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.") . | 29,012 | 29,424 | 30,900 | 28,752 | 28,559 | 146,647 |
| 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...... | 80,718 | 70,952 | 80,226 | 70,711 | 78,464 | 381,071 |
| 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. | 109,730 | 100,376 | 111,126 | 99,463 | 107,023 | 527,718 |
| 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.) | 527,718 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 109,730 | 100,376 | 111,126 | 99,463 | 107,023 | 527,718 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 5,434 | 5,726 | 6,108 | 5,865 | 5,051 | 28,184 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 5,434 | 5,726 | 6,108 | 5,865 | 5,051 | 28,184 |
| 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.). | 555,902 | |||||




| 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-C, Line 19 | Upon Request | |
| Pt VI-A, Line 6 | Members | |
| Pt VI-A, Line 7a | Election of officers | |
| Pt VI-A, Line 7b | Yes | |
| Pt VI-B, Line 11a | Discussions between executive director and form preparer | |
| Form 990EZ, Part I, Line 8 | EVALUATIONS 1447. PERMITS & LICENSES 9171. MISCELLANEOUS INCOME & REIMBURSEMENTS 4240. REGISTRATION FEES & MEALS 20181. TESTING 855. TRAINING STUDY 20027. VENDOR REGISTRATION 22500. | |
| Form 990EZ, Part I, Line 10 | SCHOLARSHIP SCHOLARSHIP IAN M GROVER NONE 500. SCHOLARSHIP SCHOLARSHIP DANIEL R BURPEE NONE 500. SCHOLARSHIP SCHOLARSHIP MATTHEW R MORRILL 500. GRANTS GRANT JUSTICE PLANNING & MGMT ASSOCIATES EMPLOYERS OF MEMBERS 152500. | |
| Form 990EZ, Part I, Line 16 | ADMINISTRATIVE EXPENSE 5640. AWARDS 978. CAPITAL OUTLAY 4668. DUES 350. GOODWILL 563. INSURANCE & BOND 2337. MAINTENANCE & EQUIPMENT 2442. MEETINGS, TRAVEL & CONFERENCES 29014. MEMORIAL MAINTENANCE 237. MISCELLANEOUS/CONTINGENCIES 8159. RESERVE EQUIPMENT 121. TRAINING 3519. UNCATEGORIZED -67. | |
| Form 990, Part IX, Line 24f | GOODWILL 563. 0. 563. 0. MAINTENANCE & EQUIPMENT 2442. 0. 2442. 0. MEMORIAL MAINTENANCE 237. 0. 237. 0. MISCELLANEOUS/CONTINGENCIES 8092. 0. 8092. 0. PRINTING 3754. 0. 3754. 0. RESERVE EQUIPMENT 121. 0. 121. 0. SUPPLIES 41. 0. 41. 0. TELEPHONE & INTERNET 3719. 0. 3719. 0. TRAINING 3519. 3519. 0. |
| Software ID: | 10000104 |
| Software Version: |