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. | ||||||
| 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.") . | 1,884 | 56,888 | 60,550 | 14,656 | 5,557 | 139,535 |
| 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...... | 215,555 | 402,637 | 570,908 | 558,401 | 508,022 | 2,255,523 |
| 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. | 217,439 | 459,525 | 631,458 | 573,057 | 513,579 | 2,395,058 |
| 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.) | 2,395,058 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 217,439 | 459,525 | 631,458 | 573,057 | 513,579 | 2,395,058 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 64 | 158 | 609 | 274 | 1,105 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 64 | 158 | 609 | 274 | 1,105 | |
| 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.). | 217,439 | 459,589 | 631,616 | 573,666 | 513,853 | 2,396,163 |




| Facts And Circumstances Test |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Officer, directors, etc. family relationship (Part VI, line 2) | RAYMOND & REBECCA STILL ARE MARRIED AND BARRY & NANCY FARR ARE MARRIED THERE ARE NO OTHER FAMILY RELATIONSHIPS OR BUSINESS RELATIONSHIPS AMONGST BOARD MEMBERS OFFICERS ANDOR DIRECTORS | |
| 02. Form 990 governing body review (Part VI, line 11) | THE 2010 TAX RETURN FOR THE AGENCY WAS SENT TO THE BOARD OF DIRECTORS ON MONDAY AUGUST 4TH FOR REVIEW THERE WERE NO CORRECTIONS OR ADJUSTMENTS TO THE TAX RETURN AS SUBMITTED TO THE BOARD | |
| 03. Officer, director, etc mailing address (Part VI, line 9) | RANDY PEARSON725 E LINDONBOLIVAR MO 65613 TRACEY DAVIS311 W MAUPINBOLIVAR MO 65613 WILLIAM BURNETT2251 W COLGATEBOLIVAR MO 65613 JERRY HALL638 E 443 RDBOLIVAR MO 65613 LAURA CADDY5645 S 95TH RDBOLIVAR MO 65613 RAYMOND STILL 1191 E 412TH RD BOLIVAR MO 65613 BARRY FARR 719 E WALNUT BOLIVAR MO 65613 NANCY FARR 719 E WALNUT BOLIVAR MO 65613 REBECCA STILL 1191 E 412TH RD BOLIVAR MO 65613 | |
| 04. Conflict of interest policy compliance (Part VI, line 12c) | WE HAVE ATTACHED FIRST SERVE OPPORTUNITIES CONFLICT OF INTEREST POLICY WHICH WAS APPROVED BY THE BOARD AND IS EVALUATED AT REGULAR INTERVALS | |
| 05. CEO, executive director, top management comp (Part VI, line 15a) | SALARIES FOR THE TOP MANAGEMENT AND EXECUTIVE POSITIONS WERE DETERMINED BY VARIOUS MEANS REVIEW OF NATIONAL AND REGIONAL INFOMRATION REGARDING COMPENSATION LEVELS IN THE NONPROFIT SECTOR SIMILIAR ORGANIZATIONS IN THE REGION ARE CONTACTED IN REGARDS TO PAY FOR SIMILIAR POSITIONS AND COMPENSATION MUST FIT THE FISCAL BUDGET AMOUNTS INCREASES IN TOP MANAGEMENT AND EXECUTIVE POSITIONS MUST COME FROM THE BOARD OF DIRECTORS AND BE APPROVED BY THE BOARD | |
| 06. Other officer or key employee compensation (Part VI, line 15b | KEY EMPLOYEE COMPENSATION AND OTHER OFFICER COMPENSATION IS LIKEWISE DETERMINED BY VARIOUS MEANS REVIEW OF NATIONAL AND REGIONAL INFORMATION REGARDING COMPENSATION LEVELS FOR SIMILIAR POSITIONS SIMILIAR ORGANIZATIONS IN THE REGION ARE CONTACTED IN REGARDS TO PAY FOR SIMLIAR POSITIONS AND COMPENSATION MUST FIT WITHIN THE FISCAL BUDGET INCREASES IN KEY EMPLOYEED POSITIONS MAY BE PRESENTED BY EXECUTIVE DIRECTOR ANDOR BOARD MEMBERS AND MUST BE APPROVED BY THE BOARD OF DIRECTORS | |
| 07. Governing documents, etc, available to public (Part VI, line 19) | GOVERNING DOCUMENTS FINANCIAL DOCUMENTS AND AGENCIES CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST | |
| 08. Significant program services not listed on prior year return (Part III, line 2) | FIRST SERVE OPPORTUNITIES OBTAINED A CONTRACT WITH DEPARTMENT OF SENIOR AND DISABILITY SERVICES TO PROVIDE IN-HOME COMMUNITY-BASED SERVICES THE FOLLOWING SERVICES ARE PROVIDED TO THE CLIENTS HOMEMAKERCHORES PERSONAL CARE RN-MEDICATIONS AND BI-ANNUAL RN ASSESSMENT |
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