Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
|||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 10,000 | 33,350 | 15,000 | 15,607 | 73,957 | |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | 10,000 | 33,350 | 15,000 | 15,607 | 73,957 | |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | 73,957 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 10,000 | 33,350 | 15,000 | 15,607 | 73,957 | |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 705 | 729 | 756 | 180 | 2,370 | |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | 250 | 250 | ||||
| 11 | Total support (Add lines 7 through 10). | 76,577 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 10000149 |
| Software Version: | 2010.2.13 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee YOUTH LEADERSHIP DEKALB | ||
| BUSINESS FAIR 315 WEST PONCE DE LEON AVENUE, SUITE 1069 DECATUR GA 30030, Cash Grant 250, | ||
| Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee YMCA 1100 CLAIREMONT AVENUE | ||
| ATLANTA GA 30319, Cash Grant 250, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee UNIVERSAL ASSISTANCE STAY IN | ||
| SCHOOL PROGRAM 3137 BRIGHTON PASSING CONYERS GA 30094, Cash Grant 100, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee CHILDRENS MIRACLE NETWORK | ||
| 1687 TULLIE CIRCLE NE ATLANTA GA 30329-2320, Cash Grant 300, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee DEKALB POLICE ALLIANCE 2175 | ||
| PARKLAKE DRIVE ATLANTA GA 30345, Cash Grant 500, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee DEKALB CHAMBER OF COMMERCE 100 | ||
| CRESCENT CENTER PARKWAY TUCKER GA 30084, Cash Grant 1,800, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Rainbow Elementary School 2801 | ||
| KELLEY CHAPEL ROAD DECATUR GA 30034, Cash Grant 2,500, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Martin Luther King High School | ||
| 3991 SNAPFINGER ROAD LITHONIA GA 30038, Cash Grant 1,000, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Cross Keys 1626 N DRUID HILLS | ||
| ROAD NE ATLANTA GA 30319, Cash Grant 500, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Arabia Mountain High School | ||
| 6610 BROWNS MILL ROAD LITHONIA GA 30038, Cash Grant 500, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee DeKalb Academy of Technology | ||
| 1492 KELTON DRIVE STONE MOUNTAIN GA 30083, Cash Grant 480, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee DeKalb Early College Academy | ||
| 1701 MOUNTAIN INDUSTRIAL BOULEVARD STONE MOUNTAIN GA 30083, Cash Grant 500, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Druid Hills High School 1798 | ||
| HAYGOOD DRIVE ATLANTA GA 30307, Cash Grant 495, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Fernbank Science Center 767 | ||
| CLIFTON ROAD ATLANTA GA 30307, Cash Grant 356, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee WALMART JOZ PROGRAM 3580 | ||
| MEMORIAL DRIVE DECATUR GA 30032, Cash Grant 2,000, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee EDUKALB PO BOX 2590 DECATUR | ||
| GA 30031, Cash Grant 2,475, Relationship | ||
| Form 990-EZ, Part I, Line 16, Other Expenses Meals and entertainment 669 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses MISC 9 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses STAFF TRAINING 1,295 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses BANK CHARGES 296 | ||
| Form 990-EZ, Part II, Line 24, Other Assets Due from the DeKalb Chamber of Commerce | ||
| Beginning of year 80,264, End of year 91,814 | ||
| Form 990-EZ, Part II, Line 26, Liabilities Due to DeKalb County Beginning of year 1,803, | ||
| End of year 1,803 |
| Software ID: | 10000149 |
| Software Version: | 2010.2.13 |