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.. | ||||||
| 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.") . | 5,180 | 12,945 | 3,935 | 5,955 | 4,560 | 32,575 |
| 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...... | 49,075 | 64,083 | 62,950 | 55,859 | 46,227 | 278,194 |
| 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. | 54,255 | 77,028 | 66,885 | 61,814 | 50,787 | 310,769 |
| 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.) | 310,769 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 54,255 | 77,028 | 66,885 | 61,814 | 50,787 | 310,769 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1 | 2 | 3 | |||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 1 | 2 | 3 | |||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 1,226 | 632 | 416 | 2,274 | ||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 55,481 | 77,660 | 67,302 | 61,816 | 50,787 | 313,046 |




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | 10000149 |
| Software Version: | 2010.2.15 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee WEST SHORE | ||
| COMMUNITY COLLEGE 3000 N STILES RD SCOTTVILLE MI 49454, Cash Grant 500, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee MASON COUNTY | ||
| CENTRAL SCHOOLS US-10 SCOTTVILLE MI 49454, Cash Grant 1,575, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee BLUE LAKE FINE | ||
| ARTS CAMP 300 E. CRYSTAL LAKE RD TWIN LAKE MI 49457, Cash Grant 7,000, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee CENTRAL MICHIGAN | ||
| UNIVERSITY 802 INDUSTRIAL DRIVE MT PLEASANT MI 48858, Cash Grant 300, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee LIONS OF MICHIGAN | ||
| ALL STATE BAND 5730 EXECUTIVE DRIVE LANSING MI 48911, Cash Grant 800, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee MASTA STRING CAMP | ||
| 5274 SUTTON ROAD BRITTON MI 49229, Cash Grant 200, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee WESTERN MICHIGAN | ||
| UNIVERSITY 1903 W MICHIGAN AVE KALAMAZOO MI 49008, Cash Grant 800, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee WOLVERINE BAND | ||
| CAMP PO BOX 217 WOLVERINE MI 49799, Cash Grant 150, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee WYOMING PARK HIGH | ||
| SCHOOL BAND CAMP 2125 WRENWOOD WYOMING MI 49519, Cash Grant 100, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee TAMMY SMITH 4453 | ||
| SCHOLTZ NORTH BRANCH MI 48461, Cash Grant 250, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee MARTY ERICKSON | ||
| 3217 N COUNTRY RUN DR APPLETON WI 54914, Cash Grant 100, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee MASON COUNTY | ||
| EASTERN SCHOOL 18 S MAIN STREET CUSTER MI 49405, Cash Grant 500, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity SCHOLARSHIPS, Grantee PENTWATER BAND 600 | ||
| PARK STREET PENTWATER MI 49449, Cash Grant 500, Relationship | ||
| Form 990-EZ, Part I, Line 16, Other Expenses Travel 28,116 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses Meals and entertainment 13,614 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses Depreciation 9,425 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses Supplies 886 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses ADVERTISING/WEBSITE 1,884 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses MUSIC EXPENSE 2,987 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses BANK FEES 119 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses DUES 445 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses FLOWERS FUNERAL EXPENSES 71 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses INSURANCE 2,122 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses MISCELLANEOUS 421 | ||
| Form 990-EZ, Part II, Line 24, Other Assets INVENTORY Beginning of year 7,808, End of year | ||
| 7,808 | ||
| Form 990-EZ, Part II, Line 26, Liabilities ACCOUNTS PAYABLE Beginning of year 842, End of | ||
| year 3,473 | ||
| Form 990-EZ, Part II, Line 26, Liabilities DEPOSITS ON FUTURE PERFORMANCES Beginning of | ||
| year 750, End of year 800 |
| Software ID: | 10000149 |
| Software Version: | 2010.2.15 |