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.") .... | ||||||
| 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.") . | 56,382 | 73,283 | 79,458 | 70,915 | 74,201 | 354,239 |
| 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...... | 2,194 | 8,550 | 3,115 | 8,475 | 22,334 | |
| 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. | 58,576 | 73,283 | 88,008 | 74,030 | 82,676 | 376,573 |
| 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. | 3,550 | 3,550 | ||||
| c | Add lines 7a and 7b.. | 3,550 | 3,550 | ||||
| 8 | Public Support (Subtract line 7c from line 6.) | 373,023 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 58,576 | 73,283 | 88,008 | 74,030 | 82,676 | 376,573 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 804 | 578 | 484 | 39 | 1,905 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 804 | 578 | 484 | 39 | 1,905 | |
| 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.). | 59,380 | 73,861 | 88,492 | 74,069 | 82,676 | 378,478 |




| 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) | THE THIRTEEN MEMBERS LISTED AS OFFICERS AND DIRECTORS CONSIST OF THE TOTAL MEMBERS OF THE NOT FOR PROFIT BOARD WHICH GOVERNS THE ACTIVITIES OF THE ENTITY NO BENEFITS ENURE TO THE INDIVIDUAL OFFICERS AND DIRECTORS NOR ARE THEIR ANY RIGHTS ASSOCIATED WITH THEIR VOLUNTEER ROLES THE EXECUTIVE DIRECTOR SERVES FOR PAY AS IS LISTED ON THE APPROPRIATE SCHEDULE | |
| 02. Member election for additional members (Part VI, line 7a) | MEMBERS OF THE OFFICERS AND DIRECTORS ARE ROTATED OFF AND ELECTED ON TWO THE GOVERNING BOARD BY THE REMAINING BOARD MEMBERS | |
| 03. Governing body decisions (Part VI, line 7b) | THE MEMBERS OF THE OFFICERS AND DIRECTORS BOARD IS RESPONSIBLE FOR APPROVING ALL LEGALLY BINDING POLICIES THE COMPENSATION AND HIRING OF THE EXECUTIVE DIRECTOR AND THE APPROVAL OF ALL LEASES AND OTHER CONTRACTS ENTERED INTO BY THE NOT FOR PROFIT | |
| 04. Form 990 governing body review (Part VI, line 11) | THE NOT FOR PROFIT HAS A GOVERNING BODY APPROVED CONFLICT OF INTEREST POLICY ALONG WITH THE APPROPRIATE INDIVIDUAL MEMBER DISCLOSURE OF ANY CONFLICTS OF INTEREST BETWEEN THE NOT FOR PROFIT AND THE MEMBER AND HISHER BUSINESS | |
| 05. Conflict of interest policy compliance (Part VI, line 12c) | THE GOVERNING BODY ANNUALLY REQUIRES ALL NOT FOR PROFIT OFFICERS AND DIRECTORS TO SUBMIT IN WRITING THE DISCLOSURE OF ANY CONFLICT OF INTEREST FOR APPROVAL AN THE NEXT OFFICIAL MEETING OF THE NOT FOR PROFIT | |
| 06. Other officer or key employee compensation (Part VI, line 15b | THE FULL ELECTED NOT FOR PROFIT OFFICERS AND DIRECTORS APPROVE ANNUALY THE COMPENSATION AND EXPENSE REIMBURSEMENT PACKAGE OF THE EXECUTIVE DIRECTOR POSITION | |
| 07. Governing documents, etc, available to public (Part VI, line 19) | THE GOVERNING BOARD DOCUMENTS ARE AVAILABE TO THE PUBLIC UPON REQUEST |
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