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.") .... | 211,722 | 176,677 | 154,958 | 152,337 | 273,922 | 969,616 |
| 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.. | 211,722 | 176,677 | 154,958 | 152,337 | 273,922 | 969,616 |
| 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. | 969,616 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 211,722 | 176,677 | 154,958 | 152,337 | 273,922 | 969,616 |
| 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). | 969,616 | |||||






| 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: | 10000077 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| F990_P06_S0A_L09 | Form 990, Part VI, Section A, Line 9 | Corrina Conley Board of Directors Chairperson address 15561 No Hillcrest Court Eden Prairie MN 55346 Steven White Board of Directors 4375 Bayside Road Maple Plain MN 55359 Robert Linner Board of Directors 6606 Parkwood Lane Edina MN 55436 Paul Harmon Board of Directors 5304 Glengarry Pkwy Edina MN 55436 John Robinson Board of Directors 9789 Tory Lane North Maple Grove MN 55311 Timothy Hansen Board of Directors 10110 3rd St NE Hanover MN 55341 |
| F990_P06_S0B_L11a | Form 990, Part VI, Section B, Line 11a | Board of Directors in a meeting provided by written notice pursuant to the organization's Bylaws reviewed the Form 990 and the information contained therein and approved the signing and submission of form to the IRS |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | The organization at an annual meeting of the organization reviews the conflict of interest policy and disclosures, if any, of members of the board, officers, or employees to determine if conflict exists and to eliminate or resolve any conflicts found. No disclosures of potential conflict were made and no conflicts were found to exist in 2010. The management employees and the executive committee of the board also monitor activities of the organization during the year to identify any conflict or potential conflicts in operating programs. None were found in 2010 |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | Compensation for the organization's Operation's Director who is the only management or key employee of the organization was determined after a written job performance and goals review by the independent board of directors and comparison with market rate data for comparable positions in the Minnesota area and approval by the board as reflected in the minutes of a board of directors meeting held pursuant to the Bylaws of the organization. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The governing documents and policies and financial statements of the organization are available upon request pursuant to disclosure on the organization's website and through the contact information provided on the website |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | Change in Equity Net Income from Prior Year |
| Software ID: | 10000077 |
| Software Version: | v1.00 |