West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013

8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013

1/39

l

efile

GRAPHIC

p

rint - DO

NOT PROCESS

As

Filed Data

-

DLN: 93492136012992

Short F o rm

OMB

No

1545-1150

990 .EZ

Return o f Organization Exempt F r om I ncome T ax

2010

Form

Under section

50 1 c ) ,

52 7, o r

4947

a)(1) of the Internal Revenue Code

(except

b la ck l un g

benefit trust

o r p ri v at e

foundation)

0 -

Sponsoring organizations

o f donor advised funds,

organizations

t h a t

operate

on e or mor e

h o s p i t a l f c i l i t i e s a nd

D e p a r t m e n t

o f th e

T r e a s u r y

c e r t a i n

c o n t r o l l i n g

or ga n iz a ti ons a s d ef i ned

i n

s e c t i o n 512(b)(13) must

f i l e

Form 99 0 (see

i n s t r u c t i o n s )

_

A l l other

organizations

with

gross

r e c e i p t s l e s s than 200,000 a nd t o t a l

assets

l e s s

than

500,000 a t th e en d o f th e

I n t e r n a l

Revenue

S e r v i c e

year

may us e t h i s form

-

i Th e

organization

may have

to us e

a copy of t h i s r e t u r n t o s a ti s f y s t at e r e p or t i n g

requirements

A

Fo r the

2

calendar yea r ,

or

t ax y ea r beginning

07

-

01-2010

, a n d e n d in g 0 6- 3 0- 2 01 1

B Check

i f applicable

C Name o f organization

r Address

c ha ng e

WEST HEMPSTEAD ROTARY FOUNDATION

r Name

c ha ng e

Number

a nd s tr e e t o r P

0

box,

i f

mail

i s

not delivered to s t r e e t

address

Room/suite

F

I n i t i a l

r e t u r n

86 1

HEMLOCK STREET

F

Terminated

F

Amended r e t u r n

C i t y or

town,

s t a t e or country, a n d ZI P

+

4

F R A NK LIN S Q UA R E ,

NY 11010

IlApplication

pending

G

Acco u nting

method

F'Cash

r A ccr u a l O the r

specify) i

D Employer

identification number

27-1598339

E

Telephone number

(516) 538-8515

F

Group Exemption

Number i -

I

Website

H Check i -

f t he o r ga n iz a t io n is n o t

3 Ta x -

Exempt

s ta tu s (check only one)-I_

501(c)(3)?

+f l

501(c)( A(insert no

)I

4947(a)(1)

or

r

52 7

r e q ui r ed to

a t t a c h

Schedule B

(Fo rm

990, 990-EZ,

or990-PF)

K Check i - F i f th e organization

i s

no t a section 509(a)(3)

supporting

organization a nd i t s

gross

receipts ar e normally not more than

50,000 A Form

990-EZ or

Form 990

return

i s no t

required

th o u g h

Form 990-N

(e-postcard)

may b e r equi re d ( se e

instructions) Bu t i f th e

organization c h o o s e s

t o

f i l e

a

r e t u r n ,

be

sure

t o

f i l e

a

complete return

L Ad d l i n e s

5 b ,

6 c , a nd 7 b ,

t o

l i n e 9

t o

determine gross

r e c e i p t s ,

I f gross r e c e i p t s ar e

200,000 o r

more,

o r

i f t o t a l assets P a r t

I I , l i n e

2 5 ,

column B )

below)

ar e

500,000

o r

more, f i l e Form 99 0 i n s te a d o f F o r m 9 90 -E Z i 91,024

Revenue Expenses

and

Changes

i n

Net Assets or Fund Balances (See t h e i n st r uc t io n s fo r P a r t I

Check

i f

th e

organization

u s ed S c he d ul e

0

t o respond t o a ny question i n

t h i s

Part

I

1

Contributions, g i f t s , grants, a nd similar amounts received

1

43,207

2

P r o g r a m service

rev enu e

including government fees a nd contracts

2

3

Membership due s a nd assessments

3

4

Inves tmen t

income

4

116

5a

Gros s amount from sale o f assets o t he r t ha n inventory

5a

? b

Less cost

or o t he r b a si s

a nd

sales expenses

5b

C D

c

Gain

o r ( lo ss) from sale o f assets o th e r t h an inventory (Subtract l i n e 5b from l i n e 5a )

Sc

C D

C c

6

Gaming

a nd

fundraising ev ents

a Gross income

from gami n g

(attach

Schedule

G

i f greater

than

15,000)

6a

b

G ro ss i n co me

from

fundraising events (not

including

47,701

o f

contributions

from

fundraising events


2/39

Form

990-EZ 2010)

Page

2

Balance

Sheets

Check

i f the

organization

used Schedule

0

t o

respond

t o

any

question i n t h i s Part I I

Se e the instructions

f o r

Part

I I

A)

Beginning o f

year

B) En d o f

year

22

Cash,

savings,

and

investments 608 22 57 081

23 Land

and

buildings 23

24

Other

assets

describe

i n Schedule

0

24

25 Total

assets

608 25 57 081

26 Total l i a b i l i t i e s describe i n Schedule O) 26

27

N et a sse ts

or fund

balances l i n e 27 o f

column

B)

must

agree with

l i n e 21) 608

27

57 081

Statement of Program Service Accomplishments Expenses

Check i f

the

organization

used Schedule

0

t o

respond

t o

any

question i n t h i s Part

I I I

F

Required

f o r section

501

What

i s

the

organization s

primary exempt purpose?

c) 3)

a n d 5 01 c) 4)

ASSISTANCE AND OMMUN TY SUPPORT

organizations

and

section

4947 a) 1)

trusts,

Describe w ha t

w as

achieved i n

c arryi n g out

the

organization s

exempt purposes

In

a clear a n d c on c is e manner,

optional f o r others

describe th e services provided, the number o f

persons

benefited,

and

other

relevant information

f o r each

program t i t l e

28ASSISTANCE AND

SUPPORT TO MEMBERS

OF THE WEST HEMPSTEAD

OMMUN TY

ASSISTANCE

AND SUPPORT TO MEMBERS OF THE WEST HEMPSTEAD OMMUN TY

Grants I f t h i s

amount

includes foreign grants, check here

F

28 a

29

Grants I f t h i s amount includes foreign grants, check here

-

29a

30

Grants

I f

t h i s

amount

includes

foreign grants,

check

here

-

30a

31 Other program services describe i n Schedule O

Grants

I f t h i s amount

includes foreign grants, check here

F

31 a

32

Total program service expenses add

l i n e s

28a

through 31a)

l

p l ^

32

ffUST

List

of Officers, Directors

Trustees,

and

Key

Employees

L i s t e ach o ne

even i f

no t

compensated S ee th e i n st r uc t io n s f or P a rt

I V

Check

i f t h e o r ga n i za t i on used Schedule

0

to respond to any question in

this

Part

I V

a)

Name and

address

b )

T i t l e

and

average

hours

per

week

devoted

t o

position

c ) Compensation

I f n ot pa id

ent er - 0 - . )

d)

Contributions t o

employee benefit plans

deferred

compensat ion

e ) Expense

account and

other allowances

Se e

Additional D at a T ab le


3/39

Form 990-EZ (2010)

Pace

3

Other

Information (Note t h e statement requirements i n t h e

i n s t r u c t i o n s

f o r

P a r t V . )

Check i f the

organization

u s ed S che du l e

0

t o respond t o

any

question i n t h i s Part V

Yes No

33

Did the organization engage

any activity

not previously reported

t o

the IRS? I f Yes, provide a detailed

description o f

each activity i n Schedule

0

33 No

34

Were an y

significant changes

made t o

the organizing or

governing

documents?

I f

Yes, attach a

conformed copy No

o f

the amended documents

i f

they

r e f l e c t

a

change

t o the organization s

name

Otherwise,

explain

the

change on

34

Schedule

0

(see instructions)

35 I f the

organization

ha d

income

from business

a c t i v i t i e s ,

such

as

those

reported on l i n e s

2 , 6a, and 7a

among

others), but

not reported

on

Form 990-T explain

i n Schedule

0

why the

organization

d i d not repor t t he

income

on

Form 990-T

a Did the

organization

have unrelated

business

gross income of 1,000 or more or was i t a section 501(c)(4), 501

( c ) ( 5 ) , or

501(c)(6)

organization subject

t o

section

6033 e) notice,

reporting,

a nd p ro xy

tax

requirements?

35 a

No

b

I f

Yes,

ha s

i t

f i l e d a tax

return

on Form 990-T f o r t h i s year?

(see

instructions 35 b No

36

Did

the

organization

undergo a l i q u i d a t i o n , dissolution,

termination,

or

significant disposition

o f net assets

during

the year? If Yes, complete applicable parts

o f

Schedule N

36 No

37a

Enter amount o f

p o l i t i c a l

expenditures, d i r e c t o r i n d i r e c t , as described i n the


0 -

37a

b

Did the organization f i l e Form 1120

-POL

f or t hi s year? 37 b

No

38 a Did the

organization

borrow

from, or

make

any

loans

t o , any

o f f i c e r , director, trustee, or ke y employee

or

were

any such

loans made a p r i o r

y ea r a nd

s t i l l

outstanding a t

the

end o f

the ta x

year covered

by

t h i s

return? 38 a

No

b

I f

Yes,

complete Schedule

L , Part I I

and

enter the

t o t a l

amount involved 38 b

39

Section 501(c)(7) organizations.

Enter

a I n i t i a t i o n fees

and

capital contributions included on

l i n e

9

39 a

b

Gross

receipts, included on

l i n e 9 , f o r public use

o f club

f a c i l i t i e s

39 b

40a Section

501(c)(3) organizations.

Enter amount o f tax imposed on the

organization during

the year

under

s e c t i o n 4911

01

0

s e c t i o n 4912

l i k

0

s e c t i o n 4955

01

0

b

Section 501(c)(3) an d 501(c)(4) organizations. Did the organization engage i n

any

section 4958 excess benefit

transaction during

the year

or

d i d

i t engage an excess benefit transaction

i n a p r i o r year

that

has not been

reported

on

any

o f i t s p r i o r

Forms

990

or 990-EZ?

I f

Yes,

complete Schedule

L ,

Part I

40b N

o

c

Section 501(c)(3) and 501(c)(4)

organizations

Enter

amount

o f tax

imposed on organization

managers

or

disqualified

persons

during

the

y ea r u nde r

sections 4912, 4955,

and

4958

d

Section 501(c)(3) and 501(c)(4)

organizations

Enter

amount

o f

tax on

l i n e

40c reimbursed by the

organization

e

A l l

organizations.

At

any time during

the ta x ye ar,

was

the

organization

a

party

t o

a

prohibited tax

shelter

transaction? I f

Yes,

complete

Form 8886-T

41

L i s t

the

s t a t e s

with

which

a

copy

o f t h i s r e t u r n

i s f i l e d

N Y

40e


4/39

Form 990-EZ

(2010)

Pa g e

4

Yes No

45 I s an y related organization a controlled entity o f

the

organization within

the

meaning o f section 512(b)(13)? I f

Y e s , F

o

r

m 9 90 a nd Schedule

R

must b e c o mp l e t e d instead

o f Form990-EZ

45 N

o

45a D id t he o rg ani zat io n r e ce iv e

an y

payment

from

or

engag e

i n

an y transaction

with a controlled entity within the

meaning

o f

section

512 (b)(13 ) 7 I f 'Yes,'Form 9 90 a nd

S ch e du le R must b e c o mp l e t e d instead o f

Form990-EZ

45a

No

46 Di d

t h e o r ganiza t ion

en gage,

directly

or

indirectly

i n

p o l i t i c a l

campaign activities

on

behalf

o f or i n opposition t o

candidates f o r public o f f i c e ?

If Yes,

c o mp l et e S ch e d ul e C

Part

I

46

No

Section 501 c)(3)

organizations

and section 4947

a)(1)

nonexempt

c har i tab l e t r us ts o nl y.

A l l

section 501(c)(3) organizations

and

section

4947(a)(1) nonexempt

charitable

trusts must answer

questions

47-49b

and

52.

Check i f t h e o r ganiza t ion us ed S c he du l e

0

t o r espon d t o

an y

question

i n t h i s Part VI

No

47 Di d

the

organization engag e lobbying activities? I f Yes, c o mp l et e S ch e d ul e

C

Part II

47

No

48

I s t h e o r ganiza t ion a

school

described

section

170 b ) 1 ) A ) i i ) 7

I f

Yes, compl

e t e S c h e d u l e E

48

No

49a

Di d

t h e o r ganiza t ion

make an y

transfers

t o an

exempt

non-charitable

related

organization?

49a

No

b If Yes, w as the related organization a section 527 organization?

49b

50

Complete

t h i s

table f o r t h e o r ganizat i on' s f i v e

highest

compensated employees (other

than o f f i c e r s ,

directors,

trustees an d

ke y

e mp l oy e es ) w h o

eac h

received mor e than 100,000

o f

c ompensat ion from

the

organization I f

there

i s n on e, e nt e r

None

(a)

Name and a dd r e ss o f

eac h employee

paid

mor e than 100,000

(b)

T i t l e

a nd a ve r ag e

hours pe r

week

d e v o t e d

t o

position

c )

Compensation

(d)

Contributions t o

employee benefit plans

deferred c ompensat ion

(e) Expense

account an d

other

allowances

NONE

50(f) Total

number

o f

other

employees

paid

ov e r

100,000

51 Complete t h i s table f o r t h e o r ganizat i on' s f i v e

highest

compensated

in depen den t contractors

w ho e ac h

received

mor e

than

100,000


5/39

efile GRAPHIC

p

rint -

DO

NOT PROCESS As Filed Data -

DLN:

93492136012992

SCHEDULE

A

P u b l i c Charity

Status

a nd P u b l i c

Support

OMB No

1545-0047

Form 990 o r 990EZ) 2

ompl t

i f t h e o rg a ni z a ti o n

is a section

5 0 1 c) 3 ) or ga n i z a t ion

or a section

D e p a r t m e n t o f t h e r e s u r y 4947 a ) 1) nonexempt

charitable

trust.

I n t e r n a l

Revenue S e r v i c e

Atta c h

t o Form

9 9 0 or Form

9 9 0 - E Z

S ee

s e p a r a t e

instructions.

Name of t h e

o r g a n i z a t i o n

Employer ide n t i f i cat ion

number

WEST

HEMPSTEAD ROTARY FOUNDATION

27-1598339

Reason for Public C h a r i t y Status

A l l

organizations

must

c om p l e t e

t h i s

p a r t . See

Instructions

Th e


i s n o t a p r i v a t e foundation

beca use

i t i s F o r l i n e s 1

through

1 1 ,

check

o n l y on e

box)

1 A church,

convention o f c h ur c h e s,

or association

o f

c h u r c h e s

described

i n section 170 b) 1) A) i).

2

A s c h oo l d es c r ib e d i n

section

170

b) 1) A) ii).

Attach S c h e d u l e E

3 A hospital or a cooperative hospital service

organization

described i n section 170 b) 1) A) iii).

4

A m e di ca l r e se a rc h

organization

op e r a t e d i n conjunction with a hospital described i n

section

17 0 b) 1) A) iii). Enter th e

hospital s n a m e ,

c i t y , a n d

state

5 fl An organization

operated f o r th e

benefit o f

a

college or

university owned

or

op e r a t e d

by

a g o v e r n m e n t a l u n i t described i n

section

170

b) 1) A) iv .

C o m p l e t e

Part

I I

6

fl A

federal,

s ta te , or l o c a l gov rnm nt or

g o v e r n m e n t a l u n i t described i n

section

17 0 b) 1 ) A ) v ) .

7 An

organization

that normally receives a

substantial

part

o f

i t s s u pp or t f ro m a g o v e r n m e n t a l

u n i t

or from th e general public

described

i n

section 170 b) 1) A) vi C o m p l e t e Part

I I

8 fl A community trust described i n section 170 b) 1) A) vi C o m p l e t e Part I I

9 F An

organization

that normally receives 1 )

mor

t h a n 331/3 o f

i t s

s u pp or t f ro m

contributions,

membership fees, a n d g ros s

receipts

from activities related t o

it s

exempt

f un c t i on s-subje c t

t o certain exceptions,

a n d

2 )

no more

t h a n

331/3

o f

it s

sup p or t

from

gross

inves tment income

a n d

unrelated

busi n e ss

taxable income

less

section

511

tax)

from b u s i n e s s e s

acquired

by

th e

organization

after

June

30 , 1975 S e e section

50 9

a) 2) . C o m p l e t e

Part

I I I

10

fl An organization organized

a n d o pe ra t ed

exclusively

t o

test

f o r public

safety S ees ectio n 509 a) 4).

11

fl

An

organization

o rg an iz ed a n d o pe ra t ed

exclusively

f o r th e

benefit of ,

t o perform th e

functions o f , or

t o carry

ou t

th e pu rpo s es o f

on e

or mor publicly

sup p or t e d

organizations described i n section

5 0 9 a ) 1 )

or section

5 0 9 a ) 2 )

S e e section 50 9 a) 3). Check

th e

box

that

describes

th e t y p e

o f

s u p porting o rga n iza t ion

a n d co mplete

l i n e s 11e

through

11h

a fl

Type

I b fl

Type

I I c f l

Type I I I

Functionally integrated d fl

Type I I I

O t h e r

e

fl B y c h ec ki n g

t h i s

box,

I c e r t i f y

t ha t t he organization

i s

not controlled

directly

or

indirectly

by

on e

or mor disqualified

p e r son s

other

t h a n f ou n da t i on managers a n d o th e r t h a n on e or

more publicly

sup p or t e d

organizations

described i n

section

5 0 9 a ) 1 or

section

5 0 9 a ) 2 )

f

I f

th e organization received a written

d et e rm i na t i on f r om

th e I R S that i t

i s

a

Type I ,

Type I I or Type I I I supporting organization,

c h e c k

t h i s box F

g

Since August 17, 2006, h a s th e organization a c c e p t e d

a n y

g i f t or

contribution

from

a n y o f

th e

following

perso ns?

i

a p e r son who directly

or

indirectly controls, either

alone or

together

with

p e r son s

described i n i i

Yes No

a n d

i i i

below,

th e governing body o f th e th e

sup p or t e d

organization? 11g i)


6/39

Sc he dul e A ( Fo rm 99 0

o r

990-EZ)

2010

Page 2

Support Schedule fo r Organizations Described i n Sections 170 b ) ( 1)(A)(iv)

and

170 b) 1)

(A)(vi)

(Complete only

y ou c he cke d the bo x on l i n e 5 , 7 , or

8

of Part

I

or

the

organization

f a i l e d t o qualify

u n d e r Part I I I . I f

the organization

f a i l s

t o qualify

u n d e r the tests

l i s t e d be lo w , pl e as e complete

Part

I I I . )

Section A Public

Supp

o r t

Cale n d ar y e ar ( o r f is c al year beginning

(a )

2006 (b) 2007 ( c ) 2008 (d ) 2009 (e ) 2010 ( f ) Total

i n )

1

G i f t s , grants,

contributions, and

membership fees r ec eive d ( Do no t

include

any

un u su a l

grants )

2

Tax revenues levied f o r the

organization's benefit and either

paid t o

or expended

on

it s

behalf

3

The value o f

services

or f a c i l i t i e s

f ur n is h ed by

a governmental u n i t t o

the organization without charge

4

Total

.Add

l i n e s

through 3

5

The

portion o f

t o t a l

contributions

by

e ac h pe rs o n

(other than

a

gove rn m e ntal u n i t

or publicly

supported o r ganizati on) included o n

l i n e 1 that exceeds 2 o f the

amount shown on

l i n e

11, c o l u m n

f

6

Public

Support

Subtract

l i n e

5

from

l i n e

4

Section B . Total

Su

pp

o rt

Calendaryear

( o r f is c al

year

beginning

( a )

2006

( b )

2007 ( c ) 2008

( d )

2009

( e )

2010 ( f ) T o t a l

i n

7

Amounts

from l i n e

4

8

Gr o ss in co m e

from i n t e r e s t ,

dividends, payments received on

s e c urities l oan s , r ents, r o ya ltie s

and income from similar

10

11

12

s ou r c e s

Ne t

income

from

unrelated

business a c t i v i t i e s , whether

or

n ot th e business i s regularly

carried on

O th e r i nc o m e Do no t

include

gain

o r los s from th e s al e o f capital

assets

(Explain

i n Part

IV

Total support ( Ad d l i n e s 7

through

10)

Gr o s s

receipts from related a c t i v i t i e s ,

etc

(See instructions

12


7/39

Sc he dul e A ( Fo rm 99 0

o r

990-EZ)

2010

Page 3

T

Support Schedule fo r

Organizations

Described i n Section 509(a)(2)

(Complete only

i

y ou c he cke d the bo x on l i n e 9

of

Part

I

or

i

the

organization f a i l e d

t o qualify u n d e r

Part I I . I f the

organization

f a i l s t o qualify u n d e r the tests

l i s t e d be lo w , pl e as e

complete Part I I . )

Section

A

Public

Sunnort

Cale n d ar y e ar o r f is c al year beginning

(a )

2006 (b) 2007 c ) 2008 (d ) 2009 (e) 2010 f ) Total

in )

l l i k ^

1

G i f t s , grants,

contributions,

and

membership fee s received (Do not

608 43,207 43,815

include any

un u su a l

grants )

2

Gr o s s

receipts

from

ad mis s io n s ,

m e r c h a n d i s e s old or services

performed,

or f a c i l i t i e s furnished i n

any activity that i s related t o the

organization's

tax-exempt

purpose

3

Gr o s s

receipts from activities that

are no t a n u n re l ate d

trade

or

business

under

section 513

4 Tax revenues

levied

f o r the

organization's benefit and either

paid t o

or expended on it s

behalf

5 The value o f services or f a c i l i t i e s

f ur n is h ed by

a gov e r n m e ntal

u n i t

t o

the

organization

without charge

6 Total

Add

lines

1 through

5

608 43,207 43,815

7a

Amounts i nc lu de d o n

l i n e s 1 , 2 ,

and 3 r e ce iv ed f r om

disqualified

persons

b Amounts i nc lu de d o n

l i n e s 2

and

3

r ec ei ve d f ro m o th er th an

disqualified persons that exceed

the

greater

of 5,000

or

1 o f

the

amount on l i n e 13 f o r the year

c Add l i n e s

7a and

7b

8

Public Support (Subtract

l i n e 7c

43,815

from l i n e

6

Section B . Total

Suppo rt

Cale n d ar y e ar o r f is c al

year

beginning

(a )

2006 (b ) 2007 c ) 2008 (d ) 2009 (e ) 2010 f )

Total

i n)

9

Amounts

from line

6

608

43,207 43,815

10a

Gr o ss i nc om e

from

i n t e r e s t ,

dividends,

payments received on

s e c uri ti e s l oan s , rents, royalties

0

and i n c o m e

from

similar

s o u r c e s

b

Unrelated

business taxable


8/39

S ch ed ul e A

Form 99 0

o r

990-EZ 2010

Page

Supplemental

Information

Supplemental Information. Complete t h i s part t o provide the explanations

r eq uir ed b y

Part l i n e 10; Par t l i n e 17 a or

17b;

and Part l i n e 12.

Also

complete

t h i s

part f o r any

additional

information.

See instructions .


9/39

Additional Data

Software

ID

10000149

Software

Version

2010.2.15

EIN: 27 -1598339

Name WEST HEMPSTEAD ROTARY FOUNDATION

Form 990EZ Part IV List o f

Officers, Directors, Trustees and

Key

Employees

A Name

a n d

address

B

Title

a n d

average C ompensation

D

C o n t ri but i o n s t o E

Expense

hours per week I f no t paid employee b enefi t pla n s

account

a n d

devo ted

to

position enter 0 .

other allowances

deferred compen s a t i o n

RONY KESSLER PRESIDENT

002

00 0

861 HEMLOCK STREET

FRANKLIN

SQUARE NY

11010

HOW RD

ROBINS V

PRES 002 00

0

2029

VALENTINES ROAD

WESTBURY NY

11590

SANDRA SALMON V PRES 002 00

0

191

BERRYHILL

COURT

WEST HEMPSTEAD NY

11552

RICHARD

M RMON H LM DIRECTOR

002

0

84-33

169 STREET

JAMAICA NY

11432

LEO MON H N SECY 002 00 0

C/O UBS

333

EARL OVINGTON BLVD

MITCHELL

FIELD NY 11553


10/39

efile GRAPHIC

p

rint -

DO

NOT PROCESS

As

Filed Data - DLN: 93492136012992

SCHEDULEG

Supplemental Information Regarding

OM

No

1545-0047

(Form 990 o r 990-EZ)

F u n d r a i s i n g

o r

Gaming A c t i v i t i e s

2010

Complete i f th e organization answered

Yes to

F o rt h 9 9 0 , Part

I V

lines

17

18,

o r

19,

D e p a r t m e n t

o f

t h e

T r e a s u r y

or

i f

the organization

entered

more than

15,000 on

F o r m 9 90 E Z ,

l i n e 6a

Open

to Public

I n t e r n a l

Revenue S e r v i c e Attach t o

F o r m

99 0 o r F or t h 99 0 E Z . Se e separate i n s t r u c t i o n s .

nspection

Name

o f the o r g an i za t io n

WEST HEMPSTEAD ROTARY FOUNDATION

Emp l oy e r identification number

27-1598339

Fundraising A c t i vi t i e s

Complete

i f

the

organization answered Yes t o

Form

990,

Part IV,

l i n e

17.

Indicate

whether th e

organization

raised

f u nd s t hr o u gh an y o f

th e

following

activities

Check a l l

that

apply

a

M a il so l ic i ta t io ns e

Solicitation

o f

non government grants

b

Internet and

e-mail

solicitations f

Solicitation o f government

grants

c

P h o n e

solicitations g

Special

fundraising e v e n ts

d In - p e rs on solicitations

2a Di d

the

organization have

a

wr it te n o r o r a l a g r e e m e n t with any

individual

(including o f f i c e r s , directors, trustees

or

ke y employees

l i s t e d

i n

F or m 9 90 ,

Part

VII)

o r e nt it y

i n

c on n e c t i on

with

professional fundraising

services?

Yes No

b I f Yes,

l i s t t he t en

highest p ai d i nd iv i du al s o r

entities (fundraisers)

pursuant t o a g r e e m e n t s u n d er w hi c h

the

fundraiser

i s

t o be compensated a t least 5 000 b y t he o r ga ni za ti o n F o r m 990-EZ f i l e r s ar e n o t r e qu ir ed t o c o mp l e t e

t h i s

table

i

Name

a n d a dd r ess o f

individual

o r e nt it y (fundraiser)

i i )

Activity i i i )

Di d

fundraiser

have

c ust ody

or

control

o f

contributions?

i v Gr oss receipts

from

activity

(v ) Amount paid t o

o r r et ai ne d b y)

fundraiser

l i s t e d

i n

c o l i

v i Amount

paid

t o

o r

r e ta in ed b y)

organization

Yes

No


11/39

Schedule

(Form

990 or 990-EZ

2010

Page 2

Fundraising Events Complete i

t h e

organization answered Yes t o Form 990,

P a r t

I V , l i n e 1 8 , or reported

more than $15,00 0 on Form 990-EZ, l i n e 6a. L i s t events with gross receipts greater than $5, 0 0 0 .

(a)

E ve nt 1

(b )

Event

2

c

Other Events

(d) Total

Events

(Add c o l

(a)

through

DINNER

c o l c

(event type)

(event type)

t o t a l

number)

c o

1

Gross

receipts

47,701 47,701

2

Less

Charitable

contributions

3

Gro ss i ncom e

l i n e

1

47,701 47,701

minus l i n e

2)

Cash

prizes

u

5

Non-cash prizes

6 Rent/facility costs

7 Food

an d

beverages

6 , 6 79 6 , 6 79

8

Entertainment

9 Other direct expenses

10

Direct

expense summary

Add

l i n e s 4 through 9 i n column d

6 , 6 7 9

11

Ne t

income summary Combine

l i n e s

3 an d

10

i n column

d .

41,022

Gaming

Complete i

t h e

organization answered Yes

t o

Form 990,

P a r t

I V ,

l i n e 1 9 ,

or reported more

than

$15,000

on Form 990-EZ, l i n e 6a.

c o

(a)

Bingo

(b )

P u l l

tabs/Instant

c

Other gaming

(d)

Total

gaming

bingo/progressive

bingo

(Add c o l

(a)

through

c o

c o l c

c o

1 Gross

revenue

n 2

Cash

prizes

3

Non-cash

prizes

L I J

Rent/facility

costs

5

Other direct expenses


12/39

Schedule Form

990 or 990-EZ

2010

Page

3

11 Does the organization operate g a m i n g activities with nonmembers?

es

r-

No

12 s the

organization a

grantor

beneficiary

or

trustee

o f

a trust

or

a

member o f

a

partnership or other

entity

formed t o administer charitable g a m i n g ?

r-Yes No

13 Indicate

th e percentage

o f g a m i n g

activity operated

a

The organization

s

f a c i l i t y 13 a

b An

outside f a c i l i t y 13b

14 Provide the name a n d a ddr es s o f the person who

prepares

the organization s g a m i n g

special

ev en ts b ooks a nd

records

Name

Address

15 a

Does the organization h ave a contract with a t h i r d party from whom the organization receives g a m i n g

revenue?

fl

Ye s fl

No

b f Yes, enter th e amount o f g a m i n g revenue received by the organization a nd the

amount o f g a m i n g revenue ret ai ned by the t h i r d party

c f Yes, enter name a nd

address

Name

Address

16 Gaming

manager

information

Name

Gaming

manager

compensa tio n

1 1 1 1 1

Description o f service s provided


13/39

efile GRAPHIC

p

rint - DO NOT PROCESS As Filed Data - DLN: 93492136 12992

SCHEDULE

OMB No

1545 47

Form 990 o r

9 9 0 - E Z

Supplemental Information

t o

F o r m

9 9 0

or 9 9 0-EZ

2

O

D e p a r t m e n t o f t h e r e a s u r y

Complete to provide

information

fo r

responses

to specific

questions o n

Form

or

t o p r ov i de

any additional

information

Open

I n t e r n a l

R e v e n u e

e r v i c e

Attach

to

Form

or

9 9 0 - EZ.

Inspection

Name

of

the o r gan i zat i o n

WEST HEMPSTEAD

ROTARY FOUNDATION

Employer

identification

number

27 1598339

I d e n t i f i e r Return Explanation

Refe r e n c e

Form 990-EZ P a r t L i n e 1 0

Grants

P a i d

A c t i v i t y Grantee COALITION AGAINST DOMESTIC

VIOLENCE

Cash

Grant

7 0 0 0 R e l a t i o n s h i p Form 990-EZ P a r t L i n e 1 0

Grants

P a i d

A c t i v i t y Grantee VARIOUS

Cash

Grant

2 0 7 6 5 R e l a t i o n s h i p

Form

990-EZ P a r t L i n e 1 6

Other

Expenses

Bank

c ha r ges 3 7


14/39

l

efile GRAPHIC

p

rint

- DO NOT PROCESS As Filed Data -

DLN:

93492134011773

Short Form

OMB No 1545-1150

F

990

EZ

Return

o f

Organization Exempt F r om Income

Tax

orm

Under section 501 c) ,

527, or

4947

a)(1) of

the

I n t e r n a l

Revenue

Code

2 0 1 1

(except

b la ck l un g b en ef it trust

or

private

f o u nda t i o n )

0 -

Sponsoring

organizations


organizations

t h a t

operate

on e o r more h o s p i t a l

f c i l i t i e s a nd

DepatmentoftheTreasury

c e r t a i n


or ga n iz a ti ons a s d ef i ne d

i n


f i l e

Form 99 0 (see


O

pen t

o Pu:

A l l other

organizations

with

gross


assets

l e s s

than

500,000 a t th e e nd o f th e

I n t e r n a l Revenue S e r v i c e

y e a r


-

Th e organization may have

to us e

a copy of t h i s r e t u r n t o s a ti s fy s t at e r e po r ti n g

requirements

A

Fo r the

2011 calendar

year

o r tax year

beginning

07

- 01-2011

and ending

06-30-2012

B

Check

i f a p p l i c a b l e

C Name o f organization

r Address

c ha n g e

WEST

HEMPSTEAD

ROTARY FOUNDATION

F Name

c ha n g e

Number a nd s t r e e t

o r P 0 box,

i f

mail

i s

n o t d el i ve r ed t o

s t r e e t address)

Room/suite

IlInitial r e t u r n

86 1 HEMLOCK STREET

F

Terminated

F Amended

r e t u r n

C i t y or

town, s t a t e

o r c ou n tr y ,

a n d

ZI P +

4

F R A NK LIN S Q UA R E ,

NY

11010

IlApplication

pending

G

Accounting method

I

Cash

r'Accrual

Other

( sp e c i f y )

0 -

I

3 Ta x

- Exempt

st a t u s (check only one)-I_ 501(c)(3)?+fl

501(c ) 1(insert no )I 4947(a)(1)

or

r527

D Employer

identification

number

27-1598339

E Telephone number

(516)

538-8515

F Group

Exemption

Number

0 -

H

Check

-

i f th e organization

i s

no t

required t o attach S ch e du l e

B

(Form 990, 990-EZ, or 990-PF)

K

Check 0- I ifthe


is

n ot

a section 509(a)(3)

supporting o r g a n i z a t i o n

or a

s e c t i o n

527


and

i ts gross

receipts

ar e

normally

n ot more than 50,000 A Form 990-EZ or Form 990 r e t u r n

is

n ot req uired though Form 990-N (e-postcard) may be r e qu i re d ( s ee

ins tructions )

B u t

i f th e o r g a n i z a t i o n chooses to f i l e a re tu rn,

be

s u r e to f i l e a complete

r e t u r n

L Ad d l i n e s

5 b ,

6 c , a nd 7 b , to

l i n e

9 to determine gross

r e c e i p t s , I f

gross r e c e i p t s ar e 200,000

or

more, or i f t o t a l assets P a r t

I I ,

l i n e 2 5 ,

column B )

below)

ar e 500,000

o r

more,

f i l e

Form

99 0

i n s te ad o f

Form 990-EZ

1 -

84,446

Revenue Expenses

and

Changes

in

Net Assets or

Fund

Balances (See t he i n st r uc ti on s f o r Part I

Check i f

th e organization

u s ed S ch e du l e

0

t o r e spo nd t o a ny q ue st io n

i n t h i s

Part I

1

C o n t r i b u t i o n s , g i f t s , g r a n t s ,

and

s imi l a r

amounts received 1 31,645

2 Program

s e r v i c e

revenue

i nc l u d i n g

government

f e e s

and contracts 2

3

Membership dues a nd assessments

3

4

Investment income

4

5a

G r o s s

amount

from

sale

o f a s s e ts

other

than

inventory

5a

?

b

Less

cost

o r

other

bas is

a nd sales

e x p e n s e s 5b

a

c Ga i n o r

(loss)

f rom sale o f a s s e ts

other

than

inventory

(Subtract

l i n e

5b from

l i n e 5a )

Sc

C D

6

Gaming and f u n d r a i s i n g events


15/39

Form 990-EZ 2010)

Page 2

ff

Balance Sheets

Check i f th e organization used Schedule

0

t o

respond

t o

an y question i n t h i s

Part

I I

See t h e i n st r uc ti o ns fo r Part

I I

A)

Beginning of

year

(B) End of

year

22 Cash, savings

and

investments 57,081 22 57,856

23 Land

and

buildings 23

24 Other assets (describe

i n

Schedule

0)

24

25

Total

assets

57,081

25

57,856

26 Total l i a b i l i t i e s (describe i n Schedule

0)

26

27

Net assets or

fund

balances l i n e 27

of column (B) must

agree

with

l i n e 21)

57,081 27

57,856

Statement

of

Program

Service Accomplishments Expenses

Check

i f

t h e organization used Schedule

0

t o respond to any question

i n

this Part II I

Required

fo r

section

501

What

t h e o r ga n iz a t io n s primary exempt purpose?

(c)(3)

and

501 c) 4)

ASSISTANCE AND COMMUNITY SUPPORT

organizations

and

section

4947 a) 1) trusts,

Describe th e

organization s

program service accomplishments f o r

each

o f

i t s three largest

program services,

as

optional

f o r others

measured

by

expenses In a

clear

an d c on ci se m an n er , describe th e services provided, th e number o f persons

benefited, an d

other

relevant in formation f o r e ac h p ro gr am t i t l e

28ASSISTANCE AND SUPPORT TO

MEMBERS

OF THE WEST HEMPSTEAD COMMUNITY

Grants 62,654) I f this amount

includes

foreign grants,

check

he re

F

28a

16

29

(Grants I f t h i s amount includes foreign

grants,

check here

(-

29 a

30

(Grants I f t h i s amount includes foreign grants, check here

0

(-

30a

3

ther

program

services

(describe

i n Schedule

0)

(Grants I f t h i s amount includes foreign

grants,

check here

0

31a

32 Total program

service

expenses

(add

lines 28a through 31a)

1

0 1

32 16

List of Of ficers ,

Directors

, Trustees and Key Employees

L i s t

each o n e ev en i f no t compensated (See th e i n s t r u c t i o n s f o r P a r t I V

Check i f th e organization used

Schedule

0

t o

respond

t o

an y

Question

i n

t h i s

Part

IV

(b) Title and average (c) Compensation (d) Contributions to (e) Expense

(a)

Name and

address hours

pe r

week

If n ot pai d

, employee benefit

plans

account

and

devoted

t o Dosition

enter - 0 - . )

deferred

compensation other

allowances

Form 990-EZ (2011)


16/39

Form 990-EZ

2011)

Page 3

Z

ther

Information

Note

th e

statement

requirements i n the instructions

fo r

Part V. )

Check i f the

organization

used

Schedule

0

t o

resDond

t o

an y

question i n t h i s Part V

Yes

No

33

Di d

the organization

engage i n any

significant activity no t prev iously re porte d to th e

IRS?

I f

Yes, provide

a

detailed

description o f

each activity i n Schedule

0

33

No

34

Were

any

significant

changes

made

to

th e organizing

or governing documents? I f

Yes, attach

a conformed

copy

No

o f the

amended documents i f

they r e f l e c t

a

change

t o

the

organization s name Otherwise,

explain the change on

34

Schedule

0

(see

instructions)

35 I f

the organization

had income

from

business

a c t i v i t i e s

such

as

those

reported on

l i n e s 2 6a, and 7a

among

others), but

not reported

on Form 990-T,

explain

i n Schedule

0

why the

organization

d i d n ot r epo rt the income on

Form

990-T

a

D id the organization

have

unrelated business gross income o f

1,000

o r more during the year from

business

activities

(such as

those

reported

on lines 2, 6a, and 7a,

among others)?

35a No

b If Yes to l i n e 35a, has

th e

organization f i l e d a Form 990-T fo r

th e

year?

If No,

provide

an explanation

i n

Schedule

0

35b No

c Was

th e

organization a

section 501(c)(4), 501(c)(5),

or 501(c)(6) organization subject to section

6033(e)

notice, reporting,

and

proxy ta x

requirements during

th e year?

I f Yes, complete Schedule

C, P ar t

III

35c No

36

D id the

organization

undergo

a

l i q u i d a t i o n

dissolution,

termination,

o r

significant

disposition

o f

net

assets during

the year?

I f

Yes,

complete

applicable parts

of Schedule

N

36

No

37a

Enter amount o f p o l i t i c a l expenditures,

d i r e c t

or i n d i r e c t as described i n the


37a

b Did

the

organization f i l e Form 1120-POL fo r

this

year?

37b No

38 a

D id the organization

borrow

from, o r

make any

loans

t o an y o f f i c e r director,

trustee, o r key employee or

were

any such

loans made

i n

a p r i o r

y ea r a nd

s t i l l

outstanding a t

the

en d o f

the tax

year

covered by

t h i s

return?

38 a No

b

I f

Yes,

complete Schedule Part

II

and

enter the

t o t a l amount

involved 38 b

39 Section 501(c)(7) organizations. Enter


an d capital

contributions included on

l i n e

9

39 a

b

Gross receipts,

included

on l i n e 9

f o r

public us e o f club

f a c i l i t i e s

39b

40a

Section

501(c)(3) organizations. Enter amount

of

tax

imposed on

the

orga niza tion d uring

th e

year under

s e c t i o n

4911

O k

0

s e c t i o n 4912

I P P r

0

s e c t i o n 4955

O k

0

b

Section

501(c)(3) and 501(c)(4)

organizations.

Di d

th e organization

engage i n any

section

4958 excess

benefit

transaction

during

the

year o r d i d

i t engage

i n

an

excess benefit

transaction i n

a

p r i o r

year

that has not

been

reported on any

of

i t s prior Forms 990 or 990-EZ I f Yes,

complete Schedule

L

Part

I

40b

N

o

c

Section 501(c)(3)

and

501(c)(4) organizations Enter

amount of

ta x

imposed

on orga niza tion managers

or

disqualified persons

during

the

year

under

sections 4912, 4955, and 4958

d Section

501(c)(3) and 501(c)(4)

organizations Enter

amount of

ta x on l i n e

40c reimbursed

by the

organization

e

A l l

organizations.

At any

time

during

the tax year,

was

th e organization

a

party

to a

pro hi b it ed t ax

shelter


17/39

Form 990-EZ

(2011

46

Di d

th e organization engage, directly o r i n di r ec t ly , i n p o l i t i c a l campaign a c t i v i t i e s on beha lf o f o r i n opposition t o

candidates f o r public

o f f i c e ?

I f Yes,

c o mp l e t e S ch e d u l e C, Part I

Page

No

No

Section 501 c)(3) organizations and s e c t i o n 4947(a)(1) nonexempt c h a r i t a b l e tr u s ts

o n l y.

A l l section 501(c)(3)

organizations

a n d section 4947(a)(1) nonexempt charitable trusts must answer questions

47 49b a n d 52 .

Check i f t h e o r g a n i z a t i o n

used

Schedule

0

to

respond

to

any

question i n

this

Par t

VI

Yes No

47

D i d

t h e o r g a n i z a t i o n engage in l o b b y i n g a c ti vi t ie s o r

have

a s e c t i o n 501(h e l e c t i o n in effect

d u r i n g

t h e t ax

year?

I f

Yes, complete Schedule

C Par t I I

47 No

48

Is

t h e o r g a n i z a t i o n a

school

described in s e c t i o n 170(b)(1)(A)(ii)'' If Y es , complete ScheduleE

48

No

49a D id t h e o r g a n i z a t i o n make any t ransf e rs to an

exempt

non charitable r e la t e d o r g a n i z a t i o n ?

49a

No

b

I f Yes, was t he r el at ed o r g a n i z a t i o n a s e c t i o n 527 o r g a n i z a t i o n?

49b

50

Complete

t h i s

table

f o r

th e

organization

s

f i v e

highest

compensated

e m p l o y e e s

(other than

o f f i c e r s ,

directors,

tr ustees

and

ke y

employees

who e a c h received more than 100,000 o f c o m p e n s a t i o n

from

t he organization

I f there

i s n on e, e nt e r None

(a ) Name and address of

each

employee

paid more

than 100,000

(b )

Title and

average

hours

pe r

week

devoted to posit ion

(c )

Compensation

(d ) Contributions

to

employee benefi t plans

d e f e r r e d

compensation

(e ) Expense

account and

o t h e r allowances

NON

f

T o t a l

number of o t h e r

employees

p ai d over

100,000

0 1 .

51

Complete t h i s table f o r th e

organization's

f i v e highest compensated i n d ep en d en t contractors who e a c h received more than

100,000

o f c o m p e n s a t i o n

from

th e organization

I f

ther e i s n on e, e nt e r None


18/39

l efile

GRAPHIC

p

rint - DO NOT PROCESS As Filed

Data

- DLN: 93492134011773

SCHEDULE A

P u b l i c Charity

Status

a nd P u b l i c

Support

OMB

No 1545-0047

F or m 990 o r

Complete

i f

the

organization

is a

section

501 c) 3) organization

or

a

section

2 0 1 1

90EZ)

4947

a ) 1)

nonexempt c h a r i t ab l e trust.

D e p a r t m e n t

o f

t h e T r e a s u r y

I n t e r n a l Revenue

S e r v i c e

Name

o f th e organization

WEST

HEMPSTEAD ROTARY FOUNDATION

Employ er


27 598339

NUTZ

Reason

for

Public Charity Status

A l l

org niz tions

must

complete this part.)

See Instructions

Th e

organization

i s no t a private foundation beca use i t i s Fo r l i n e s 1 through

11,

check only on e box

1

A

church,

con v en t ion

o f

churches, o r association

o f churches section

170

b) 1) A) i).

2

A s ch oo l de s cr ibe d i n section 17 0

b) 1) A) ii).

Attach Sch edu l e

E

3

A h o s p i t a l

or a

cooperative h os pi t a l s e r v i ce o r ga n i za t i on described

i n section 170

b) 1) A) iii).

4 A medical research o r g a n i z a t i o n operated in conjunction with a h os pi t a l described in

section

170

b) 1) A) iii).

Enter t h e

hos pi t a l s

name, city, and

s t a t e

5

A

n

o r g a n i z a t i o n operated

fo r

t h e be ne fi t

of a

college

or

u n i v e r s i t y

owned or

operated by

a governmental unit

described

in

section

170 b) 1) A) iv . Complete P ar t I I

6 A f e d e r a l ,

state,

o r l o ca l government o r go v e rnme nt a l

u n i t described

i n section 17 0

b) 1) A) v).

7

An organization that n or m al l y r e ce i v es a substantial

part o f

i t s

support

from

a go v e rnme nt a l

u n i t

o r

from th e general

public

described i n

section 170

b) 1) A) vi

Complete Part I I

8 A community t r u s t described

in

section 170 b) 1) A) vi Complete Part I I

9

F

An organization that n or m al l y r e ce i v es

1

mo re t h a n 331/3

o f

i t s s u pp or t f ro m contributions, membership fees, a n d g ros s

receipts from activities

related

t o

i t s

exempt functions-subject t o certain e x ce p ti o ns , a n d 2

no

mo re t h a n 331/3

o f

it s support from gross investment

income

and u n r e l a t e d business

t a x ab l e

income

le s s section 511 t ax) from businesses

acquired by t h e o r g a n i z a t i o n

af te r

June 30, 1975 See

section 509

a) 2). Complete P ar t III

10

An

o r g a n i z a t i o n organized and operated e x c l u s i v e l y to t e s t

for

public s a f e t y Seesection 509 a) 4).

11

An o r g a n i z a t i o n

organized

and operated e x c l u s i v e l y

for

t h e be ne fi t

o f ,

to perform t h e f u nc t i o n s

o f , or

to car r y

ou t

t h e

purposes of

one or

more

publicly

supported

o r g a n i z a t i o n s described i n section

509 a) 1)

or section

509 a) 2) See

section

509

a) 3). Check

t h e

box

t h a t

describes

t h e

type of supporting

o r g a n i z a t i o n and

complete lines 11e through 11h

a Type

I

b

Type

I I c

Type

III -

F u nct i on a l l y i n t eg r a te d d

Type

III - Other

e F By

checking

this

box,

I

certify

t ha t t he o r g a n i z a t i o n is n ot controlled d ir e ct l y o r i n di r ect l y

by

one or

more

disqualified

persons

o t h e r

than found tion managers

and o t h e r

than

one

or

more

publicly supported

o r g a n i z a t i o n s described

in section 509 a) 1) or

s e c t i o n

509 a) 2)

f I f t h e o r g a n i z a t i o n received a wr i t t e n determination from t h e IRS t h a t i t is a Type I , Type I I or Type III supporting o r g a n i z a t i o n ,

check

this box

F

g Since

August

17 , 2006,

h s

t h e o r g a n i z a t i o n accepted any g i f t

or

contribution from any

of

t h e

following pe r so ns?

i a

p er son

who directly o r indirectly co ntro ls , e i th e r alone o r together with

p er son s

described i n i i

Ye s

o

Attach

to Form

990

or

Form 990-EZ.

See

separate i n s t r uct i on s .


19/39

Schedule A

(Form

990

or

990-EZ) 2011

Page

2

Support Schedule

for

Organizations

Described

i n

IRC

170(b

) 1)(A)(iv) and 170 b)(1)(A)(vi)

(Complete only i f y ou he ked

the bo x

on

l i n e

5 ,

7 ,

or 8 of P art

I

or i f

the organization f a i l e d t o

qualify

under Part I I I . I f the

organization

f a i l s

t o

qualify under

the

tests

l i s t e d

below, plea se complete Part

I I I . )

Section A Public Support

Calendar year (or fisc al year eginning

(a )

2007 (b) 2008

(c)

2009 (d) 2010 (e) 2011

(f)

Total

in )

1 G i f t s ,

grants,

contributions, and

membership fees received (D o not

include

a n y un us ua l

gr ants

)

2 Ta x revenues levied

f o r

the

organization s

benefit a nd

either

paid t o o r

expended on i t s

behalf

3 Th e value o f services

o r

f a c i l i t i e s

furnished

by a governmental u ni t t o

the organization without

charge

4 Total Add

l i n e s

1 through 3

5 Th e portion o f

t o t a l

contributions by

each person (other than a

governmental u ni t o r

publicly

supported

organization) included on

l i n e 1 that

exceeds

2

o f

the

amount shown on

l i n e

11,

column

f

6 Public Support

Subtract l i n e 5 from

l i n e 4

Section

B .

Total

Support

Calendar

year

(or fisc al year

eginning

(a )

2007 (b) 2008

(c)

2009 (d) 2010 (e) 2011

(f)

Total

i n )

7

Amounts

from l i n e

4

8 Gross

income

from interest,

dividends,

payments re eived on

securities

loans, rents, royalties

and

income

from

similar

10

11

12

sources

Ne t

income from

unrelated

business

a c t i v i t i e s , whether o r

n ot the

business i s

regularly

carried on

Other income (Explain

in P art

IV

Do not include gain or loss

from

th e

sale

of

capital assets

Total support

(Add lines 7

through 10)

Gross receipts from related a c t i v i t i e s , etc (See instructions

12


20/39

Schedule A (Form

990

o r

990-EZ) 2011

Page 3

OT

Support Schedule for

Organizations

Described

in

IRC 509(a)(2)

(Complete only i f y ou checked the bo x

on l i n e

9

of

Part

I or

i f the

organization

f a i l e d

t o

qualify

under

Part I I . I f the

organization

f a i l s

t o

qualify under the tests l i s t e d

below,

please complete Part I I .

Section A Public Support

Calendar year or fiscal year beginning

a)

2007 b) 2008

c)

2009

d)

2010

e)

2011

(f )

Total

i n

1

G i f t s ,

grants

contributions, an d

membership fees received

Do

n ot

60 8

43,207 31,645 75,460

include an y

unusual

grants )

2

Gross

receipts

from admissions,

merchandise sold o r services

performed

o r f a c i l i t i e s furnished

i n

an y activity that

i s

related t o the

organization s tax-exempt

purpose

3 Gross receipts from activities that

are n ot an unrelated

trade

o r

business

under section

513

4 Tax revenues

levied

f o r the

organization s benefit

an d

either

paid

t o o r

expended on i t s

behalf

5 The value o f services o r f a c i l i t i e s

furnished

by a governmental u n i t t o

the organization without charge

6 Total Add lines 1 through

5

60 8 43,207 31,645 75,460

7a Amounts i ncluded o n

l i n e s 1 , 2 ,

an d 3 received from

disqualified

persons

b Amounts i ncluded o n

l i n e s 2 an d 3

received from

other

than

disqualified persons that exceed

the

greater

of 5,000 or

of the

amount on l i n e 13 f o r the year

c Add l i n e s

7a

an d

7b

8 Public

Support

Subtract l i n e 7c

75,460

from l i n e

6

)

Section B.

Total

Support

Calendar year o r f i sc a l year beginning

i n

9 Amounts

from

l i n e

6

10a

Gross income from interest,

div idends, payments

received on

s e cu ri t i es l oa n s ,

rents, royalties

and

income from

similar

sources

b

Unrelated

business taxable

(a) 2007 b)

2008

(c)

2009

(d)

2010

(e) 2011 (f )

Total

60 8 43,207 31,645 75,460

0


21/39

Schedule A

Form 990

o r

990-EZ

2011

Page 4

W

upplemental

Information

Supplemental nformation Complete this part to provide t he explanation

r eq ui re d b y

Part I I

l i n e

1 0; Part I I

l i n e

1 7a or

17b;

or Part I I I l i n e 1 2

Also

complete

t h i s

part f o r any

additional

information. S ee

instructions .

Facts And Circumstances

Test

Explanation

Schedule A Form

990

or

990

-EZ

2011


22/39

efile GRAPHIC

p

rint DO NOT PROCESS As Filed Data

DLN:

93492134011773

SCHEDULEG

Supplemental Information Regarding

OMB No 1545-0047

(Form 990 o r

990-EZ)

F u n d r a i s i n g o r Gaming A c t i v i t i e s

2 11

Complete

i f

t h e o r g a n iz a t io n answered Yes

to

Form 990, Part I V lines 17

18,

o r

19,

Department of t h e Treasury

o r i f

t h e o r g a n iz a t io n

e n t e r e d more than 15 000

on Form

990-EZ, l i n e

6a .

Op

en to

Public

I n t e r n a l

Revenue

Service

Attach

to Form 990 or Fonn 990

EZ .

l i k

See separate instructions.

Inspection

Name o f th e

organization

WEST HEMPSTEAD

ROTARY

FOUNDATION

E m p l o y e r


27 1598339

Fundraising A ct i v i t i es

Complete

i f the

organization

answered

Yes

t o Form 990, Part IV, l i n e 1 7 .

1

Indicate

whether

the organization

raised

funds

t hr o ug h a ny o f

th e

f o l l owing activiti es

Check a l l that apply

a

Mail

solicitations e

Solicitation o f

n o n - g o v e r n m e n t grants

b

Internet

and

e-mail

solicitations

f

Solicitation o f

ov rnm nt grants

c

Ph on e solicitations g

Special

fundraising

events

d

I n - p er s on

solicitations

2a Did

th e organization

have

a written

o r o r a l

a g r e e m e n t with

any

individual (including

o f f i c e r s ,

directors, trustees

o r

key

employees

listed

in

Form 990, Part

VII

o r e nt it y

in

connection with

p r o f e ss io n a l f u n dr a i si n g s e rv i c es

Yes

No

b I f Yes, l i s t the t e n

hi h st

p a i d i n d iv i du a l s o r e n ti t ie s (fundrais ers) pursuant to agreements under which the f u n d r a i s e r is

to

b e

compensated at

least

5,000

by t he

o r g a n i z a t i o n Form

990-EZ

f i l e r s ar e

n o t

required to complete

this

t a bl e

i Name and address

o f

individual

o r e nt it y f u n d r a i s e r )

ii

Act i vi t y

i i i D i d

f u n d r a i s e r

have

custody o r

c o n t r o l

o f

c o n t r i b u t i o n s ?

(iv) Gross

r e c e i p ts

from

ac tivi ty

v) Amount

paid to

o r r e t a i n e d

by )

f u n d r a i s e r

listed in

co l

i

(vi)

Amount

paid to

(o r r e t a i n e d

by )


Yes No

otal

3

L i s t

a l l states

i n which

the organization i s

registered

o r licensed t o

s o l i c i t

funds o r ha s b e e n n o t i f i e d i t i s

exempt

f r o m registration o r

licensing


23/39

Schedule

G Form

990

or

990-EZ 2011 Page 3


24/39

11 Does th e organization operate

gaming activities

with nonmembers ?

es

o

12 Is

th e organization

a

grantor

beneficiary or

trustee

of a trust or a member of a

partnership

or

other

entity

formed

t o

administer charitable gaming?

es

No

13 Indicate th e

percentage of gaming activity

operated i n

a The organization's facility

13a

b

An

outside facility 13b

14

Provide

th e name and

address of

th e person

who prepares

th e

organization's

gaming/special events

books

and

re ords

me

Address

15a Does

th e organization

have a ontr t with a third

party

from whom

th e organization

re eives gaming

revenue

r-

Yes

r-

No

b I f

Yes, enter th e

amount of gaming revenue re eived

by the organization

and th e

amount

o f

gaming revenue r et aine d by the t h i r d party

C I f Yes, enter name

and

address

me

Address

16 Gaming manager information

me

Gaming manager

compensation

l l i k ^

Description

o f

services provided


25/39

efile GRAPHIC

p

rint DO NOT PROCESS As Filed Data DLN: 93492134011773

S HE ULE

OMB No 1545 0047

F o r m 9 9 0

o r

9 9 0

Supplemental Information

t o

Form

990

or 990 EZ

2 11

EZ

Complete provide

information

f or responses

t o specific

questions on

Form

990

or t o provide

any

a dd i t i o n a l information

Open to

Public

D e p a r t m e n t

o f

th e T r e a s u r y

1 - Attach to Form 990

or

990 EZ.

Insp

ection

n t e r n a l Revenue

S e r v i c e

Name

o f th e organization

WEST HEMPSTEAD

ROTARY FOUNDATION

Employer


27 1598339

I d e n t i f i e r Return Explanation

R e f e r e n c e

Form

990 EZ

P a r t

L i n e

1 0

Grants

P a i d

A c t i v i t y GENERAL SUPPORT Grantee NEW

YORK

ASIAN WOMENS

CENTER 39

BOWERY

NEW

YORK

NY 10002

Cash

Grant 1 0 0 0 0 R e l a t i o n s h i p

Form

990 EZ P a r t

L i n e

1 6 Other

Expenses

Bank charges 1 6


26/39

Additional Data

Software ID: 11000218

Software

Version

2011.0.0

EIN: 27 -1598339

Name WEST HEMPSTEAD ROTARY FOUNDATION

Form

990EZ,

Part IV List of

Officers,

Directors, Trustees, and

Key

Employees

A)

Name and address

Title

and average

C

Compensation

D

Contributions

to E

Expense

hours

pe r

week I f

not

paid, employee

b enef it p lan s

account

and

devoted to

position

enter

0 . other

allowances

deferred

compensation

RONY KESSLER TRE SURER

002

00 0

861

HEMLOCK

STREET

FRANKLIN SQU RE NY 11010

HOW RD

ROBINS PRESIDENT

002 00

0

2029

V LENTINES RO D

WESTBURY NY

11590

S NDR

S LMON

V PRES

002

00 0

191

BERRYHILL COURT

WEST

HEMPSTE D NY 11552

LEO MON H N SECY

002

00

0

C/O

UBS 333

EARL OVINGTON BLVD

MITCHELL FIELD, NY 11553


27/39

l

efile

GRAPHIC

p

rint - DO

NOT PROCESS

As

Filed Data

-

DLN: 93492133031224

Short F o rm

OMB

No

1545-1150

990

.EZ

Return o f Organization Exempt F r om I ncome T ax 2012

Form

Under section

50 1 c ) ,

52 7, o r

4947

a)(1) of the Internal Revenue Code

(except

b la ck l un g

benefit trust

o r p ri v at e

foundation)

0 -

Sponsoring organizations


organizations

t h a t

operate

on e or mor e

h o s p i t a l f c i l i t i e s a nd

D e p a r t m e n t

o f th e

T r e a s u r y

c e r t a i n


or ga n iz a ti ons a s d ef i ned

i n


f i l e

Form 99 0 (see


_

A l l other

organizations

with

gross


assets

l e s s

than

500,000 a t th e en d o f th e

I n t e r n a l

Revenue

S e r v i c e

year


1 - Th e

organization

may have

to us e

a copy of t h i s r e t u r n t o s a ti s f y s t at e r e p or t i n g

requirements

A For the 2012

calendar

year

or tax year beginning

07 -01-2012 and

ending

06-30-2013

B

Check

i f applicable

C Name o f organization D Employer

identification

number

IlAddr e ss c ha ng e

WEST

HEMPSTEAD

ROTARY FOUNDATION

27-1598339

I Name

c ha ng e

Number a nd s tr e e t o r

P 0 box,

i f

mail

i s

not delivered to

s t r e e t address)

Room/suite

E

Telephone

number

F

I n i t i a l r e t u r n

86 1 HEMLOCK

STREET

r-Terminated

(516)

538-8515

F Amended

r e t u r n

C i t y or

town, s t a t e

or country,

a n d

ZI P +

4

F Group

Exemption

FRANKLIN SQUARE,

NY

11010

Number

1 -

IlApplication

pending

H

Check

1 -

f

th e

organization

i s

not

G Acco u nting

Method F'Cash r Accrual

O t h e r

(specify)

0 -

required

t o

attach

S ch edu le

B

(Form 990, 990-EZ,

or

990-PF)

I

Web site:

N I A

3

Ta x

- exempt

s ta tu s (check only one)-I_ 501(c)(3)9fl

501(c)( A(insert no )fl 4947(a)(1)

or

r-

52 7

K Check

0 - 1

i f th e organization

i s

no t a section 509(a)(3)

supporting

organization or a section 527 organization a n d i t s

gross

receipts ar e

normally

not

more than 50,000 A

Form 990-EZ or

Form 990

return

i s no t

required

th o u g h Form

990-N

(e-postcard)

may b e r eq ui re d ( se e

instructions) Bu t i f th e organization c h o o s e s

t o

f i l e

a

r e t u r n ,

be

sure

t o

f i l e

a

complete return

L Add l i n e s 5b, 6c , a nd 7b ,

t o

l i n e 9

t o

determine gross receipts I f

gross

r ec ei pt s a re 200,000 or

more,

or i f t o t a l assets (Part I I, l in e 25 ,

col umn B ) below)

ar e

500,000

or

more, f i l e Form 990

instead

o f Form

990-EZ 75,158

Revenue Expenses and Changes i n Net

Assets

or Fund

Balances

s e e t he i ns tr u c t i on s f o r P a r t I

Check i f th e organization

u s ed S ch e du l e

0

t o

respo nd

t o

a ny

question

i n t h i s Part I . . . . . . . . . . . . . . . . . . .

1 Contributions, g i f t s , grants, a nd similar

amounts received

. . . . . . . . . . . . . . . 1 35 861

2

P r o g r a m service rev enu e including government fees a nd contracts .

. . . .

.

. . . .

.

. 2

3

Membership due s a nd assessments . . . . . . . . . . . . . . . . . . . . . .

3

4 I n v es t me n t i n c ome

. .

. .

. .

. .

. .

.

. . . .

.

. . . .

.

. . . . . . 4

5a

Gro ss

amount from

sale

o f assets o th e r t ha n inventory . . . . .

5a

? D

b

Less

cost

or

other basis

and

sales expenses

. . . . . . . . . .

5b

1

a

c Gain o r ( lo ss)

from sale o f

assets

o t he r t ha n

i n v en t or y (Su bt r a c t l i n e 5b

from

l i n e 5a

..

Sc

C D


28/39

Form

990-EZ

2012

Page

2

Balance Sheets se e t he instr u c ti o ns

f o r

Part

I I )

Check i f the

organization

u s ed S c h ed u le

0

t o respond t o

a n y

question i n t h i s Part II I

22

Cash,

savings,

a n d

investments

23 Land

a n d

buildings

24

Other

assets

describe

i n Schedule

0

25

Total assets

26 Total l i a b i l i t i e s describe i n Schedule 0)

27

N et a ss et s

or fund

balances l i n e 27 o f

c olumn

B) must

agree with

l i n e

21

A)

Beginning o f

year

B) En d o f

year

57 856 22 67 486

23

24

57 856

25

67 486

26

57 856 27 67 486

1 : M - O i l i

Statement of Program Service

Accomplishments

se e t he i n st r uc t io n s f o r P a r t I I I

Expenses

Check i f

the

organization

u s ed S c h ed u le

0

t o

respond

t o

a n y q ue st i on i n t h i s Part

I I I

Required f o r section 501

What

i s

the

organization s

primary exempt purpose?

c) 3)

a n d 5 01 c ) 4 )

ASSISTANCE AND COMMUNITY SUPPORT

organizations

a n d

section

4947 a) 1)

trusts,

Describe

t he org an iz at i o n s

p r o g r a m

service accomplishments f o r each o f it s

three

largest

p r o g r a m

servi ce s, as

optional

f o r others

measured by expenses

In a clear a n d c o nc i se manner, describe the services

provided,

th e

number o f

persons

benefited,

a n d other relevant information

f o r

ea ch pr og ra m

t i t l e

28 ASSISTANCE AND SUPPORT TO

MEMBERS OF

THE WEST

HEMPSTEAD

COMMUNITY

Grants 57 370 If t h i s amount

includes foreign

grants,

c he ck here

0 -

28 a

1 8 7

29

Grants If t h i s amount

includes foreign

grants,

c he ck here

0 -

-

29 a

30

Grants If t h i s amount

includes foreign

grants,

c he ck here

0 -

-

30a

31 Other

p r o g r a m

servi ces des cr i b e i n Schedule O

Grants

If t h i s amount

includes foreign

grants,

c he ck here

0 -

31 a

32

Total

program

service

expenses

ad d

l i n e s 28a through 31a)

32 187

List

o f Officers , D i r e c t o r s , Trustees

and

Key Employees

L i s t

each

o ne e ve n

i f no t compensated se e t he i n s t r u c t i o n s f o r P a r t I V )

Check

i f t he


used

Schedule

0

to respond to any question in this P a r t

I V.

a)

Name a n d t i t l e

b

Average

c)Reportable d) Health

benefits,

e ) Estimated amount

hours per week c ompe ns a t i o n

contributions

t o o f other c ompe ns a t i o n

devoted t o position Forms W-2/

1099-

employee benefit plans,

MISC if

not

paid, a nd

deferred

enter -

0 - )

c ompe ns a t i o n

RONY KESSLER

002

00 0

TREASURER

Form 990-EZ (2012)

Page 3


29/39

Z

ther

Information (Note t h e S ched ul e A and personal b e n e f i t contract statement requirements

i n

t h e

instructions f o r Part V

Check i f the

organization

u s ed S c he du l e

0

t o respond t o

any

question n t h i s

Part

V F

Yes No

33

Di d

the

organization

engage n

any

significant

activity not

previously reported

t o the IRS? I f

Yes,

provide a

detailed description o f each activity i n Schedule

33 No

4

Were any

significant changes

made t o the

organizing or

governing

documents?

I f

Yes, attach

a c o nformed c o p y

o f the amended

documents

i f they r e f l e c t a change t o the organization s name

Otherwise,

explain the change

on

Schedule

(see

instructions)

4

No

35a Di d the

organization

have unrelated

business

gross income o f 1,000 or more

during

the

year

from

business

activities (such

as

those

reported on l i n e s

2 ,

6a,

an d

7a , among others ) ?

35a No

b

I f

Yes,

t o l i n e 3 5a, has the

organization

f i l e d a Form 990-T f o r the year? I f

No, provide

a n e x p l a n a t i o n i n S c h e d u l e

0

35 b

c Was the organization a section

501

c ) 4 ) ,

501 c ) 5 ) ,

or 501(c)(6)

organization subject t o section

6033 e)

notice, reporting,

a nd p rox y tax requirements

during

the year? I f

Yes,

c o mp l ete S c hed u l e

C, Part

I I I

35c No

36 Di d the

organization

undergo a l i q u i d a t i o n , dissolution,

termination,

or significant

disposition

o f

net

assets

during

the year?

If Yes, complete

applicable parts

o f Schedule

N

36 No

37a

Enter

amount o f

p o l i t i c a l expenditures,

d i r e c t o r

i n d i r e c t , as described i n the


0 -

37a

b Did

the

organization f i l e

Form 1120 -POL f or t hi s year? 37 b No

38a Di d the organization

borrow

from,

or

make

any

loans

t o , any

o f f i c e r ,

director,

trustee, or

ke y

employee or

were

any

s uch loans made n a p r i o r

y ear and

s t i l l outstanding

a t

the

end o f

t he tax

year

covered

by

t h i s

return? 38a

No

b

I f

Yes,

c o mp l ete S c hed u l e

L , Part

I I an d enter the t o t a l

amount involved

38 b

39 Section 501(c)(7)

organizations

Enter


an d

capital contributions included on

l i n e

9

39a

b

Gross

receipts, inc l uded on

l i n e 9 , f o r public use

o f club

f a c i l i t i e s

39 b

40a Section 501(c)(3)

organizations

Enter

amount o f

tax

imposed on

the

organization during

the year under

s e c t i o n

4 9 1 1 1 1 1 1 1 1 1

0

s e c t i o n 4912

P P r

0

s e c t i o n

4955

0

b

Section

501(c)(3) and 501(c)(4)

organizations

Did

the organization engage

i n

any

section 4958 excess benefit

transaction during the year, or d i d

i t

engage i n an excess benefit transaction i n a p r i o r

year

that has not been

reported on

any

o f i t s p r i o r Forms

990

or 990-EZ?

I f

Yes,

c o mp l ete S c he d u le

L ,

Part 40b

No

c

Section 501(c)(3) and 501(c)(4)

organizations

Enter

amount

o f tax

imposed on organization

managers

or

disqualified

persons

during

the year

under

sections 4912, 4955,

an d

4958

d

Section 501(c)(3) and 501(c)(4)

organizations

Enter

amount

o f

tax on

l i n e

40c reimbursed by the organization

e

A l l organizations At

any

time during the tax year, wa s the organization a party

t o

a prohibited tax shelter

40 e

No

transaction? I f

Yes,

complete

Form 8886-T

41

L i s t

the

s t a t e s

with

which

a

copy

o f

t h i s

r e t u r n

i s

f i l e d

J P r

N Y

42a

The organization s

books

are i n care

ofd

RONY

KESSLER

Telephone no

l k

(516) 538-8515

Located ate

86 1

HEMLOCK STREET

FRA N K L IN S Q UAR E ,

N Y

ZIP 4

11010

Form 990-EZ

(2012)

Page

4


30/39

No

46

Di d

the

organization

engage, directly

or i n d i r e c t l y , i n

p o l i t i c a l

campaign

activities on

behalf

o f

or

i n opposition t o

candidates f o r public o f f i c e ?

I f Yes,

c o mp l e t e S c he d u l e C , P ar t I

46

No

Milil i

Section

501

c)(3)

organizations o n l y

A l l

section 501(c)(3) organizations

must

answer questions 47 49b a n d 52, a nd c o mp l et e the

tables

f o r l i n e s 50

a n d 51

Check i f the organization u s e d

S c h e d u l e

0

t o r e s po n d t o any question i n t h i s Part VI

Yes

No

47 Di d the organization e n g a g e lobbying activities

or

h a v e a s ection 501(h) election i n e f f e c t

during

t he t ax y ea r?

I f

Yes,

c o mp l et e Sc h e du l e

C, Part I I

47 No

48 I s the organization a s c

Documents

West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013