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.") .... | ||||||
| 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.. | ||||||
| 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. | 0 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | |||||
| 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). | ||||||






| 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.") . | 165,276 | 57,475 | 21,000 | 243,751 | ||
| 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...... | 811,652 | 644,183 | 906,574 | 890,722 | 865,933 | 4,119,064 |
| 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. | 976,928 | 701,658 | 927,574 | 890,722 | 865,933 | 4,362,815 |
| 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.) | 4,362,815 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 976,928 | 701,658 | 927,574 | 890,722 | 865,933 | 4,362,815 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 27,255 | 17,854 | 6,561 | 8,495 | 9,609 | 69,774 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 27,255 | 17,854 | 6,561 | 8,495 | 9,609 | 69,774 |
| 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.). | 4,432,589 | |||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 10000104 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI-B, Line 11a | The 990 is mailed to board members prior to a formal meeting, | |
| which is then reviewed by board members | ||
| Pt VI-B, Line 12c | In connection with any actual or possible conflict of interest, | |
| an interested person discloses during the board meetings | ||
| the existence of the financial interest and is given an | ||
| opportunity to disclose material facts to the members of | ||
| the board. In addition, annual statements will be signed | ||
| by each director stating the following: | ||
| 1. Individual has received a copy of the conflict of | ||
| interest policy | ||
| 2. Has read and understands the policy | ||
| 3. Has agreed to comply with the policy | ||
| 4. Understands the organization is charitable and in | ||
| order to maintain its federal tax exemption, it must engage | ||
| primarily in activities which accomplish one or more of | ||
| its tax exempt purposes. | ||
| Pt VI-B, Line 15 | A committee of the board was appointed to review the | |
| the performance of the CEO. This committee meets with the CEO | ||
| to establish goals and objectives and meets with the | ||
| CEO to determine progress and achievements of these goals. | ||
| Salary increases are included in the annual budget which are | ||
| reviewed and approved by the governing board of the | ||
| organization. Increases are based on local standards and | ||
| cost of living. There are no salary increases in 2010. | ||
| Pt VI-C, Line 19 | Documents are made available to the public upon request. | |
| Form 990EZ, Part I, Line 16 | INSURANCE MISCELLANEOUS CONFERENCES & MEETINGS EQUIPMENT/MAINTENANCE TELEPHONE TRAVEL SUPPLIES & MATERIALS SUBCONTRACTORS | |
| Form 990EZ, Part II, Line 24 | EMPLOYEE ADVANCE ACCOUNTS RECEIVABLE PREPAID EXPENSES CAPITAL EQUIPMENT - NET OF DEPRECIATION GOODWILL - NET OF AMORTIZATION | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE ACCRUED WAGES PAYROLL LIABILITIES ACCRUED PTO DEFERRED REVENUE | |
| Form 990, Part IX, Line 24f | DUES AND SUBSCRIPTIONS 2978. 2129. 849. 0. EMPLOYEE RELATIONS 6601. 4719. 1882. 0. INTERNET 2343. 1675. 668. 0. |
| Software ID: | 10000104 |
| Software Version: |