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.") .... | ||||||
| 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.") . | ||||||
| 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...... | 93,336 | 95,986 | 231,469 | 98,490 | 169,612 | 688,893 |
| 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. | 93,336 | 95,986 | 231,469 | 98,490 | 169,612 | 688,893 |
| 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. | 17,437 | 90,986 | 226,469 | 93,490 | 164,612 | 592,994 |
| c | Add lines 7a and 7b.. | 17,437 | 90,986 | 226,469 | 93,490 | 164,612 | 592,994 |
| 8 | Public Support (Subtract line 7c from line 6.) | 95,899 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 93,336 | 95,986 | 231,469 | 98,490 | 169,612 | 688,893 |
| 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.). | 688,893 | |||||




| 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-A, Line 6 | There are 4 members of the not for profit organization, | |
| one director, one treasurer, one secretary and one coordinator | ||
| Pt VI-A, Line 2 | The director and coordinator are husband and wife | |
| Pt VI-B, Line 15 | The director was involved in the process of determining | |
| salaries of the treasurer, secretary and coordinator. | ||
| It was determined based on hours worked, revenues and | ||
| other expenditures of the not for profit organization | ||
| The outside CPA was also asked for his input. | ||
| The same process was used for the director's salary, | ||
| except this was discussed amongst the other officers, not | ||
| the director. | ||
| Pt VI-A, Line 8a | Meetings are documented by the 4 members of the not for profit | |
| organization | ||
| Pt VI-A, Line 8b | If there is a committee formed that is granted authority | |
| to act on behalf of the governing body, then those | ||
| meetings are also documented | ||
| Pt VI-B, Line 11a | A copy of the Form 990 was shown to the director, treasurer, | |
| secretary and coordinator before it was filed. | ||
| Pt VI-C, Line 19 | The only document that is made available to the Public | |
| is Form 990 and that is made available upon request. | ||
| Pt VI-A, Line 7a | Any new members who are elected are done so by a group meetin | |
| between the four members of the not for profit organization | ||
| Pt VI-A, Line 7b | The governing body is the 4 members | |
| Form 990, Part III, Line 4d | ALL OTHER COMPANIES/INDIVIDUAL DEALT WITH 50716. 0. 115587. | |
| Form 990, Part IX, Line 24f | POSTAGE/SHIPPING 2170. 1085. 1085. 0. TRAINING/DEVELOPMENT 390. 390. 0. 0. TRANSPORTATION 3225. 1613. 1612. 0. MARKETING 689. 689. 0. 0. LIABILITY INSURANCE 1227. 1227. 0. 0. BANK/ MERCHANT FEES 5839. 0. 5839. 0. GRANT RESEARCH 1499. 1499. 0. 0. MEMBERSHIPS PROFESSIONAL SERVICES 1490. 745. 745. 0. GSA IFF 440. 220. 220. 0. AIRFARE 878. 878. 0. 0. |
| Software ID: | 10000104 |
| Software Version: |