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.") .... | 728,298 | 847,059 | 751,407 | 765,286 | 802,163 | 3,894,213 |
| 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.. | 728,298 | 847,059 | 751,407 | 765,286 | 802,163 | 3,894,213 |
| 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. | 3,894,213 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 728,298 | 847,059 | 751,407 | 765,286 | 802,163 | 3,894,213 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 10,478 | 13,238 | 5,158 | 4,238 | 128,963 | 162,075 |
| 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). | 4,056,288 | |||||






| 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.) | 0 | |||||
| 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: | 10000104 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI-B, Line 15 | THE BOARD OF DIRECTORS REVIEW THE EXECUTIVE DIRECTOR'S | |
| SALARY EACH YEAR AND BASES INCREASES ON COMAPARATIBLE | ||
| POSITIONS IN THE AREA. | ||
| Pt VI-C, Line 19 | FORM 990 IS AVAILABE ON REQUEST FROM THE ORGANIZATIONS OFFICE. | |
| Pt VI-A, Line 8b | BOARD MEETINGS ARE DOCUMENTED AND WRITTEN COPIES OF | |
| OF THE MINUTES ARE MAINTAINED IN THE ORGANIZATION'S | ||
| FILES | ||
| Pt VI-B, Line 11a | FORM 990 IS REVIEWED AND CORRECTIONS PROVIDED BY THE | |
| EXECUTIVE DIRECTOR. THE FINAL FORM 990 IS REVIEWED | ||
| BY THE BOARD OF DIRECTORS. | ||
| Pt III, Line 3 | CLIENT AND FAMILY SUPPORT SERVICES | |
| Form 990EZ, Part I, Line 8 | MISC REFUNDS, ECT | |
| Form 990EZ, Part I, Line 16 | PAYROLL TAXES WORKMAN COMPENSATION EMPLOYEE BENEFITS TELEPHONE EQUIPMENT REPAIRS LOCAL TRANSPORTATION CONFERENCE, CONVENTIONS, AND MEETING DUES AND MEMBERSHIP FEES INTEREST EXPENSE COMMODITIES, FOOD AND MEDICAL ASSITANCE RISK MANAGEMENT MISCELLANEOUS SUPLIES | |
| Form 990EZ, Part II, Line 24 | PREPAID EXPENSES GRANTS RECEIVABLES | |
| Form 990, Part III, Line 4d | HOME BASE SUPPORT SERVICES. CASE FACILITATION 38135. 0. 0. | |
| Form 990, Part IX, Line 24f | COMMODOTIES/FOOD/MEDS 2263. 2263. EQUIPMENT REPAIR 38768. 38768. MISCELLANEOUS 4533. 4506. 27. POSTAGE AND SHIPPING 1223. 1223. PRINTING AND PUBLICATIONS 2222. 2222. RISK MANAGEMENT 2550. 2550. TELEPHONE 10477. 10477. WORKERS COMPENSATION INS 23994. 23994. |
| Software ID: | 10000104 |
| Software Version: |