XERODERMA PIGMENTOSUM FAMILY SUPPORT GROUP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: XERODERMA PIGMENTOSUM FAMILY SUPPORT GROUP (EIN 59-3824809)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-10-22
IRS object ID: 201212969349300751
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-10-22T11:14:13-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HINTONBURDICK PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	63 SOUTH 300 EAST STE 100	AddressLine1
City	ST GEORGE	City
State	UT	State
ZIP Code	847702948	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	593824809	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	XERODERMA PIGMENTOSUM FAMILY	BusinessNameLine1
Business Name Line2	SUPPORT GROUP	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	XERO	NameControl
Phone	9163869597	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8495 FOLSOM BLVD	AddressLine1
City	SACRAMENTO	City
State	CA	State
ZIP Code	95826	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TODD FELTNER	Name
Title	CHAIR	Title
Phone	9163869597	Phone
Date Signed	2012-10-19	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TODD FELTNER CPA	Name
Phone	4356283663	Phone
Date Prepared	2012-10-19	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Name Of Principal Officer Person	TODD FELTNER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	646 EAST SPRINGHILL DRIVE	AddressLine1
City	WASHINGTON	City
State	UT	State
ZIP Code	84780	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	200303	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	XPFAMILYSUPPORT.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2005	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE THE QUALITY OF LIFE OF THOSE PERSONS WITH XERODERMA PIGMENTOSUM AND OTHER DIAGNOSED ULTRAVIOLET LIGHT SENSITIVE CONDITIONS BY PROVIDING SUPPORT, ULTRAVIOLET PROTECTIVE EQUIPMENT AND OTHER ASSISTANCE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	2	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	94833	ContributionsGrantsPriorYear
Contributions Grants Current Year	100823	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	283	InvestmentIncomePriorYear
Investment Income Current Year	341	InvestmentIncomeCurrentYear
Other Revenue Prior Year	51560	OtherRevenuePriorYear
Other Revenue Current Year	41715	OtherRevenueCurrentYear
Total Revenue Prior Year	146676	TotalRevenuePriorYear
Total Revenue Current Year	142879	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	11560	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	20102	SalariesEtcPriorYear
Salaries Etc Current Year	25193	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	158751	OtherExpensePriorYear
Other Expenses Current Year	103908	OtherExpensesCurrentYear
Total Expenses Prior Year	190413	TotalExpensesPriorYear
Total Expenses Current Year	129101	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-43737	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	13778	RevenuesLessExpensesCY
Total Assets BOY	119769	TotalAssetsBOY
Total Assets EOY	144986	TotalAssetsEOY
Total Liabilities EOY	11439	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	119769	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	133547	NetAssetsOrFundBalancesEOY
Mission Description	TO IMPROVE THE QUALITY OF LIFE OF THOSE PERSONS WITH XERODERMA PIGMENTOSUM AND OTHER DIAGNOSED ULTRAVIOLET LIGHT SENSITIVE CONDITIONS BY PROVIDING SUPPORT, ULTRAVIOLET PROTECTIVE EQUIPMENT AND OTHER ASSISTANCE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	116117	Expense
Revenue	142811	Revenue
Description	TO IMPROVE THE QUALITY OF LIFE OF THOSE PERSONS WITH XERODERMA PIGMENTOSUM AND OTHER DIAGNOSED ULTRAVIOLET LIGHT SENSITIVE CONDITIONS.	Description
Total Program Service Expense	116117	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	true	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	2	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CANDUS TIBBITS	NamePerson
Telephone Number	4356283663	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	63 SOUTH 300 EAST	AddressLine1
City	ST GEORGE	City
State	UT	State
ZIP Code	84770	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
TODD FELTNER
CHAIR	2.00	X	0	0	0
GAIL BEHRNDT
TRUSTEE	2.00	X	0	0	0
JENNIFER FELTNER
SECRETARY	2.00	X	0	0	0
CANDUS TIBBITTS
TREASURER	2.00	X	0	0	0
BARY CUNNINGHAM
TRUSTEE	2.00	X	0	0	0
CONNIE DYER
TRUSTEE	2.00	X	0	0	0
KIM BEARDSLEE
TRUSTEE	2.00	X	0	0	0
RICHARD BRICKER
TRUSTEE	2.00	X	0	0	0
SARAH MADDEN
TRUSTEE	2.00	X	0	0	0
ALAN JAKOVAC
TRUSTEE	2.00	X	0	0	0
MICHELE MILOTA
EXECUTIVE DI	20.00		18000	0	0	X
KELLEY PICCIONE
DIRECTOR	20.00		4800	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	22800	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Fundraising Events	15963	FundraisingEvents
All Other Contributions	84860	AllOtherContributions
Total Contributions	100823	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	341	TotalRevenueColumn
Exclusion	$341	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	71221	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	15963	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	39740	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	31481	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Gaming	27918	GrossIncomeGaming
Gaming Direct Expenses	17684	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	10234	TotalRevenueColumn
Exclusion	$10,234	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	142879	TotalRevenueColumn
Exclusion	$10,575	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	22800	Total
Program Services	17100	ProgramServices
Management And General	5700	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2393	Total
Program Services	1795	ProgramServices
Management And General	598	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	3675	Total
Management And General	3675	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1048	Total
Management And General	1048	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1935	Total
Program Services	1935	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10501	Total
Program Services	10501	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	18	Total
Management And General	18	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11600	Total
Program Services	11600	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	6958	Total
Program Services	6958	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	872	Total
Program Services	872	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
FAMILY SUPPORT ACTIVITIES	55962	55962
WEB SITE	4529	4529
TELEPHONE	3954	3954
INSURANCE	1945		1945

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	911	Total
Program Services	911	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	129101	Total
Program Services	116117	ProgramServices
Management And General	12984	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9065	BOY
EOY	19353	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	109452	BOY
EOY	124890	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4647	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3904	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1252	BOY
EOY	743	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	119769	BOY
EOY	144986	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
EOY	11439	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	11439	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	119769	BOY
EOY	109591	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	23956	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	119769	BOY
EOY	133547	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	119769	BOY
EOY	144986	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	13778	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	169889	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	82188	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	158112	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	94833	CurrentTaxYearMinus1Year
Current Tax Year	100823	CurrentTaxYear
Total	605845	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	31967	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	71771	CurrentTaxYearMinus1Year
Current Tax Year	71221	CurrentTaxYear
Total	174959	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	24659	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	35107	CurrentTaxYearMinus1Year
Current Tax Year	27918	CurrentTaxYear
Total	87684	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	169889	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	82188	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	214738	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	201711	CurrentTaxYearMinus1Year
Current Tax Year	199962	CurrentTaxYear
Total	868488	Total

Field	Value	IRS element (for citing)
Public Support Total509	868488	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2700	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	941	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	36	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	283	CurrentTaxYearMinus1Year
Current Tax Year	341	CurrentTaxYear
Total	4301	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2700	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	941	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	36	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	283	CurrentTaxYearMinus1Year
Current Tax Year	341	CurrentTaxYear
Total	4301	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	172589	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	83129	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	214774	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	201994	CurrentTaxYearMinus1Year
Current Tax Year	200303	CurrentTaxYear
Total	872789	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99510	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4647	OtherCostOrOtherBasis
Depreciation	3904	Depreciation
Book Value	743	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	743	TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	22603	GrossReceiptsEvent1
Gross Revenue Event1	22603	GrossRevenueEvent1
Other Direct Expenses Event1	13713	OtherDirectExpensesEvent1
Name Of Event2	CRAB FEED	NameOfEvent2
Gross Receipts Event2	17621	GrossReceiptsEvent2
Gross Revenue Event2	17621	GrossRevenueEvent2
Other Direct Expenses Event2	15757	OtherDirectExpensesEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	46960	GrossReceiptsOtherEvents
Charitable Contrib Other Events	15963	CharitableContribOtherEvents
Gross Revenue Other Events	30997	GrossRevenueOtherEvents
Other Direct Expenses Other Events	10270	OtherDirectExpensesOtherEvents
Gross Receipts Total	87184	GrossReceiptsTotal
Charitable Contributions Total	15963	CharitableContributionsTotal
Gross Revenue Total Events	71221	GrossRevenueTotalEvents
Other Direct Expenses Total Events	39740	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	39740	DirectExpenseSummaryEvents
Net Income Summary	31481	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Volunteer Labor Bingo	false	VolunteerLaborBingo
Volunteer Labor Pull Tabs	false	VolunteerLaborPullTabs
Gross Revenue Other Gaming	27918	GrossRevenueOtherGaming
Cash Prizes Other Gaming	1136	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	14064	NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming	2484	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	true	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	27918	GrossRevenueTotalGaming
Cash Prizes Total Gaming	1136	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	14064	NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming	2484	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	17684	DirectExpenseSummaryGaming
Net Gaming Income Summary	10234	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	OH	StatesWhereGamingConducted
Licensed	false	Licensed
Explanation If No	THEY ARE NOT REQUIRED TO BE LICENCED IN THE STATE OF OHIO.	ExplanationIfNo
License Suspended Etc	false	LicenseSuspendedEtc
Gaming With Nonmembers	true	GamingWithNonmembers
Member Of Other Entity	false	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	CANDUS TIBBITS	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	63 SOUTH 300 EAST	AddressLine1
City	ST GEORGE	City
State	UT	State
ZIP Code	84770	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	false	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	RICHARD BRICKER	GamingManagerNamePerson
Gaming Manager Services Provided	RAFFLE MANAGEMENT	GamingManagerServicesProvided
Charitable Distrib Required	false	CharitableDistribRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	TODD FELTNER JENNIFER FELTNER CHAIR SECRETARY SPOUSE
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE 990 IS TO BE REVIEWED ANNUALLY AT THE BOARD MEETING AFTER THE RETURN HAS BEEN FILED.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	AT THE ANNUAL BOARD MEETING, THE CONFLICT OF INTEREST POLICY IS REVIEWED AND ACTIONS ARE TAKEN IF NECESSARY.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	SALARIES ARE REVIEWED BY BOARD MEMBERS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	SALARIES ARE REVIEWED BY BOARD MEMBERS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.