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.. | 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.") . | 118,550 | 158,486 | 213,730 | 193,814 | 129,798 | 814,378 |
| 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...... | 33,450 | 56,195 | 49,802 | 40,645 | 40,169 | 220,261 |
| 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. | 152,000 | 214,681 | 263,532 | 234,459 | 169,967 | 1,034,639 |
| 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.) | 1,034,639 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 152,000 | 214,681 | 263,532 | 234,459 | 169,967 | 1,034,639 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 174 | 153 | 48 | 16 | 18 | 409 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 174 | 153 | 48 | 16 | 18 | 409 |
| 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.). | 1,035,048 | |||||




| 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 FORM IS AVAILABLE FOR REVIEW BY BOARD MEMBERS | |
| Pt VI-C, Line 19 | INFORMATION IS MADE AVAILABE UPON REQUEST | |
| Pt VI-A, Line 2 | THE PRESIDENT OF THE BOARD (JOEL VAN EKEREN)IS THE NEPHEW OF | |
| CAROL NOTEBOOM, THE EXECUTIVE DIRECTOR | ||
| Pt VI-B, Line 12c | REVIEW BY THE BOARD | |
| Pt XI | RECLASSIFICATION TO LIABILITIES ITEMS THAT WERE PREVIOUSLY | |
| INCLUDED AS FUND BALANCE ITEMS | ||
| Form 990, Part VI, Line 9 | JOEL VANEKEREN 27474 SD HYW 11 HARRISBURG SD 57032 JEFF AEGERTER 3425 S SAGUARO AVE SIOUX FALLS SD 57110 SCOTT SWAIN 1109 W GOLDTHREAD CIRCL SIOUX FALLS SD 57108 BRIAN EIDE 4805 S CARAWAY CIRCLE SIOUX FALLS SD 57108 CAROLYN THOMPSON 25994 478TH AVENUE BRANDON SD 57005 DANA MEYER 6104 S VENITA CIRCLE SIOUX FALLS SD 57108 RHONDA LOCKWOOD 100 W SPYGLASS DRIVE SIOUX FALLS SD 57108 THOMAS PAIGE 17629 69 PLACE NORTH MAPLE GROVE MN 55311 |
| Software ID: | 10000104 |
| Software Version: |