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.") .... | 19,780 | 39,726 | 176,690 | 99,317 | 205,001 | 540,514 |
| 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.. | 19,780 | 39,726 | 176,690 | 99,317 | 205,001 | 540,514 |
| 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. | 540,514 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 19,780 | 39,726 | 176,690 | 99,317 | 205,001 | 540,514 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 129 | 129 | ||||
| 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). | 540,643 | |||||






| 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 V, Line 14b | Did not receive any income from indoor tanning activities. | |
| Pt VI-B, Line 11a | The 990 return was submitted to the board electronically for approval. | |
| Pt VI-B, Line 12c | It is a requirement the the Board hold 12 consecutive meetings, | |
| Pt VI-B, Line 12c | the 2nd Wed of each month to patrol policy. Board members sign | |
| Pt VI-B, Line 12c | a volunteer commitment to oversee policy & work in the best interest | |
| Pt VI-B, Line 12c | of 305 8th Street. | |
| Pt VI-B, Line 15 | The board conducts a comparability study & determines the salary of | |
| Pt VI-B, Line 15 | the organization's Executive Director & key employees. | |
| Pt VI-C, Line 19 | Governing documents, all policy & procedures & financial statements | |
| Pt VI-C, Line 19 | are available to the public upon request. The 2010, Form 990 will be | |
| Pt VI-C, Line 19 | posted publicly on our website under "Governance" at www.3058thstreet.org | |
| Pt VI-C, Line 19 | along with an annual report. | |
| Pt VI-A, Line 4 | Bylaws were updated to include specific duties for each officer. | |
| Form 990EZ, Part I, Line 16 | INTEREST EXPENSE STAFF DEVELOPMENT TELEPHONE/INTERNET OFFICE SUPPLIES OPERATING SUPPLIES BANK CHARGES LICENSE/TAXES FLOWERS/GIFTS SECURITY MONITORING INSURANCE ADVERTISING/FUNDRAISING | |
| Form 990EZ, Part II, Line 24 | CAPITALIZED INTEREST 5884. | |
| Form 990EZ, Part II, Line 26 | MORTGAGE PAYABLE 53707. PAYROLL TAX LIABILITIES 4211. RESIDENT DEPOSITS 2444. | |
| Form 990, Part IX, Line 24f | STAFF DEVELOPMENT 649. 649. 0. 0. TAXES/LICENSES 532. 0. 532. 0. TELEPHONE 1966. 1829. 98. 39. LOSS ON DISPOSAL OF EQUIP 856. 856. |
| Software ID: | 10000104 |
| Software Version: |