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.") .... | ||||||
| 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.") . | 145,652 | 677,362 | 823,014 | |||
| 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. | 145,652 | 677,362 | 823,014 | |||
| 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.) | 823,014 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 145,652 | 677,362 | 823,014 | |||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 38 | 38 | ||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 38 | 38 | ||||
| 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.). | 145,652 | 677,400 | 823,052 | |||




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| FORM 990, PART VI, SECTION A, LINE 2 - THE PRESIDENT AND SECRETARY ARE HUSBAND AND WIFE. FORM 990, PART VI, SECTION B, LINE 11B - THE OFFICERS OF THE ORGANIZATION ARRANGE THE FINANCIAL DATA TO COMPLETE FORM 990. THE INFORMATION IS SENT TO BE PLACED IN PROPER 990 FORMAT BY A TAX PREPARER. AFTER THE 990 IS COMPLETED, THE DOCUMENT IS RETURNED TO THE ORGANIZATION'S OFFICERS WHERE IT IS CHECKED FOR ACCURACY AND ADOPTED. FORM 990, PART VI, SECTION B, LINE 12C - ALL INDIVIDUALS ARE ASKED ANNUALLY TO DISCLOSE ANY CONFLICTS OF INTEREST IN RELATION TO ALL THE ORGANIZATION'S ACTIVITIES. IF ANY CONFLICTS ARE IDENTIFIED AT THIS TIME REPRIMANDING ACTIONS WILL BE IMPLEMEMENTED IF DEEMED NECESSARY. THE CONFLICT WILL BE EVALUATED AND ANY POTENTIAL HAZARD WILL BE ELIMIATED BY MINIMIZING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A&15B - OFFICERS AND BOARD MEMBERS COLLECT DATA AS TO WHAT SIMILAR ORGANIZATIONS ARE PAYING THEIR CHIEF OFFICER. THE INCOME IS EVALUATED AS TO ABILITY TO PAY THE COMPENSATION AND A PROPOSAL IS SUBMITTED TO THE OFFICERS. THE PRESIDENT IS THE ONLY PAID OFFICER AND IS EXCUSED WHILE THE REMAINING OFFICERS REACH A CONSENSUS. FORM 990, PART VI, SECTION C, LINE 19 - THE FORM 1023 AND FORM 990 ARE POSTED ON THE OGANIZATION'S WEBSITE BY THE SECRETARY. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS ARE MADE AVAILABLE TO PERSONS UPON WRITTEN REQUEST. |
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