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.. | ||||||
| 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.") . | 262,117 | 239,026 | 251,916 | 338,307 | 400,236 | 1,491,602 |
| 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...... | 7,960 | 8,300 | 8,576 | 9,125 | 11,250 | 45,211 |
| 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. | 270,077 | 247,326 | 260,492 | 347,432 | 411,486 | 1,536,813 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 149,500 | 143,003 | 151,500 | 215,500 | 177,000 | 836,503 |
| 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.. | 149,500 | 143,003 | 151,500 | 215,500 | 177,000 | 836,503 |
| 8 | Public Support (Subtract line 7c from line 6.) | 700,310 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 270,077 | 247,326 | 260,492 | 347,432 | 411,486 | 1,536,813 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 7,134 | 12,324 | 6,434 | 6,379 | 10,334 | 42,605 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 7,134 | 12,324 | 6,434 | 6,379 | 10,334 | 42,605 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 277,211 | 259,650 | 266,926 | 353,811 | 421,820 | 1,579,418 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 10000149 |
| Software Version: | 2010.2.15 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part XI | 5 | Unrealized Investment gain on assets for 2010 is 7,840. |
| Form 990 Part VI | 11a | - Form 990 and schedules were emailed to all board member for review. Review of Form 990 was an agenda item for board meeting and was discussed and approved at regular board meeting. Outside accountant that prepares the Form 990 attends meeting and is available at board meeting to answer questions on how the return was prepared. |
| Form 990 Part VI | 19 | - Governing documents, conflict of interest and financial statements are available upon request to the Executive Director. Financial reports are available on the website. |
| Form 990 Part VI | 15a | - Compensation committee meets to determine compensation for the Executive Director. Committee reviews data from comparable nonprofit organizations, performance and history to determine total compensation package for Executive Director. |
| Form 990 Part VI | 12c | Board has adopted a formal policy that is reviewed on an annual basis. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 6,803, Grants and allocations 0, Revenue 0 Education and Training Programs - Camp Odayin has developed medical and counseling staff training materials and conducts training sessions prior to camp. Volunteers are educated regarding pediatric cardiac issues and appropriate responses to various situations. Camp Odayin provides educational activities and support for campers and their families. Activities include special events for children, support groups, networking, and speaking engagements. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 12,803, Grants and allocations 6,000, Revenue 0 Scholarship Program - Camp Odayins scholarship program was launched in 2008 and designed to financially and developmentally support a former Camp Odayin camper who is pursuing post secondary education. The recipients receive tuition assistance and in turn become ambassadors in their communities raising support, awareness and revenue for Camp Odayin. |
| Software ID: | 10000149 |
| Software Version: | 2010.2.15 |