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 | ||||
| (1)
ST MARYS HOME FOR THE ELDERLY INC |
237136808 | 501(C)(3) | Yes | Yes | Yes | 125,000 | |||
| (2)
ST MARYS HOME FOR THE ELDERLY II INC |
521330040 | 501(C)(3) | Yes | Yes | Yes | 50,000 | |||
| (3)
ST MARYS HOME FOR THE ELDERLY III INC |
522069016 | 501(C)(3) | Yes | Yes | 0 | ||||
| Total | 175,000 | ||||||||
| 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.") . | ||||||
| 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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| Explanation |
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| Software ID: | 10000077 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| F990_P03_S00_L02 | Form 990, Part III, Line 2 | Provided new energy efficient appliances to St. Mary's Home for the Elderly II Inc. residents through a Maryland Energy Administration Empower grant and received a Bond Bill Grant from the Maryland State Legislature to fund capital improvements in St. Mary's Home for the Elderly Inc. |
| F990_P06_S0A_L02 | Form 990, Part VI, Section A, Line 2 | John Parlett and F. Elliott Burch - Business Relationship |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | The bylaws state that the members of the corporation are those individuals who serve on the unified Board of Directors for St. Mary's Home for the Elderly, Inc., St. Mary's Home for the Elderly II, Inc., and St. Mary's Home for the Elderly III, Inc. The Board may appoint additional members but in no event relinquish control of the Corporation. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | See explanation for #6 |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | Members must vote to remove a director. |
| F990_P06_S0B_L11a | Form 990, Part VI, Section B, Line 11a | A copy of the draft form 990 is provided to all Board members prior to filing. Comments and questions are directed to the Treasurer for explanation and resolution prior to filing. |
| F990_P06_S0B_L12a | Form 990, Part VI, Section B, Line 12a | The organization is in the process of adopting the Conflict of Interest, Whistleblower and Document Retention and Destruction policies of the related organizations (St. Mary's Home for the Elderly I, II, III, Inc.) |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | Documents are available for inspection during business hours at the Cedar Lane Apartments Finance Office. |
| Software ID: | 10000077 |
| Software Version: | v1.00 |