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.") .... | 9,629 | 15,990 | 27,608 | 6,327 | 13,980 | 73,534 |
| 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.. | 9,629 | 15,990 | 27,608 | 6,327 | 13,980 | 73,534 |
| 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. | 73,534 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 9,629 | 15,990 | 27,608 | 6,327 | 13,980 | 73,534 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 73,802 | 73,556 | 64,722 | 60,383 | 61,367 | 333,830 |
| 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). | 407,364 | |||||






| 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 |
|---|
| THE ORGANIZATION MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC. THE REASON FOR NOT PASSING THE SUPPORT TEST IS THE GENERAL CONTRIBUTIONS RECEIVED TO DATE DO NOT OUTWEIGH THE ANNUAL INTEREST PAYMENT RECEIVED ON THE LONG TERM NOTE RECEIVABLE. THE ORGANIZATION HAS A GOVERNING BOARD REPRESENTATIVE OF THE GENERAL PUBLIC AND CONTINUES TO FULFILL THEIR MISSION OF SUPPORTING THE OPERATIONS OF THE PARSONAGE COTTAGE HOME FOR THE AGED. |
| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | AT LEAST ONE DIRECTOR HAS A BUSINESS RELATIONSHIP WITH ANOTHER DIRECTOR. | |
| FORM 990, PART VI, SECTION B, LINE 11 | TREASURER REVIEWS AND SIGNS RETURNS ON BEHALF OF THE BOARD. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. | |
| NAMES AND ADDRESSES FOR OFFICERS | FORM 990 PART VI SECTION A, LINE 9 | RICHARD DEPRETA 15 WESCOTT STREET, RIVERSIDE, CT 06878 HOWARD DUNCAN 74 SAWMILL LANE, GREENWICH, CT 06830 LISA EDMUNDSON 16 SATNWICH LANE, GREENWICH, CT 06830 KATHERINE KERN 194 SHORE ROAD, OLD GREENWICH, CT 06870 BRAD MARKOWITZ 10 LOUGHLIN AVENUE, COS COB, CT 06807 GEORGIA MUFFOLETTO 194 OCEAN DRIVE WEST, STAMFORD, CT 06902 BARRY NOVA 60 BROOKRIDGE DRIVE, GREENWICH, CT 06830 BERNADETTE SETTELMEYER 633 STEAMBOAT ROAD, UNIT 2, GREENWICH, CT 06830 TONI WYMAN 34 BALDWIN FARMS NORTH, GREENWICH, CT 06831 |
| ACCOUNTING BASIS | 990 PART XII LINE 1 | ORGANIZATION HAS REPORTED ON THE MODIFIED CASH BASIS |
| Software ID: | |
| Software Version: |