VALUE
SOD 6,875. 4,419. 2,456.
SHED 2,300. 2,138. 162.
FENCING 8,900. 4,895. 4,005.
CART 7,892. 2,367. 5,525.
LAPTOP 1,300. 260. 1,040.
TOTAL TO FORM 990, PART IV, LN 57 27,267. 14,079. 13,188.
14 STATEMENT(S) 1, 2
Form
4562
OMB No 1545-0172
2000
Department of the Treasury
Internal Revenue Service (99)
Depreciation and Amortization
(Including Information on Listed Property) 990
► See separate instructions. ► Attach this form to your return.
Attachment
Sequence No 67
Name(s) shown on return
KEY BISCAYNE ATHLETIC CLUB, INC.
Part
1
Business or activity to which this form relates
Identifying number
FORM 990 PAGE 2 23-7118840
Election To Expense Certain Tangible Property (Section 179) Note: If you have any "listed property,"complete Part V before you complete Part I )
1 Maximum dollar limitation. If an enterprise zone business, see instructions
2 Total cost of section 179 property placed in service. See instructions
3 Threshold cost of section 179 property before reduction in limitation
4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter •0•. If married filing
separately, see instructions
6
(a) Descnption of property
(b) Cost (business use only)
1
20,000.
2
3
$200,000
4
(c) Elected cost
5
7
8
9
10
11
12
13
Listed property. Enter amount from line 27 7
Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7
Tentative deduction. Enter the smaller of line 5 or line 8
Carryover of disallowed deduction from 1999
Business income limitation. Enter the smaller of business income (not less than zero) or line 5
Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11
Carryover of disallowed deduction to 2001. Add lines 9 and 10, less line 12 ► 13
8
9
10
11
12
Note: Do not use Part ll or Part Ill below for listed property (automobiles, certain other vehicles, cellular telephones, certain computers, or property
used for entertainment, recreation, or amusement). l,Atwd� is r P V f ,1t p op y�,
Part ]t : MACRS Depreciation For Assets Placed it $eI yr&e I f rr 3 0 r (Do not include listed property.)
Sjcti A - Gene a *cti n
14 If you are making the election under section 168(1)(4) to group any assets placed in service during the tax year into one or more general asset
accounts, check this box. See instructions
Section B - General Depreciation System (GDS) (See instructions.
(a) Classification of property
(b) Month and
year placed
in service
(c) Basis for depreciation
(business/investment use
only - see instructions)
(d) Recovery
penod
(e) Convention
(t) Method
(g) Depreciation deduction
15 a 3 -year property
b 5 -year property
1,300.
5 YRS.
HY
2 0 0 DB
26 0.
c 7 -year property
d 10 -year property
e 15 -year property
f 20 -year property
g 25 -year property
25 yrs.
S/L
h Residential rental property
/
27.5 yrs.
MM
S/L
/
27.5 yrs.
MM
S/L
i Nonresidential real property
/
39 yrs.
MM
S/L
/
MM
S/L
Section C - Alternative Depreciation System (ADS) (See instructions.
16 a Class life
S/L
b 12 -year
12 yrs.
S/L
c 40 -year
/
40 yrs.
MM
S/L
Part 1111 Other Depreciation (Do not include listed property.) (See instructions.)
17 GDS and ADS deductions for assets placed in service in tax years beginning before 2000
18 Property subject to section 168(f)(1) election
19 ACRS and other depreciation
Part IV
Summary (See instructions.)
17
18
19
3,779.
20 Listed property. Enter amount from line 26
21 Total. Add deductions from line 12, lines 15 and 16 in column (g), and lines 17 through 20 Enter here
and on the appropriate lines of your return. Partnerships and S corporations - see instructions
22 For assets shown above and placed in service during the current year, enter the
portion of the basis attributable to section 263A costs
22
20
21
4,039.
LHA For Paperwork Reduction Act Notice, see the separate instructions.
016251
11-20-00 15
Form 4562 (2000)
Form 4562 (2000)
Part V
Page 2
Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment,
recreation, or amusement.)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 23a, 23b, columns (a)
through (c) of Section A, all of Section B, and Section C applicable.
Section A - Depreciation and Other Information (Caution: See instructions for limits for passenger automobiles.)
23a Do you have evidence to support the business/investment use claimed' Yes No
23b If "Yes," is the evidence written? I Yes No
(a)
Type of property
(list vehicles first)
(b) Date
placed in
service
(c)
Business/
investment
use percentage
(d)
Cost or
other basis
(e)
Basis for depreciation
(business/investment
use only)
(t)
Recovery
period
(9)
Method/
Convention
(h)
Depreciation
deduction
(i)
Elected
section 179
cost
24 Property used more than 50% in a qualified business use:
%
25 Property used 50% or less in a qualified business use:
%
S/L
S/L -
%
S/L •
26 Add amounts in column (h). Enter the total here and on line 20, page 1
27 Add amounts in column (i). Enter the total here and on line 7, page 1
26
27
Section B - Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person.
If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for
those vehicles.
28 Total business/investment miles driven during the
year (DO NOT include commuting miles)
29 Total commuting miles driven during the year
30 Total other personal (noncommuting) miles
driven
31 Total miles driven during the year.
Add lines 28 through 30
32 Was the vehicle available for personal use
during off -duty hours?
33 Was the vehicle used primarily by a more
than 5% owner or related person?
34 Is another vehicle available for personal
use?
(a)
Vehicle
(b)
Vehicle
(c)
Vehicle
(d)
Vehicle
(e)
Vehicle
(f)
Vehicle
?
; '`' *`
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5%
owners or related persons.
35 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your
employees'
36 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees'? See instructions for vehicles used by corporate officers, directors, or 1% or more owners
37 Do you treat all use of vehicles by employees as personal use'?
38 Do you provide more than five vehicles to your employees, obtain information from your employees about
the use of the vehicles, and retain the information received'?
39 Do you meet the requirements concerning qualified automobile demonstration use'
Note: If your answer to 35, 36, 37, 38, or 39 is "Yes," you need not complete Section B for the covered vehicles.
part y[ I Amortization
(a)
Descnption of costs
(b)
Date amortization
begins
(c)
Amortizable
amount
(d)
Code
section
(e)
Amortization
period or percentage
(f)
Amortization
for this year
40 Amortization of costs that begins during your 2000 tax year
41 Amortization of costs that began before 2000
42 Total. Add amounts in column (f). See instructions for where to report
41
42
Yes
No
016252
10-21 00
16
Form 4562 (2000)
Form 8868
(December 2000)
Application for Extension of Time To File an
Exempt Organization Return
OMB No. 1545-1709
Department of the Treasury
Internal Revenue Service
► File a separate application for each return.
• If you are filing for an Automatic 3 -Month Extension, complete only Part I and check this box - ►
• If you are filing for an Additional (not automatic) 3 -Month Extension, complete only Part II (on page 2 of this form).
Note: Do not complete Part II unless you have already been granted an automatic 3 -month extension on a previously filed Form 8868.
X
:Part.f
Automatic 3 -Month Extension of Time - Only submit original (no copies needed)
Note: Form 990-T corporations requesting an automatic 6 -month extension - check this box and complete Part ! only 10 -
All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income fax
returns. Partnerships, REM1Cs and busts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041.
Type or
print
File by the
due date for
filing your
return. See
instructions.
Name of Exempt Organization
KEY BISCAYNE ATHLETIC CLUB, INC.
Number, street, and room or suite no. If a P.O. box, see instructions.
P.O. BOX 490306
Employer identification number
23-7118840
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
KEY BISCAYNE, FL 33149
Check type of return to be filed(file a separate application for each return):
X
Form 990
Form 990 -BL
Fomi 990-EZ
Form 990-PF
Form 990-T (corporation)
Form 990-T (sec. 401(a) or 408(a) trust)
Form 990-T (trust other than above)
Form 1041•A
• If the organization does not have an office or place' ofbusiness'irr"tlte'tinfte ta ,
• If this is for a Group Return enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this
box ► . If it is for part of the group, check this box ► and attach a list with the names and EINs of all members the extension will cover.
Form 4720
Form 5227
Form 6069
Form 8870
box
1 I request an automatic 3 -month (6 -month, for 990-T corporation) extension of time until JANUARY 15 , 2002 .
to file the exempt organization return for the organization named above. The extension is for the organization's return for:
► calendar year or
► X tax year beginning JUN 1, 2000
, and ending MAY 31, 2001
2 If this tax year is for less than 12 months, check reason: Initial return
Final return Change in accounting period
3a If this application is for Form 990 -BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated
tax payments made. Include any prior year overpayment allowed as a credit
--... . . ...... ... ... ..... $
c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit with FTD
coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions $ N/A
Signature and Verification
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct,, id complete, and that I am authonzed to prepare this form.
Signature ► rtA vjvvf
e► L R !) Date ► l d I qe
LI-IA For Paperwork Reduction Act Notice, see instru on Form 8868 (12-2000)
Form 8868 (12-2000)
Page 2
• If you are filing for an Additional (not automatic) 3 -Month Extension, complete only Part II and check this box IX
Note: Only complete Part II if you have already been granted an automatic 3 -month extension on a previously filed Form 8868
• If you are filing for an Automatic 3 -Month Extension, complete only Part I (on page 1).
Type or
print.
File by the
extended
due date for
filing the
return. See
instructions.
Additional (not automatic) 3 -Month Extension of Time - Must file Original and One Copy.
Name of Exempt Organization
KEY BISCAYNE ATHLETIC CLUB, INC.
Employer identification number
23-7118840
Number, street, and room or suite no. If a P.O. box, see instructions.
P.O. BOX 490306
For IRS use only
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
KEY BISCAYNE, FL 33149
Check type of return to be filed (Fde a separate application for each return):
X Form 990 Form 990-EZ Form 990-T (sec. 401(a) or 408(a) trust)
Form 990 -BL Form 990-PF Form 990-T (trust other than above)
Form 5227 Form 8870
Form 6069
Form 1041-A
Form 4720
STOP: Do not complete Part II if you were not already granted an automatic 3 -month extension on a previously filed Form 8868.
• If the organization does not have an office or place of business in the United States, check this box
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this
box ► . If it is for part of the Group, check this box ► I-1 and attach a !ist with the names and E!Ns cf all members the extension is for.
4 I request an additional 3 -month extension of time until
5 For calendar year , or other tax year beginning
6 If this tax year is for less than 12 months, check reason: Initial return
7 State in detail why you need the extension
ADDITIONAL TIME IS NEEDS ,TO: CAT fliHNeCK
TO FILE A COMPLETE AND ACCT
APRIL 15, 2002
JUN 1, 2000
II
and ending MAY 31, 2001
Final return Change in accounting period
AND RELEVANT INFORMATION
8a If this application is for Form 990 -BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions ____
b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated
tax payments made. Include any prior year overpayment allowed as a credit and any amount paid
previously with Form 8868
c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit with FTD N / A
coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions . . ._ ._. __ $
Signature and Verification
Under penalties f perjury, I declare that I have e . fined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correc and complete, and tti4 I am au onzed to prepare this form.
(134
Date ► /
Notice to Ap cant - To Be Completed by the IRS
We have approved this application. Please attach this form to the organization's return.
We have not approved this application. However, we have granted a 10 -day grace period from the lat tte f the aate shown below or the due
date of the organization's return (including any prior extensions). This grace period is considered to...44 valid extension of time for elections otherv%
required to be made on a timely return. Please attach this form to the organization's return. Q
We have not approved this application. After considenng the reasons stated in item 7, we cann ant your requ
file. We are not granting the 10 -day grace period.
We cannot consider this application because it was filed after the due date of the return fo ich an extensiorewas requested.
emirs,:
Date
or an extension of time to
Other
Director
By:
co
Alternate Mailing Address - Enter the address if you want the copy of this application fo' n additional 3-m
different than the one entered above.
extension returned to an address
Name
ROBERT B. LARKEY, C.P.A.
RECEIVED
Type
or print
Number and street (include suite, room, or apt. no.) Or a P.O. box number
9200 S. DADELAND BLVD., STE. 310
JAN 10 2002
City or town, province or state, and country (including postal or ZIP code)
MIAMI, FL 33156-2711
OGDEN, UT
Form 990
Return of Organization Exempt From Income Tax
OMB No 1545-0047
,Department of the Treasury
Internal Revenue Service
Under section 501(c) of the Internal Revenue Code (except black lung benefit trust or
private foundation) or section 4947(a)(1) nonexempt charitable trust
Note The organization may have to use a copy of this return to satisfy state reporting requirements
1999
This Form is
Open to Public
Inspection
A
B
For the 1999 calendar year, OR tax year
Check if
Change of address
Initial return
Final return
Amended return
(required also for
State reporting)
G Type of organization
p
eriod beg
innin
g
C Name of organization
KEY BISCAYNE ATHLETIC CLUB, INC
JUNE 1
1999, and ending
MAY 31 2000
D Employer identification number
23-7118840
Number and street (or P. O. box if mail is not delivered to street address)
P.O. BOX 490306
Room/sutte
E Telephone number
(
305) 361-1883
City or town State or Country
KEY BISCAYNE FL
X
ZIP code
33149
Exempt under section 501(c)( 3 )(insert no )
F Check
application is pendin
g
if exemption
section 4947(a)(1) nonexempt charitable trust
Note Section 501(c)(3) exempt organizations and 4947(a)(1) nonexempt charitable trusts MUST attach a completed Sch A (Form 990)
H(a) Is this a group return filed for affiliates'? Yes or No N I If either box in H is checked "Yes," enter four -digit
(b) if "Yes," enter the number of affiliates for which this return is filed.
(C) Is this a separate return filed by an organization covered by a group ruling?
group exemption number (GEN)
J Accounting
method
X
Cash
Other (specify)
Accrual
K Check here
if the organization's gross receipts are normally not more than $25,000 The organization need not file a return with the IRS, but if it received a Form 990 Package
in the mail, it should file a return without financial data Some states require a complete return
Note Form 990-EZ may be used by organizations with gross receipts less than $100,000 and total assets less than $250,000 at end of year
Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See Specific Instructions on page 15
R
e
v
e
n
u
e
1 Contributions, gifts, grants, and similar amounts received
a Direct public support . . . . . . . . . . . .
b Indirect public support . . . . . . . .
c Government contributions (grants) . . . . . . . .. . . . .
d Total (add lines la through 1c) (attach schedule of contributors)
(cash $ noncash $
1a
9,150
A
1d
44,150
lb
1c
35,000
)
line 93)
6a
. . .
. . . .
2 Program service revenue including government fees and contracts (from Part VII,
3 Membership dues and assessments
4 Interest on savings and temporary cash investments . . .
5 Dividends and interest from securities
6a Gross rents
b Less: rental expenses . . . . .
c Net rental income or (loss) (subtract line 6b from line 6a)
7 Other investment income (describe
2
3
93,671
4
3,512
5
.j
6
7
8a Gross amount from sales of assets other
than inventory . . . . .
b Less. cost or other basis and sales expenses . . .
c Gain or (loss) (attach schedule) .
d Net gain or (loss) (combine line 8c, columns (A) and (B))
9 Special events and activities (attach schedule)
a Gross revenue (not including $
(A) Securities
(B) Other
�/
/
j
8d
0
8a
8b
0
8c
0
.
of contributions
. . . .
line 9a) .
.
10b from line 10a)
11)
.
9a
. . . .
9c
0
reported on line la)
b Less: direct expenses other than fundraising expenses
c Net income or (loss) from special events (subtract line 9b from
10a Gross sales of inventory, less returns and allowances .
b Less' cost of goods sold . . . . . .
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line
11 Other revenue (from Part VII, line 103) . . . .
12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and
9b
10a
j
10c
0
10b
.
.
11
12
141,333
Ex-
pen-
ses
13 Program services (from line 44, column (B)) . . .
14 Management and general (from line 44, column (C)) . .
15 Fundraising (from line 44, column (D)) . . .
16 Payments to affiliates (attach schedule)
17 Total expenses (add lines 16 and 44, column (A))
13
149,752
14
4,726
15
0
16
17
154,478
Net
Assets
18 Excess or (deficit) for the year (subtract line 17 from line 12) . . . . . .
19 Net assets or fund balances at beginning of year (from line 73, column (A)) . .
20 Other changes in net assets or fund balances (attach explanation) . . . . . . . . .
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) .
18
-13,145
19
151,178
20
21
138,033
For Paperwork Reduction Act Notice, see page 1 of the separate instructions
(HTA)
orm
Form 990 (1999)
Part ll Statement of
Functional Expenses
KEY BISCAYNE ATHLETIC CLUB, INC.
23-7118840
All organizations must complete column (A) Columns (B), (C), and (D) are required for section 501(c)(3) and (4) organizations
Page 2
and section 4947(a)(1) nonexempt charitable trusts but opbonal for others (See Specific Instructions on page 19
Do not include amounts reported on line
6b, 8b, 9b, 10b, or 16 of Part I.
/
(A) Total
(B) Program
services
(C) Management
and eneral
(D) Fundraising
-22 Grants and allocations (attach schedule)
(cash $ noncash $ )
22
0
j
/
23 Specific assistance to individuals (attach schedule) .
24 Benefits paid to or for members (attach schedule) .
25 Compensation of officers, directors, etc
26 Other salaries and wages
27 Pension plan contributions
28 Other employee benefits . .
29 Payroll taxes . . . . . . .
30 Professional fundraising fees
31 Accounting fees
32 Legal fees
33 Supplies . . . . . . .
34 Telephone
35 Postage and shipping . . . . . . . .
36 Occupancy . . . .
37 Equipment rental and maintenance . .
38 Printing and publications . . . . . . . . .
39 Travel . . . .
40 Conferences, conventions, and meetings
41 Interest . . . . . . . .
42 Depreciation, depletion, etc. (attach schedule) .
43 Other expenses (itemize) a
23
0
24
0
25
0
26
0
27
0
28
0
29
0
30
0
�Z��J/ 4
31
950
950
32
0
33
3,635
3,407
228
34
0
35
0
36
0
37
0
38
924
701
223
39
0
40
0
41
0
42
2,990
2,201
789
43a
0
b SCHEDULE ATTACHED
43b
145,979
143,443
2,536
c
43c
0
d
43d
0
e
43e
0
f
43f
0
44 Total functional expenses (add lines 22 through 43)
Organizations completing columns (B) - (D), carry
these totals to lines 13 - 15
44
154,478
149,752
4,726
0
Reporting of Joint Costs. Did you report in column (B) (Program services) any joint costs from a combined
educational campaign and fundraising solicitation's
If "Yes," enter (I) the aggregate amount of these joint costs
(iii) the amount allocated to Management and general
Yes
; (ii) the amount allocated to Program services
, (iv) the amount allocated to Fundraising
X
No
Part Ill Statement of Program Service Accomplishments (See Specific Instructions on page 22)
Program Service
Expenses
(Required for 501(c)(3) and
(4) orgs and 4947(a)(1)
trusts, but optional for
others )
What is the organization's primary exempt purpose? Youth Sports Programs
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number
of clients served, publications issued, etc. Discuss achievements that are not measurable (Section 501(c)(3) and (4)
organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and
allocations to others )
a Amateur athletic pro.grams for students with parental participation in coaching.
Programs include baseball, football, soccer, tennis and softball
(Grants and allocations $
149,752
b
(Grants and allocations $
c
(Grants and allocations $
d
(Grants and allocations $
e Other program services (attach schedule) . . . . . . . . . . (Grants and allocations $
f Total of Program Service Expenses (should equal line 44, column (B), Program services)
149,752
Form 990 (1999)
Form 990 (1999)
Part IV Balance Sheets
KEY BISCAYNE ATHLETIC CLUB, INC
(See Specific Instructions on page 22.)
23-7118840
Page 3
Note: Where required, attached schedules and amounts within the description
column should be for end -of -year amounts only
(A)
Beginning of year
(B)
End of year
Assets
45 Cash - non -interest -bearing
46 Savings and temporary cash investments . . . . . .
47a Accounts receivable
b Less allowance for doubtful accounts . .
48a Pledges receivable .
b Less allowance for doubtful accounts
49 Grants receivable . . . . .
50 Receivables from officers, directors, trustees, and key employees
(attach schedule)
51a Other notes and loans receivable (attach schedule)
b Less allowance for doubtful accounts
52 Inventories for sale or use .
53 Prepaid expenses and deferred charges . . . . . .
54 Investments - securities (attach schedule) . .
55a Investments - land, buildings, and equipment
basis . .
b Less accumulated depreciation (attach
schedule) . .
56 Investments - other (attach schedule) . . . . . .
57a Land, buildings, and equipment: basis
b Less. accumulated depreciation (attach schedule) . . . . .
58 Other assets (describe
. .
47a
65,153
45
47,106
. . .
75,000
46
75,000
• 7c
0
47b
48a
' ;c
0
48b
51a
'
51
51c
0
51b
55a
.
52
53
5•
55c
0
55b
57a
25,967
0
5•
0
11,025
57c
15,927
57b
10,040
0
5:
0
59 Total assets (add lines 45 through 58) (must equal line 74)
151,178
5•
138,033
Liabilities
60 Accounts payable and accrued expenses
61 Grants payable .
62 Deferred revenue . . .
63 Loans from officers, directors, trustees, and key employees (attach schedule)
64a Tax-exempt bond liabilities (attach schedule)
b Mortgages and other notes payable (attach schedule) . . .
65 Other liabilities (describe
•
•
•2
•3
• ,
• • •
0
•5
0
66 Total liabilities (add lines 60 through 65)
0
..
0
Net Assets or Fund Balances
76,178
j
•7
63,033
Organizations that follow SFAS 117, check here X and complete
lines 67 through 69 and lines 73 and 74.
67 Unrestricted . .
68 Temporarily restricted . . . . . . . . . .
69 Permanently restricted .
Organizations that do not follow SFAS 117, check here
complete lines 70 through 74.
70 Capital stock, trust principal, or current funds
71 Paid -in or capital surplus, or land, bldg , and equipment fund
72 Retained earnings, accumulated income, endowment, or other funds
73 Total net assets or fund balances (add lines 67 through 69 OR lines 70
through 72, column (A) must equal line 19 and column (B) must equal
line 21) . . . . . .
74 Total liabilities and net assets/fund balances (add lines 66 and 73)
75,000
• :
75,000
•'
and
7r
. .
. . . . .
. . .
71
72
151,178
j
73
138,033
151,178
74
138,033
Form 990 is available for public inspection and, for some people, serves as the pnmary or sole source of information about a
particular organization. How the public perceives an organization in such cases may be determined by the information presented
on its return. Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's
programs and accomplishments
23-7118840
Page 4
Form 990 (1999
KEY BISCAYNE ATHLETIC CLUB, INC.
Part IV -A Reconciliation of Revenue per
' Audited Financial Statements with
Revenue per Return ecrf,c Instruction/71e 24
Part IV -B Reconciliation of Expenses per
Audited Financial Statements with
Expenses per Return
a Total revenue, gains, and other support
per audited financial statements
b Amounts included on line a but
not on line 12, Form 990.
(1) Net unrealized gains on
investments
%/
j
141 333
a Total expense and losses per audited
financial statements . . .
b Amounts included on line a but not on
line 17, Form 990
(1) Donated services and
use of facilities
a
4
154,478
/��a/��
%//
b
0
b
0
(2) Donated services and
use of facilities
(2) Prior year adjustments reported
on line 20, Form 990
(3) Recoveries of pnor
year grants
(3) Losses reported on line 20,
Form 990
(4) Other (specify)
(4) Other (specify)*
Add amounts on lines (1) thru (4) .
c Line a minus line b
d Amounts included on line 12,
Form 990 but not on line a
(1) Investment expenses not included on
line 6b, Form 990
Add amounts on lines (1) thru (4)
c Line a minus line bc
d Amounts included on line 17,
Form 990 but not on line a:
(1) Investment expenses not
included on line 6b, Form 990
c
141,333
154,478
jj�
0
0
(2) Other (specify)
d
(2) Other (specify)
d
Add amounts on lines (1) and (2) .
e Total revenue per line 12,
Form 990 (line c plus line d)
Add amounts on lines (1) and (2)
e Total expenses per line 17,
Form 990 (line c plus line d) .
a
141,333
e
154,478
Part V List of Officers, Directors Trustees, and Key Employees
compensated, see Specific Instructions on page 24
(List each one even if not
(A) Name and address
(B) Title and average
hours per week
devoted to position
(C) Compen-
sation (if not
paid, enter -0-)
col Contributions to
employee benefit plans &
deferred compensation
(E) Expense
account and other
allowances
Steven Simon
335 Harbor Lane, Key Biscayne, FL 33149
President
5 hr/wk
0
0
0
Luis Arrordo _
350 Grapetree Dr #406, Key Biscayne, FL 33149
Vice President
5 hr/wk
0
0
0
Albert Suarez
240 Crandon Blvd #104, Key Biscayne, FL 33149
Secretary
5 hr/wk
0
0
0
Audreylee Leavitt
240 Island Dr , Key Biscayne, FL 33149
Treasurer
5 hr/wk
0
0
0
75 Did any officer. director. trustee. or key emolovee receive aaareaate compensation of more than
$100,000 from your organization and all related organizations, of which more than $10,000 was
provided by the related organizations'?
If "Yes," attach schedule - see Specific Instructions on page 25
Yes
n No
Form 990 (1999)
Form 990 (1999) KEY BISCAYNE ATHLETIC CLUB, INC.
Part VI Other Information (See Specific Instructions on pages 25
)
23-7118840
Page 5
Yes or No
76 Did the organization engage in any activity not previously reported to the Internal Revenue Service? 76 No
If "Yes," attach a detailed description of each activity.
77 Were any changes made in the organizing or governing documents, but not reported to the IRS?
If "Yes," attach a conformed copy of the changes.
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered
by this return'?
b If "Yes," has it filed a tax return on Form 990-T for this year? . .
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes,"
attach a statement . . . . . . . .
80a Is the organization related (other than by association with a statewide or nationwide organization)
through common membership, governing bodies, trustees, officers, etc , to any other exempt or
nonexempt organization'?
b If "Yes," enter the name of the organization
and check whether it is exempt OR
81a Enter the amount of political expenditures, direct or indirect, as described
in the instructions for line 81
b Did the organization file Form 1120-POL for this year?
82a Did the organization receive donated services or the use of materials, equipment, or facilities at
no charge or at substantially less than fair rental value'? . . . . . . .
b If "Yes," you may indicate the value of these items here Do not include this amount as revenue
in Part I or as an expense in Part II. (See instructions for reporting in Part III.) . . . . (82bl
83a Did the organization comply with the public inspection requirements for returns and exemption applications? . . .
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions'
84a Did the organization solicit any contributions or gifts that were not tax deductible? . . .
b If "Yes," did the organization include with every solicitation an express statement that such
contributions or gifts were not tax deductible'?
85 Section 501(c)(4), (5), or (6) organizations. - (a) Were substantially all dues nondeductible by members'?
b Did the organization make only in-house lobbying expenditures of $2,000 or less'?
If "Yes" to either 85a or 85b, do not complete 85c through 85h below unless the organization
received a waiver for proxy tax owed for the prior year
c Dues, assessments, and similar amounts from members
d Section 162(e) lobbying and political expenditures
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices
f Taxable amount of lobbying and political expenditures (line 85d less 85e)
g Does the organization elect to pay the section 6033(e) tax on the amount in 85f2
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount
in 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political
expenditures for the following tax year? . .
86 Section 501(c)(7) orgs - Enter (a) Initiation fees and capital contributions
included on line 12
81a
nonexempt
85c
85f
b Gross receipts, included on line 12, for public use of club facilities .
87 Section 501(c)(12) orgs - Enter: a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other
sources against amounts due or received from them.) . .
88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity
disregarded as separate from the organization under Regulations sections 301.7701-2 and 301 7701-3? If "Yes," complete Part IX
89a 501(c)(3) organizations - Enter. Amount of tax paid during the year under
section 4911 0 , section 4912 0 , section 4955
86a
87b
b 501(c)(3) and 501(c)(4) orgs Did the organization engage in any section 4958 excess benefit transaction during the year or did
it become aware of an excess benefit transaction from a pnor year? If "Yes," attach a statement explaining each transaction
c Enter: Amount of tax imposed on the organization managers or disqualified persons during the
year under section 4912, 4955 and 4958
d Enter Amount of tax in 89c, above, reimbursed by the organization
90a List the states with which a copy of this return is filed
N/A
Yes
Yes
Yes
No
A
j
b Number of employees employed in the pay period that includes March 12, 1999 (See inst.) I90bI 0
91 The books are in care of Audreylee Leavitt Telephone no. 305) 361-1883
Located at 91 W. McIntyre, Key Biscayne, FL ZIP + 4 33149
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041— Check here
enter the amount of tax-exempt interest received or accrued during the tax year . . . . 1 92 1
Form 990 (1999)
Form 990 (1999) KEY BISCAYNE ATHLETIC CLUB, INC.
Part VII Analysis of Income -Producing Activities
23-7118840 Page 6
See Specific Instructions on oases 29
Enter gross amounts unless otherwise
Indicated.
93 Program service revenue:
` a
Unrelated business income
Excluded by section 512, 513, or 514
(E)
Related or exempt
function income
(A)
Business code
(B)
Amount
(C)
Exclusion code
(D)
Amount
b
c
d
e
f Medicare/Medicaid payments .
g Fees and contracts from government agencies .
94 Membership dues and assessments
95 Interest on savings and temporary cash investment
96 Dividends and interest from securities
97 Net rental income (loss) from real estate
a debt -financed property
b not debt -financed property
98 Net rental income or (loss) from personal property
99 Other investment income
100 Gain or (loss) from sales of assets other than inventory
101 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory
103 Other revenue
93,671
14
3,512
fj//1/ ////// Z ///////.� ///////////////////.✓!// ,/
b
c
d
e
104 Subtotal (add cols. (B), (D), and (E)) . . .7.
/
0
�/
3,512
93,671
97,183
105 TOTAL (add line 104, columns (B), (D), and (E)) . . .
Note: (Line 105 plus line 1d, Part I, should equal the amount on line 12, Part I )
Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See Specific Instructions on page 30 )
Line No.
Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the
accomplishment of the organization's exempt purposes (other than by_providing funds for such purposes)
94
Fees are received from the participants to fund the expenses incurred in operating the sports programs.
Part IX Information Re4arding Taxable Subsidiaries and Disregarded Entities
see Specific Instructions on p ge 30
(A)
Name, address, and EIN of corporation,
partnership, or disregarded entity
(B)
Percentage of
ownership interest
(C)
Nature of activities
(D)
Total
income
(E)
End -of -year
assets
Please
Sign
Here
Under penalties of perjury, I declare that I have examined this retum, 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
(IMPORTANT See General Instruction U, on page 14 )
I Audreylee Leavitt Treasurer
Signature of officer
Date
Type or print name Title
Paid
Preparer's
Use Only
Preparer's
signature
Date
10/6/2000
Check
if self-
employed
Prepares SSN or PTIN
115-48-1935
X
Firm's name
Freda Gimpel
EIN
(or yours)
and address
1231 Lincoln St.
Hollywood
FL
Phone
ZIP + 4 33019
Fnrm 990 119991
KEY BISCAYNE ATHLETIC CLUB
FORM 990 - SCHEDULES
YEAR ENDED 5/31/00
PART II - LINE 43 - Other Expenses
Description
EIN: 23-7118840
Program Mngmt & Fund
Total Services General Raising
Coaching Fees 54,930 54,930
Sports Equipment expense 18,626 18,626
Referees and Umpires 17,777 17,777
Utilities 1,628 1,628
Insurance 2,492 2,492
Registrations and Fees 9,261 8,965 296
Program Events 2,203 1,591 612
Trophies and Photography 8,363 8,363
Uniforms 30,699 30,699
Total
145,979 143,443 2,536 0
PART II - LINE 42 - Depreciation
PART IV - LINE 57 - Land, Building and Equipment
Current Acc.
Asset Cost Method Depreciation Depreciation
Sod 6,875 SU 7 yr 982 3,437
Shed 2,300 SU 7 yr 329 1,809
Fencing 8,900 SU10 yr 890 4,005
Cart 7 E92 SU 5 yr
25,967 2,990 10,040
Organization Exempt Under Section 501(c)(3)
OMB No 1545-0047
SCHEDULE A
,(Form 990)
Department of the Treasury
Internal Revenue Service
(Except Private Foundation), and Section 501(e), 501(f), 501(k),
501(n), or Section 4947(a)(1) Nonexempt Charitable Trust
Supplementary Information - (See separate instructions.)
Must be completed by the above organizations and attached to their Form 990 or 990-EZ.
1999
Name of the organization Employer identification number
KEY BISCAYNE ATHLETIC CLUB, INC. 23-7118840
Part I Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
See page 1 of the instructions. List each one. If there are none, enter "None."
(a) Name and address of each
employee paid more than $50,000
(b) Title and average
hours per week
devoted to position
(c) Compensation
(d) Contributions to
employee benefit plans &
deferred compensation
(e)
Expense account
and other
allowances
NONE
over number $50l 000 of other employees paid
0
i
Part II Compensation of the Five Highest Paid Independent Contractors for Professional Services
See page 1 of the instructions List each one (whether individuals or firms.) If there are none, enter "None ")
(a) Name and address of each independent contractor
paid more than $50,000
(b) Type of service
(c) Compensation
NONE
Total number others receiving over
$50,000for p for professional services
0
%j
For Paperwork Reduction Act Notice, see page 1 of the Instructions to Form 990 and Form 99047
(HTA)
Schedule A (Form 990) 1999
Schedule A (Form 990) 1999 KEY BISCAYNE ATHLETIC CLUB, INC.
Part III Statements About Activities
23-7118840 Page 2
Yes No
1 During the year, has the organization attempted to influence national, state, or local legislation,
including any attempt to influence public opinion on a legislative matter or referendum?
If "Yes," enter the total expenses paid or incurred in connection with the lobbying activities.
Organizations that made an election under section 501(h) by filing Form 5768 must complete
Part VI -A Other organizations checking "Yes," must complete Part VI -B AND attach a
statement giving a detailed description of the lobbying activities.
2 During the year, has the organization, either directly or indirectly, engaged in any of the
following acts with any of its trustees, directors, officers, creators, key employees, or
members of their families, or with any taxable organization with which any such person is
affiliated as an officer, director, trustee, majority owner, or principal beneficiary:
a Sale, exchange, or leasing of property?
b Lending of money or other extension of credit'?
c Furnishing of goods, services, or facilities'?
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)?
e Transfer of any part of its income or assets'?
If the answer to any question is "Yes, " attach a detailed statement explaining the transactions
3 Does the organization make grants for scholarships, fellowships, student loans, etc.? . .
4a Do you have a section 403(b) annuity plan for your employees? . . . . . . . .
b Attach a statement to explain how the organization determines that individuals or organizations receiving
grants or loans from it in furtherance of its charitable programs qualify to receive payments. (See page 2 of the instructions)
Part IV Reason for Non -Private Foundation Status (See pages 2 through 4 of the instructions.)
2a X
X
X
X
X
X
4a X
2c
2b
2d
2e
3
The or anization is not a private foundation because it is (please check only ONE applicable box)
5 A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i)
6 A school Section 170(b)(1)(A)(ii) (Also complete Part V, page 4.)
7 A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii).
8 A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v)
9 A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(iii) Enter the hospital's
name, city, and state
10 An organization operated for the benefit of a college or university owned or operated by a governmental unit
Section 170(b)(1)(A)(iv). (Also complete the Support Schedule in Part IV -A )
11a An organization that normally receives a substantial part of its support from a governmental unit or from the
general public. Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV -A )
11b A community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule below )
X
12 An organization that normally receives: (1) more than 33 1/3% of its support from contributions,
membership fees, and gross receipts from activities related to its charitable, etc , functions- subject to certain
exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business
taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See
section 509(a)(2). (Also complete the Support Schedule in Part IV -A.)
13 An organization that is not controlled by any disqualified persons (other than foundation managers) and
supports organizations described in: (1) lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they
meet the test of section 509(a)(2). (See section 509(a)(3).)
Provide the following information about the supported organizations (See page 4 of the instructions)
(a) Name(s) of supported organization(s)
(b) Line number
from above
14
An organization organized and operated to test for public safety. Section 509(a)(4). (See page 4 of the instructions )
Schedule A (Form 990) 1999
Schedule A (Form 990) 1999 KEY BISCAYNE ATHLETIC CLUB, INC. 23-7118840
Part IV -A Support Schedule (Complete only if you checked a box on line 10, 11, or 12 above.) Use cash method of accounting.
NOTE. You may use the worksheet in the instructions for converting from the accrual to the cash method of accountinc
Page 3
Calendar year (or fiscal year beginning in)
(a) 1998
(b) 1997
(c) 1996
(d) 1995
(e) Total
15 Gifts, grants, and contributions received. (Do
not include unusual grants See line 28.) ..
38,593
36,000
38,154
36,000
148,747
16 Membership fees received . .
112,964
92,656
79,349
60,951
345,920
17 Gross receipts from admissions, merchandise
sold or services performed, or furnishing
of facilities in any activity that is not a
business unrelated to the organization's
charitable, etc , purpose
0
18 Gross income from interest, dividends, amounts
received from payments on securities loans
(section 512(a)(5)), rents, royalties, and unrelated
business taxable income (less section 511 taxes)
from businesses acquired by the organization
after June 30, 1975 ..
3,632
4,619
4,330
4,643
17,224
19 Net income from unrelated business activities
not included in line 18
0
20 Tax revenues levied for the organization's benefit
and either paid to it or expended on its behalf . .
0
21 The value of services or facilities furnished to the
organization by a governmental unit without charge
Do not include the value of services or facilities
generally furnished to the public without charge
0
22 Other income Attach a schedule Do not include
gain or (loss) from sale of capital assets . . . .
0
23 Total of lines 15 through 22
155,189
133,275
121,833
101,594
511,891
24 Line 23 minus line 17 . . . . .
155,189
133,275
121,833
101,594
511,891
25 Enter 1% of line 23 .
1,552
1,333
1,218
1,016 /
26 Organizations described in lines 10 or 11: a Enter 2% of amount in column (e), line 24 .
26a
10,238
b Attach a list (which is not open to public inspection) showing the name of and amount contributed by
each person (other than a governmental unit or publicly supported organization) whose total gifts for
�����
%�j/
1995 through 1998 exceeded the amount shown in line 26a. Enter the sum of all these excess amounts
26b
0
c Total support for section 509(a)(1) test: Enter line 24, column (e) . . . .
26c
511,891
d Add Amounts from column (e) for lines. 18
17,224 19 0A
22
0 26b 0
26d
17,224
e Public support (line 26c minus line 26d total)
26e
494,667
f Public support percentage (line 26e (numerator) divided by line 26c (denominator))
26f
96 64%
27 Organizations described on line 12: a For amounts included on lines 15, 16, and 17, that were received from a
"disqualified person," attach a list to show the name of, and total amounts received in each year from, each "disqualified
person " Enter the sum of such amounts for each year.
(1998) (1997) (1996) (1995).
b For any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and
amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000
(Include in the list organizations described in lines 5 through 11, as well as individuals ) After computing the difference
between the amount received and the larger amount described in (1) or (2), enter the sum of all these differences (the
excess amounts) for each year
(1998) (1997) (1996) (1995)
c Add. Amounts from column (e) for lines. 15 0 16 0
17 0 20 0 21 0
d Add. Line 27a total 0 and line 27b total 0
e Public support (line 27c minus line 27d total)
f Total support for section 509(a)(2) test: Enter amount on line 23, column (e)
g Public support percentage (line 27e (numerator) divided by line 27f (denominator))
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator))
I27fI 0
27c 0
27d 0
27e 0
27g 0 00%
27h 0 00%
28 Unusual Grants: For an organization described in line 10, 11, or 12, that received any unusual grants during 1995 through 1998,
attach a list (which is not open to public inspection) for each year showing the name of the contributor, the date and amount of the
grant, and a brief description of the nature of the grant Do not include these grants in line 15. (See page 4 of the instructions.)
Schedule A (Form 990) 1999
Page 4
Schedule A (Form 990) 1999 KEY BISCAYNE ATHLETIC CLUB, INC. 23-7118840
Part V Private School Questionnaire (See page 4 of the instructions.)
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its
charter, bylaws, other governing instrument, or in a resolution of its governing body'?
30 Does the organization include a statement of its racially nondiscriminatory policy toward students
in all its brochures, catalogues, and other written communications with the public dealing with
student admissions, programs, and scholarships' .
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast
media during the period of solicitation for students, or during the registration period if it has no solicitation
program, in a way that makes the policy known to all parts of the general community it serves?
If "Yes," please describe, if "No," please explain. (If you need more space, attach a separate statement.)
32 Does the organization maintain the following:
a Records indicating the racial composition of the student body, faculty, and administrative staff?
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis's . . . . . .
c Copies of all catalogues, brochures, announcements, and other written communications to the public
dealing with student admissions, programs, and scholarships? . . . . .
d Copies of all material used by the organization or on its behalf to solicit contributions?
If you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement )
33 Does the organization discriminate by race in any way with respect to.
a Students' rights or privileges?
b Admissions policies? . . . . . . . . . . . ..
c Employment of faculty or administrative staff? .
d Scholarships or other financial assistance?
e Educational policies'
f Use of facilities?
g Athletic programs?
h Other extracurricular activities?
If you answered "Yes" to any of the above, please explain (If you need more space, attach a statement )
34a Does the organization receive any financial aid or assistance from a governmental agency'?
b Has the organization's right to such aid ever been revoked or suspended?
If you answered "Yes" to either 34a or b, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through
4 05 of Rev Proc 75-50, 1975-2 C.B. 587, covenng racial nondiscrimination? If "No," attach an explanation
Schedule A (Form 990) 1999
Schedule A (Form 990)1999 KEY BISCAYNE ATHLETIC CL 23-7118840
Part VI -A Lobbying Expenditures by Electing Public Charities (See page 6 of the instructions.)
(To be completed ONLY by an eligible organization that filed Form 5768)
Page 5
Check here a
Check here
If the organization belongs to an affiliated group.
bl If you checked "a" and "limited control" provisions apply.
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred)
36 Total lobbying expenditures to influence public opinion (grassroots lobbying)
37 Total lobbying expenditures to influence a legislative body (direct lobbying)
38 Total lobbying expenditures (add lines 36 and 37)
39 Other exempt purpose expenditures . . . .
40 Total exempt purpose expenditures (add lines 38 and 39)
41 Lobbying nontaxable amount. Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
Not over $500,000 . 20% of the amount on line 40
Over $500,000 but not over $1,000,000 . . $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000
Over $1,500,000 but not over $17,000,000 . . . . $225,000 plus 5% of the excess over $1,500,000
Over $17,000,000 $1,000,000
42 Grassroots nontaxable amount (enter 25% of line 41)
43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36
44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38
(a) (b)
Affiliated To be completed for
group totals ALL organizations
36
37
38
0
0
39
40
0
A
41 0 0
42 0 0
43 0 0
44 0 0
Caution If there is an amount on either line 43 or line 44, file Form 4720.
4 - Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below
See the instructions for lines 45 through 50 on page 7 of the instructions
Lobbying Expenditures During 4 -Year Averaging Period
Calendar year (or fiscal
year beginning in)
(a)
1999
(b)
1998
(c)
1997
(d)
1996
(e)
Total
45
Lobbying nontaxable amount
0
46
Lobbying ceiling amount (150% of line 45(e))
/%/ /////
///�//O//
� � /%
jG
A
0
47
Total lobbying expenditures
0
48
Grassroots nontaxable amount ��
0
49
Grassroots ceiling amount (150% of line 48(e)) / //////%// j
0
50
Grassroots lobbying expenditures
0
Part VI -B Lobbying Activity by Nonelecting Public Charities
(
For reporting by organizations that did not complete Part VI -A) (See page 8 of the instructions
Dunng the year, did the organization attempt to influence national, state or local legislation, including
any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines c through h )
c Media advertisements
d Mailings to members, legislators, or the public .
e Publications, or published or broadcast statements
f Grants to other organizations for lobbying purposes .
g Direct contact with legislators, their staffs, government officials, or a legislative body .
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means
i Total lobbying expenditures (add lines c through h)
Yes
No
Amount
X
X
X
X
X
X
X
X
0
If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities.
Schedule A (Form 990) 1999
Schedule A (Form 990) 1999 KEY BISCAYNE ATHLETIC CLUB, INC. 23-7118840
Part VII Information Regarding Transfers To and Transactions and Relationships With
• Noncharitable Exempt Organizations (See page 8 of the instructions.)
Page 6
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in
section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
' a Transfers from the reporting organization to a noncharitable exempt organization of
(i) Cash
(ii) Other assets
b Other transactions.
(i) Sales or exchanges of assets with a noncharitable exempt organization
(ii) Purchases of assets from a noncharitable exempt organization
(iii) Rental of facilities, equipment, or other assets
(iv) Reimbursement arrangements
(v) Loans or loan guarantees .
(vi) Performance of services or membership or fundraising solicitations
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show
the fair market value of the goods, other assets, or services given by the reporting organization. If the
organization received less than fair market value in any transaction or sharing arrangement, show in column
(d) the value of the goods, other assets, or services received.
(a)
Line no
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
51a(i)
Yes
No
X
X
b(i)
b(ii)
b(iii)
b(iv)
b(v)
b(vi)
c
Descnption of transfers, transactions, and sharing arrangements
52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? .
b If "Yes," complete the following schedule.
Yes
No
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationshi
p
Schedule A (Form 990) 1999
OMB No. 1545-0047
930
T
)artrnent of the Treasury
,rnai Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c) of the Internal Revenue Code (except black lung benefit
trust or private foundation) or section 4947(a)(1) nonexempt charitable trust
Note: The organization may have to use a copy of this return to satisfy state reporting requirements.
.698
This Form is
Open to Public
Inspection
For the 1998 calendar year, OR tax year period beginning JUN 1
Check if' Please
use IRS
Change of address label or
Initial return print or
type.
Final return See
Amended return Specific City or town, state or country, and ZIP+4
Instruc- y ry
(required also for tions.
state reporting)
, 1998, and ending H 4-y 3) , 19 99
C Name of organization
XEY' B)&ii9YA/ ATNLE ,-Jc C Lu8, //VC._.
Num AE/
and street (or P.O. box if mail is not delivered to street address) Room/suite
Po. .80x Al9c 3o10
kE y' h3)SC/ -VNg ,
3.3 /(1
D Employer identification number
�3 7//8'8`,0
E Telephone number
305- 3&'J -
F Check ► ❑ if exemption application
is pending
Type of organization —►[Exempt under section 501(c)( ) t (insert number) OR ► ❑ section 4947(a)(1) nonexempt charitable trust
rte: Section 501(c)(3) exempt organizations and 4947(a)(1) nonexempt charitable trusts MUST attach a completed Schedule A (Form 990).
9) Is this a group return filed for affiliates'? ❑ Yes ® No
)) If "Yes," enter the number of affiliates for which this return is filed:. ►
:) Is this a separate return filed by an organization covered by a group ruling? ❑ Yes 2 No
If either box in H is checked "Yes," enter four -digit group
exemption number (GEN) ►
J Accounting method: [K Cash 0 Accrual
0 Other (specify) I.
Check here P. ❑ if the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS; but if it received
a Form 990 Package in the mail, it should file a return without financial data. Some states require a complete return.
ite: Form 990-EZ may be used by organizations with gross receipts less than $100,000 and total assets less than $250,000 at end of year.
MCI Revenue, Expenses, and Changes in Net Assets or Fund Balances (See Specific Instructions on page 13.)
1 Contributions, gifts, grants, and similar amounts received:
a Direct public support
la
359.3
b Indirect public support
lb
c Government contributions (grants)
1c
35 000
d Total (add lines la through 1c) (attach schedule of contributors) \\\\\\
(cash $ noncash $ )
1 d
.j4.5(13
2 Program service revenue including government fees and contracts
(from
Part VII, line 93)
2
3 Membership dues and assessments
3
/I? 9/01
4 Interest on savings and temporary cash investments
4
3 k,9.2_.
2.
5 Dividends and interest from securities
5
6a Gross rents
6a
\
b Less: rental expenses
6b
\
c Net rental income or (loss) (subtract line 6b from line 6a)
6c
7 Other investment income (describe ►
)
7
( 8a Gross amount from sale of assets other
(A) Securities
(B) Other
than inventory
8a
b Less: cost or other basis and sales expenses
8b
c Gain or (loss) (attach schedule)
8c
d Net gain or (loss) (combine line 8c, columns (A) and (B))
8d
9 Special events and activities (attach schedule)
a Gross revenue (not including $ of
contributions reported on line la)
9a \
b Less: direct expenses other than fundraising expenses
f 9b \\\\\�
c Net income or (loss) from special events (subtract line 9b from line 9a)
9c
10a Gross sales of inventory, less returns and allowances
10a
b Less: cost of goods sold
10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a)
10c
11 Other revenue (from Part VII, line 103)
11
12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11)
12
/5S)g7
13 Program services (from line 44, column (B))
13
/9'7/70
14 Management and general (from line 44, column (C))
14
(oO '7
i 15 Fundraising (from line 44, column (D))
15
i 16 Payments to affiliates (attach schedule)
16
17 Total expenses (add lines 16 and 44, column (A))
17
133 /97
18 Excess or (deficit) for the year (subtract line 17 from line 12)
18
9 9�
19 Net assets or fund balances at beginning of year (from line 73, column (A))
19
Ia/
17 q /P io
ii 20 Other changes in net assets or fund balances (attach explanation)
20
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20)
21
/5/ / `79
Paperwork Reduction Art Nntira can nano 1 of the. canarata inctnIrtinnc
at Nn 119R9Y
Fnrm 4q (1,PR1
Form 990 (1998)
Page
Part II
Statement of
Functional Expenses
All organizations must complete column (A). Columns (B), (C), and (D) are required for section 501(c)(3) and (4) organizations
and section 4947(a)(1) nonexempt charitable trusts but optional for others. (See Specific Instructions on page 17 )
Do not include amounts reported on line
6b, 8b, 9b, 1Ob, or 16 of Part I.
L
(A) Total
(B) Program
services
(C) Management
and general
(D) Fundraising
22 Grants and allocations (attach schedule) .
(cash $ noncash $ )
22
23 Specific assistance to individuals (attach schedule)
24 Benefits paid to or for members (attach schedule)
25 Compensation of officers, directors, etc
26 Other salaries and wages
27 Pension plan contributions
28 Other employee benefits
29 Payroll taxes
30 Professional fundraising fees
31 Accounting fees
32 Legal fees
33 Supplies
34 Telephone
35 Postage and shipping
36 Occupancy
37 Equipment rental and maintenance
38 Printing and publications
39 Travel
40 Conferences, conventions, and meetings
41 Interest
42 Depreciation, depletion, etc. (attach schedule)
43 Other expenses (itemize): a
b 6C,LEPUI A_TT4CH:E1?
c
d
e
44 Total functional expenses (add lines 22 through 43) Organizations
completing columns (B) -(0), carry these totals to lines 13-15 .
23
25
26
27
28
29
30
31
2So
g50
32
33
x.5/3
l00
/Y/,3
34
35
36
37
38
...5—S 1
.S8/
39
40
41
42
.2,19 0/
.Ut?/
43a
43b
/e.? 8trt55-
/d `l07S ?
3 711
43c
43d
43e
44
133) 9 i
/a 7l '%o
6a2 7
Reporting of Joint Costs. —Did you report in column (B) (Program services) any joint costs from a combined
educational campaign and fundraising solicitation? ► ❑ Yes
If "Yes," enter (I) the aggregate amount of these joint costs $
(iii) the amount allocated to Management and general $
; (ii) the amount allocated to Program services $
; and (iv) the amount allocated to Fundraising $
® No
Part III
Statement of Program Service Accomplishments (See Specific Instructions on gage 20.
What is the organization's primary exempt purpose? ►---PO-TH---��7?O.QF-6 9-14)°61e1//t0. Program
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number
of clients served, publications issued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4)
organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.)
Service
Expenses
(Required for 501(c)(3) and
(4) orgs , and 4947(a)(1)
trusts, but optional for
others )
a ffid-TE-4,4 .4THLEr c P,Pa&fAtl5__if& 6; u4)�73,_ tuirH
PART/C/PA Tiop/ . AN rod Ch+/N . 1i'o6./eig c; JAI CLL>DG
Br1L-, 7F,NN/5, 6c r'CK imiD k5oFrj, ,4LL .
(Grants and allocations $
.r_4REiv 7A-L_
.5c9/LI..,
)
/?`7/-10
b
(Grants and allocations $
)
c
(Grants and allocations $
)
d
(Grants and allocations $
)
e Other program services (attach schedule) (Grants and allocations $
)
f Total of Proorem Service Expenses (should eoual line 44. column ((B), Program services) . .
► /..> 1/7
"
n , 9 9 0 ( 1 9 8 )
P a r t I V
P a g e 3
B a l a n c e S h e e t s ( S e e S p e c i f i c I n s t r u c t i o n s o n p a g e 2 0 . )
h a t e : W h e r e r e q u i r e d , a t t a c h e d s c h e d u l e s a n d a m o u n t s w i t h i n t h e d e s c r i p t i o n
c o l u m n s h o u l d b e f o r e n d - o f - y e a r a m o u n t s o n l y .
( A )
B e g i n n i n g o f y e a r
( B )
E n d o f y e a r
A s s e t s
4 5 C a s h n o n - i n t e r e s t - b e a r i n g
4 6 S a v i n g s a n d t e m p o r a r y c a s h i n v e s t m e n t s
4 7 a A c c o u n t s r e c e i v a b l e
b L e s s : a l l o w a n c e f o r d o u b t f u l a c c o u n t s
4 8 a P l e d g e s r e c e i v a b l e
b L e s s : a l l o w a n c e f o r d o u b t f u l a c c o u n t s
4 9 G r a n t s r e c e i v a b l e
5 0 R e c e i v a b l e s f r o m o f f i c e r s , d i r e c t o r s , t r u s t e e s ,
( a t t a c h s c h e d u l e )
5 1 a O t h e r n o t e s a n d l o a n s r e c e i v a b l e ( a t t a c h E ,
s c h e d u l e )
b L e s s : a l l o w a n c e f o r d o u b t f u l a c c o u n t s
5 2 I n v e n t o r i e s f o r s a l e o r u s e
5 3 P r e p a i d e x p e n s e s a n d d e f e r r e d c h a r g e s
5 4 I n v e s t m e n t s s e c u r i t i e s ( a t t a c h s c h e d u l e )
5 5 a I n v e s t m e n t s l a n d , b u i l d i n g s , a n d
e q u i p m e n t : b a s i s
b L e s s : a c c u m u l a t e d d e p r e c i a t i o n ( a t t a c h
s c h e d u l e )
5 6 I n v e s t m e n t s o t h e r ( a t t a c h s c h e d u l e )
5 7 a L a n d , b u i l d i n g s , a n d e q u i p m e n t : b a s i s
b L e s s : a c c u m u l a t e d d e p r e c i a t i o n ( a t t a c h
s c h e d u l e )
5 8 O t h e r a s s e t s ( d e s c r i b e I .
4 7 a
A 1 0 9 1 0 0
4 5
X 5 / 5 5 3
7 5 0 0 D
7 5 0 0 0
4 6
. \ \ I
4 . 7 c .
\ ���� \ \
4 8 a \ \ \ \ \ ` '
4 8 c
4 8 b
a n d
5 1 a
k e y e m p l o y e e s
4 9
5 0
5 1 c
5 1 b
5 5 a `
5 2
5 3
5 4
\ \ \ \ \ \ \
5 5 c
5 5 b
5 7 a
1 g 0 7 5
5 6
% , , 4 ) , q 4 0
% .
5 7 c
/ / O 5
5 7 b
/ V 5 0
)
5 8
5 9 T o t a l a s s e t s ( a d d l i n e s 4 5 t h r o u g h 5 8 ) ( m u s t e q u a l l i n e 7 4 ) . . . .
/ ' q / ' 4
5 9
j 5 - / / ' n
L i a b i l i t i e s
6 0 A c c o u n t s p a y a b l e a n d a c c r u e d e x p e n s e s
6 1 G r a n t s p a y a b l e
6 2 D e f e r r e d r e v e n u e
6 3 L o a n s f r o m o f f i c e r s , d i r e c t o r s , t r u s t e e s , a n d k e y e m p l o y e e s ( a t t a c h
s c h e d u l e )
6 4 a T a x - e x e m p t b o n d l i a b i l i t i e s ( a t t a c h s c h e d u l e )
b M o r t g a g e s a n d o t h e r n o t e s p a y a b l e ( a t t a c h s c h e d u l e )
6 5 O t h e r l i a b i l i t i e s ( d e s c r i b e �% )
6 0
6 1
6 2
k l
6 3
6 4 a
6 4 b
6 5
6 6 T o t a l l i a b i l i t i e s ( a d d l i n e s 6 0 t h r o u g h 6 5 )
0
6 6
N e t A s s e t s o r F u n d B a l a n c e s
O r g a n i z a t i o n s t h a t f o l l o w S F A S 1 1 7 , c h e c k h e r e �% Q' a n d c o m p l e t e l i n e s
6 7 t h r o u g h 6 9 a n d l i n e s 7 3 a n d 7 4 .
6 7 U n r e s t r i c t e d
6 8 T e m p o r a r i l y r e s t r i c t e d
6 9 P e r m a n e n t l y r e s t r i c t e d
O r g a n i z a t i o n s t h a t d o n o t f o l l o w S F A S 1 1 7 , c h e c k h e r e �% Q' a n d
c o m p l e t e l i n e s 7 0 t h r o u g h 7 4 .
7 0 C a p i t a l s t o c k , t r u s t p r i n c i p a l , o r c u r r e n t f u n d s
7 1 P a i d - i n o r c a p i t a l s u r p l u s , o r l a n d , b u i l d i n g , a n d e q u i p m e n t f u n d
7 2 R e t a i n e d e a r n i n g s , e n d o w m e n t , a c c u m u l a t e d i n c o m e , o r o t h e r f u n d s
7 3 T o t a l n e t a s s e t s o r f u n d b a l a n c e s ( a d d l i n e s 6 7 t h r o u g h 6 9 O R l i n e s
7 0 t h r o u g h 7 2 ; c o l u m n ( A ) m u s t e q u a l l i n e 1 9 a n d c o l u m n ( B ) m u s t
e q u a l l i n e 2 1 )
7 4 T o t a l l i a b i l i t i e s a n d n e t a s s e t s / f u n d b a l a n c e s ( a d d l i n e s 6 6 a n d 7 3 )
< 5 9 1 2 ' 6
\ \
6 7
7 4 / 7 4 ?
7 5 0 0 0
6 8
% 5 0 0 0
6 9
7 0
7 1
7 2
a r i a &
7 3
p
1 . 5 1 / 7 d
A n / F / 0
7 4
1 5 7 / - 7 2
F o r m 9 9 0 i s a v a i l a b l e f o r p u b l i c i n s p e c t i o n a n d , f o r s o m e p e o p l e , s e r v e s a s t h e p r i m a r y o r s o l e s o u r c e o f i n f o r m a t i o n a b o u t a
a r t i c u l a r o r g a n i z a t i o n . H o w t h e p u b l i c p e r c e i v e s a n o r g a n i z a t i o n i n s u c h c a s e s m a y b e d e t e r m i n e d b y t h e i n f o r m a t i o n p r e s e n t e d
n i t s r e t u r n . T h e r e f o r e , p l e a s e m a k e s u r e t h e r e t u r n i s c o m p l e t e a n d a c c u r a t e a n d f u l l y d e s c r i b e s , i n P a r t I I I , t h e o r g a n i z a t i o n ' s
r o g r a m s a n d a c c o m p l i s h m e n t s .
Form 990 (1998)
' • rt IV- ' Reconciliation of Revenue
per Audited
Revenue per
page 22.)
' - rt IV- c Reconciliation of Expenses
per Aud ed
Expenses per '
Financial Statements with
Return (See Specific Instructions,ti
Financial Statements with
Return
\\`'\ \
�����
a Total revenue, gains, and other support
a Total expenses and losses per
per audited financial statements . . 11. a
b Amounts included on line a but not on
line 12, Form 990:
audited financial statements ►
b Amounts included on line a but not
on line 17, Form 990:
a
/33 q
(1) Net unrealized gains
on investments $
(1) Donated services
and use of facilities $
(2) Donated services
and use of facilities $
\
(2) Prior year adjustments
reported on line 20,
Form 990 $
(3) Recoveries of prior
year grants $
(3) Losses reported on
(4) Other (specify):
line 20, Form 990 $
$
��
\\\
(4) Other (specify):
Add amounts on lines (1) through (4) ►
b
$
b
Add amounts on lines (1) through (4)►
c Line a minus line b ►
d Amounts included on line 12,
Form 990 but not on line a:
c
c Line a minus line b ►
d Amounts included on line 17,
Form 990 but not on line a:
C
\
\
(1) Investment expenses
not included on line
(1) Investment expenses
not included on line
6b, Form 990. . . $
6b, Form 990 $
(2) Other (specify):
(2) Other (specify):
$
\`�\\
$
Add amounts on lines (1) and (2) ►
e Total revenue per line 12, Form 990
d
Add amounts on lines (1) and (2) ►
a Total expenses per line 17, Form 990
d
pq
line c plus line d) ►
e
/66—/S /
(line c plus line d) ►
e
13,9'117
Part V List of Officers, Directors. Trustees. and Key
Emnlovees (List each one even if not cmmnancatmri• CAP Snarrfir
Page• 4
Instructions on page 22.)
(A) Name and address
(B) Title and average hours per
week devoted to position
(C) Compensation
(If not paid, enter
-0-.)
(D) Contnbutions to
employee benefit plans &
deferred compensation
(E) Expense
account and other
allowances
%T 6/ /OJtJ ) ,)
335 edoR LA. KI diorAma 33Ry7
i 5 I oat r
5 Hies 1 iviS
D
0
0
M7)1 9 g L
24'Q 66rN,ei ,ev. gel 43Ase tyNE .33 /,./9
viuC f 6) L%C-av /
5 n,e_s J Poic
0
o
p
v/01'1 6ToNeX C'/)c.4-
&do n! . H.96NTA D,e, Key $ I SP/Yj/Ncs 3aply l'
.ScC'1,er.T.44`/
,5 742.5 1 u.,K
o
o
t5
'IilD.R_ L 4 1-64V / 7'7
''io /.5L 4-N1) D,P. k >/ .816 9YN f.L
TREA6L',c' ' -
.. it -4-5 I RI i<
D
D
0
75 Did any officer, director, trustee, or key employee rece ve aggregate compensation of more than $100,000 from your �,/
organization and all related organizations, of which more than $10,000 was provided by the related organizations? 11- ❑ Yes LJ No
If "Yes," attach schedule —see Specific Instructions on page 22.
rm 990 ('998)
MEI Other Information (See Specific Instructions on page 23.)
Page 5
Yes No
i Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity
► 'Were any changes made in the organizing or governing documents but not reported to the IRS?
If "Yes," attach a conformed copy of the changes.
3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return?
b If "Yes," has it filed a tax return on Form 990-T for this year?
) Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement
)a Is the organization related (other than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?
b If "Yes," enter the name of the organization ►
and check whether it is ❑ exempt OR ❑ nonexempt.
I a Enter the amount of political expenditures, direct or indirect, as described in the
instructions for line 81
181a 1
b Did the organization file Form 1120-POL for this year?
2a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge
or at substantially less than fair rental value?
b If "Yes," you may indicate the value of these items here. Do not include this amount
as revenue in Part I or as an expense in Part II. (See instructions for reporting in
Part III.) 182b
3a Did the organization comply with the public inspection requirements for returns and exemption applications?
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions?
4a Did the organization solicit any contributions or gifts that were not tax deductible?
b If "Yes," did the organization include with every solicitation an express statement that such contributions
or gifts were not tax deductible?
5 501(c)(4), (5), or (6) organizations. —a Were substantially all dues nondeductible by members?
b Did the organization make only in-house lobbying expenditures of $2,000 or less? 85,b
If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization
received a waiver for proxy tax owed for the prior year. \
c Dues, assessments, and similar amounts from members 85c \
d Section 162(e) lobbying and political expenditures
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f
g Does the organization elect to pay the section 6033(e) tax on the amount in 85f?
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount in 85f to its reasonable
estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? 85h
6 501(c)(7) organizations. —Enter: a Initiation fees and capital contributions included on
line 12 86a \
b Gross receipts, included on line 12, for public use of club facilities 86a
7 501(c)(12) organizations. —Enter:
a Gross income from members or shareholders
sources against amounts due or received from them) 87b \ b Gross income from other sources. (Do not net amounts due or paid to other
_.
8 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or
partnership? If "Yes," complete Part IX 88 V
9a 501(c)(3) organizations. —Enter: Amount of tax imposed on the organization during the year under: \
section 4911 II - ; section 4912 ► ; section 4955 IA. �
b 501(c)(3) and 501(c)(4) organizations. —Did the organization engage in any section 4958 excess benefit
transaction during the year? If "Yes," attach a statement explaining each transaction
c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912, 4955, and 4958 10-
d Enter. Amount of tax on line 89c, above, reimbursed by the organization ►
I0a List the states with which a copy of this return is filed ►
b Number of employees employed in the pay period that includes March 12, 1998 (See instructions.) . I90b I 0
1 The books are in care of I. l_9(1.4? r- _ _ _ _ /i/' 17 Telephone no. ► ( S) 0a1— I cP 3
Located at 0. 0 it '• AP/Ai7 ff 1(E 4316 4.V/VO FL— ZIP + 4 P._,3.,3/ `X
2 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 —Check here ► ❑
and enter the amount of tax-exempt interest received or accrued during the tax year . . ► 1 92 1
76 V
77 ✓
78a
78b i✓/4
81b
V
83a
83b ✓
Ma
Mb
85a
85d
85e
85g
89b
Form 990 (1998)
Part VII
,r Page '6
Analysis of Income -Producing Activities (See Specific Instructions on page 27.)
Enter gross amounts unless otherwise
indicated.
93 Program service revenue:
a
Unrelated business income
Excluded by section 512, 513, or 514
(E) '
Related or
exempt function
income
(A)
Business code
(B)
Amount
(C)
Exclusion code
(D)
Amount
b
c
d
e
f Medicare/Medicaid payments
g Fees and contracts from government agencies
94 Membership dues and assessments
95 Interest on savings and temporary cash investments
96 Dividends and interest from securities
97 Net rental income or (loss) from real estate:
a debt -financed property
b not debt -financed property
98 Net rental income or (loss) from personal property
99 Other investment income
100 Gain or (loss) from sales of assets other than inventory
101 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory
103 Other revenue: a
l/r29%9
f 'y
31o3a.,
, �\�\\���������������������������
b
c
d
e
104 Subtotal (add columns (B), (D), and (Ell
. ,
.:34,3
/Ai 96,ii
105 Total add line 104, columns (B), (D), and (E))
Note: (Line 105 plus line 1d, Part I, should equal the amount on line 12, Part I.)
Part VIII
Relationship of Activities to the Accomplishment of Exempt Purposes (See Specific Instructions on page 28.)
Line No.
•
Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes).
94
Ici t gem REQ�/ ✓ED rRoN Dig »3RT/c//f}N75 7b FL" o 7c
ExP�®V6Cs lAlWitiED MI OP-tie/4-77N - SAb,e /3 o&re tS .
Part IX
Information Regarding Taxable Subsidiaries (Complete this Part if the "Yes' box on line 88 is checked.)
Name, address, and employer identification
number of corporation or partnership
Percentage of
ownership interest
Nature of
business activities
Total
income
End -of -year
assets
%
%
Please
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.
(See General Instruction U, on page 12.)
(
Signature of officer Date Type or print name and title
D aid
'reparer s
Jse Only
Preparer's
signature
Date
heck if
Se
employed I. 2'
Preparer's SSN
1/`j --y8 '/
Firm's name (or
yours if self-employed)
and address
/M [__
EIN ►
A373 i L//+,(00 L/i% 6-r. . liouy wf -
ZIP + 4 ► C33Q/ 9
KEY BISCAYNE ATHLETIC CLUB
FORM 990 - SCHEDULES
1 YEAR ENDED 5/31/99
PART II - LINE 43 - Other Expenses
Description
EIN: 23-7118840
Program Mngmt & Fund
Total Services General Raising
Coaching Fees 55,622 55,622
Sports Equipment expense 9,609 9,609
Referees and Umpires 14,980 14,980
Utilities 2,661
Insurance 1,953 1,953
Registrations and Fees 8,897 8,760
Program Events 2,953 1,987
Trophies and Photography 8,514 8,514
Uniforms 22,863 22,863
Total
2,661
137
966
128,052 124,288 3,764 0
PART II - LINE 42 - Depreciation
PART IV - LINE 57 - Land, Building and Equipment
Current Acc.
Asset Cost Method Depreciation Depreciation
Sod 6,875 SL/ 7 yr 982 2,455
Shed 2,300 SL/ 7 yr 329 1,480
Fencing 8.900 SL/10 yr 890 3.115
18,075 2,201 7,050
Organization Exempt Under Section 501(c)(3)
OMB No. 1545-0047
SCHEDULE A
(Ft rm''990)
Department of the Treasury
Internal Revenue Service
(Except Private Foundation) and Section 501(e), 501(f), 501(k),
501(n), or Section 4947(a)(1) Nonexempt Charitable Trust
Supplementary Information
See separate instructions.
► Must be completed by the above organizations and attached to their Form 990 or 990-EZ.
it
698
Name of the organization Employer Identification umber
8/6O YNV ,477NLETiG CLu8 /Al . .23 -X/1840
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions on page 1. List each one. If there are none, enter "None.")
(a) Name and address of each employee paid more
than $50,000
(b) Title and average hours
per week devoted to position
(c) Compensation
(d) Contributions to
employee benefit plans &
deferred compensation
(e) Expense
account and other
allowances
/VDit/g
e
$Total 50,000
of other
employees
paid
ov►
low
0
�� �\
Part II
Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions on page 1. List each one (whether individuals or firms). If there are none, enter "None.")
(a) Name and address of each independent contractor paid more than $50,000
(b) Type of service
(c) Compensation
Aiwa'
rota) number of others receiving over $50,000 for
)rofessional services ►
O
:or Paperwork Reduction Act Notice, see page 1 of the Instructions for Form 990 and Form 990-EZ. Cat. No. 11285F Schedule A (Form 990) 1998
Schedule A (Form 990) 1998
Part III
Statements About Activities
Page 2 -
Yes No
1 During the year, has the organization attempted to influence national, state, or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum?
If "Yes," enter the total expenses paid or incurred in connection with the lobbying activities ► $
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI -A. Other
organizations checking "Yes," must complete Part VI -B AND attach a statement giving a detailed description of
the lobbying activities.
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
of its trustees, directors, officers, creators, key employees, or members of their families, or with any taxable
organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary:
a Sale, exchange, or leasing of property?
b Lending of money or other extension of credit?
c Furnishing of goods, services, or facilities?
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)?
e Transfer of any part of its income or assets?
If the answer to any question is "Yes," attach a detailed statement explaining the transactions.
411,
3 Does the organization make grants for scholarships, fellowships, student loans, etc ?
4a Do you have a section 403(b) annuity plan for your employees?
b Attach a statement to explain how the organization determines that individuals or organizations receiving grants
or loans from it in furtherance of its charitable programs qualify to receive payments. (See instructions on page 2.)
Part IV
Reason for Non -Private Foundation Status (See instructions on pages 2 through 4.)
1
2b
2c
2d
2e
3
4a
The organization is not a private foundation because it is: (Please check only ONE applicable box.)
5 ❑ A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i).
6 0 A school. Section 170(b)(1)(A)(ii). (Also complete Part V, page 4.)
7 0 A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii).
8 0 A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v).
9 0 A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hospital's name, city,
and state ►
10 0 An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv).
(Also complete the Support Schedule in Part IV -A.)
11a EAn organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV -A.)
11b 0 A community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV -A.)
12 0 An organization that normally receives: (1) more than 33'/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc., functions —subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV -A.)
13 0 An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in: (1) lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See
section 509(a)(3).)
Provide the following information about the supported organizations. (See instructions on page 4.)
(a) Name(s) of supported organization(s) (b) Line number
from above
14 0 An organization organized and operated to test for public safety. Section 509(a)(4). (See instructions on page 4.)
Schedule A (Form 990) 1998 Page 4
Private School Questionnaire (See instructions on page 4.)
• (To be completed ONLY by schools that checked the box on line 6 in Part IV)
Yes No
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body'?
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships?
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way
that makes the policy known to all parts of the general community it serves?
If "Yes," please describe; if "No," please explain. (If you need more space, attach a separate statement.)
32 Does the organization maintain the following.
a Records indicating the racial composition of the student body, faculty, and administrative staff?
b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
basis'?
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships?
d Copies of all material used by the organization or on its behalf to solicit contributions?
If you answered "No" to any of the above, please explain (If you need more space, attach a separate statement.)
33 Does the organization discriminate by race in any way with respect to:
a Students' rights or privileges?
b Admissions policies?
c Employment of faculty or administrative staff'?
d Scholarships or other financial assistance?
e Educational policies'?
f Use of facilities'?
g Athletic programs?
h Other extracurricular activities'?
If you answered "Yes" to any of the above, please explain (If you need more space, attach a separate statement.)
34a Does the organization receive any financial aid or assistance from a governmental agency?
b Has the organization's right to such aid ever been revoked or suspended'?
If you answered "Yes" to either 34a or b, please explain using an attached statement.
29
30
31
32a
32b
32c
32d
33a
33b
33c
33d
33e
33f
33g
33h
Ma
L\3
35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," attach an explanation . . . 35
chedule A (Form 990) 1998
Page 3
art IV -A
Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
alendar year (or fiscal year beginning in) . I.
(a) 1997
(b) 1996
(c) 1995
(d) 1994
(e) Total
5 Gifts, grants, and contributions received.
not include unusual grants. See line 28.).
3 &'cO D
a9/
a%OOU
5 , a
/ 1ea��
6 Membership fees received
946549
19,3q9
b095/
"/5/ ago
97gOZL.
7 Gross receipts from admissions,
merchandise sold or services performed, or
furnishing of facilities in any activity that is
not a business unrelated to the organization's
charitable, etc., purpose
8 Gross income from interest, dividends,
amounts received from payments on securities
loans (section 512(a)(5)), rents, royalties, and
unrelated business taxable income (less
section 511 taxes) from businesses acquired
by the organization after June 30, 1975 . .
'10/ 9
4930
.�(���
,35-90
/7/07.
9 Net income from unrelated business
activities not included in line 18 . . .
'0 Tax revenues levied for the organization's
benefit and either paid to it or expended on
its behalf
.1 The value of services or facilities furnished to
the organization by a governmental unit
without charge. Do not include the value of
services or facilities generally furnished to the
public without charge
2 Other income. Attach a schedule. Do not
include gain or (loss) from sale of capital assets
!3 Total of lines 15 through 22
/3.3,275
/d/833
J0/-504
A 7J&'2%O
Q'//ac'
1
'
>.4 Line 23 minus line 17
/3,3.775
/a/ 233
/0/594
/04/&S'
J8 0
>_5 Enter 1% of line 23
/33 3
AP / f "
JD/ to
/0,7A
\ \\
>_6 Organizations described on lines 10 or 11:
b Attach a list (which is not open to public inspection)
governmental unit or publicly
person (other than a go p
1997 exceeded the amount shown in line 26a.
c Total support for section 509(a)(1) test: Enter line
d Add: Amounts from column (e) for lines: 18
22
e Public support (line 26c minus line 26d total)
f Public su000rt oercentaae (line 26e (numerator)
a Enter 2% of amount in column (e), line 24.
showing the name of and amount contributed
supported organization) whose total gifts for 1994
y pp 9
Enter the sum of all these excess amounts
24, column (e)
/ 7 1202 19 Q
. , I.
by each
through
►
0. 26c
►
I.
►
26a
9/
\\\
26b
\\\�\
2
divided by line 26c (denominator))
26e
*11 bST
26f
9i' 3 %
27 Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received from a "disqualified
person," attach a list to show the name of, and total amounts received in each year from, each "disqualified person." Enter the sum
of such amounts for each year:
(1997) (1996) (1995) (1994)
b For any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount
received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000. (Include in the list
organizations described in lines 5 through 11, as well as individuals.) After computing the difference between the amount received
and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year:
(1997) (1996) (1995) (1994)
c Add: Amounts from column (e) for lines: 15 16
17 20 21 ►
d Add: Line 27a total and line 27b total O.
e Public support (line 27c total minus line 27d total) I.
f Total support for section 509(a)(2) test: Enter amount on line 23, column (e) . . ► 127f
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ►
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator))►
27c
27d
27e
27g
27h
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 1994 through 1997,
attach a list (which is not open to public inspection) for each year showing the name of the contributor, the date and amount of the
grant, and a brief description of the nature of the grant. Do not include these grants in line 15. (See instructions on page 4.)
;hedule A.(Form 990) 1998
Page
art Vi -A
Lobbying Expenditures by Electing Public Charities (See instructions on page 6.)
(To be completed ONLY by an eligible organization that filed Form 5768)
he':k here ► a ❑ if the organization belongs to an affiliated group
heck here P.
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a)
Affiliated group
totals
(b)
To be completed
for ALL electing
organizations
3
7
3
)
3
1
2
3
4
Total lobbying expenditures to influence public opinion (grassroots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying)
Total lobbying expenditures (add lines 36 and 37)
Other exempt purpose expenditures
Total exempt purpose expenditures (add lines 38 and 39)
Lobbying nontaxable amount. Enter the amount from the following table—
If the amount on line 40 is— The lobbying nontaxable amount is—
0 20% of the ount on line 40
Not over
Over $500,000 but0 not over $1,000,000 . .$100,000 plus n15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 . $175,000 plus 10% of the excess over $1,000,000
butOver $1,500,000 not over $17,000,000 .$225,000 100OO o plus 5% of the excess over $1,500,000
Over $17,000,000
Grassroots nontaxable amount (enter 25% of line 41)
Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36
Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.
36
37
38
39
40
\\\\N
41
\
\
k� �\
42
\\\\
43
44
b rl if you checked "a" above and "limited control" provisions apply.
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the instructions for lines 45 through 50 on page 7.)
Lobbying Expenditures During 4 -Year Averaging Period
Calendar year (or
fiscal year beginning in) ►
(a)
1998
(b)
1997
(c)
1996
(d)
1995
(e)
Total
5 Lobbying nontaxable amount
6 Lobbying ceiling amount (150% of line 45(e)) ��\\� �\ N
7 Total lobbying expenditures
8 Grassroots nontaxable amount
9 Grassroots ceiling amount (150% of line 48(e))
\\�\\N \N\\\�
0 Grassroots lobbying expenditures . . . .
Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part VI -A) (See instructions on page 8.)
luring the year, did the organization attempt to influence national, state or local legislation, including any
ttempt to influence public opinion on a legislative matter or referendum, through the use of:
a Volunteers
b Paid staff or management (Include compensation in expenses reported on lines c through h.)
c Media advertisements
d Mailings to members, legislators, or the public
e Publications, or published or broadcast statements
f Grants to other organizations for lobbying purposes
g Direct contact with legislators, their staffs, government officials, or a legislative body
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means
i Total lobbying expenditures (add lines c through h)
Yes
No
Amount
0
If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities.
Schedule A (Form 990) 1998
Part VII
Information Regarding Transfers To and Transactions and Relationships With Noncharitaba
Exempt Organizations
Page 6
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of:
(i) Cash
(ii) Other assets
b Other transactions:
(i) Sales of assets to a noncharitable exempt organization
(ii) Purchases of assets from a noncharitable exempt organization
(iii) Rental of facilities or equipment
(iv) Reimbursement arrangements
(v) Loans or loan guarantees
(vi) Performance of services or membership or fundraising solicitations
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market va ue of the
goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any
transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received:
Yes
No
51a(i)
a(ii)
b(i)
b(ii)
✓'
b(iii)
b(iv)
b(v)
b(vi)
1/
c
(a)
Line no.
(b)
Amount involved
(c)
Name of nonchantable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? ► ❑ Yes ❑ No
b If "Yes," complete the following schedule:
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Form 990
E XTE'N 5i AN 4 rTACHE,D
Return of Organization Exempt From Income Tax
OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
A For the 1997 calendar year, OR tax year period beginning
B Check if:
❑ Change of address
❑ Initial return
0 Final return
0 Amended return
(required also for
State reporting)
G Type of organization-#' [r Exempt under section 501(c)( 3 ) t (insert number) OR ► 0 section 4947(a)(1) nonexempt charitable trust
Note: Section 501(c)(3) exempt organizations and 4947(a)(1) nonexempt charitable trusts MUST attach a completed Schedule A (Form 990).
H(a) Is this a group return filed for affiliates? 0 Yes QNo I If either box in H is checked "Yes," enter four -digit group
exemption number (GEN) I.
(b) If "Yes," enter the number of affiliates for which this return is filed:. . ► J Accounting method: i Cash 0 Accrual
(c) Is this a separate return filed by an organization covered by a group ruling? 0 Yes ["No 0 Other (specify) ►
Please
use IRS
label or
print or
type.
See
Specific
Instruc-
tions.
Under section 501(c) of the Internal Revenue Code (except black lung benefit
trust or private foundation) or section 4947(a)(1) nonexempt charitable trust
U97
This Form is
Open to Public
Note: The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection
JUN / , 1997, and ending M9`/. I , 1998
C Name of organization
lay 8)i'&lYNE #97NLG:T/G C41.43)/NC..
Number and street (or P.O. box if mail is not delivered to street address)
Po. 80) 4/903o&
Room/suite
D Employer identification number
J3 7//88'/0
E State registration number
City or town, state or country, and ZIP+4
irc y a/sc,9y vim- f- J3/N9
F Check ► 0 if exemption application
is pending
K Check here ► ❑ if the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS; but if it received
a Form 990 Package in the mail, it should file a return without financial data. Some states require a complete return.
Note: Form 990-EZ may be used by organizations with gross receipts less than $100,000 and total assets less than $250,000 at end of year.
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (See Specific Instructions on page 11.)
Revenue I
1 Contributions, gifts, grants, and similar amounts received:
a Direct public support
b Indirect public support
c Government contributions (grants)
d Total (add lines 1a through 1 c) (attach schedule of contributors)
(cash $ noncash $ )
1a
/000
i
A
1d
3&v000
lb
lc
35000
2 Program service revenue including government fees and contracts
(from Part VII, line 93)
2
3 Membership dues and assessments
3
9.? &Slo
4 Interest on savings and temporary cash investments
4
'i0/9
5 Dividends and interest from securities
5
6a Gross rents
J
_
b Less: rental expenses
6b
0
c Net rental income or (loss) (subtract line 6b from line 6a)
6c
7 Other investment income (describe ►
)
7
8a Gross amount from sale of assets other
than inventory
b Less: cost or other basis and sales expenses
c Gain or (loss) (attach schedule)
(A) Secunties
(B) Other
8a
8b
8c
d Net gain or (loss) (combine line 8c, columns
(A) and (B)) .
8d
9 Special events and activities (attach schedule)
a Gross revenue (not including $ of
9a
contributions reported on line 1a)
b Less: direct expenses other than fundraising expenses
9b
A
c Net income or (loss) from special events (subtract line 9b from
line 9a)
9c
.
,10a Gross sales &inventory, less returns and allowances
b Less: cost of goods sold
10a
,
1Ub A
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract
line 10b from line 10a)
10c
11
11 Other revenue (from Part VII, line 103)
12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11)
12
/33.275
Expenses l
13 Program services (from line 44, column (B))
13
/504,9'5`
14
..9.53 Lo
14 Management and general (from line 44, column (C))
15
15 Fundraising (from line 44, column (D))
16
16 Payments to affiliates (attach schedule)
17 Total expenses (add lines 16 and 44, column (A)) ..
17
538-21
Excess or (deficit) for the year (subtract line 17 from line 12)
18
< .'p59'7
i18
19 Net assets or fund balances at beginning of year (from line 73,
column
(A))
19
/y973a.
20 Other changes in net assets or fund balances (attach explanation)
20
z 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20)
21
/41/Rea
For Paperwork Reduction Act Notice, see page 1 of the separate instructions.
Cat No 11282Y
Form 990
Form 990 (1997)
Page 2
Part II
Statement of All organizations must complete column (A). Columns (B), (C), and (D) are required for section 501(c)(3) and (4) organizations
Functional Expenses and section 4947(a)(1) nonexempt charitable trusts but optional for others. (See Specific Instructions on page 15.)
Do not include amounts reported on lineF///1 Total
6b, 8b, 9b, 10b, or 16 of Part I.
•
(i3) Program
Program
services
(C) Management
and general
(D) Fundraising
22 Grants and allocations (attach schedule) . . •
(cash $ noncash $ )
22
•
%
/
j
23 Specific assistance to individuals (attach schedule) -
24 Benefits paid to or for members (attach schedule)
25 Compensation of officers, directors, etc
26 Other salaries and wages
27 Pension plan contributions
28 Other employee benefits
29 Payroll taxes
30 Professional fundraising fees
31 Accounting fees
32 Legal fees
33 Supplies
34 Telephone
35 Postage and shipping
36 Occupancy
37 Equipment rental and maintenance
38 Printing and publications
39 Travel
40 Conferences, conventions, and meetings
41 Interest
42 Depreciation, depletion, etc. (attach schedule)
43 Other expenses (itemize): a
b 6CNEDULE ATTzCNED
c
d
e
44 Total functional expenses (add lines 22 through 43) Organizations
completing columns (B) -(D), cany these totals to lines 13-15 .
23
24
25
.
26
27
28
29
30
31
95O
96-'D
32
33
1337
75'9
398'
34
35
36
37
38
4-8/
.58/
39
40
41
42
,Pao/
.P4 o/
43a
43b
/W7302.
/9959 J
d /8'8
43c
43d
43e
44
/53 AA/
/500? 86
asatv
Reporting of Joint Costs. —Did you report in column (B) (Program services) any joint costs from a combined
educational campaign and fundraising solicitation? P. 0 Yes " No
If "Yes," enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services $
(iii) the amount allocated to Management and general $ ; and (iv) the amount allocated to Fundraising $
Statement of Program Service Accomplishments (See Specific Instructions on page 18)
What is the organization's primary exempt purpose? 10.._._Y.Qf1TX.._s$P..4R.T_a-._. R -06A H-5
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number
of clients served, publications issued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4)
organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.)
Part Ill
Program Service
Expenses
(Required for 501(c)(3 and
(4) ores., and 4947(a (1)
trusts; but optional or
others.)
a /9/f/I TEvg Amsca'T/a,, PRDGRAt1 " oD h+�N JPo �i9/'1S H PAIPFNTAL &Levvc/1947/O/t/
/ N C L UOE MSE8/9 L L, 7ENN/S4 .R C7 AL.L4, x5OCda< f4ND 6 F78RL t.
(Grants and allocations $ — )
/S00726 -
b
c
(Grants and allocations $
(Grants and allocations $
d
(Grants and allocations $
e Other program services (attach schedule) (Grants and allocations $
f Total of Program Service Expenses (should equal line 44, column (B), Program services)
)
► /50,285
Form 990 (1997)
Page 3
Part IV
Balance Sheets (See Specific Instructions on page 18.)
Note: Where required, attached schedules and amounts within the description
column should be for end -of -year amounts only.
(A)
Beginning of year
(B)
End of year
Assets
45 Cash —non -interest -bearing
46 Savings and temporary cash investments
47a Accounts receivable
b Less: allowance for doubtful accounts
48a Pledges receivable
b Less: allowance for doubtful accounts
49 Grants receivable
50 Receivables from officers, directors, trustees,
(attach schedule)
51a Other notes and loans receivable (attach
schedule)
b Less: allowance for doubtful accounts
52 Inventories for sale or use
53 Prepaid expenses and deferred charges
54 Investments —securities (attach schedule)
55a Investments —land, buildings, and
equipment: basis
b Less: accumulated depreciation (attach
schedule)
56 Investments —other (attach schedule)
57a Land, buildings, and equipment: basis
b Less: accumulated depreciation (attach
schedule)
58 Other assets (describe ►
47a
,i74-1310
45
90960
8•!a 86 9
46
75 0 00
4
47c
47b//� �
48a
j
%%///
48c
48b
and
51a
key employees
49
50
:%////74
51c
51b
55a
52
53
54
j
55c
55b
57a
/ 8075
56
/5'J4 7
j
57c
/3Q1Q4
57b
y2y9
)
58
59 Total assets (add lines 45 through 58) (must equal line 74) . . . .
Pi 97342-
59
/if 9/847
Liabilities
60 Accounts payable and accrued expenses
61 Grants payable
62 Deferred revenue
63 Loans from officers, directors, trustees, and key employees (attach
schedule)
64a Tax-exempt bond liabilities (attach schedule)
b Mortgages and other notes payable (attach schedule)
65 Other liabilities (describe ► ).
60
61
62
-
y
63
64a
64b
.
.
65
66 Total liabilities (add lines 60 through 65)
0
66
0
Net Assets or Fund Balances 1
Organizations that follow SFAS 117, check here ► and complete lines
67 through 69 and lines 73 and 74.
67 Unrestricted
68 Temporarily restricted
69 Permanently restricted
Organizations that do not follow SFAS 117, check here ► ❑ and
complete lines 70 through 74.
70 Capital stock, trust principal, or current funds
71 Paid -in or capital surplus, or land, building, and equipment fund
72 Retained earnings, endowment, accumulated income, or other funds
73 Total net assets or fund balances (add lines 67 through 69 OR lines
70 through 72; column (A) must equal line 19 and column (B) must
equal line 2.1)
74 Total liabilities and net assets I fund balances (add lines 66 and 73)
7-17.3,22.
67
S`//glo
75000
68
'J 5000
69
70
71
72
/ y9 7302-
j
73
/w7 9/cl/
/ Si 9'Y$a.
74
/x4/24,
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a
particular organization. How the public perceives an organization in such cases may be determined by the information presented
on its return. Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's
programs and accomplishments.
Form 990 (1997)
Page 4
• • rt IV-' Reconciliation of Revenue
per Audited
Revenue per
page 20.)
' - rt lV- s Reconciliation of Expenses
per Audited
Expenses per '
• Financial Statements with
Return (See Specific Instructions,
Financial Statements with
Return
a Total revenue, gains, and other support
per audited financial statements . . ►
b Amounts included on line a but not on
line 12, Form 990:
(1) Net unrealized gains
on investments $
a
���������
/33 '7S
a Total expenses and losses per
audited financial statements 0. ,
b Amounts included on line a but not
on line 17, Form 990:
(1) Donated services
and use of facilities $
�/�
a
4
/.5.3802
7
/
/
b
/
/
Add amounts on lines (1) through (4) ►
c Line a minus line b ►
d Amounts included on line 12,
Form 990 but not on line a:
(1) Investment expenses
not included on line
6b, Form 990 $
C
Add amounts on lines (1) through (4)►
c Line a minus line b ►
d Amounts included on line 17,
Form 990 but not on line a:
(1) Investment expenses
not included on line
6b, Form 990 $
c
,/
d
V
/
d
(2) Other (specify):
$
(2) Other (specify):
$
Add amounts on lines (1) and (2) ►
e Total revenue per line 12, Form 990
c plus line d) 0. e
Add amounts on lines (1) and (2) O.
a Total expenses per line 17, Form 990
(line c plus line d) II* e
/ 33c&7.6"
45.3 8•2.. (line
List of Officers. Directors. Trustees.
and Key
Employees (List each one even if not compensated: see Specific
Instructions on page 20.)
(A) Name and address
(B) Title and 'average hours per
week devoted to position
(C) Compensation
if not paid, enter
-0-.)
(D) Contnbubons to
employee benefit plans &
deferred compensation
(E) Expense
account and other
. allowances
OTEVE/I1 5-i/iO4
335 M4,'8 i LA. REY 6i36AYNE 3.�J/9
PeES,l NT
5 Hied / wEEK
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O
0
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Q(v0 GLENRJd641 h'D. k.Gy BJ IyNE .3/99
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5 NR5 / w€E,K
0
0
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NANO $57r/tJE.e 1-111.4,se.
Wit, A/. NA61k1;4 AC XV a/sEW/ 3471 ,19
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. 0
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0
75 Did any officer, director, trustee, or key employee rece•ve aggregate compensation of more than $100,000 from your
organization and all related organizations, of which more than $10,000 was provided by the related organizations'? ► ❑ Yes ['No
If "Yes," attach schedule —see Specific Instructions on page 20.
" F o r m 9 9 0 ( 1 9 9 7 )
P a r t V I
P a g e 5
O t h e r I n f o r m a t i o n , ( S e e S p e c i f i c I n s t r u c t i o n s o n p a g e 2 1 . )
Y e s N o
7 6 D i d t h e o r g a n i z a t i o n e n g a g e i n a n y a c t i v i t y n o t p r e v i o u s l y r e p o r t e d t o t h e I R S ? I f " Y e s , " a t t a c h a d e t a i l e d d e s c r i p t i o n o f e a c h a c t i v i t y
7 7 W e r e a n y c h a n g e s m a d e i n t h e o r g a n i z i n g o r g o v e r n i n g d o c u m e n t s b u t n o t r e p o r t e d t o t h e I R S ?
I f " Y e s , " a t t a c h a c o n f o r m e d c o p y o f t h e c h a n g e s .
7 8 a D i d t h e o r g a n i z a t i o n h a v e u n r e l a t e d b u s i n e s s g r o s s i n c o m e o f $ 1 , 0 0 0 o r m o r e d u r i n g t h e y e a r c o v e r e d b y t h i s r e t u r n ?
b I f " Y e s , " h a s i t f i l e d a t a x r e t u r n o n F o r m 9 9 0 - T f o r t h i s y e a r 9
7 9 W a s t h e r e a l i q u i d a t i o n , d i s s o l u t i o n , t e r m i n a t i o n , o r s u b s t a n t i a l c o n t r a c t i o n d u r i n g t h e y e a r ? I f " Y e s , " a t t a c h a s t a t e m e n t
8 0 a I s t h e o r g a n i z a t i o n r e l a t e d ( o t h e r t h a n b y a s s o c i a t i o n w i t h a s t a t e w i d e o r n a t i o n w i d e o r g a n i z a t i o n ) t h r o u g h c o m m o n
m e m b e r s h i p , g o v e r n i n g b o d i e s , t r u s t e e s , o f f i c e r s , e t c . , t o a n y o t h e r e x e m p t o r n o n e x e m p t o r g a n i z a t i o n ?
b I f " Y e s , " e n t e r t h e n a m e o f t h e o r g a n i z a t i o n �%
a n d c h e c k w h e t h e r i t i s Q' e x e m p t O R Q' n o n e x e m p t .
8 1 a E n t e r t h e a m o u n t o f p o l i t i c a l e x p e n d i t u r e s , d i r e c t o r i n d i r e c t , a s d e s c r i b e d i n t h e
i n s t r u c t i o n s f o r l i n e 8 1 I 8 1
b D i d t h e o r g a n i z a t i o n f i l e F o r m 1 1 2 0 - P O L f o r t h i s y e a r ?
8 2 a D i d t h e o r g a n i z a t i o n r e c e i v e d o n a t e d s e r v i c e s o r t h e u s e o f m a t e r i a l s , e q u i p m e n t , o r f a c i l i t i e s a t n o c h a r g e
o r a t s u b s t a n t i a l l y l e s s t h a n f a i r r e n t a l v a l u e ?
b I f " Y e s , " y o u m a y i n d i c a t e t h e v a l u e o f t h e s e i t e m s h e r e . D o n o t i n c l u d e t h i s a m o u n t
a s r e v e n u e i n P a r t I o r a s a n e x p e n s e i n P a r t I I . ( S e e i n s t r u c t i o n s f o r r e p o r t i n g i n
P a r t I I I . ) 1 8 2 b I
8 3 a D i d t h e o r g a n i z a t i o n c o m p l y w i t h t h e p u b l i c i n s p e c t i o n r e q u i r e m e n t s f o r r e t u r n s a n d e x e m p t i o n a p p l i c a t i o n s ?
b D i d t h e o r g a n i z a t i o n c o m p l y w i t h t h e d i s c l o s u r e r e q u i r e m e n t s r e l a t i n g t o q u i d p r o q u o c o n t r i b u t i o n s ?
8 4 a D i d t h e o r g a n i z a t i o n s o l i c i t a n y c o n t r i b u t i o n s o r g i f t s t h a t w e r e n o t t a x d e d u c t i b l e 9
b I f " Y e s , " d i d t h e o r g a n i z a t i o n i n c l u d e w i t h e v e r y s o l i c i t a t i o n a n e x p r e s s s t a t e m e n t t h a t s u c h c o n t r i b u t i o n s
o r g i f t s w e r e n o t t a x d e d u c t i b l e ' ?
8 5 5 0 1 ( c ) ( 4 ) , ( 5 ) , o r ( 6 ) o r g a n i z a t i o n s . a W e r e s u b s t a n t i a l l y a l l d u e s n o n d e d u c t i b l e b y m e m b e r s ?
b D i d t h e o r g a n i z a t i o n m a k e o n l y i n - h o u s e l o b b y i n g e x p e n d i t u r e s o f $ 2 , 0 0 0 o r l e s s ' ?
I f " Y e s " w a s a n s w e r e d t o e i t h e r 8 5 a o r 8 5 b , d o n o t c o m p l e t e 8 5 c t h r o u g h 8 5 h b e l o w u n l e s s t h e o r g a n i z a t i o n
r e c e i v e d a w a i v e r f o r p r o x y t a x o w e d f o r t h e p r i o r y e a r .
c D u e s , a s s e s s m e n t s , a n d s i m i l a r a m o u n t s f r o m m e m b e r s
d S e c t i o n 1 6 2 ( e ) l o b b y i n g a n d p o l i t i c a l e x p e n d i t u r e s
e A g g r e g a t e n o n d e d u c t i b l e a m o u n t o f s e c t i o n 6 0 3 3 ( e ) ( 1 ) ( A ) d u e s n o t i c e s
f T a x a b l e a m o u n t o f l o b b y i n g a n d p o l i t i c a l e x p e n d i t u r e s ( l i n e 8 5 d l e s s 8 5 e )
g D o e s t h e o r g a n i z a t i o n e l e c t t o p a y t h e s e c t i o n 6 0 3 3 ( e ) t a x o n t h e a m o u n t i n 8 5 f ?
h I f s e c t i o n 6 0 3 3 ( e ) ( 1 ) ( A ) d u e s n o t i c e s w e r e s e n t , d o e s t h e o r g a n i z a t i o n a g r e e t o a d d t h e a m o u n t i n 8 5 f t o i t s r e a s o n a b l e
e s t i m a t e o f d u e s a l l o c a b l e t o n o n d e d u c t i b l e l o b b y i n g a n d p o l i t i c a l e x p e n d i t u r e s f o r t h e f o l l o w i n g t a x y e a r ? .
8 6 5 0 1 ( c ) ( 7 ) o r g a n i z a t i o n s . E n t e r : a I n i t i a t i o n f e e s a n d c a p i t a l c o n t r i b u t i o n s i n c l u d e d o n
l i n e 1 2
b G r o s s r e c e i p t s , i n c l u d e d o n l i n e 1 2 , f o r p u b l i c u s e o f c l u b f a c i l i t i e s
8 7 5 0 1 ( c ) ( 1 2 ) o r g a n i z a t i o n s . E n t e r : a G r o s s i n c o m e f r o m m e m b e r s o r s h a r e h o l d e r s
b G r o s s i n c o m e f r o m o t h e r s o u r c e s . ( D o n o t n e t a m o u n t s d u e o r p a i d t o o t h e r
s o u r c e s a g a i n s t a m o u n t s d u e o r r e c e i v e d f r o m t h e m ) 8 7 b
8 8 A t a n y t i m e d u r i n g t h e y e a r , d i d t h e o r g a n i z a t i o n o w n a 5 0 % o r g r e a t e r i n t e r e s t i n a t a x a b l e c o r p o r a t i o n o r '
p a r t n e r s h i p ? I f " Y e s , " c o m p l e t e P a r t I X
8 8 a 5 0 1 ( c ) ( 3 ) o r g a n i z a t i o n s . E n t e r : A m o u n t o f t a x i m p o s e d d u r i n g t h e y e a r u n d e r :
s e c t i o n 4 9 1 1 �% ; s e c t i o n 4 9 1 2 �% ; s e c t i o n 4 9 5 5 P .
b 5 0 1 ( c ) ( 3 ) a n d 5 0 1 ( c ) , ( 4 ) o r g a n i z a t i o n s . D i d t h e o r g a n i z a t i o n e n g a g e i n a n y s e c t i o n 4 9 5 8 e x c e s s b e n e f i t
t r a n s a c t i o n d u r i n g t h e y e a r ? I f " Y e s , " a t t a c h a s t a t e m e n t e x p l a i n i n g e a c h t r a n s a c t i o n
c E n t e r : A m o u n t o f t a x i m p o s e d o n t h e o r g a n i z a t i o n m a n a g e r s o r d i s q u a l i f i e d p e r s o n s d u r i n g t h e y e a r u n d e r
s e c t i o n s 4 9 1 2 , 4 9 5 5 , a n d 4 9 5 8 �%
d E n t e r : A m o u n t o f t a x i n 8 9 c , a b o v e , r e i m b u r s e d b y t h e o r g a n i z a t i o n �%
9 0 a L i s t t h e s t a t e s w i t h w h i c h a c o p y o f t h i s r e t u r n i s f i l e d �%
b N u m b e r o f e m p l o y e e s e m p l o y e d i n t h e s a y p e r i o d t h a t i n c l u d e s M a r c h 1 2 , 1 9 9 7 ( S e e i n s t r u c t i o n s . ) 9 0 b 1 0
9 1 T h e b o o k s a r e i n c a r e o f t o / f r a e - 4 t . E L 5 A v I T T T e l e p h o n e n o . �% ( " P a 5 ) 3 4 ' / ' X 8 � ' 3
L o c a t e d a t f r E Y A l e / N E F - ` Z I P + 4 �%
9 2 S e c t i o n 4 9 4 7 ( a ) ( 1 ) n o n e x e m p t c h a r i t a b l e t r u s t s f i l i n g F o r m 9 9 0 i n l i e u o f F o r m 1 0 4 1 C h e c k h e r e �% Q'
a n d e n t e r t h e a m o u n t o f t a x - e x e m p t i n t e r e s t r e c e i v e d o r a c c r u e d d u r i n g t h e ' t a x y e a r . . - �% 1 9 2 I
Form 990 (1997)
Part VII
Pages
Analysis of Income -Producing Activities (See Specific Instructions on page 25.
Enter gross amounts unless otherwise
indicated.
93 Program service revenue:
a
Unrelated business income
Excluded by section 512, 513, or 514
(E)
Related or
exempt function
income
(A)
Business code
(B)
Amount
(C)
Exclusion code
(D)
Amount
b .
c
d
e
f Medicare/Medicaid payments
g Fees and contracts from government agencies
94 Membership dues and assessments
95 Interest on savings and temporary cash investments
96 Dividends and interest from securities
97 Net rental income or (loss) from real estate:
a debt -financed property
b not debt -financed property
98 Net rental income or (loss) from personal property
99 Other investment income
100 Gain or (loss) from sales of assets other than inventory
191 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory
103 Other revenue: a
9aksh
/i
L/W ?
�������������������������������������f������
.
.
•
b
c
d
e
104 Subtotal (add columns (B), (D), and (E))
��� �������A
YIP/ 9
9V4,56,
105 Total (add line 104, columns (B), (D), and (E)) ►
Note: (Line 105 plus line 1d, Part I, should equal the amount on line 12, Part I.)
Part VIII
Relationship of Activities to the Accomplishment of Exempt Purposes (See Specific Instructions on page 26.)
Line No.
•
Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes).
94
FE,E5 APE /a el vED FieM// THE P/%/T/C/PA/v7Z 70 FuA/1) THE EX r'&V 55
INC °ReED Al OPEA'AT/ry S- 6PO1e7.5 R?o6reivia.
I Information Reaardina Taxable Subsidiaries (Complete this Part if the "Yes' box on line 88 is checked.)
Name, address, and employer identification
number of corporation. or partnership
Percentage of
ownership interest
Nature of
business activities
Total
income
End -of -year
assets
%
.
%
%
%
Please
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.
(See General Instruction U, on page 10.)
.
Signature of officer Date Type or pnnt name and title.
Paid
Paid
Use Only
Preparer's
signature
Date
Check if
employed ► [• Y
Preparer's
f f5
SSN
48 1, idiot. -
Firm's name (or
if FeE`M eCitiPE'L.
EIN ►
yours self-employed)
and address /13/ Li At'OLN S7; bbuywoo,o 10-I_
ZIP + 4 ► 33G/ 9
KEY BISCAYNE ATHLETIC CLUB
FORM 990 - SCHEDULES
YEAR ENDED 5/31/98
PART II - LINE 43 - Other Expenses
Description
EIN: 23-7118840
Program Mngmt & Fund
Total Services General Raising
Coaching Fees 72,177 72,177
Sports Equipment expense 16,055 16,055
Referees and Umpires 10,322 10,322
Utilities 1,833 1,833
Insurance 2,470 2,470
Registrations and Fees 17,790 17,435 355
Trophies and Photography 7,009 7,009
Uniforms 21,076 21,076
Total
148,732 146,544 2,188 0
PART II - LINE 42 - Depredation
PART IV - LINE 57 - Land, Building and Equipment
Current Acc.
Asset Cost Method Depreciation Depreciation
Sod 6,875 SU 7 yr 982 1473
Shed 2,300 SL/ 7 yr 329 1,151
Fencing 8,900 SU10 yr 890 2,225
18,075 2,201 4,849
Organization Exempt Under Section 501(c)(3)
OMB No. 1545-0047
' SCHEDULE A
(Form 990)
Department of the Treasury
Internal Revenue Service
(Except Private Foundation) and Section 501(e), 501(f), 501(k),
501(n), or Section 4947(a)(1) Nonexempt Charitable Trust
Supplementary Information
See separate instructions.
► Must be completed by the above organizations and attached to their Form 990 or 990-EZ.
11697
Name of the organization Employer identification number
23 7//1"10
KE ,e3/SCAywc ATM-enc. CLUB,
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions on page 1. List each one. If there are none, enter "None.")
(a) Name and address of each employee paid more
than $50,000
(b) Title and average hours
per week devoted to position
(c) Compensation
(d) Contributions to
employee benefit plans &
deferred compensation
(e) Expense
account and other
allowances
NONC
Total number of other employees
$50,000
paid over
P.
Part II
Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions on page 1. List each one (whether individuals or firms). If there are none, enter "None.")
(a) Name and address of each independent contractor paid more than $50,000
(b) Type of service
(c) Compensation
.NOA
Total number of others professional receiving over $50,000 f�
0
For Paperwork Reduction Act Notice, see page 1 of the Instructions for Form 990 and Form 990-EZ Cat. No. 11285E Schedule A (Form 990) 1997
Schedule A (Form 990) 1997
Page 2
Part III
Statements About Activities
Yes No
1 During the year, has the organization attempted to influence national, state, or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum?
If "Yes," enter the total expenses paid or incurred in connection with the lobbying activities ► $
Organizations that made an election under section 501(h) by filing Form 6768 must complete Part VI -A. Other
organizations checking "Yes," must complete Part VI -B AND attach a statement giving a detailed description of
the lobbying activities.
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
of its trustees, directors, officers, creators, key employees, or members of their families, or with any taxable
organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary:
a Sale, exchange, or leasing of property?
b Lending of money or other extension of credit')
c Furnishing of goods, services, or facilities?
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)?
e Transfer of any part of its income or assets?
If the answer to any question is "Yes," attach a detailed statement explaining the transactions.
3 Does the organization make grants for scholarships, fellowships, student loans, etc ?
1
V.
2e
V
3
4 Attach a statement to explain how the organization determines that individuals or organizations receiving grants �
or loans from it in furtherance of its charitable programs qualify to receive payments. (See instructions on page 2.)
Part IV
Reason for Non -Private Foundation Status (See instructions on pages 2 through 4.)
The organization is not a private foundation because it is: (Please check only ONE applicable box.)
5 0 A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i).
6 0 A school. Section 170(b)(1)(A)(ii). (Also complete Part V, page 4.)
7 0 A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii).
8 0 A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v).
9 0 A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hospital's name, city,
and state ►
10 0 An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV -A.)
11a 0 An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV -A.)
11b 0 A community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV -A.)
12 g An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc., functions —subject to certain exceptions, and (2) no more than 33'/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV -A.)
13 0 An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in: (1)`lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2). (See
section 509(a)(3).)
Provide the following information about the supported organizations. (See instructions on page 4.)
(a) Name(s) of supported organization(s) (b) Line number
from above
14 0 An organization organized and operated to test for public safety. Section 509(a)(4). (See instructions on page 4.)
Schedule A (Form 990) 1997
Part IV -A
Page 3
Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
Calendar year (or fiscal year beginning in) . ►
(a) 1996
(b) 1995
(c) 1994
(d) 1993
(e) Total
15 Gifts, grants, and contributions received. (Do
not include unusual grants. See line 28.). .
.3g/54
..*(0000?
Sa46-az.
..4 '(aav
l6(ao2°10
16 Membership fees received
71 a y 9
(00957
NS/a 4
YI fay/
•./.08067
17 Gross receipts from admissions,
merchandise sold or services performed, or
furnishing of facilities in any activity that is
not a business unrelated to the organization's
charitable, etc., purpose
d, a /S, 7
42,V/s7
18 Gross income from interest, dividends,
amounts received from payments on securities
loans (section 512(a)(5)), rents, royalties, and
unrelated business taxable income (less
section 511 taxes) from businesses acquired
by the organization after June 30, 1975 . .
'9330
��tt �j
gla' 7
..?..5-9o590
479
/...10,-/a.
19 Net income from unrelated business
activities not included in line 18 . . .
20 Tax revenues levied for the organization's
benefit and either paid to it or expended on
its behalf
21 The value of services or facilities furnished to
the organization by a governmental unit
without charge. Do not include the value of
services or facilities generally furnished to the
public without charge
22 Other income. Attach a schedule. Do not
include gain or (loss) from sale of capital assets
23 Total of lines 15 through 22
/07 / $3,2
/0159'/
/041/ kJ'
/041077
9,P 9 b 7c2-
24 Line 23 minus line 17
/a/833
/0159V
/c4/bcP
Si/9,7o
'y0 6 —
25 Enter 1% of line 23
/a /8'
/D/!o
/Ogiai
/D//
26 Organizations described in lines 10 or 11:
b Attach a list (which is not open to public inspection)
person (other than a governmental unit or publicly
1996 exceeded the amount shown in line 26a.
c Total support for section 509(a)(1) test: Enter line
d Add: Amounts from column (e) for lines: 18
22
e Public support (line 26c minus line 26d total)
f Public support percentage (line 26e (numerator)
a Enter 2% of amount in column (e), line 24 .
showing the name of and amount contributed
supported organization) whose total gifts for 1993
Enter the sum of all these excess amounts
24, column (e)
19 //////
. . ►
by each
through
►
►
►
►
►
26a
26b
j���j/.
26c
/
26d
26b
divided by line 26c (denominator))
26e
26f
%
27 Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received from a "disqualified
person," attach a list to show the name of, and total amounts received in each year from, each "disqualified person." Enter the sum
of such amounts for each year:
(1996) C. (1995) 0 (1994) 0 (1993) 0
b For any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount
received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000. (Include in the list
organizations described in lines 5 through 11, as well as individuals.) After computing the difference between the amount received
and the larger amoun4-described in (1) or (2), enter the sum of these differences (the excess amounts) for each year:
(1996) D (1995) U (1994) 0 (1993) 0
c Add: Amounts from column (e) for lines: 15 /Lilo4d(o 16 c*a8o47
17 AVS 7 20 O 21 e ►
d Add: Line 27a total . O and line 27b total v 0-
e Public support (line 27c total minus line 27d total) ►
f Total support for section 509(a)(2) test: Enter amount on line 23, column (e) . . ► I 27f 1$ 409 ('74
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ►
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) I.
27c
y/Aii3o
27d t�
27e I//& Va0
%
27h %
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 1993 through 1996,
attach a list (which is not open to public inspection) for each year showing the name of the contributor, the date and amount of the
grant, and a brief description of the nature of the grant. Do not include these grants in line 15. (See instructions on page 4.)
Schedule A (Form 990) 1997
Part V
Page 4
Private School Questionnaire (See instructions on page 4.)
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a -resolution of its governing body?
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships?
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way
that makes the policy known to all parts of the general community it serves?
If "Yes," please describe; if "No," please explain. (If you need more space, attach a separate statement.)
32 Does the organization maintain the following:
a Records indicating the racial composition of the student body, faculty, and administrative staff?
b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
basis?
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships?
d Copies of all material used by the organization or on its behalf to solicit contributions?
If you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.)
33 Does the organization discriminate by race in any way with respect to:
a Students' rights or privileges?
b Admissions policies?
c Employment of faculty or administrative staff?
d Scholarships or other financial assistance?
e Educational policies?
f Use of facilities?
g Athletic programs?
h Other extracurricular activities?
.
If you answered "Yes" to any of the above, please explain. (If you need more space, attach a separate statement.)
34a Does the organization receive any financial aid or. assistance from a governmental agency?
b Has the organization's right to such aid ever been revoked or suspended?
If you answered "Yes" to either 34a or b, please explain using an attached statement.
35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," attach an explanation . .
Schedule A (Form 990) 1997
Part VI -A
Page 5
Lobbying Expenditures by Electing Public Charities (See instructions on page 6.)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check here I. a 0 if the organization belongs to an affiliated group.
Check here ►
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a)
Affiliated group
totals
(b)
To be completed
for ALL electing
organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying)
37 Total lobbying expenditures to influence a legislative body (direct lobbying)
38' Total lobbying expenditures (add lines 36 and 37)
39 Other exempt purpose expenditures
40' Total exempt purpose expenditures (add lines 38 and 39)
- Enter the from the following table
36
.
37
38
39
40
r
41
/
41' Lobbying nontaxable amount. amount —
If the amount on line 40 is— The lobbying nontaxable amount is —
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 . . $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 . $175,000 plus 10% of the excess over $1,000,000
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Over $17,000,000 $1,000,000
42 Grassroots nontaxable amount (enter 25% of line 41)
43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36
44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.
w
42
//////////////////////ji,
43
kA/A
��Ai
b 0 if you checked "a" above and "limited control" provisions apply.
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the instructions for lines 45 through 50 on page 7.)
Lobbying Expenditures During 4 -Year Averaging Period
Calendar year (or
fiscal year beginning in) P.
(a)
1997
(b)
1996
(c)
1995
(d)
1994
(e)
Total
45
Lobbying nontaxable amount
46
Lobbying ceiling amount (150% of line 45(e)) j /�j�
47
Total lobbying expenditures
48
Grassroots nontaxable amount
49
Grassroots ceiling amount (150% of line 48(e))r
/����/ "/-
A
50
Grassroots lobbying expenditures . . . .
Part VI -B
Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part VI -A) (See instructions on page 7.)
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of:
a Volunteers
b Paid staff or management (Include compensation in expenses reported on lines c through h.)
c Media advertisements
d Mailings to members, legislators, or the public
e Publications, or published or broadcast statements
f Grants to other organizations for lobbying purposes
g Direct contact with legislators, their staffs, government officials, or a legislative body
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other_ means
i Total lobbying expenditures (add lines c through h)
Yes
No
Amount
V
V
V
✓
V
0
If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities.
Schedule A (Form 990) 1997
Part VII
Page
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
6
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of:
(i) Cash
(ii) Other assets
b Other transactions:
(i) Sales of assets to a noncharitable exempt organization
(ii) Purchases of assets from a noncharitable exempt organization
(iii) Rental of facilities or equipment
(iv) Reimbursement arrangements
(v) Loans or loan guarantees
(vi) Performance of services or membership or fundraising solicitations
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value of the
goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any
transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received:
Yes
No
51a(i)
a(ii)
b(i)
b(ii)
b(iii)
v.
b(iv)
b(v)
b(vi)
c
v.
(a)
Line no.
(b)
Amount involved
(c)
Name of nonchantable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? ► 0 Yes 0 No
b If "Yes," complete the following schedule:
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
r