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.") .... | 2,726 | 266,005 | 85,742 | 21,593 | 15,785 | 391,851 |
| 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.. | 2,726 | 266,005 | 85,742 | 21,593 | 15,785 | 391,851 |
| 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. | 391,851 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,726 | 266,005 | 85,742 | 21,593 | 15,785 | 391,851 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 75 | 5 | 2 | 2 | 84 | |
| 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). | 391,935 | |||||






| 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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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Committee meeting documentation (Part VI, line 8b) | ALL ACTION ON THE PART OF THE ORGANIZATION IS CONDUCTED BY THE GENERAL BOARD AT THE MONTHLY MEETINGS A CAMPGROUND SUBCOMMITTEE WAS FORMED DURING THE YEAR TO REVIEW AND NEGOTIATE WITH THE ARMY CORPS OF ENGINEERS TO BEGIN OPERATING THE SEVEN POINTS AND SUSQUEHANNOCK CAMPGROUNDS THE NEXT FISCAL YEAR | |
| 02. Form 990 governing body review (Part VI, line 11) | A PDF COPY OF FORM 990 WAS PROVIDED TO EACH BOARD MEMBER FOR REVIEW PRIOR TO THE TAX RETURN BEING SUBMITTED TO THE IRS | |
| 03. Conflict of interest policy compliance (Part VI, line 12c) | NEW VENDORS ARE REVIEWED BY THE TREASURER BEFORE PAYMENTS ARE MADE IF ANY CONFLICT OF INTEREST APPEARS TO BE INVOLVED IT IS REFERRED TO THE BOARD BEFORE PAYMENT IS MADE CONSISTENT WITH THE CONFLICT OF INTEREST POLICY NO CONFLICT OF INTEREST VIOLATIONS HAVE OCCURRED BASED ON THE ORGANIZATIONS SOLICITOR REVIEW OF CONTRACTS | |
| 04. Governing documents, etc, available to public (Part VI, line 19) | AN EXTRA PAPER COPY OF FORM 990 IS PROVIDED TO THE PRESIDENT AND SECRETARY TO BE MADE AVAILABLE FOR PUBLIC INSPECTION AND AVAILABLE TO THE PUBLIC UPON REQUEST THE TREASURER AND ALL BOARD MEMBERS HAVE PDF COPIES THAT ARE AVAILABLE TO EMAIL OR PRINT UPON REQUEST FROM THE PUBLIC | |
| 05. Explanation of other changes in net assets or fund balances (Part XI, line 5) | INTEREST INCOME EARNED ON CONSERVATION FUNDS ARE BOARD DESIGNATED FUNDS AND ARE SEGREGATED IN THE FUND BALANCE |
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