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.") . | 176,564 | 161,309 | 270,810 | 175,210 | 456,956 | 1,240,849 |
| 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...... | 29,080 | 43,859 | 30,550 | 38,411 | 15,048 | 156,948 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 25,804 | 25,804 | ||||
| 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. | 205,644 | 205,168 | 301,360 | 213,621 | 497,808 | 1,423,601 |
| 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. | 24,080 | 38,859 | 25,550 | 27,416 | 115,905 | |
| c | Add lines 7a and 7b.. | 24,080 | 38,859 | 25,550 | 27,416 | 115,905 | |
| 8 | Public Support (Subtract line 7c from line 6.) | 1,307,696 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 205,644 | 205,168 | 301,360 | 213,621 | 497,808 | 1,423,601 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 5,984 | 8,659 | 7,343 | 4,273 | 3,117 | 29,376 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 5,984 | 8,659 | 7,343 | 4,273 | 3,117 | 29,376 |
| 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.). | 1,452,977 | |||||




| 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 III, Line 2 | The Organization received funds to start a resale shop. | |
| The shop opened in 2011. | ||
| Pt VI-B, Line 11a | The form is reviewed by the Executive Director & the | |
| Board.All questions are reviewed to make certain that | ||
| there are no incorrect answers. | ||
| Pt VI-B, Line 12c | A questionnaire is completed annually by Board members. | |
| Should an answer to the questionnaire disclose something | ||
| of concern, it is addressed and a solution is implemented. | ||
| Pt VI-B, Line 15 | Salary increases are reviewed by the Board. There is an | |
| annual review of salaries. Any concerns are discussed | ||
| in depth, and a conclusion is discussed with these | ||
| employees. | ||
| Pt VI-C, Line 19 | Upon request, they are provided to grantors, contributors, | |
| and Board members. | ||
| Form 990, Part IX, Line 24f | SUPPORT 2382. 1956. 426. 0. MAINTENANCE & REPAIRS 3003. 2466. 537. 0. |
| Software ID: | 10000104 |
| Software Version: |