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.") .... | ||||||
| 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.") . | 120,759 | 76,044 | 86,638 | 283,441 | ||
| 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...... | 1,896 | 137,707 | 166,964 | 306,567 | ||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 7,428 | 7,428 | ||||
| 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. | 122,655 | 213,751 | 261,030 | 597,436 | ||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 82,707 | 71,112 | 60,376 | 214,195 | ||
| 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. | 47,800 | 24,000 | 71,800 | |||
| c | Add lines 7a and 7b.. | 82,707 | 118,912 | 84,376 | 285,995 | ||
| 8 | Public Support (Subtract line 7c from line 6.) | 311,441 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 122,655 | 213,751 | 261,030 | 597,436 | ||
| 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.). | 597,436 | |||||




| 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 | The finance committee convened to review a draft of Form 990. At the | |
| subsequent full board meeting, each board member received a copy of the | ||
| 990. The finance committee reported its recommendations to the board; after | ||
| discussions, the board authorized the Executive Director to sign the return. | ||
| Pt VI-B, Line 12c | Annually each director signs a statement that affirms that they have received | |
| a copy of the Conflict of Interest Policy, and that they will abide by it. | ||
| Pt VI-B, Line 15 | Annually the Executive Director completes a self-assessment and the board | |
| conducts a personal evaluation. The ED's salary and benefits are compared with | ||
| similar positions of Vermont nonprofits. | ||
| Pt VI-C, Line 19 | Internally prepared financial statements may be available to the public | |
| depending on the purpose of the inquiry. | ||
| Pt XI | Other changes to net assets caused by a prior period adjustment. | |
| Form 990EZ, Part I, Line 16 | ADVERTISING & MARKETING INSURANCE INTEREST EXPENSE MISCELLANEOUS SUPPLIES TELECOMMUNICATIONS VEHICLES EXPENSES | |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE 5305. PLEDGES RECEIVABLE 30919. PREPAID INSURANCE 1309. VEHICLES & EQUIPMENT, NET OF DEPRECIATION 98593. | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE 125. ACCRUED INTEREST PAYABLE 728. LEASES PAYABLE 75449. LOANS PAYABLE 11056. PAYROLL TAXES PAYABLE 3160. SALES TAX PAYABLE 1975. |
| Software ID: | 10000104 |
| Software Version: |