Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
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- Whitney Thornton
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1 Form Short Form 990-EZ Rturn of Organization Exmpt From Incom Tax Undr sction 501(c), 527, or 4947(a)(1) of th Intrnal Rvnu Cod 2011 Dpartmnt of th Trasury Intrnal Rvnu Srvic Opn to Public Inspction A For th 2011 calndar yar, or tax yar bginning 10-01, 2011, and nding 09-30, B Chck if applicabl: C Nam of organization D Employr idntification numbr Numbr and strt (or P.O. box, if mail is not dlivrd to strt addrss) Room/suit E Tlphon numbr Amndd rturn City or town, stat or country, and ZIP + 4 F Group Exmption Application pnding ESTES PARK, CO Numbr G Accounting Mthod: Cash Accrual Othr (spcify) H Chck if th organization is not I J Addrss chang Nam chang Initial rturn Trminatd Wbsit: Tax-xmpt status (chck only on) - K Chck (xcpt black lung bnfit trust or privat foundation) Sponsoring organizations of donor advisd funds, organizations that oprat on or mor hospital facilitis, and crtain controlling organizations as dfind in sction 512(b)(13) must fil Form 990 (s instructions). All othr organizations with gross rcipts lss than $200,000 and total assts lss than $500,000 at th nd of th yar may us this form. PO BO 1852 rquird to attach Schdul B (Form 990, 990-EZ, or 990-PF). if th organization is not a sction 509(a)(3) supporting organization or sction 527 organization and its gross rcipts ar normally not mor than $50,000. A Form 990-EZ or Form 990 rturn is not rquird though Form 990-N (-postcard) may b rquird (s instructions). But if th organization chooss to fil a rturn, b sur to fil a complt rturn. Th organization may hav to us a copy of this rturn to satisfy stat rporting rquirmnts. 501(c) (3) 501(c)( ) (insrt no.) 4947(a)(1) or 527 OMB No L Add lins 5b, 6c, and 7b, to lin 9 to dtrmin gross rcipts. If gross rcipts ar $200,000 or mor, or if total assts (Part II, lin 25, column (B) blow) ar $500,000 or mor, fil Form 990 instad of Form 990-EZ... $ 72,182 Part I Rvnu, Expnss, and Changs in Nt Assts or Fund Balancs (s th instructions for Part I.) Chck if th organization usd Schdul O to rspond to any qustion in this Part I... 1 Contributions, gifts, grants, and similar amounts rcivd ,807 2 Program srvic rvnu including govrnmnt fs and contracts ,509 3 Mmbrship dus and assssmnts Invstmnt incom a Gross amount from sal of assts othr than invntory... 5a b Lss: cost or othr basis and sals xpnss... 5b c Gain or (loss) from sal of assts othr than invntory (Subtract lin 5b from lin 5a)... 5c 6 Gaming and fundraising vnts R a Gross incom from gaming (attach Schdul G if gratr than v $15,000)... 6a n b Gross incom from fundraising vnts (not including $ of contributions u from fundraising vnts rportd on lin 1) (attach Schdul G if th sum of such gross incom and contributions xcds $15,000)... 6b 32,867 c Lss: dirct xpnss from gaming and fundraising vnts... 6c 20,248 d Nt incom or (loss) from gaming and fundraising vnts (add lins 6a and 6b and subtract lin 6c)... 6d 12,619 7a Gross sals of invntory, lss rturns and allowancs... 7a 6,499 b Lss: cost of goods sold... 7b 3,574 c Gross profit or (loss) from sals of invntory (Subtract lin 7b from lin 7a)... 7c 2,925 8 Othr rvnu (dscrib in Schdul O) Total rvnu. Add lins 1, 2, 3, 4, 5c, 6d, 7c, and , Grants and similar amounts paid (list in Schdul O) ,821 E 11 Bnfits paid to or for mmbrs x 12 Salaris, othr compnsation, and mploy bnfits p 13 Profssional fs and othr paymnts to indpndnt contractors n s 14 Occupancy, rnt, utilitis, and maintnanc Printing, publications, postag, and shipping s 16 Othr xpnss (dscrib in Schdul O) , Total xpnss. Add lins 10 through , Excss or (dficit) for th yar (Subtract lin 17 from lin 9) ,537 A s 19 Nt assts or fund balancs at bginning of yar (from lin 27, column (A)) (must agr with N s nd-of-yar figur rportd on prior yar's rturn) t t 20 Othr changs in nt assts or fund balancs (xplain in Schdul O) s 21 Nt assts or fund balancs at nd of yar. Combin lins 18 through ,537 For Paprwork Rduction Act Notic, s th sparat instructions. Form 990-EZ (2011)
2 Form 990-EZ (2011) Pag 2 Part II Balanc Shts. (s th instructions for Part II.) Chck if th organization usd Schdul O to rspond to any qustion in this Part II... (A) Bginning of yar (B) End of yar 22 Cash, savings, and invstmnts , Land and buildings Othr assts (dscrib in Schdul O) Total assts , Total liabilitis (dscrib in Schdul O) , Nt assts or fund balancs (lin 27 of column (B) must agr with lin 21) ,537 Part III Statmnt of Program Srvic Accomplishmnts (s th instructions for Part III.) Expnss Chck if th organization usd Schdul O to rspond to any qustion in this Part III... (Rquird for sction What is th organization's primary xmpt purpos? PROMOTE WESTERN CULTURE AND HERITAGE 501(c)(3) and 501(c)(4) Dscrib th organization's program srvic accomplishmnts for ach of its thr largst program srvics, as masurd by xpnss. In a clar and concis mannr, dscrib th srvics providd, th numbr of prsons bnfitd, and othr rlvant information for ach program titl. 28 PROMOTE WESTERN CULTURE AND PRESERVE THE WESTERN HERITAGE OF THE ESTES VALLEY organizations and sction 4947(a)(1) trusts; optional for othrs.) 29 (Grants $ 12,509 ) If this amount includs forign grants, chck hr... 28a 26, (Grants $ ) If this amount includs forign grants, chck hr... 29a (Grants $ ) If this amount includs forign grants, chck hr... 30a 31 Othr program srvics (dscrib in Schdul O)... (Grants $ ) If this amount includs forign grants, chck hr... 31a 32 Total program srvic xpnss (add lins 28a through 31a) ,747 Part IV List of Officrs, Dirctors, Trusts, and Ky Employs. List ach on vn if not compnsatd. (s th instructions for Part IV.) Chck if th organization usd Schdul O to rspond to any qustion in this Part IV... (a) Nam and addrss (b) Titl and avrag (c) Rportabl (d) Halth bnfits, compnsation contributions to mploy() Estimatd amount of hours pr wk (Form W-2/1099-MISC) bnfit plans, and othr compnsation dvotd to position (if not paid, ntr -0-) dfrrd compnsation HOWELL WRIGHT PRESIDENT 1604 BLACK SQUIRREL DR, ESTES PARK CO MARK PURDY VICE PRESIDENT 900 ROCKWOOD LANE, ESTES PARK CO J'ANN WRIGHT SECRETARY 1604 BLACK SQUIRREL DR, ESTES PARK CO JOY BARNETT MEMBER 1870 MOON TRAIL WAY, ESTES PARK CO GINNY HUTCHISON MEMBER 1051 LEINGTON LN, ESTES PARK CO GARY CLEVELAND CHAIRMAN 1305 WILFRED CT, BERTHOUD CO DAVID DEAN MEMBER PO BO 1852, ESTES PARK CO DUDLY MITCHELL MEMBER PO BO 1852, ESTES PARK CO Form 990-EZ (2011)
3 Form 990-EZ (2011) Pag 3 Part V Othr Information (Not th Schdul A and prsonal bnfit contract statmnt rquirmnts in th instructions for Part V.) Chck if th organization usd Schdul O to rspond to any qustion in this Part V... Ys No copy of th amndd documnts if thy rflct a chang to th organization's nam. Othrwis, xplain th chang on Schdul O (s instructions) a Did th organization hav unrlatd businss gross incom of $1,000 or mor during th yar from businss activitis (such as thos rportd on lins 2, 6a, and 7a, among othrs)?... b If "Ys," to lin 35a, has th organization fild a Form 990-T for th yar? If "No," provid an xplanation in Schdul O... c Was th organization a sction 501(c)(4), 501(c)(5), or 501(c)(6) organization subjct to sction 6033() notic, rporting, and proxy tax rquirmnts during th yar? If "Ys," complt Schdul C, Part III Did th organization undrgo a liquidation, dissolution, trmination, or significant disposition of nt assts during th yar? If "Ys," complt applicabl parts of Schdul N a Entr amount of political xpnditurs, dirct or indirct, as dscribd in th instructions... 37a b Did th organization fil Form 1120-POL for this yar? a Did th organization borrow from, or mak any loans to, any officr, dirctor, trust, or ky mploy or wr any such loans mad in a prior yar and still outstanding at th nd of th tax yar covrd by this rturn?... b If "Ys," complt Schdul L, Part II and ntr th total amount involvd... 38b 39 Sction 501(c)(7) organizations. Entr: a Initiation fs and capital contributions includd on lin a b Gross rcipts, includd on lin 9, for public us of club facilitis... 39b 40 a Sction 501(c)(3) organizations. Entr amount of tax imposd on th organization during th yar undr: 41 b c d 42 a 43 b c Did th organization ngag in any significant activity not prviously rportd to th IRS? If "Ys," provid a dtaild dscription of ach activity in Schdul O... Wr any significant changs mad to th organizing or govrning documnts? If "Ys," attach a conformd sction 4911 ; sction 4912 ; sction 4955 Sction 501(c)(3) and 501(c)(4) organizations. Did th organization ngag in any sction 4958 xcss bnfit transaction during th yar, or did it ngag in an xcss bnfit transaction in a prior yar that has not bn rportd on any of its prior Forms 990 or 990-EZ? If "Ys," complt Schdul L, Part I... Sction 501(c)(3) and 501(c)(4) organizations. Entr amount of tax imposd on organization managrs or disqualifid prsons during th yar undr sctions 4912, 4955, and Sction 501(c)(3) and 501(c)(4) organizations. Entr amount of tax on lin 40c rimbursd by th organization... All organizations. At any tim during th tax yar, was th organization a party to a prohibitd tax shltr transaction? If "Ys," complt Form 8886-T... List th stats with which a copy of this rturn is fild. CO, Th organization's books ar in car of HOWELL WRIGHT Tlphon no Locatd at PO BO 1852 ESTES PARK, CO ZIP At any tim during th calndar yar, did th organization hav an intrst in or a signatur or othr authority ovr a financial account in a forign country (such as a bank account, scuritis account, or othr financial account)?... If "Ys," ntr th nam of th forign country: S th instructions for xcptions and filing rquirmnts for Form TD F , Rport of Forign Bank and Financial Accounts. At any tim during th calndar yar, did th organization maintain an offic outsid of th U.S.?... 42c If "Ys," ntr th nam of th forign country: Sction 4947(a)(1) nonxmpt charitabl trusts filing Form 990-EZ in liu of Form 1041-Chck hr... and ntr th amount of tax-xmpt intrst rcivd or accrud during th tax yar Ys 44 a Did th organization maintain any donor advisd funds during th yar? If "Ys," Form 990 must b compltd instad of Form 990-EZ... 44a b Did th organization oprat on or mor hospital facilitis during th yar? If "Ys," Form 990 must b compltd instad of Form 990-EZ... 44b c Did th organization rciv any paymnts for indoor tanning srvics during th yar?... 44c d If "Ys," to lin 44c, has th organization fild a Form 720 to rport ths paymnts? If "No," provid an xplanation in Schdul O... 44d 45 a Did th organization hav a controlld ntity within th maning of sction 512(b)(13)?... 45a 45 b Did th organization rciv any paymnt from or ngag in any transaction with a controlld ntity within th maning of sction 512(b)(13)? If "Ys," Form 990 and Schdul R may nd to b compltd instad of Form 990-EZ (s instructions)... 45b Form 990-EZ (2011) a 35b 35c 36 37b 38a 40b 40 42b Ys No No
4 Form 990-EZ (2011) Pag 4 Ys No 46 Did th organization ngag, dirctly or indirctly, in political campaign activitis on bhalf of or in opposition to candidats for public offic? If "Ys," complt Schdul C, Part I Part VI Sction 501(c)(3) organizations and sction 4947(a)(1) nonxmpt charitabl trusts only. All sction 501(c)(3) organizations and sction 4947(a)(1) nonxmpt charitabl trusts must answr qustions 47-49b and 52, and complt th tabls for lins 50 and 51. Chck if th organization usd Schdul O to rspond to any qustion in this Part VI... Ys No 47 Did th organization ngag in lobbying activitis or hav a sction 501(h) lction in ffct during th tax yar? If "Ys," complt Schdul C, Part II Is th organization a school as dscribd in sction 170(b)(1)(A)(ii)? If "Ys," complt Schdul E a Did th organization mak any transfrs to an xmpt non-charitabl rlatd organization?... 49a b If "Ys," was th rlatd organization a sction 527 organization?... 49b 50 Complt this tabl for th organization's fiv highst compnsatd mploys (othr than officrs, dirctors, trusts and ky mploys) who ach rcivd mor than $100,000 of compnsation from th organization. If thr is non, ntr "Non." (a) Nam and addrss of ach mploy paid mor than $100,000 (b) Titl and avrag (c) Rportabl (d) Halth bnfits, contributions to mploy hours pr wk compnsation bnfit plans, and dfrrd dvotd to position (Forms W-2/1099-MISC) compnsation () Estimatd amount of othr compnsation NONE 51 f Total numbr of othr mploys paid ovr $100, Complt this tabl for th organization's fiv highst compnsatd indpndnt contractors who ach rcivd mor than $100,000 of compnsation from th organization. If thr is non, ntr "Non." (a) Nam and addrss of ach indpndnt contractor paid mor than $100,000 (b) Typ of srvic (c) Compnsation d Total numbr of othr indpndnt contractors ach rciving ovr $100, Did th organization complt Schdul A? Not: All sction 501(c)(3) organizations and 4947(a)(1) nonxmpt charitabl trusts must attach a compltd Schdul A... Undr pnaltis of prjury, I dclar that I hav xamind this rturn, including accompanying schduls and statmnts, and to th bst of my knowldg and blif, it is tru, corrct, and complt. Dclaration of prparr (othr than officr) is basd on all information of which prparr has any knowldg. Ys No Sign Hr Paid Prparr Us Only Signatur of officr Typ or print nam and titl Print/Typ prparr's nam Prparr's signatur Dat Chck if PTIN Carl Hndrson slf-mployd P Firm's nam HOWELL WRIGHT HOWELL WRIGHT, PRESIDENT Firm's addrss Carl Hndrson CPA PC PO Box E Highway 36 May th IRS discuss this rturn with th prparr shown abov? S Instructions Dat Firm's EIN Ests Park CO Phon no Ys No Form 990-EZ (2011)
5 SCHEDULE A (Form 990 or 990-EZ) Dpartmnt of th Trasury Intrnal Rvnu Srvic Nam of th organization Public Charity Status and Public Support Complt if th organization is a sction 501(c)(3) organization or a sction 4947(a)(1) nonxmpt charitabl trust. Attach to Form 990 or Form 990-EZ. S sparat instructions. Part I Rason for Public Charity Status (All organizations must complt this part.) S instructions. Th organization is not a privat foundation bcaus it is: (For lins 1 through 11, chck only on box.) f g h (A) A church, convntion of churchs, or association of churchs dscribd in sction 170(b)(1)(A)(i). A school dscribd in sction 170(b)(1)(A)(ii). (Attach Schdul E.) A hospital or a cooprativ hospital srvic organization dscribd in sction 170(b)(1)(A)(iii). a Typ I b Typ II c Typ III-Functionally intgratd d Typ III-Othr Ys No Ys No Ys No 2011 Opn to Public Inspction A mdical rsarch organization opratd in conjunction with a hospital dscribd in sction 170(b)(1)(A)(iii). Entr th hospital's nam, city, and stat: An organization opratd for th bnfit of a collg or univrsity ownd or opratd by a govrnmntal unit dscribd in sction 170(b)(1)(A)(iv). (Complt Part II.) A fdral, stat, or local govrnmnt or govrnmntal unit dscribd in sction 170(b)(1)(A)(v). An organization that normally rcivs a substantial part of its support from a govrnmntal unit or from th gnral public dscribd in sction 170(b)(1)(A)(vi). (Complt Part II.) A community trust dscribd in sction 170(b)(1)(A)(vi). (Complt Part II.) An organization that normally rcivs: (1) mor than 33 1/3% of its support from contributions, mmbrship fs, and gross rcipts from activitis rlatd to its xmpt functions - subjct to crtain xcptions, and (2) no mor than 33 1/3% of its support from gross invstmnt incom and unrlatd businss taxabl incom (lss sction 511 tax) from businsss acquird by th organization aftr Jun 30, S sction 509(a)(2). (Complt Part III.) An organization organizd and opratd xclusivly to tst for public safty. S sction 509(a)(4). An organization organizd and opratd xclusivly for th bnfit of, to prform th functions of, or to carry out th purposs of on or mor publicly supportd organizations dscribd in sction 509(a)(1) or sction 509(a)(2). S sction 509(a)(3). Chck th box that dscribs th typ of supporting organization and complt lins 11 through 11h. By chcking this box, I crtify that th organization is not controlld dirctly or indirctly by on or mor disqualifid prsons othr than foundation managrs and othr than on or mor publicly supportd organizations dscribd in sction 509(a)(1) or sction 509(a)(2). If th organization rcivd a writtn dtrmination from th IRS that it is a Typ I, Typ II, or Typ III supporting organization, chck this box... Sinc August 17, 2006, has th organization accptd any gift or contribution from any of th following prsons? Employr idntification numbr (i) A prson who dirctly or indirctly controls, ithr alon or togthr with prsons dscribd in (ii) and (iii) blow, th govrning body of th supportd organization?... (ii) A family mmbr of a prson dscribd in (i) abov?... (iii) A 35% controlld ntity of a prson dscribd in (i) or (ii) abov?... Provid th following information about th supportd organization(s). OMB No (i) Nam of supportd (ii) EIN (iii) Typ of organization (iv) Is th organization (v) Did you notify (vi) Is th (vii) Amount of organization (dscribd on lins 1-9 in col. (i) listd in your th organization in organization in col. support abov or IRC sction govrning documnt? col. (i) of your (i) organizd in th (s instructions) ) support? U.S.? 11g(i) 11g(ii) 11g(iii) Ys No (B) (C) (D) (E) Total For Paprwork Rduction Act Notic, s th Instructions for Form 990 or 990-EZ. Schdul A (Form 990 or 990-EZ) 2011
6 Part II Support Schdul for Organizations Dscribd in Sctions 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complt only if you chckd th box on lin 5, 7, or 8 of Part I or if th organization faild to qualify undr Schdul A (Form 990 or 990-EZ) 2011 Part III. If th organization fails to qualify undr th tsts listd blow, plas complt Part III.) Sction A. Public Support Calndar yar (or fiscal yar bginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 () 2011 (f) Total Pag Gifts, grants, contributions, and mmbrship fs rcivd. (Do not includ any "unusual grants.")... Tax rvnus lvid for th organization's bnfit and ithr paid to or xpndd on its bhalf Th valu of srvics or facilitis furnishd by a govrnmntal unit to th organization without charg... Total. Add lins 1 through 3... Th portion of total contributions by ach prson (othr than a govrnmntal unit or publicly supportd organization) includd on lin 1 that xcds 2% of th amount shown on lin 11, column (f)... 6 Public support. Subtract lin 5 from ln 4 Sction B. Total Support Calndar yar (or fiscal yar bginning in) 7 Amounts from lin Gross incom from intrst, dividnds, paymnts rcivd on scuritis loans, rnts, royaltis and incom from similar sourcs... (a) 2007 (b) 2008 (c) 2009 (d) 2010 () 2011 (f) Total 9 Nt incom from unrlatd businss activitis, whthr or not th businss is rgularly carrid on Othr incom. Do not includ gain or loss from th sal of capital assts (Explain in Part IV.) Total support. Add lins 7 through Gross rcipts from rlatd activitis, tc. (s instructions) First fiv yars. If th Form 990 is for th organization's first, scond, third, fourth, or fifth tax yar as a sction 501(c)(3) organization, chck this box and stop hr... Sction C. Computation of Public Support Prcntag 14 Public support prcntag for 2011 (lin 6, column (f) dividd by lin 11, column (f)) % 15 Public support prcntag from 2010 Schdul A, Part II, lin % 16a 33 1/3% support tst If th organization did not chck th box on lin 13, and lin 14 is 33 1/3% or mor, chck this box and stop hr. Th organization qualifis as a publicly supportd organization... b 33 1/3% support tst If th organization did not chck a box on lin 13 or 16a, and lin 15 is 33 1/3% or mor, chck this box and stop hr. Th organization qualifis as a publicly supportd organization... 17a 10%-facts-and-circumstancs tst If th organization did not chck a box on lin 13, 16a, or 16b, and lin 14 is 10% or b 18 mor, and if th organization mts th "facts-and-circumstancs" tst, chck this box and stop hr. Explain in Part IV how th organization mts th "facts-and-circumstancs" tst. Th organization qualifis as a publicly supportd organization... 10%-facts-and-circumstancs tst If th organization did not chck a box on lin 13, 16a, 16b, or 17a, and lin 15 is 10% or mor, and if th organization mts th "facts-and-circumstancs" tst, chck this box and stop hr. Explain in Part IV how th organization mts th "facts-and-circumstancs" tst. Th organization qualifis as a publicly supportd organization... Privat foundation. If th organization did not chck a box on lin 13, 16a, 16b, 17a, or 17b, chck this box and s instructions... Schdul A (Form 990 or 990-EZ) 2011
7 Part III Support Schdul for Organizations Dscribd in Sction 509(a)(2) (Complt only if you chckd th box on lin 9 of Part I or if th organization faild to qualify undr Part II. Schdul A (Form 990 or 990-EZ) 2011 If th organization fails to qualify undr th tsts listd blow, plas complt Part II.) Sction A. Public Support Calndar yar (or fiscal yar bginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 () 2011 (f) Total Pag a Gifts, grants, contributions, and mmbrship fs rcivd. (Do not includ any "unusual grants.")... Gross rcipts from admissions, mrchandis sold or srvics prformd, or facilitis furnishd in any activity that is rlatd to th organization's tax-xmpt purpos Gross rcipts from activitis that ar not an unrlatd trad or bus. undr sc 513 Tax rvnus lvid for th organization's bnfit and ithr paid to or xpndd on its bhalf... Th valu of srvics or facilitis furnishd by a govrnmntal unit to th organization without charg... Total. Add lins 1 through 5... Amounts includd on lins 1, 2, and 3 rcivd from disqualifid prsons... 9,314 9,314 9,314 9,314 b c 8 Public support (Subtract lin 7c from lin 6.)... 9,314 Sction B. Total Support Calndar yar (or fiscal yar bginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 () 2011 (f) Total 9 Amounts from lin ,314 9,314 10a Gross incom from intrst, dividnds, paymnts rcivd on scuritis loans, rnts, royaltis and incom from similar sourcs First fiv yars. If th Form 990 is for th organization's first, scond, third, fourth, or fifth tax yar as a sction 501(c)(3) organization, chck this box and stop hr... Sction C. Computation of Public Support Prcntag 15 Public support prcntag for 2011 (lin 8, column (f) dividd by lin 13, column (f)) % 16 Public support prcntag from 2010 Schdul A, Part III, lin % Sction D. Computation of Invstmnt Incom Prcntag 17 Invstmnt incom prcntag for 2011 (lin 10c, column (f) dividd by lin 13, column (f)) % 18 Invstmnt incom prcntag from 2010 Schdul A, Part III, lin % 19a 20 b Amounts includd on lins 2 and 3 rcivd from othr than disqualifid prsons that xcd th gratr of $5,000 or 1% of th amount on lin 13 for th yar... Add lins 7a and 7b... b Unrlatd businss taxabl incom (lss sction 511 taxs) from businsss acquird aftr Jun 30, c Add lins 10a and 10b Nt incom from unrlatd businss activitis not includd in lin 10b, whthr or not th businss is rgularly carrid on... Othr incom. Do not includ gain or loss from th sal of capital assts (Explain in Part IV.)... Total support. (Add lins 9, 10c, 11, and 12.) /3% support tsts If th organization did not chck th box on lin 14, and lin 15 is mor than 33 1/3%, and lin 17 is not mor than 33 1/3%, chck this box and stop hr. Th organization qualifis as a publicly supportd organization /3% support tsts If th organization did not chck a box on lin 14 or lin 19a, and lin 16 is mor than 33 1/3%, and lin 18 is not mor than 33 1/3%, chck this box and stop hr. Th organization qualifis as a publicly supportd organization... Privat foundation. If th organization did not chck a box on lin 14, 19a, or 19b, chck this box and s instructions ,814 9,814 Schdul A (Form 990 or 990-EZ) 2011
8 Schdul B (Form 990, 990-EZ, or 990-PF) Dpartmnt of th Trasury Intrnal Rvnu Srvic Nam of th organization Schdul of Contributors Attach to Form 990, Form 990-EZ, or Form 990-PF. OMB No Employr idntification numbr Organization typ (chck on): Filrs of: Sction: Form 990 or 990-EZ 501(c)( 3 ) (ntr numbr) organization 4947(a)(1) nonxmpt charitabl trust not tratd as a privat foundation 527 political organization Form 990-PF 501(c)(3) xmpt privat foundation 4947(a)(1) nonxmpt charitabl trust tratd as a privat foundation 501(c)(3) taxabl privat foundation Chck if your organization is covrd by th Gnral Rul or a Spcial Rul. Not. Only a sction 501(c)(7), (8), or (10) organization can chck boxs for both th Gnral Rul and a Spcial Rul. S instructions. Gnral Rul For an organization filing Form 990, 990-EZ, or 990-PF that rcivd, during th yar, $5,000 or mor (in mony or proprty) from any on contributor. Complt Parts I and II. Spcial Ruls For a sction 501(c)(3) organization filing Form 990 or 990-EZ that mt th 33 1/3% support tst of th rgulations undr sctions 509(a)(1) and 170(b)(1)(A)(vi) and rcivd from any on contributor, during th yar, a contribution of th gratr of (1) $5,000 or (2) 2% of th amount on (i) Form 990, Part VIII, lin 1h or (ii) Form 990-EZ, lin 1. Complt Parts I and II. For a sction 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that rcivd from any on contributor, during th yar, total contributions of mor than $1,000 for us xclusivly for rligious, charitabl, scintific, litrary, or ducational purposs, or th prvntion of crulty to childrn or animals. Complt Parts I, II, and III. For a sction 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that rcivd from any on contributor, during th yar, contributions for us xclusivly for rligious, charitabl, tc., purposs, but ths contributions did not total to mor than $1,000. If this box is chckd, ntr hr th total contributions that wr rcivd during th yar for an xclusivly rligious, charitabl, tc., purpos. Do not complt any of th parts unlss th Gnral Rul applis to this organization bcaus it rcivd nonxclusivly rligious, charitabl, tc., contributions of $5,000 or mor during th yar... $ Caution. An organization that is not covrd by th Gnral Rul and/or th Spcial Ruls dos not fil Schdul B (Form 990, 990-EZ, or 990-PF), but it must answr "No" on Part IV, lin 2 of its Form 990; or chck th box on lin H of its Form 990-EZ or on Part I, lin 2, of its Form 990-PF, to crtify that it dos not mt th filing rquirmnts of Schdul B (Form 990, 990-EZ, or 990-PF), For Paprwork Rduction Act Notic, s th Instructions for Form 990, 990-EZ, or 990-PF. Schdul B (Form 990, 990-EZ, or 990-PF) (2011)
9 Schdul B (Form 990, 990-EZ, or 990-PF) (2011) Nam of organization Part I Contributors (s instructions). Us duplicat copis of Part I if additional spac is ndd. Employr idntification numbr (a) (b) (c) (d) No. Nam, addrss, and ZIP + 4 Total contributions Typ of contribution 1 TOP HANDS INC Prson Payroll $ 10,690 Noncash (Complt Part II if thr is ESTES PARK, CO a noncash contribution.) (a) (b) (c) (d) No. Nam, addrss, and ZIP + 4 Total contributions Typ of contribution Prson Payroll $ Noncash (Complt Part II if thr is a noncash contribution.) (a) (b) (c) (d) No. Nam, addrss, and ZIP + 4 Total contributions Typ of contribution Prson Payroll $ Noncash (Complt Part II if thr is a noncash contribution.) (a) (b) (c) (d) No. Nam, addrss, and ZIP + 4 Total contributions Typ of contribution Prson Payroll $ Noncash (Complt Part II if thr is a noncash contribution.) (a) (b) (c) (d) No. Nam, addrss, and ZIP + 4 Total contributions Typ of contribution Prson Payroll $ Noncash (Complt Part II if thr is a noncash contribution.) (a) (b) (c) (d) No. Nam, addrss, and ZIP + 4 Total contributions Typ of contribution Pag 2 Prson Payroll $ Noncash (Complt Part II if thr is a noncash contribution.) Schdul B (Form 990, 990-EZ, or 990-PF) (2011)
10 SCHEDULE G (Form 990 or 990-EZ) Dpartmnt of th Trasury Intrnal Rvnu Srvic Nam of th organization Part I 1 a b c d 2a b Supplmntal Information Rgarding Fundraising or Gaming Activitis Fundraising Activitis. Complt if th organization answrd "Ys" to Form 990, Part IV, lin 17. Form 990-EZ filrs ar not rquird to complt this part. Indicat whthr th organization raisd funds through any of th following activitis. Chck all that apply. Mail solicitations Intrnt and mail solicitations Phon solicitations In-prson solicitations f g Solicitation of non-govrnmnt grants Solicitation of govrnmnt grants Spcial fundraising vnts Did th organization hav a writtn or oral agrmnt with any individual (including officrs, dirctors, trusts or ky mploys listd in Form 990, Part VII) or ntity in connction with profssional fundraising srvics? If "Ys," list th tn highst paid individuals or ntitis (fundraisrs) pursuant to agrmnts undr which th fundraisr is to b compnsatd at last $5,000 by th organization. Complt if th organization answrd "Ys" to Form 990, Part IV, lins 17, 18, or 19, or if th organization ntrd mor than $15,000 on Form 990-EZ, lin 6a. Attach to Form 990 or Form 990-EZ. S sparat instructions. Ys OMB No Opn to Public Inspction Employr idntification numbr No 1 (v) Amount paid to (iii) Did fundraisr hav (i) Nam and addrss of individual (iv) Gross rcipts (or rtaind by) (ii) custody or control of or ntity (fundraisr) Activity from activity fundraisr listd in contributions? col. (i) Ys No (vi) Amount paid to (or rtaind by) organization Total... 3 List all stats in which th organization is rgistrd or licnsd to solicit contributions or has bn notifid it is xmpt from rgistration or licnsing. Paprwork Rduction Act Notic, s th Instructions for Form 990 or 990-EZ. Schdul G (Form 990 or 990-EZ) 2011
11 Schdul G (Form 990 or 990-EZ) 2011 Pag 2 Part II Fundraising Evnts. Complt if th organization answrd "Ys" to Form 990, Part IV, lin 18, or rportd mor than $15,000 of fundraising vnt contributions and gross incom on Form 990-EZ, lins 1 and 6b. List vnts with gross rcipts gratr than $5,000. R v n u Gross rcipts... Lss: Charitabl contributions... Gross incom (lin 1 minus lin 2)... (a) Evnt #1 (b) Evnt #2 (c) Othr vnts (d) Total vnts BARREL RACES GOLF TOUR 2 Add col. (a) through (vnt typ) (vnt typ) (total numbr) col. (c) ) 6,532 4,692 21,643 32,867 6,532 4,692 21,643 32,867 D i r c t E x p n s s Dirct xpns summary. Add lins 4 through 9 in column (d)... ( 20,248 ) 11 Nt incom summary. Combin lin 3, column (d), and lin ,619 Part III Gaming. Complt if th organization answrd "Ys" to Form 990, Part IV, lin 19, or rportd mor than $15,000 on Form 990-EZ, lin 6a. R v n u D i r c t E x p n s s Cash prizs... Noncash prizs Rnt/facility costs Food and bvrags Entrtainmnt... Othr dirct xpnss Gross rvnu Cash prizs... Noncash prizs Rnt/facility costs (a) Bingo 2,690 2,690 (b) Pull tabs/instant (d) Total gaming (add (c) Othr gaming bingo/progrssiv bingo col. (a) through col. (c)) 5 Othr dirct xpnss... Ys % Ys % Ys % 6 Voluntr labor... No No No 1,950 1, ,881 7,163 1,257 3,435 3,753 8,445 7 Dirct xpns summary. Add lins 2 through 5 in column (d)... ( ) 8 Nt gaming incom summary. Combin lin 1, column d, and lin Entr th stat(s) in which th organization oprats gaming activitis: a Is th organization licnsd to oprat gaming activitis in ach of ths stats?... Ys No b If "No," xplain: 10a Wr any of th organization's gaming licnss rvokd, suspndd or trminatd during th tax yar?... Ys No b If "Ys," xplain: Schdul G (Form 990 or 990-EZ) 2011
12 990 Ovrflow Statmnt 2011 Pag 1 Nam(s) as shown on rturn FEIN ESTES PARK WESTERN HERITAGE INC PART VIII, LINE 8A _ Dscription Amount _ BARREL RACING SERIES $ 6,532 _ GOLF TOURAMENT 4,692 _ RIDE THE ROCKIES 8,885 _ WESTERN ART & ANTIQUE EVENT 11,843 _ QUEENS LUNCHEON 915 Total: $ 32,867 PART I, LINE 8B _ Dscription Amount _ BARREL RACING SERIES $ 4,229 _ GOLF TOURNAMENT 3,435 _ RIDE THE ROCKIES 7,551 _ WESTERN ART & ANTIQUE SHOW 4,347 _ QUEENS LUNCHEON 686 Total: $ 20,248 PART I, LINE 24A, COLUMN B _ Dscription Amount _ SUPPLIES $ 2,791 _ MISCELANEOUS 889 _ RENTALS 3,189 _ MUTTON BUSTING 351 _ PHOTOGRAPHY 1,200 _ PARADE 1,353 _ RIDE FOR BUCKS 500 _ SCOREBOARD 2,000 _ RODEO ROYALTY EPENSE 3,516 Total: $ 15,789 PART I, LINE 24A, COLUMN C _ Dscription Amount _ BANK CHARGES $ 332 _ FILING FEES 1,500 _ ADMINISTRATIVE 762 _ SECURITY 158 Total: $ 2,752 OVERFLOW.LD
13 SCHEDULE O (Form 990 or 990-EZ) Dpartmnt of th Trasury Intrnal Rvnu Srvic Nam of th organization Supplmntal Information to Form 990 or 990-EZ Complt to provid information for rsponss to spcific qustions on Form 990 or 990-EZ or to provid any additional information. Attach to Form 990 or 990-EZ. OMB No Opn to Public Inspction Employr idntification numbr 01. Dscription of othr rvnu (Part I, lin 8) DESCRIPTION AMOUNT MISC List of grants and similar amounts paid (Part I, lin 10) ACTIVITY YOIUTH SCHOLARSHIP RELATIONSHIP NONE AMOUNT 2, Dscription of othr xpnss (Part I, lin 16) DESCRIPTION AMOUNT ADVERTISING 7,254 INFORMATION TECHNOLOGY 192 TRAVEL 3,447 INSURANCE 2,419 SUPPLIES 2,791 MISC 889 RENTALS 3,189 MUTTON BUSTING 351 PHOTOGRAPHY 1,200 PARADE 1,353 RIDE FOR BUCKS 500 SCOREBOARD 2,000 RODEO ROYALTY 3,516 For Paprwork Rduction Act Notic, s th Instructions for Form 990 or 990-EZ. Schdul O (Form 990 or 990-EZ) (2011)
14 Schdul O (Form 990 or 990-EZ) (2011) Nam of th organization Employr idntification numbr Pag 2 BANK CHARGES 332 FILING FEES 1,500 ADMINISTRATIVE 762 SECURITY Dscription of total liabilitis (Part II, lin 26) BEGINNING CATEGORY OF YEAR END OF YEAR TAES PAYABLE 0 2,123 Schdul O (Form 990 or 990-EZ) (2011)
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