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.") .... | 950 | 2,793 | 854 | 100 | 9,000 | 13,697 |
| 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.. | 950 | 2,793 | 854 | 100 | 9,000 | 13,697 |
| 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. | 13,697 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 950 | 2,793 | 854 | 100 | 9,000 | 13,697 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 230 | 296 | 238 | 215 | 208 | 1,187 |
| 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). | 14,884 | |||||






| 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-B, Line 11a | The financial statements are provided to the board | |
| at the Board meeting. | ||
| Pt VI-C, Line 19 | The documents are provided by written request. | |
| Form 990EZ, Part I, Line 8 | OTHER | |
| Form 990EZ, Part I, Line 16 | FOOD & KITCHEN SUPPLIES PAYROLL TAXES REPAIRS & MAINTENANCE EMPLOYEE BENEFITS CLEANING SERVICE COPIER SERVICE UTILITIES INSURANCE INTEREST EXPENSE EDUCATION/ART SUPPLIES TELEPHONE SECURITY ALARM EXPENSE CENTER SUPPLIES ADVERTISING CHILDREN'S PROGRAMS DUES & SUBSCRIPTIONS RETURNED CHECK FEE/BANK S/C ACCOUNTING FEES STAFF DEVELOPMENT & MEETINGS EMPLOYEE MILEAGE OFFICE EXPENSE TAXES, LICENSES, & FEES LEGAL FEES CLOTHING LAKE STREET 2 KINDERGARTEN BOLIVAR PEST CONTROL | |
| Form 990EZ, Part II, Line 26 | ACCRUED NYS WITHHOLDING 0. 451. ACCRUED NYS UNEMPLOYMENT INSURANCE 266. 276. REMODELING LOAN 22405. 0. | |
| Form 990, Part IX, Line 24f | NON-PROFESSIONAL FUND RAISING EXPENSES 6399. 6399. FIELD TRIP/SPECIAL EVENT COST 4721. 4721. SECURITY ALARM EXPENSE 2508. 2508. CLASSROOM SUPPLIES 3199. 3199. TELEPHONE 2720. 2720. EDUCATION/ART SUPPLIES 966. 966. COPIER SERVICE 587. 587. LAKE STREET 2 123. 123. PRESCHOOL 157. 157. KINDERGARTEN 320. 320. BOLIVAR 218. 218. KITCHEN SUPPLIES 179. 179. POSTAGE & SHIPPING 211. 211. CLOTHING 146. 146. LEASE COPIER 53. 53. BANK S/C 32. 32. SMALL EQUIPMENT EXPENSE 98. 98. EMPLOYEE MILEAGE 775. 775. TEAC |
| Software ID: | 10000104 |
| Software Version: |