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. | 0 | |||||
| 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.. | 0 | |||||
| 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.") . | 10,334 | 38,561 | 20,669 | 25,209 | 49,795 | 144,568 |
| 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...... | 190,173 | 225,904 | 222,939 | 81,237 | 215,287 | 935,540 |
| 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. | 200,507 | 264,465 | 243,608 | 106,446 | 265,082 | 1,080,108 |
| 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. | 36,485 | 55,000 | 45,000 | 28,250 | 80,000 | 244,735 |
| c | Add lines 7a and 7b.. | 36,485 | 55,000 | 45,000 | 28,250 | 80,000 | 244,735 |
| 8 | Public Support (Subtract line 7c from line 6.) | 835,373 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 200,507 | 264,465 | 243,608 | 106,446 | 265,082 | 1,080,108 |
| 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.). | 1,080,108 | |||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 10000104 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI-A, Line 6 | The Organization has one class of members. Membership | |
| is open to the public upon proper application to the | ||
| Secretary. | ||
| Pt VI-A, Line 7a | The members of the corporation elect directors of the | |
| corporation at the annual meeting of the members of the | ||
| corporation. | ||
| Pt VI-B, Line 11a | Once the 990 is completed by the accountant, it is submitted to the | |
| president of the corporation for review, signature, | ||
| and filing with the Internal Revenue Service. | ||
| Pt VI-C, Line 19 | Any and all governing instruments and financial statements | |
| of the Organization are available for inspection during | ||
| normal business hours at the Organization's office. Upon | ||
| request, a copy of a document will be provided. | ||
| Form 990EZ, Part I, Line 8 | TRIBUTE CARDS 295. BINGO SPONSORSHIP 3500. MACYS SALE DAY 250. POPEYE PROMOTION 3102. | |
| Form 990EZ, Part I, Line 16 | SUPPLIES 2107. TELEPHONE 5079. BANK CHARGES 551. CREDIT CARD DISCOUNTS 1015. OTHER COSTS 605. WEB-SITE EXPENSES 299. TRAVEL AND MEETINGS 6950. | |
| Form 990, Part III, Line 4d | ADVOCACY TRAINING, MUSEUM DAY, AND MEDICAL 98344. 0. 0. | |
| Form 990, Part IX, Line 24f | MEDICAL ASSISTANCE 4649. 4649. 0. 0. SCHOLARSHIPS TO INDIVIDUALS 8453. 8453. 0. 0. OUTSIDE CONTRACT SERVICES 89812. 67359. 13472. 8981. PROGRAM AND ADMIN CONTRACT SERVICES 15332. 11499. 2300. 1533. POSTAGE, MAILING SERVICE 1074. 805. 161. 108. PRINTING AND COPYING 7. 7. 0. 0. SUPPLIES 2106. 1053. 526. 527. TELECOMMUNICATIONS 5079. 2540. 1270. 1269. BANK CHARGES 551. 0. 0. 551. CREDIT CARD DISCOUNTS 1015. 0. 0. 1015. OTHER COSTS 603. 0. 603. 0. WEB-SITE EXPENSES 299. 299. 0. 0. CONFERENCE, CONVEN |
| Software ID: | 10000104 |
| Software Version: |