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. | ||||||
| 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.. | ||||||
| 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.") . | 248,549 | 188,892 | 112,813 | 130,607 | 162,010 | 842,871 |
| 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...... | 49,315 | 58,770 | 51,933 | 39,743 | 35,764 | 235,525 |
| 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.. | 12,919 | 12,919 | ||||
| 6 | Total. Add lines 1 through 5. | 297,864 | 247,662 | 164,746 | 183,269 | 197,774 | 1,091,315 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 72,000 | 67,000 | 44,010 | 64,500 | 41,122 | 288,632 |
| 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. | 6,246 | 6,246 | ||||
| c | Add lines 7a and 7b.. | 72,000 | 67,000 | 44,010 | 70,746 | 41,122 | 294,878 |
| 8 | Public Support (Subtract line 7c from line 6.) | 796,437 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 297,864 | 247,662 | 164,746 | 183,269 | 197,774 | 1,091,315 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 8,046 | 3,776 | 5,754 | 5,018 | 7,303 | 29,897 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 8,046 | 3,776 | 5,754 | 5,018 | 7,303 | 29,897 |
| 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.). | 305,910 | 251,438 | 170,500 | 188,287 | 205,077 | 1,121,212 |




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Form 990 governing body review (Part VI, line 11) | THE 990 WAS REVIEWED BY THE TREASURER AND OTHER BOARD MEMBERS | |
| 02. CEO, executive director, top management comp (Part VI, line 15a) | OUTSIDE INFORMATION IS USED TO ASSIST THE BOARD IN DECISION MAKING PROCESS | |
| 03. Other officer or key employee compensation (Part VI, line 15b | OUTSIDE INFORMATION IS USED TO ASSIST THE BOARD IN DECISION MAKING PROCESS | |
| 04. Governing documents, etc, available to public (Part VI, line 19) | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE OFFICE | |
| 05. Explanation of other changes in net assets or fund balances (Part XI, line 5) | 2010 UNREALIZED GAIN ON INVESTMENTS - 19815 2009 CAPITALIZE ASSETS - 5000 2009 INVESTMENT INCOME - 17066 |
| Software ID: | |
| Software Version: |