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.") .... | 77,840 | 74,588 | 60,149 | 179,816 | 98,671 | 491,064 |
| 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.. | 77,840 | 74,588 | 60,149 | 179,816 | 98,671 | 491,064 |
| 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).. | 41,589 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 449,475 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 77,840 | 74,588 | 60,149 | 179,816 | 98,671 | 491,064 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 82 | 48 | 21 | 2,117 | 1,775 | 4,043 |
| 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.. | 5,040 | 5,040 | ||||
| 11 | Total support (Add lines 7 through 10). | 500,147 | |||||






| 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.) | ||||||
| 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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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | MEMBERS OF THE ORGANIZATION ARE VOLUNTEERS WHO HAVE THE RIGHT TO HOLD OFFICE AND TO VOTE THERE ARE ANNUAL ELECTIONS WHERE A SLATE OF OFFICERS ARE NOMINATED AND THEN VOTED ON BY THE ORGANIZATION | |
| 02. Member election for additional members (Part VI, line 7a) | ANY MEMBER IS ALLOWED TO RUN FOR AN OFFICER OR DIRECTOR | |
| 03. Governing body decisions (Part VI, line 7b) | OFFICERS CONDUCT MEETINGS WHICH TOPICS ARE BROUGHT BEFORE AND THEN VOTED ON BY THE REGULAR MEMBERSHIP | |
| 04. Committee meeting documentation (Part VI, line 8b) | ALL MEETINGS HAVE MINUTES PREPARED THEN THE MEETINGS ARE READ AT THE NEXT SCHEDULED MEETING WHERE THE MEMBERSHIP VOTES ON ACCEPTING THE PREPARED MINUTES | |
| 05. Form 990 governing body review (Part VI, line 11) | DUE TO THE TIME CONSTRAINTS OF TIMELY FILING THE GOVERNING BODY OTHER THAN THE OFFICER SIGNING THE REPORT PRIOR TO FILING DID NOT HAVE THE OPPORTUNITY TO REVIEW THE INFORMATION PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE HOWEVER THE TREASURER WILL PRESENT THE FORM 990 TO THE MEMBERSHIP AT THE NEXT REGULARLY SCHEDULED MEETING | |
| 06. Governing documents, etc, available to public (Part VI, line 19) | DOCUMENTS ARE AVAILABLE UPON REQUEST FOR EITHER REVIEW ON SITE OR COPIES ARE MADE AVAILABLE AT A REASONABLE COST FOR COPYING |
| Software ID: | |
| Software Version: |