Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TREASURE HAUS INC
Employer identification number
41-1513016
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(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
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
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.
Section B. Total Support
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).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
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.") .
1,200
440
400
750
2,790
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......
117,124
121,298
132,199
136,498
132,072
639,191
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.
117,124
122,498
132,639
136,898
132,822
641,981
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
641,981
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
117,124
122,498
132,639
136,898
132,822
641,981
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
261
544
309
125
261
1,500
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
261
544
309
125
261
1,500
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.)
1,364
58
110
1,532
13
Total support (Add lines 9, 10c, 11 and 12.).
117,385
123,042
134,312
137,081
133,193
645,013
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
99.530 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
99.540 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0.230 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
0.230 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
TREASURE HAUS INC
Employer identification number
41-1513016
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
SECTION A - GOVERNING BODY AND MANAGEMENT LINE 6 MEMBERSHIP IN THE CORPORATION SHALL BE LIMITED TO MEMBERS IN GOOD STANDING OF CONGREGATIONS OF THE WISCONSIN EVANGELICAL LUTHERAN SYNOD AND THE EVANGELICAL LUTHERAN SYNOD. MEMBERS MUST VOTE IN PERSON WITH VOTING BY PROXY NOT ALLOWED. THERE SHALL BE NO RITE OF CUMULATIVE VOTING. ANY NATURAL PERSON MAY OBTAIN MEMBERSHIP IN THIS ORGANIZATION WHO OTHERWISE QUALIFIED UNDER THE REQUIREMENT STATED IN THE CONSTITUTION, ARTICLES OF INCORPORATION AND THESE BY-LAWS AND WHO ALSO SIGNS A MEMBERSHIP ROSTER WHICH SHALL BE MAINTAINED BY THE SECRETARY. UPON THE ACTION OF THE BOARD OF DIRECTORS, ANY NAME MAY BE REMOVED FROM THE ACTIVE MEMBERSHIP ROSTER UPON EVIDENCE PROVIDED TO THE BOARD THAT THE MEMBER HAS (1) DIED, (2) BECOME DISQUALIFIED UNDER ANY REQUIREMENT OF MEMBERSHIP CONTAINED IN THE CONSTITUTION, ARTICLES OF INCORPORATION OR THESE BY-LAWS, (3) BEEN REMOVED FROM MEMBERSHIP BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE MEMBERS VOTING AT ANY DULY CALLED MEETING OF THE MEMBERSHIP AT WHICH A QUORUM IS PRESENT. BY SIGNING THE MEMBERSHIP ROSTER EACH MEMBER AGREES TO BE BOUND BY THE TERMS AND CONDITIONS CONTAINED IN THE CONSTITUTION, ARTICLES OF INCORPORATION AND BY-LAWS OF THIS ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A
SECTION A - GOVERNING BODY AND MANAGEMENT LINE 7A THE BOARD OF DIRECTORS SHALL MANAGE THE AFFIARS OF THE CORPORATION. THIS BOARD SHALL CONSIST OF SIX (6) VOTING MEMBERS WHO SHALL SERVE A TERM OF THREE (3) YEARS. NO DIRECTOR SHALL SERVE MORE THAN TWO (2) CONSECUTIVE THREE (3) YEAR TERMS. ALL MEMBERS OF THE BOARD SHALL BE ELECTED AT THE FIRST ANNUAL MEETING OF THE MEMBERSHIP, OR AT A SPECIAL MEMBERSHIP MEETING CALLED FOR SUCH PURPOSE. THE INITIAL MEMBERS SHALL BE ELECTED FOR THE FOLLOWING FIXED TERMS: (A) TWO FOR ONE YEAR TERMS; (B) TWO FOR TWO YEAR TERMS; (C) TWO FOR THREE YEAR TERMS. THE TERMS OF ONE-THIRD (1/3) OF THE BOARD EXPIRE EACH YEAR. IN THE EVENT OF A VACANCY ON THE BOARD, THE BOARD MAY APPOINT A MEMBER TO COMPLETE THE TERMS OF THE VACANT POSITION. THE BOARD OF DIRECTORS SHALL HAVE THE FOLLOWING OFFICERS TO BE ELECTED FROM THE MEMBERS OF THE BOARD: PRESIDENT, TREASURER AND SECRETARY. OFFICERS SHALL SERVE FOR A TERM OF ONE YEAR. AN OFFICER MAY BE REMOVED BY MAJORITY VOTE OF THE BOARD OF DIRECTORS AT ANY REGULAR OR SPECIAL MEETING OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11
SECTION A - GOVERNING BODY AND MANAGEMENT LINE 10 - THE ANNUAL FORM 990 FILING IS COMPLETED BY AN INDEPENDENT OUTSIDE CPA. UPON COMPLETION, THE FORMS ARE PRESENTED TO AND MADE AVAILABLE TO THE GOVERNING BODY AND ITS OFFICERS FOR TIMELY FILING PER REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 11
SECTION C - DISCLOSURE LINE 19 THE GOVERNING DOCUMENTS AND ALL SUPPORTIVE DATA INCLUDING FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW UPON PROPER REQUEST TO THE GOVERNING BODY.
FORM 990, PART VI, SECTION C, LINE 19
THE GOVERNING DOCUMENTS AND RELATED INFORMATION ARE AVAILABLE FOR PUBLIC INSPECTION UPON PROPER REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.