C
.0
5J
f
Form
990
C
^ Sponsoring organizations, and controlling organizations as defined in section 512(b)(13) must file Form
990. All other organizations with gross receipts less than S100,000 and total assets less than S250,000 at the
end of the year ma use this form.
y
For the 2007 calendar year , or tax year beginning
Check,' appl 'c51e
Please
C Name of organization
AJd•e-Kni g hts of Columbus Council #5629 Vero Beach
"s;or
IJor:elaoelor
vq O
A
B
❑
❑
nM
❑ Iris:tl:•i
1Pe
-4
❑ re;nura;,;,, t
❑ AnrvrCcd ,M,un:
ace
S;wc-Or
1 4truc-
, 2007 , and ending
D Employer identification number
7295362
23
P 0. Box 1952
Ci ry or town, state or count ry, and ZIP + 4
E Telephone number
( 772
564.0777
F Group Exemption
Number
Vero Beach FL 32961
^
G Accounting method:
• Section 501 (c)(3) organizations and 4947(a)(1) nonexempt chantabte trusts must attach
a completed Schedule A (Form 990 or 990-EZ).
0188
© Cash ❑ Accrual
Other (specify) ^
Xl-
C30
0
120
Number and street (or P O. box, if mail is not delivered to street address) Room/suite
Website : ^
r- 0
The organization may have to use a copy of this return to satisfy state reporting requirements
10,
internal Revenue Sen•ce
❑ App:icatFoa pe,,dmg
2007
Under section 501(c ), 527, or 4947 (a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
- `Z
De p3rtmerd of the Treasury
I
OMB No. 1545-1150
Short Form
Return of Organization Exempt From Income Tax
H Check ^ ® if the organization
is not required to attach
Schedule B (Form 990, 990-EZ, or 990-PF).
N/A
J Organization type (check only one)- [0 501 ( c ) 8
'4 (insert no )
❑ 49417 ( a ( -! ) or ❑ 527
K Check ^ ❑ if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than $25,000. A return is
not required, but if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6b, and 7b, to line 9 to determne gross receipts, if $100,000 or more, file Form 990 instead of Form 990-EZ .
^ $
23,499
a•
Revenue . Expenses . and Chances in Net Assets or Fund Balances (See oaae 55 of the instructions)
100
1
Conti ih,.ti;;ns, gins, gi anti, and srniia, s:rto.,^ts racai. q i
1
2
3
4
Program service revenue including government fees and contracts
Membership dues and assessments
Investment income
2
3
4
5a
5a Gross amount from sale of assets other than inventory
5b
b Less- cost or other basis and sales expenses .
c Gruen or (:os,,) from sake of ass;:: o'ncr ,r,ao In',en;ni Y Sub:roo ;onc 5, ,rom lion,
;^;;;c•^ : cl^afut)
Spacial e'.prcc Gird u.rtmti4.°. (attsr:
6
a
it)
00
0
0
CV
Qf-D
,ra
C
of contributions
Gross revenue (not including $
6a
reported on line 1)
6b
b Less- direct expenses other than func'ralsing expenses
c Net income or (loss) from special events and activities. Subtract line 6b from line 62
7a
7a Gross sales of inventory less returns and allowances
7b
b Less' cost of goods sold
11
12
Benefits paid to or for members
Salaries. other compensation and employee benefits
13
14
Professional fees and other payments to independent e ntrq cto rs
Occupancy, rent utilities and maintenance
OGDEN , UT
Printing. publications postage , and shipping . .
Other expenses (describe ^ See Statement 3 Attached
Total expenses . Add lines 10 through 16
Vi
18
19
20
21
_
FM
AR 2 7 . 2008
7c
_ 8-- ----------------------------16,354
9
8,083
10
fJ1
. o
11
12
-
13
14
1,000
3 , 655
15
1,673
i6
17
18
5,346
19,757
.3,403
.
.
^
Excess or (deficit) for the year Subtract line 17 from line 9
Net assets or fund balances at beginning of year (from line 27 column (A)) (must agree with
129,929
19
end-of-year figure reported on prior year s return)
20
Other changes in net assets or fund balances (attach explanation)
126,526
Net assets or fund balances at end of y ear. Combine lines 18 throu g h 20
^
21
Balance Sheets --If Total assets on line 25, column (B) are $250 000 or more. f ile Form 990 instead of Form 990-EZ
(A) Beginning of year
(See page 60 of the instructions)
22
Cash, savings, and investments
23
Land and buildings
24
25
Other assets (describe ^
Total assets
( B) End of year
13,088 22
.
.
.
.
.
See Statement 4 Attached
Net assets or fund balances (line 27 of column ( B) must a g ree with line 21 )
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions
8,104
23
116,841 24
25
)
26 Total liabilities (describe ^
27
12,163
6c
^
Grants and similar amounts paid (attach schedule)
16
17
19,308
7,145
c Gross profit or (loss) from sales of inventory Subtract line 7b from line 7a
Other revenue (describe ^
Total revenue. Add lines 1 2 3, 4. 5c 6c. 7c. and 8.
x--
10
15
v
50
❑
^
a
8
9
w
schheduid). If any ;3'71f3:'r-J is 4rxr gaming, check I ere
4,054
37
118,422
26
)
1
129,929 27
Cat. No. 106421
126,526
Form 990-IZ (2007)
L.f
Form 990-EZ (2007)
Page 2
-S a ement of Pro g ram Service A.coorrf
li :ihmefit :a ',See
a,
h ' of ttr
:Ililrt : t :iC1r's )
Expenses
What is the organization s primary exempt purpose?
Describe what was achieved in carryin g out the organization' s exempt purposes In a clear and concise manner
describe the services provide d , t h e num b er of persons benefited, or other relevant Information for each program title.
(Required for 501(c)(3)
and (4 organizations
and 4947 ( a9(1) trusts;
op t iona l for others )
28 -----------------------------------------------------------------------------------------------------------------------------• •--Grants
29
----
----
----- ---- ----------- •-- ----- -•----••---- ---- ----------- ----- ------•---If this amount includes forei g n rants , check here .
----
-------^ ❑
28a
.... ... ....
------- • ... ..... ....
...
...
...
.
...
.... .... ...
... .... ..... ...
._.
._.. .--- -•-•
-_.
--.. ..... ..... •----- --- ---•-•- --•- --•
•-•
--• -----•
-------------------------------------------------------------------------------------------------------------------------Grants
If this amount includes forei g n g rants . check here
^ ❑
29a
30 --------------------------------------------------------------------------------------------------------------------------
Grants $
If this amount includes forei n rants check here
31 Other program services ( attach schedule) . . .
. . . . . . .
Grants $
) If this amount includes forei g n rants check here
32 Total pro g ram service expenses. Add lines 28a throu g h 31a
.
.
.
.
.
.
^
.
^
❑
30a
❑
^
31a
32
List of .Ricers, D ireofors, ?: .t jees, and Kerj Employees (list eac h orti )'wpi i f riot ccmpersatc^ G o p Page G 1 o f the in tructions )
(A) Name and address
John - NeSherbon
--- Beach
--- ---, FL
-- 32961
---P.O. Box 1952 Vero
(B) Title and average
hours per week
devoted to position
- Grand Knight (20 hours)
(C) Compensation
(if not paid,
enter .0 -)
(D) Contributions to
mployee benefit plans &
deferred compensation
(E) Expense
account and
other allowances -
0
0
0
0
0
0
0
0
0
Robert Zarn
P 0 Box 1952 Vero Beach, FL 32961
Financial Secretary (5 hrs)
Bill Herman
------- --------------------------------------------- ------ Treasurer (4 hours)
P 0 Box 1952 Vero Beach , FL 32961
----------------------------------------------------------- --------------------------------- ----------------------- ---------------------- ------- ------ -----Yes No
Other Information (Note the statement requirement in General Instruction V.)
33
34
35
Did the organization make a change in its activities or methods of conducting activities? If "Yes," attach a
detailed statement of each change
. . . . . .
. . . . .
. . .
Were any changes made to the organizing or governing documents but not reported to the IRS? If "Yes,"
attach a conformed copy of the changes
. . . . . . . . .
1! the orgrr, !a!:^r' harp income from u: nes; actMt,e. F.frt: as th;se r.;pcnad cn Ines 2, 6, ar+; I (among otnertr, bt,f riot
reported on Fnrr: 9P0-7 attach 2 swter. enf P.1oIa!ninr ya.jrlmason for riot rE' o tin
33
✓
.34
✓
...
(he ,nro..le or Forrrt 990-T
a Did the organization have unrelated business gross income of $1 000 or more or 6033(e) notice reporting and
35a
proxy tax requirements?
. .
. . .
. . . . . . . . . .
35b
b If "Yes . ' has it filed a tax return on Form 990-T for this year?
. . . . . . . . . .
36 Was there a liquidation dissolution. termination or substantial contraction during the year? If "Yes ' attach a
36
statement
. .
0
37a Enter amount of political expenditures direct or indirect as described in the instructions ^ 37a
37b
b Did the organization file Form 1120-POL for this year?
38a Did the organization borrow from, or make any loans to any officer director, trustee. or key employee or were
38a
any such loans made in a prior year and still unpaid at the start of the period covered by this return?
✓
✓
✓
✓
b If "Yes." attach the schedule specified in the line 38 instructions and enter the amount
38b
involved
. . . .
. . . .
39 501(c)(7) organizations. Enter
.
a Initiation fees and capital contributions included on line 9
393
b Gross recei p ts, included on line 9. for p ublic use of club facilities
39b
Form 99-EZ (2007)
Page 3
Form 990-EZ (2007)
-------------
Other Information (Note the statement requirement in General Instruction V) (Continued)
40a 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under
section 4911 ^
N/A
. section 4912 ^
N/A
section 4955 ^
N/A
b 501(0(J a; d -'elf org an,_ rI!^r1; Did -ho orq%nl: at7on enrage in %n y ser tir ' =495 e' r;eSo ha t:'i : lr ^&.tIo . 'u t
y.ar or d;d is heroine Pware of an axcos, benofrt tra,-.soc'lo'. from a prior yeor% i` 'Ye,,' zacn an oxplana'ICt'
Yes No
t 1°
.
40b
c Enter amount of tax imposed on organization managers or disqualified persons during
the year under sections 4912. 4955. and 4958 ,
^
d Enter amount of tax on line 40c reimbursed by the organization . . . .
^
e All organizations. At any time during the tax year. was the organization a party to a prohibited tax shelter
transaction?
41
list Th:; s`atos wi n whicn a copy of tsar return is filed ^ None
42a The books are in care of ^ gill Herman, CPA
FL
Located at ^ 5950 1st Street SW, Vero Beach,
---- ---------------b At any time during the calendar year, did the organization ha
over a financial account in a foreign country (such as a ba
account)? .
. .
. ,
.
If "Yes." enter the name of the foreign country ^
See the instructions for exceptions and filing requirements f
c At any time during the calendar year did the organization m
If "Yes.' enter the name of the foreign country 1043
.
40e
✓
Section 4947(a)(1) nonexempt chantable trusts filing Form 99
and enter the amount of tax-exempt interest received or acc
Under penalties of pe tury, I declare that I have examined this return
and be f, it is tn,{ correct, and complete Declaration of prepare
Please
Sign
Here
Sgnat
of officer
John Negherbon, Grand Knight
Type or print name and title
8i
}'f@^}3rt'f :•
Use Only
Preparer's
signature ^
Firm's name (or yours
if self-employed)
address, and ZIP + 4
Date
,^
illiam J. Herman,
-A*
A
5950 1st Steet SW Vero Beach , FL 32968
^
/
7 -//.181
Check it
self
employed ^
EIN
Of °k ;Scc ur:1 ;'u: X;
po,;iric.;'ti
182.52.7089
^
Phone no ^
772 1
978. 747 3
Form 9W-EZ (2007
Knights of Columbus Council #5629
Detailed Schedules
Form 990-EZ
Tax Year 2007
Statement 1 - Part I, Line 6 (Special Events and Activities):
Gross Revenue
Pancake Breakfast Events
Dinners and Socials
Net Income
2,830
425
2,405
13,839
6,405
7,434
315
2,639
Various Other Activities
----------------------19,308
-------------------------
Total (Line 6c)
Direct Expenses
----------------------7,145
-------------------------
2,324
----------------------12,163
-------------------------
Statement 2 - Part I, Line 10 (Grants and Similar Amounts Paid):
Donee's
Grant or Payment
Scholarship
Name & Address
Ross Anderson
Amount
400
IRC School Board 1990 25th St
Vero Beach, FL 32960
Scholarship
Jason Herman
400
IRC School Board 1990 25th St.
Vero Beach, FL 32960
Scholarship
Amanda Ingenito
400
IRC School Board 1990 25th St
Vero Beach, FL 32960
Scholarship
Lindsey McAlarnen
400
IRC School Board 1990 25th St
Vero Beach, FL 32960
Scholarship
Elizabeth C Smith
IRC School Board 1990 25th St.
Vero Beach, FL 32960
400
i
Scholarship
Eleanor Walsh
400
IRC School Board 1990 25th St
Vero Beach, FL 32960
Honduras
Mission
Sister Marjorie Destout
1,291
Supreme Council Columbus Plaza
New Haven, CT 06510
Respect Life
Ministry
Seminarian
Financial Aid
St Helen Church
1,950
2025 20th Avenue
Vero Beach, FL 32960
St Helen Church
600
2025 20th Avenue
Vero Beach, FL 32960
Youth on a
St. Helen Church
Mission
2025 20th Avenue
250
Vero Beach, FL 32960
Boy Scouts of
America
Boy Scouts Troop #59
400
4100 45th Street
Vero Beach, FL 32961
Harvest
St. Helen Church
Festival
2025 20th Avenue
1,192
Vero Beach, FL 32960
8,083
Knights of Columbus Council # 5629
Detailed Schedules
Form 990-EZ
Tax Year 2007
Statement 3 - Part 1, Line 16 (Other Expenses):
Member Convention Expense
1,067
Member Recruitment Expense
87
National Dues
1,866
Supplies
2,326
5,346
Statement 4 - Part II, Line 24 (Other Assets):
Due From Columbian Club
Miscellaneous
Beginning
End
of Year
of Year
116,841
116,841
0
1,581
116,841
-------------------------
118,422
-------------------------