SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
CITY YEAR INC
 
Employer identification number

22-2882549
Part I
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
CONCESSIONARIO LLC
2000 COLLINS AVE 3
 
MIAMI, FL33139
EVENT PLANNING   No 290,542 100,000 190,542
SILVER BIRCHES
650 S RAYMOND AVE
 
PASADENA, CA91105
EVENT PLANNING   No 1,353,623 91,417 1,262,206
PJH ASSOCIATES INC
205 W WACKER DRIVE
 
CHICAGO, IL60606
EVENT PLANNING Yes   1,381,610 60,722 1,320,888
KARYN WILSON
47 HIGH STREET
 
CHARLESTOWN, MA02129
FUNDRAISING STRATEGY   No 0 60,411 -60,411
THE OSTARA GROUP
PO BOX 17016
 
SEATTLE, WA98117
Fundraising Strategy   No 0 45,549 -45,549
AMY ELIZABETH DIBELKA
8631 LARTHORN DRIVE
 
HUNTINGTON BEACH, CA92646
Event Planning   No 0 26,102 -26,102
LYONS EVENTS LLC
300 19TH STREET
 
GOLDEN, CA80401
Event Planning   No 91,568 25,000 66,568
5B EVENTS
10536 CULVER BVLD
 
CULVER CITY, CO90232
Event Planning   No 0 17,500 -17,500
CIM CONSULTING LLC
1661 WEST AVE
 
MIAMI, FL33139
FUNDRAISING STRATEGY   No 0 12,000 -12,000
JANICE GOLDFARB
474 CEDARHURST AVENUE
 
CEDARHURST, NY11516
Fundraising Strategy   No 0 17,122 -17,122
Total . . . . . . . . . . . . . . . . . . . . right arrow 3,117,343 455,823 2,661,520
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
AL, AK, AZ, AR, CA, CO, CT, FL, GA, IL, KS, KY, ME, MD, MA, MI, MN, MS, MO, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, TN, UT, VA, WA, WV, WI
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2017
Page 2
Schedule G (Form 990 or 990-EZ) 2017
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

ANNUAL DINNER
(event type)
(b) Event #2

ANNUAL DINNER
(event type)
(c) Other events

24
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

1,381,610

1,353,623

7,178,972

9,914,205

2

Less: Contributions . . . .

1,323,610

1,218,998

6,398,334

8,940,942
3 Gross income (line 1 minus
line 2) . . . . . .

58,000

134,625

780,638

973,263



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .   138,436 452,047 590,483
7 Food and beverages . . . 64,131 147,931 1,025,422 1,237,484
8 Entertainment . . . .        
9 Other direct expenses . . .        
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,827,967
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -854,704
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

 

8

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2017
Page 3
Schedule G (Form 990 or 990-EZ) 2017
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).
Return Reference Explanation
CUSTODY OR CONTROL OF CONTRIBUTIONS PART I, LINE 2B PJH & Assocaties, Inc. (PJH) received the contributions via checks and forwarded to Headquarters for processing. PJH does not have access to bank information nor is able to process contributions. All contributions are processed at Headquartes via Gift Processing Team.
STATES REGISTERED PART I, LINE 3 THE STATES LISTED REQUIRE REGISTRATION OR LICENSING TO SOLICIT CONTRIBUTIONS. STATES NOT LISTED DO NOT REQUIRE REGISTRATION.
FUNDRAISING ACTIVITIES PART II During the fiscal period, City Year hosted 26 separate fundraising events to bring leaders of our community and our supporters together. Those events resulted in $9,914,205 of receipts. In accordance with Internal Revenue Code (IRC) 6115 City Year made good faith efforts and determined the costs of goods and services provided in connection with these events to approximate $973,263. The difference, $8,940,942 reflects the generosity of our donors. The direct costs, including facility rental and other similar expenses were $1,827,967.
Schedule G (Form 990 or 990-EZ) 2017
Additional Data


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