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.") .... | ||||||
| 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.") . | 34,498 | 38,243 | 74,086 | 154,604 | 43,389 | 344,820 |
| 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...... | 292,344 | 263,621 | 324,503 | 405,163 | 426,052 | 1,711,683 |
| 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. | 326,842 | 301,864 | 398,589 | 559,767 | 469,441 | 2,056,503 |
| 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. | 25,000 | 20,000 | 50,000 | 133,400 | 25,000 | 253,400 |
| c | Add lines 7a and 7b.. | 25,000 | 20,000 | 50,000 | 133,400 | 25,000 | 253,400 |
| 8 | Public Support (Subtract line 7c from line 6.) | 1,803,103 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 326,842 | 301,864 | 398,589 | 559,767 | 469,441 | 2,056,503 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,066 | 430 | 71 | 1,116 | 54 | 2,737 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,066 | 430 | 71 | 1,116 | 54 | 2,737 |
| 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.). | 2,059,240 | |||||




| 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 VI-B, Line 11a | Form 990 is reviewed by Treasurer and Executive | |
| Director prior to filing. | ||
| Pt VI-C, Line 19 | Financial Statements are available upon request. | |
| Form 990EZ, Part I, Line 16 | SUPPLIES PROGRAM EXPENSES ADVERTISING/MARKETING AUTOMOBILE/TRANSPORTATION BANK CHARGES DUES & SUBSCRIPTIONS LIABILITY INSURANCE WORKER'S COMPENSATION INSURANCE UNIFORMS/LAUNDRY OFFICE SUPPLIES TRAINING TAX & LICENSES PAYROLL TAXES TELEPHONE ENTERTAINMENT TRAVEL | |
| Form 990, Part IX, Line 24f | REPAIRS & MAINTENANCE 15302. 15302. 0. 0. WORKER'S COMP. INSURANCE 27214. 27214. 0. 0. EQUIPMENT RENTAL 5173. 5173. 0. 0. STAFF TRAINING 775. 775. 0. 0. TAX & LICENSES 734. 734. 0. 0. TELEPHONE 3358. 3358. 0. 0. ENTERTAINMENT 344. 344. 0. 0. POSTAGE & SHIPPING 1377. 1377. 0. 0. |
| Software ID: | 10000104 |
| Software Version: |