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.") .... | 186,781 | 165,081 | 156,645 | 169,927 | 172,581 | 851,015 |
| 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.. | 186,781 | 165,081 | 156,645 | 169,927 | 172,581 | 851,015 |
| 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).. | 122,096 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 728,919 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 186,781 | 165,081 | 156,645 | 169,927 | 172,581 | 851,015 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,064 | 4,621 | 1,958 | 1,611 | 1,310 | 12,564 |
| 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). | 863,579 | |||||






| 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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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE SUPPLIES 2,271 TRAVEL 2,150 CONFERENCES/MEETINGS 1,509 INSURANCE 5,662 POSTAGE 923 TELEPHONE 1,938 PROMOTIONS 28,912 COMMUNITY ACTIVITIES 16,428 DUES AND SUBSCRIPTIONS 682 REPAIRS AND MAINTENANCE 300 MISCELLANEOUS 30 TOTAL 60,805 |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | ACCOUNTS RECEIVABLE 14,198 42,097 PREPAID EXPENSES AND DEFERRED CHARGES 1,880 2,334 22,884 22,884 LESS ACCUMULATED DEPRECIATION 17,188 19,031 INTEREST RECEIVABLE 1,416 176 TOTAL 23,190 48,460 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 3,518 1,586 PAYROLL LIABILITIES 6,675 7,376 |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
|
BETH OLDFIELD SOUTHEASTERN COMMUNITY COLLEGE |
|
| COSMO LEONE | |
|
DARREN GRIMSHAW BURLINGTON POLICE DEPT |
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|
DAVID CAVENDER ADDS |
|
|
DEB WALZ RSVP |
|
| REBECCA KUSTER | |
| ROCKY ROXLAU | |
|
JIM TOWLERTON GREAT RIVER MEDICAL CENTER |
|
|
KARA ROBERTS SIAPPC |
|
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KELLI JOHNSON FARMERS MERCHANTS BANK TRUST |
|
|
MATT MURRAY BURLINGTON CITY COUNCIL |
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| ALEJANDRA REBOLLEDOGOMEZ | |
|
MICHELLE RANDALL GRADE A PLUS |
|
|
PAM DETTMAN DES MOINES COUNTY ATTORNEYS OFFICE |
|
| WB TRANSFORMERS | |
|
REV SHANE MCCAMPBELL RELIGIOUS |
|
|
RUSS FRY AT LARGE |
|
|
SANDY KRELLANDRE SOUTHEASTERN COMMUNITY COLLEGE |
|
|
THERESA RITTERS GRADE A PLUS |
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|
YVETTE HARRIS IOWA WORKFORCE DEVELOPMENT |
|
| CARL BEHNE |