TY 2010 Form 990EZ

- TIN:

Form990-EZ
Click to see list of attachments

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)

Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-1150

2010

Open to Public
Inspection

For the 2010 calendar year, or tax year beginning 01-01-2010, and ending 12-31-2010

Check if applicable:

Address change

Name change

Initial return

Terminated

Amended return

Application pending

C Name of organization
REZ REFUGE MINISTRIES INC

Number and street (or P. O. box, if mail is not delivered to street address)PO Box 2016
Room/suite

City or town, state or country, and ZIP + 4 Fort Defiance, AZ86504

D Employer identification number

26-0390144

E Telephone number

(928) 729-2658

F Group Exemption
Number. . bullet

G Accounting method: CashAccrualOther (specify) bullet

H Check bullet

required to attach Schedule B
(Form 990, 990-EZ, or 990-PF).I Website: bullet

www.rezrefuge.orgJ Tax-Exempt status(check only one)501(c)(3) Click to see attachment

501(c)( ) bullet

(insert no.) 4947(a)(1) or 527

K Check

if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than $50,000. A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.

L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts; If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ.. . bullet

$ 82,283


1	Contributions, gifts, grants, and similar amounts received . . . . . . . . .			1	82,283
2	Program service revenue including government fees and contracts . . . . . . .			2	0
3	Membership dues and assessments . . . . . . . . . . . . . .			3	0
4	Investment income . . . . . . . . . . . . . . . . . .			4	0
5a	Gross amount from sale of assets other than inventory . . . .	5a	0
b	Less: cost or other basis and sales expenses . .	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . .			5c	0
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a	0
b	Gross income from fundraising events (not including $ 0 of contributions from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceed $15,000) . . . . . . .
c	Less: direct expenses from gaming and fundraising events . . .	6c	0
d	Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c)			6d	0
7a	Gross sales of inventory, less returns and allowances . . . .	7a	0
b	Less: cost of goods sold . . . . . . . . . .	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) . . . . . .			7c	0
8	Other revenue (describe in Schedule O) . . . . . . . . .			8	0
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . .			9	82,283
10	Grants and similar amounts paid (list in Schedule O) . . . . . . . .			10	9,081
11	Benefits paid to or for members . . . . . . . . . . . . . . .			11	0
12	Salaries, other compensation, and employee benefits . . . . . . . . . . .			12	0
13	Professional fees and other payments to independent contractors . . . . . . . .			13	0
14	Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . .			14	5,882
15	Printing, publications, postage, and shipping . . . . . . . . . . . .			15	1,142
16	Other expenses (describe in Schedule O) . . . . . . . . . .			16	79,991
17	Total expenses. Add lines 10 through 16 . . . . . . . . . . . .			17	96,096
18	Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . .			18	-13,813
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) . . . . . . . . . . .			19	18,294
20	Other changes in net assets or fund balances (explain in Schedule O) . . . . . . .			20	310,700
21	Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . .			21	315,181

Part IIBalance Sheets Check if the organization used Schedule O to respond to any question in this Part II. . . . . . . . .

(See the instructions for Part II.)(A) Beginning of year(B) End of year

22Cash, savings, and investments . . . . . . . . . .

18,294

4,481

23Land and buildings . . . . . . . . . . . . .

300,000

24Other assets (describe in Schedule O) . . . . . .

10,700

25Total assets . . . . . . . . . . . . . .

18,294

315,181

Total liabilities (describe in Schedule O) . . . . .

27Net assets or fund balances (line 27 of column (B) must agree with line 21) .

18,294

315,181

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 10642I Form 990-EZ (2010)

Form 990-EZ (2010)

Page 2

Part IIIStatement of Program Service Accomplishments Check if the organization used Schedule O to respond to any question in this Part III .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? Charity - provide assistance to Native American's on the Navajo Indian Reservation who are in need or crisis.
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 1. Community Education and Youth Center. Building a center in a low income, high crime neighborhood on the Navajo Reservation. Once completed, the center will house a computer lab, fitness/game room, kitchen, classroom, and apartment. Center will host cultural meetings, continuing education, tutoring, GED classes, wellness and fitness programs, and other positve programs to benefit the community. Especially focus on providing alternatives to drugs, alcohol, and gangs. The center will serve a community of at least 1000. Already the center has hosted community clean-ups, concerts, skate and BMX bike competitions, and community games for youth. Rez Refuge has made it a priority to use carpenters from the community (when possible) when construction required non-volunteer labor. (Grants $ 0) If this amount includes foreign grants, check here ...			28a	78,307
29 2. Community Developement and Crisis Assistance. Serves Native Americans in crisis and at-risk Native American youth on the Navajo Indian Reservation. We offer tuition assistance, community development/improvement grants, Native American artist grants/assistance, firewood/gas/heating assistance, crisis resource management, and food and meal assistance. However, the assistance can vary on the circumstances and need. Also provide resource management to help place Navajo in existing programs with various other organizations. Rez Refuge serves a very large community, but typically assists 40-50 people per year in this area. (Grants $ 0) If this amount includes foreign grants, check here ...			29a	6,616
30 3. Wilderness and Youth Programs. Strive to provide alternatives to drugs, alcohol, and gangs by building self-esteem, leadership, and teamwork skills to at risk Navajo youth through backpacking, camping, fishing, and hiking or other outdoor activities. Also sponsor fitness/wellness activities such a BMX bike and skate board competitions, outdoor concerts, movies, drug and alcohol "block type" parties and games for youth. Work heavily with other volunteer groups to put on the events. The wilderness program serves 20-30 youth per year and the youth program, because of its work in communities typically serves about 300 youth. There is some overflow between this program and the community education and youth center. Participants in the wilderness program are provided with food and transportation to the outings. The clothes and equipment are loaned to them to ensure safe and appropriate gear. (Grants $ 0) If this amount includes foreign grants, check here ...			30a	1,488
4. Office and Support Expenses. Includes postage, banking fees, office supplies, web page, newsletter, liability and Officers & Director's insurance, and tax filing fees. Now also includes vehicle expenses. (Grants $ 0) If this amount includes foreign grants, check here ...		9,684
5. Community Nondenominational Bible Study. Rez Refuge holds a bible study 2-3 times per month for anyone who wishes to participate. Rez Refuge does not require participation in the bible study to receive assistance from Rez Refuge. For some of those individuals in crises, participation in a safe community of faith is important and Rez Refuge attempts to provide this. (Grants $ 0) If this amount includes foreign grants, check here ...		0
6. Cultural Learning and Service. Rez Refuge works with schools, churches, and other organizations that are interested in coming to the Navajo Indian Reservation to volunteer. Rez Refuge facilitates the trip by working with local agencies to find real areas of need and then connecting the interested volunteer group with the need. Rez Refuge does not charge a fee, but rather ensures the groups have the finances and man power and skill sets to accomplish successfully their project. Rez Refuge requires the groups participating in this program take part in cultural experiences by having local artists, dancers, and cultural educators come speak with the group. The group is responsible for covering a fee or gratuity to the Native presenters. (Grants $ 0) If this amount includes foreign grants, check here ...		0
31 Other program services (describe in Schedule O) . . . . . . . . . . . . (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a) . . . . . . . . .	32	96,095

Part IVList of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instructions for Part IV.) Check if the organization used Schedule O to respond to any question in this Part IV . . . . . . . .

(a) Name and address	(b) Title and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-.)	(d) Contributions to employee benefit plans & deferred compensation	(e) Expense account and other allowances
John Van Eyk PO Box 2016 Fort Defiance,AZ86504	Director20	0	0	0
Alex Froom 118 Winchester Street Unit 1 Brookline,MA02446	Assistant Director5	0	0	0
Randall Butler 2720 N Hill Terrace Cleburne,TX76031	Assistant Director5	0	0	0
Elizabeth Kelly PO Box 365 Fort Campbell,KY42223	Secretary5	0	0	0
Carmelita Upshaw PO Box 649 Fort Defiance,AZ86504	Officer10	0	0	0

Form 990-EZ (2010)

Page 3

Part VOther Information(Note the statement requirements in the instructions for Part V.)YesNo Check if the organization used Schedule O to respond to any question in this Part V . . . .

Did the organization engage in any activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ..............

Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the change on Schedule O (see instructions). ...................

If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, explain in Schedule O why the organization did not report the income on Form 990-T. ........................

Did the organization have unrelated business gross income of $1,000 or more or was it a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements?

35a

If "Yes," has it filed a tax return on Form 990-T for this year? (see instructions) ........

35b

Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N .............

37a

Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet

37a

Did the organization file Form 1120-POL for this year? ...............

37b

38a

Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were

any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?

38a

If “Yes,” complete Schedule L, Part II and enter the total amount involved .

38b

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on line 9 ......

39a

Gross receipts, included on line 9, for public use of club facilities ....

39b

40a

Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:

section 4911 bullet

0 ; section 4912 bullet

0 ; section 4955 bullet

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I. ....

40b

Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 .. bullet

Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization ................... bullet

All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T. .................

40e

41List the states with which a copy of this return is filed. bullet

AZ, NM

42aThe organization's books are in care of bullet

John Van Eyk Telephone no. bullet

(928) 729-2658

Located at bullet

PO Box 2016
Fort Defiance,AZ ZIP + 4 bullet

86504

At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?

Yes

42b

If “Yes,” enter the name of the foreign country: bullet

See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

At any time during the calendar year, did the organization maintain an office outside of the U.S.?

42c

If “Yes,” enter the name of the foreign country: bullet

43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041Check here ....... bullet

and enter the amount of tax-exempt interest received or accrued during the tax year . . . bullet

44a

Did the organization maintain any donor advised funds? If "Yes", Form 990 must be completed instead of

Yes

Form 990-EZ.. . . . . . . . . . . . . . . . . . . .

44a

Did the organization operate one or more hospital facilities during the year? If ‘Yes,’ Form 990 must be completed instead of Form990-EZ. . . . . . . . .

44b

Did the organization receive any payments for indoor tanning services during the year? . . . . . . .

44c

If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If ‘No,’ provide an explanation in Schedule O. . . . . . . . .

44d

Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. . . . . . . . .

45a

Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If ‘Yes,’ Form 990 and Schedule R must be completed instead of Form990-EZ. .

45a

Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I. . . . . . . . . .

Form 990-EZ (2010)

Page 4

Part VI

Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47-49b and 52. Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . .

Yes

Did the organization engage in lobbying activities? If "Yes," complete Schedule C, Part II . . . .

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E . . .

49a

Did the organization make any transfers to an exempt non-charitable related organization? . . . .

49a

If "Yes," was the related organization a section 527 organization? . . . . . . . . .

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and address of each employee paid more than $100,000	(b) Title and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans & deferred compensation	(e) Expense account and other allowances
NONE

50(f)

Total number of other employees paid over $100,000 . . . . . . . . . . . . . bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and address of each independent contractor paid more than $100,000	(b) Type of service	(c) Compensation
NONE

51(d)

Total number of other independent contractors each receiving over $100,000 . . . . . . . bullet

Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A .................... Yes No

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (See instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.

May the IRS discuss this return with the preparer shown above? See instructions ......... bullet

YesNo

Form 990-EZ (2010)

Additional Data

Software ID:	10000077
Software Version:	v1.00

Form 990-EZ, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

REZ REFUGE MINISTRIES INC

Employer identification number

26-0390144

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

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.") ....		21,416	21,673	78,103	82,283	203,475
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......		0	0	0	0	0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..		0	0	0	0	0
4	Total. Add lines 1 through 3..	0	21,416	21,673	78,103	82,283	203,475
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)..						10,000
6	Public Support. Subtract line 5 from line 4.						193,475

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..	0	21,416	21,673	78,103	82,283	203,475
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..		0	0	0	0	0
9	Net income from unrelated business activities, whether or not the business is regularly carried on..		0	0	0	0	0
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..		0	0	0	0	0
11	Total support (Add lines 7 through 10).						203,475

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

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.)

Section B. Total Support

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.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation
Part II, line 10: 1. Tution Assistance. $2,387 to Native youth for alternative private education opportunities. The tuition assistance covers tuition, at times fees, materials, and/or travel. 2. Community Development Grants. None were provided this year. 3. Family Meal Assistance: $960.00. For families in need of groceries, provide actual groceries typically valued at $50 or less. 4. Community Meals: $1,838 for meals at the youth center or other areas. Provides meals in a community setting for individuals who are hungry due to lack of resources. 5. Gas Assistance: $135 provided to individuals in crisis who needed fuel for transportation. The need must be to provide a means to address the crisis or escape an unsafe situation or for an emergency such as illness. 6. Christmas Program: $655 provided in meals and gifts to individuals who could not otherwise afford these. 7. Thanksgiving Meals: $392 spent for a community meal at the youth center for individuals who could not otherwise afford a meal. 8. Navajo Artist: $40 spent for an individual without funds and in crisis to purchase supplies. 9. Family Assistance: $784 spent for individuals or families in need. Covers items such as clothes, shoes, school supplies, toiletries. Again, no cash is dispersed, rather the individual is provided with the item(s) they need. 10. Firewood/heating assistance: $317 was spent to provide fuel or firewood for home heating purposes. The wood or fuel is paid by Rez Refuge and delivered to the home. 11. Sumer Camp: $75 spent to send campers to summer camp. 12. Wilderness and kids program: $1,488 to youth activities ($323) that would provide positive alternatives to destructive lifestyles. The bulk and remaining spent on backpacking and camping trips for at-risk Navajo youth. If I did this wrong, looking at Part II, Line 10 Rez Refuge did not have any other forms of income.
Part III, Line 12: Rez Refuge did not have any other income.

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000077
Software Version:	v1.00

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

REZ REFUGE MINISTRIES INC

Employer identification number

26-0390144

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization REZ REFUGE MINISTRIES INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization REZ REFUGE MINISTRIES INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
REZ REFUGE MINISTRIES INC

Employer identification number

26-0390144

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:	10000077
Software Version:	v1.00

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

REZ REFUGE MINISTRIES INC

Employer identification number

26-0390144

Identifier	Return Reference	Explanation
F99Z_P01_S00_L10	Form 990-EZ, Part I, Line 10	Rez Refuge provides small community grants to Native American's in need or crisis on the Navajo Indian Reservation. Grants rarely are cash dispersments, rather Rez Refuge will provide the items in needs such as groceries or a meal. Assistance rarely exceeds $50 in value. Areas of assistance include tuition assistance, community development grants, gas, grocery, meal assistance, clothing assistance, heating fuel or wood assistance, artist assistance, and summer camp tuition asssistance. Additionally, Rez Refuge provides meals during the Thanksgiving and Christmas holiday seasons. Rez Refuge runs a wilderness program that takes at-risk Navajo youth into the wilderness on backpacking and camping excursions. Meals and transportation costs are covered by Rez Refuge for individuals selected to participate. Here is a more detailed description and amount issued in each area. 1. Tution Assistance. $2,387 to Native youth for alternative private education opportunities. The tuition assistance covers tuition, at times fees, materials, and/or travel. 2. Community Development Grants. None were provided this year. 3. Family Meal Assistance: $960.00. For families in need of groceries, provide actual groceries typically valued at $50 or less. 4. Community Meals: $1,838 for meals at the youth center or other areas. Provides meals in a community setting for individuals who are hungry due to lack of resources. 5. Gas Assistance: $135 provided to individuals in crisis who needed fuel for transportation. The need must be to provide a means to address the crisis or escape an unsafe situation or for an emergency such as illness. 6. Christmas Program: $655 provided in meals and gifts to individuals who could not otherwise afford these. 7. Thanksgiving Meals: $392 spent for a community meal at the youth center for individuals who could not otherwise afford a meal. 8. Navajo Artist: $40 spent for an individual without funds and in crisis to purchase supplies. 9. Family Assistance: $784 spent for individuals or families in need. Covers items such as clothes, shoes, school supplies, toiletries. Again, no cash is dispersed, rather the individual is provided with the item(s) they need. 10. Firewood/heating assistance: $317 was spent to provide fuel or firewood for home heating purposes. The wood or fuel is paid by Rez Refuge and delivered to the home. 11. Sumer Camp: $75 spent to send campers to summer camp. 12. Wilderness and kids program: $1,488 to youth activities ($323) that would provide positive alternatives to destructive lifestyles. The bulk and remaining spent on backpacking and camping trips for at-risk Navajo youth.
F99Z_P01_S00_L16	Form 990-EZ, Part I, Line 16	Include the costs to renovate a 3,400 square foot youth center in a low income Navajo neighborhood. The majority of the costs are for the construction and renovation costs. They include materials and labor. Additionally, this line also includes misc. operational costs that did not fit into the above catagories. Included in this is the expenses to operate the organization's vehicle.
F99Z_P01_S00_L20	Form 990-EZ, Part I, Line 20	Rez Refuge was given a 1998 Chevy Suburban valued at $7000. It was donated by a private school in North Carolina. A $600 sound system was donated. A $2,500 cargo trailer was donated. And $600 in new tires for the suburban were also donated and were not placed on the vehicle in 2010. The greatest change is in the value of the youth center. No new appraisal has been performed, but insurance estimates that the replacement cost now has grown to $300,000 from $25,000 due to renovation. Rez Refuge is reporting this anyway in attempt to be as accurate in asset changes as possible. Rez Refuge continues to own the Navajo Rug, no known changes in value are known.
F99Z_P02_S00_L24	Form 990-EZ, Part II, Line 24	The items listed are a donated 1998 Chevy Suburban valued at $7,000. $600 donated sound system. A $2,500 cargo trailer. And a $600 new set of tires for the suburban which were not used in 2010.
F99Z_P05_S00_L35	Form 990-EZ, Part V, Line 35	This is not applicable for Rez Refuge.
SchB_P01_S00_L00	Schedule B, Part I	Listed the grant for accuarate recording purposes. They are a 501(c)3 themselves and assist other not-for-profits in underserved areas. The $10,000 donation was to the general fund, to be used if desired to help meet the goal of raising $50,000 on our own through individuals and businesses so the grant could be released to Rez Refuge.
SchB_P02_S00_L00	Schedule B, Part II	Listing of the vehcile property donated to Rez Refuge.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000077
Software Version:	v1.00

- TIN:

TY 2010 ReasonableCauseExplanation

Name:

REZ REFUGE MINISTRIES INC

EIN: 26-0390144

Software ID:10000077

Software Version:v1.00

Explanation:

Should not be late as it is being filed on 5/16/11. However it would have been completed sooner, but the preparer - me, got very sick last week and was unable to finish the filing prior to today.