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.") .... | 302,773 | 275,003 | 337,000 | 397,294 | 347,463 | 1,659,533 |
| 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.. | 302,773 | 275,003 | 337,000 | 397,294 | 347,463 | 1,659,533 |
| 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. | 1,659,533 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 302,773 | 275,003 | 337,000 | 397,294 | 347,463 | 1,659,533 |
| 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). | 1,659,533 | |||||






| 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 990 is prepared by the CPA and through the preparation and completion, | |
| assistance is obtained from the bookkeeper and President. | ||
| Form 990EZ, Part I, Line 16 | SMALL EQUIPMENT MEDICINES & VET DUES, FEES, & PP TAXES MISCELLANEOUS FOOD CAT SUPPLIES CLEANING SUPPLIES DOG SUPPLIES CONTINUING EDUCATION CREDIT CARD FEES FUNDRAISING EXPENSES GIFTS GRANTS EXPENSES KITCHEN LANDFILL INTEREST EXPENSE MARKETING/ADVERTISING OFFICE & COMPUTER EXPENSES PROFESSIONAL EXPENSES TELEPHONES VEHICLE/TRAILER EXPENSES PEST CONTROL | |
| Form 990EZ, Part II, Line 26 | MORTGAGES PAYABLE 162144. PAYROLL LIABILITIES 2922. | |
| Form 990, Part VI, Line 9 | W. JEFFREY DALTON 520 GREENFIELD TERRACE, STE 101 CHARLOTTESVILLE VA 22901 KATE REILLY WOOLLEY 2887 JAMES RIVER ROAD HOWARDSVILLE VA 24562 | |
| Form 990, Part IX, Line 24f | COMMUNITY AWARENESS 951. 951. 0. 0. POSTAGE AND MAILINGS 2184. 728. 728. 728. PRINTING 5921. 1974. 1974. 1973. SERVICE CONTRACTS/PROF. FEES 6514. 3300. 3214. 0. REPAIRS AND MAINTENANCE 5142. 2571. 2571. 0. SATELLITE SERVICE 1153. 0. 1153. 0. SEARCH & RESCUE 270. 270. 0. 0. SHIPPING 393. 393. 0. 0. STAFF RELATED 441. 0. 441. 0. SUBSCRIPTIONS 592. 592. 0. 0. TELEPHONE 6718. 3359. 3359. 0. UTILITIES 15936. 7968. 7968. 0. VEHICLE/TRAILER EXPENSES 3309. 1655. 1654. 0. |
| Software ID: | 10000104 |
| Software Version: |