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.") .... | 16,739 | 4,174 | 10,132 | 12,817 | 26,637 | 70,499 |
| 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.. | 16,739 | 4,174 | 10,132 | 12,817 | 26,637 | 70,499 |
| 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. | 70,499 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 16,739 | 4,174 | 10,132 | 12,817 | 26,637 | 70,499 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,372 | 5,744 | 6,762 | 4,777 | 3,331 | 23,986 |
| 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). | 94,485 | |||||






| 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.) | 0 | |||||
| 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: | 10000104 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI-A, Line 8a | ALL BOARD MEETINGS ARE CONTEMPORANEOUSLY DOCUMENTED | |
| Pt VI-A, Line 8b | ALL COMMITTEE MEETINGS ARE CONTEMPORANEOUSLY DOCUMENTED | |
| Pt VI-B, Line 11a | THE 990 IS PREPARED BY CPA FIRM, PRESENTED AT THE BOARD MEETING AND REVIEWED BY THE BOARD. | |
| WHEN APPROVED THE 990 IS SIGNED AND MAILED BY EXECUTIVE DIRECTOR. | ||
| Pt VI-B, Line 12c | BOARD MEMBERS SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT | |
| ANNUALLY, DISCLOSING ANY SITUATIONS OR RELATIONSHIPS WHICH COULD | ||
| POTENTIALLY POSE A CONFLICT OF BOARD MEMBERSHIP. THESE ARE | ||
| REVIEWED BY THE PERSONNEL COMMITTEE AND KEPT ON FILE. | ||
| Pt VI-B, Line 15 | THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE | |
| ANNUALLY. INPUT FOR THE EVALUATION IS SOLICITED FROM BOTH INSIDE | ||
| AND OUTSIDE THE AGENCY. THE EXECUTIVE DIRECTOR MEETS WITH THE EXECUTIVE | ||
| COMMITTEE OF THE BOARD FOR A DISCUSSION OF THE PERFORMANCE EVALUATION | ||
| AND TO ALSO DISCUSS THE TERMS OF THE EXECUTIVE DIRECTOR'S | ||
| CONTRACT FOR THE COMING YEAR. THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS | ||
| COMPARABLE SALARY DATA IN SETTING THE EXECUTIVE DIRECTOR'S SALARY- | ||
| TAKING INTO ACCOUNT REGIONAL AVERAGES, AGENCY SIZE AND THE EXECUTIVE DIRECTOR'S | ||
| EXPERIENCE LEVEL. | ||
| Pt VI-C, Line 19 | KOKUA'S POLICY AND PROCEDURE MANUAL IS POSTED ON THE AGENCY WEBSITE. | |
| ALSO AVAILABLE ON THE WEBSITE ARE THE IRS FORM 990 AND THE | ||
| ANNUAL REPORT. COPIES OF AGENCY FINANCIAL REPORTS AND ON-SITE | ||
| EVALUATIONS ARE AVAILABLE TO THE GENERAL PUBLIC IN HARD COPY AT THE AGENCY | ||
| OFFICE. | ||
| Form 990, Part IX, Line 24f | RESIDENT COSTS 6861. 6861. 0. 0. GIFTS 1651. 0. 1651. 0. JANITORIAL SERVICES 2340. 0. 2340. 0. CONTRACT PAYBACK 3431. 3431. 0. 0. EDUCATION AND TRAINING 3604. 1210. 2394. 0. FUNDRAISING DIRECT COSTS 15187. 0. 0. 15187. |
| Software ID: | 10000104 |
| Software Version: |