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.") . | 218,523 | 196,795 | 205,412 | 127,242 | 137,745 | 885,717 |
| 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.. | 1,617 | 1,364 | 1,867 | 1,390 | 15,705 | 21,943 |
| 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. | 220,140 | 198,159 | 207,279 | 128,632 | 153,450 | 907,660 |
| 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.) | 907,660 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 220,140 | 198,159 | 207,279 | 128,632 | 153,450 | 907,660 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 23,193 | 25,157 | -20,873 | 25,839 | 17,527 | 70,843 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 23,193 | 25,157 | -20,873 | 25,839 | 17,527 | 70,843 |
| 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.). | 243,333 | 223,316 | 186,406 | 154,471 | 170,977 | 978,503 |




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | CVCA IS ORGANIZED AS A GEORGIA DOMESTIC CORPORATION | |
| 02. Member election for additional members (Part VI, line 7a) | GOVERNING BOARD ELECTS MEMBERS | |
| 03. Governing body decisions (Part VI, line 7b) | GOVERNING BODY DECIDES VIA MAJORITY VOTE | |
| 04. Form 990 governing body review (Part VI, line 11) | THE EXECUTIVE DIRECTOR AND TREASURER HIRED A CPA FIRM TO PREPARE A FINANCIAL STATEMENT REVIEW AND THE 990 TAX FILING BOTH EXECUTIVE DIRECTOR AND TREASURER MET WITH THE CPA PRIOR TO FINAL 990 FILING | |
| 05. Conflict of interest policy compliance (Part VI, line 12c) | CVCA HAS A FINANCE AND OTHER COMMITTEES THE BOARD MEETS ROUTINELY THE EXECUTIVE DIRECTOR MEETS OFTEN WITH THE TREASURER MINUTES ARE MAINTAINED BY THE ORGANIZATION MAJOR DECISIONS ARE PLACED FOR VOTE | |
| 06. CEO, executive director, top management comp (Part VI, line 15a) | THE COMPENSATION LEVEL WAS SET BY THE UNITED WAYS COMPENSATION COMMITTEE ANNUAL REVIEWS BY BOTH UNITED WAY SUPERVISORS AND CVC EXECUTIVE COMMITTEE SET ANNUAL ADJUSTMENTS NOT EXCEEDING 4 PERCENT PER YEAR IN THE LAST FIVE YEARS | |
| 07. Other officer or key employee compensation (Part VI, line 15b | THE COMPENSATION LEVEL WAS SET BY THE UNITED WAYS COMPENSATION COMMITTEE ANNUAL REVIEWS BY BOTH UNITED WAY SUPERVISORS AND CVC EXECUTIVE COMMITTEE SET ANNUAL ADJUSTMENTS NOT EXCEEDING 4 PERCENT PER YEAR IN THE LAST FIVE YEARS | |
| 08. Governing documents, etc, available to public (Part VI, line 19) | DOCUMENTS ARE RETAINED BY THE EXECUTIVE DIRECTOR MANY OF THEM ARE PLACED ON THE WEBSITE OTHER DOCUMENTS CAN BE EXAMINED VIA WRITTEN REQUEST TO THE EXECUTIVE DIRECTOR | |
| 09. Explanation of other changes in net assets or fund balances (Part XI, line 5) | TEMPORARILY RESTRICTED NET ASSETS FOR 14000 WERE RECORDED AS REVENUE IN 2010 IN ACCORD WITH DONOR INTENTION CONCERNING USE OF PREVIOUSLY RESTRICTED FUNDS FOR THE REISER AWARD |
| Software ID: | |
| Software Version: |