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? |
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| 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.") .... | 1,356,019 | 1,135,138 | 1,055,303 | 922,795 | 589,549 | 5,058,804 |
| 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.. | 1,356,019 | 1,135,138 | 1,055,303 | 922,795 | 589,549 | 5,058,804 |
| 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. | 5,058,804 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,356,019 | 1,135,138 | 1,055,303 | 922,795 | 589,549 | 5,058,804 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 16,089 | 11,162 | 4,106 | 799 | 496 | 32,652 |
| 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.. | ||||||
| 11 | Total support (Add lines 7 through 10). | 5,091,456 | |||||






| 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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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| 01. Officer, directors, etc. family relationship (Part VI, line 2) | Mr Scott Withrow joined Alternative Missions in 2009 as the Director Secretary He is Mr Thomas Hackett brother-in-law | |
| 02. Form 990 governing body review (Part VI, line 11) | Alternative Missions 990 Review Process Policy Written Tuesday October 06 2009 Approved by the Alternative Missions Board October 20 2009 The Form 990 will be completed annually and copies will be provided to the entire governing board At that time the president will review the Form 990 with the Treasurer Any necessary changes will then be updated on the form Once all necessary changes are made and the president is in agreement with the Treasurer on the finished Form 990 it will be signed by the president dated and submitted by the filing deadline A copy of the approved Form 990 will be provided to all of the governing board of Alternative Missions before the return is filed | |
| 03. Conflict of interest policy compliance (Part VI, line 12c) | A conflict of interest is defined as an actual or perceived interest by a staff or Board member in an action that results in or has the appearance of resulting in personal organizational or professional gain Officers and members are obligated to always act in the best interest of the organization This obligation requires that any officer or member in the performance of organization duties seek only the furtherance of the organization mission At all times officers and board members are prohibited from using their job title or the organizations name or property for private profit or benefit AThe officers and members of the organization should neither solicit nor accept gratuities favors or anything of monetary value from contractorsvendors This is not intended to preclude bona-fide organization fund raising-activities BNo officer or member of the organization shall participate in the selection award or administration of a purchase or contract with a vendor where to his knowledge any of the following has a financial interest in that purchase or contract aThe officer or member b Any member of their immediate family c Their partner d An organization in which any of the above is an officer director or employee eA person or organization with whom any of the above individuals is negotiating or has an arrangement concerning prospective employment Disclosure--Any possible conflict of interest shall be disclosed by the person or persons concerned Board Action--When a conflict of interest is relevant to a matter requiring action by the Board the interested persons shall call it to the attention of the Board and said persons shall not vote on the matter In addition the persons shall not participate in the final decision or related deliberation regarding the matter under consideration When there is a doubt as to whether a conflict exists the matter shall be resolved by vote of the Board of Trustees excluding the persons concerning whose situation the doubt has arisen Record of Conflict--The official minutes of the Board shall reflect that the conflict of interest was disclosed and the interested persons did not participate in the final discussion or vote and did not vote on the matter | |
| 04. Governing documents, etc, available to public (Part VI, line 19) | Our governing documents conflict of interest policy and financial statements are available to the general public upon request | |
| 05. Explanation of other changes in net assets or fund balances (Part XI, line 5) | To adjust fixed assets and accumulated depreciation to actual |
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