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.") .... | 1,843 | 1,617 | 4,291 | 3,642 | 3,418 | 14,811 |
| 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.. | 1,843 | 1,617 | 4,291 | 3,642 | 3,418 | 14,811 |
| 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. | 14,811 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,843 | 1,617 | 4,291 | 3,642 | 3,418 | 14,811 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 81,121 | 109,222 | -1,714 | 12,365 | 36,771 | 237,765 |
| 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). | 252,576 | |||||






| 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 |
|---|
| Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Form 990 governing body review (Part VI, line 11) | THE FORM 990 IS REVIEWED BY THE BOARD TREASURER BEFORE IT IS FILED IT IS MADE AVAILABLE TO OTHER BOARD MEMBERS AT THEIR REQUEST | |
| 02. Other officer or key employee compensation (Part VI, line 15b | BOARD TREASURERS SALARY WAS SET SEVERAL YEARS AGO BASED ON A MINIMAL AMOUNT FOR A FEW NUMBER OF HOURS WORKED AND HAS BEEN INCREASED BY A SMALL COST-OF-LIVING PERCENTAGE SINCE THAT TIME | |
| 03. Governing documents, etc, available to public (Part VI, line 19) | DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST | |
| 04. General explanation attachment | PART X LINE 11 EQUITIES METHOD OF VALUATION COST HEALTH CARE PPTY INVS REIT 5977 PART X LINE 11 MUTUAL FUNDS METHOD OF VALUATION COST AMER ST BOND FD OF AMER CL A 95206 NUVEEN MULTI STRATEGY INC FD CL B 24999 PART X LINE 11 CORPORATE BONDS METHOD OF VALUATION COST DRESDER BANK - NEW YORK 9139 SEARS ROEBUCK BONDS 10002 FLORIDA PWR & L CAP TR 9870 PREFERRED PLUS VERIZON 11153 PREFERRED PLUS TR VER1 16551 PART X LINE 11 MUTUAL FUNDS & DEFINED ASSETS METHOD OF VALUATION COST AMERICAN FDS INC FD OF AMER B 75569 AMERICAN FDS CAP INC BLDR B 57971 AMERICAN INC FD OF AMER CL A 230885 AMER CAP INC BLDR FD SBI CL A 308139 PIMCO TOTAL RETURN FD CL A 63034 TEMPLETON GLOBAL BOND FD CL C 72119 PIMCO HIGH YIELD FD CL A 288 COLUMBIA DIVIDEND INC FD CL C 31234 |
| Software ID: | |
| Software Version: |