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.") .... | 110,146 | 306,016 | 240,979 | 247,664 | 130,037 | 1,034,842 |
| 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.. | 110,146 | 306,016 | 240,979 | 247,664 | 130,037 | 1,034,842 |
| 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. | 1,034,842 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 110,146 | 306,016 | 240,979 | 247,664 | 130,037 | 1,034,842 |
| 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). | 1,034,842 | |||||






| 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. Form 990 governing body review (Part VI, line 11) | The Form 990 and audit are presented to the Board at the Board meeting | |
| 02. Conflict of interest policy compliance (Part VI, line 12c) | Any director officer or key employee who has an interest in a contract or other transaction presented to the Board or a committee thereof for authorization approval or ratification shall make a prompt and full disclosure of hisher interest to the Board or committee prior to its acting on such contract or transaction Such disclosure shall include any relevant and material facts known to such person about the contract or transaction which might reasonably be construed to be adverse | |
| 03. CEO, executive director, top management comp (Part VI, line 15a) | The salaries of the officers if any shall be fixed from time to time by resolution of the Board of Directors Any salaries received by officers of this corporation shall be reasonable & given in return for services actually rendered to or for the corporation Moreover any salaries wages together with fringe benefits or other form of compensation paid to or provided our employees directors or officers will not exceed a value which is reasonable & commensurate with the duties & working hours associated with such employment & with the compensation ordinarily paid persons with similar positions or duties The corporation would seek outside counsel for establishing what is reasonable & commensurate The duties will disqualify themselves from all votes pertaining to their own salaries | |
| 04. Other officer or key employee compensation (Part VI, line 15b | The salaries of the officers if any shall be fixed from time to time by resolution of the Board of Directors Any salaries received by officers of this corporation shall be reasonable & given in return for services actually rendered to or for the corporation Moreover any salaries wages together with fringe benefits or other form of compensation paid to or provided our employees directors or officers will not exceed a value which is reasonable & commensurate with the duties & working hours associated with such employment & with the compensation ordinarily paid persons with similar positions or duties The corporation would seek outside counsel for establishing what is reasonable & commensurate The duties will disqualify themselves from all votes pertaining to their own salaries | |
| 05. Governing documents, etc, available to public (Part VI, line 19) | Documents are made available to the public at the office of the agency |
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