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.") .... | 53,958 | 58,199 | 62,605 | 46,645 | 48,204 | 269,611 |
| 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.. | 53,958 | 58,199 | 62,605 | 46,645 | 48,204 | 269,611 |
| 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. | 269,611 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 53,958 | 58,199 | 62,605 | 46,645 | 48,204 | 269,611 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 191 | 1,047 | 776 | 439 | 115 | 2,568 |
| 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.. | 610 | 1,915 | 2,168 | 1,521 | 988 | 7,202 |
| 11 | Total support (Add lines 7 through 10). | 279,381 | |||||






| 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.) | 269,611 | |||||
| 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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| SCHEDULE A, LINE 10 - OTHER INCOME: 2006 - REFUNDS $690 2007 - REIMBURSEMENTS $1,107; SALES TAX $729; REFUNDS $79 2008 - REIMBURSEMENTS $2,168 2009 - REIMBURSEMENTS $839; ANNIVERSARY DINNER $675; MISC $7 2010 - REIMBURSEMENTS $540; SALES TAX $228; MISC $220 |
| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| PART III, LINE 4D - OTHER PROGRAM SERVICES: PROVIDE SIGN LANGUAGE CLASSES FOR ALL INTERESTED PERSONS - $1,182 PART VI, LINE 2 - RELATED PARTIES, OFFICER & DIRECTOR: KAREN CURRAN, SECRETARY, IS MARRIED TO HUGH CURRAN, DIRECTOR. LEE ETHRIDGE, DIRECTOR, IS MARRIED TO MARY BETH ETHRIDGE, DIRECTOR. PART VI, LINE 11B - REVIEW OF FORM 990: THE ORGANIZATION'S GOVERNING BODY HAS AUTHORIZED ITS EXECUTIVE DIRECTOR TO REVIEW AND APPROVE THE FORM 990 ON BEHALF OF THE GOVERNING BODY. PART VI, LINE 19 - PUBLIC DISCLOSURE OF DOCUMENTS: THE ORGANIZATION MAKES COPIES OF THE FOLLOWING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC, UPON REQUEST: 1. GOVERNING DOCUMENTS 2. AUDITED FINANCIAL STATEMENTS 3. TAX RETURNS |
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