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.") .... | 143,059 | 125,804 | 115,867 | 110,476 | 98,068 | 593,274 |
| 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.. | 143,059 | 125,804 | 115,867 | 110,476 | 98,068 | 593,274 |
| 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).. | 480,650 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 112,624 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 143,059 | 125,804 | 115,867 | 110,476 | 98,068 | 593,274 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,451 | 2,595 | 2,423 | 1,999 | 2,950 | 12,418 |
| 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). | 605,692 | |||||






| 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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| SINCE MASSACHUSETTS INDIAN ASSOCIATION (MIA) DOES NOT MEET THE 33 1/3% SUPPORT TEST UNDER IRC 170(B)(1)(A)(VI), WE SUBMIT THE FOLLOWING TO QUALIFY UNDER THE FACTS AND CIRCUMSTANCES TEST OR TREAS. REG. 1.170A-9(E)(3).MIA MAINTAINED A PUBLIC SUPPORT PERCENTAGE OF 18.59% (SEE SCHEDULE A, PART II, LINE 14), WELL OVER THE REQUIRED 10% SUPPORT. ALSO, MIA HAS THE FOLLOWING SOLICITATION PROGRAMS IN PLACE:1.MIA MAILS APPROXIMATELY 100 BROCHURES ALONG WITH A COVER LETTER TO PAST AND POTENTIAL DONORS ON A CONSISTENT BASIS EACH YEAR.2.THE PRESIDENT OF MIA MAINTAINS AN ONGOING CONNECTION WITH SEVERAL OTHER CHARITABLE ORGANIZATIONS AND THEIR OFFICERS IN WHICH SHE VOLUNTEERS.3.THE OFFICERS OF MIA MAINTAIN CONTINUOUS INVOLVEMENT IN COMMUNITY FUNCTIONS IN ORDER TO SEEK DONATIONS FROM THE COMMUNITY.4.MIA SOLICITS DONORS WHO HAVE GIVEN GENEROUSLY TO MIA ON A CONSISTENT BASIS. |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PROVIDED TO BOTH THE PRESIDENT AND TREASURER FOR REVIEW AND SIGNATURE BY THE TAX PREPARERS. ANY QUESTIONS OR COMMENTS ARE DIRECTED AND ANSWERED BY THE TAX PREPARERS BEFORE SIGNATURE AND ULTIMATE FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | A COPY OF THE POLICY IS GIVEN TO EACH BOARD MEMBER, OFFICER AND VOLUNTEER UPON COMMENCEMNET OF THEIR RELATIONSHIP WITH MASSACHUSETTS INDIAN ASSOCIATION. EACH BOARD MEMBER, OFFICER AND VOLUNTEER IS REQUIRED TO SIGN AND DATE THE POLICY AT THE BEGINNING OF THEIR TERM AND EACH YEAR THEREAFTER. BOARD MEMBERS AND OFFICERS ARE ALSO REQUIRED TO COMPLETE A DISCLOSURE FORM ON AN ANNUAL BASIS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 990 IS AVAILABLE BOTH BY LOGGING ON TO GUIDESTAR.ORG OR BY INDIVIDUAL REQUEST. COPIES OF IRS DETERMINATION LETTER, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND OTHER GOVERNING INSTRUMENTS ARE AVAILABLE BY REQUEST OR AT THE ASSOCIATION'S OFFICE. |
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