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.") .... | 86,805 | 113,315 | 115,960 | 385,071 | 184,567 | 885,718 |
| 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.. | 86,805 | 113,315 | 115,960 | 385,071 | 184,567 | 885,718 |
| 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).. | 235,500 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 650,218 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 86,805 | 113,315 | 115,960 | 385,071 | 184,567 | 885,718 |
| 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.. | 352 | 639 | 1,183 | 1,526 | 1,137 | 4,837 |
| 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). | 890,555 | |||||






| 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. Members or stockholder classes and rights (Part VI, line 6) | THE ORGANIZATIONS MEMBERS ARE PRIVATE COMMUNITY OPERATING AND SUPPORTING FOUNDATIONS CORPORATE GRANTMAKERS AND FEDERATED FUNDS WITH VERIFIABLE GIVING PROGRAMS WITHIN THE STATE | |
| 02. Member election for additional members (Part VI, line 7a) | OFFICERS AND DIRECTORS ARE ELECTED BY THE MEMBERSHIP | |
| 03. Governing body decisions (Part VI, line 7b) | THE MEMBERSHIP ELECTS THE BOARD OF DIRECTORS AND THE BYLAWS GIVE THE BOARD OF DIRECTORS THE AUTHORITY TO MANAGE THE AFFAIRS OF THE CORPORATION | |
| 04. Committee meeting documentation (Part VI, line 8b) | ALL COMMITTEES ARE ADVISORY COMMITTEES TO THE BOARD OF DIRECTORS AND DO NOT ACT ON BEHALF OF THE GOVERNING BODY THE ORGANIZATION DOES NOT HAVE A FORMAL POLICY WITH REGARD TO DOCUMENTATION OF THESE COMMITTEE MEETINGS | |
| 05. Form 990 governing body review (Part VI, line 11) | FORM 990 WAS REVIEWED BY BOARD MEMBERS AT A REGULARLY SCHEDULED BOARD MEETING | |
| 06. Conflict of interest policy compliance (Part VI, line 12c) | THE BOARD OF DIRECTORS ARE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY AND ARE REQUIRED TO SIGN AND SUBMIT A DISCLOSURE STATEMENT INDICATING THEY HAVE RECEIVED READ AND UNDERSTAND THE POLICY AND AGREE TO DISCLOSE ANY PERSONAL INTEREST IN ANY MATTER PENDING BEFORE THE BOARD EITHER WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION OR AS PART OF A PERIODIC PROCEDURE TO BE ESTABLISHED BY THE BOARD | |
| 07. Governing documents, etc, available to public (Part VI, line 19) | DOCUMENTS AVAILABLE UPON REQUEST AND ORGANIZATIONS BYLAWS ARE AVAILABLE ON THE ORGANIZATIONS WEBSITE FINANCIAL INFORMATION IS PROVIDED TO THE MEMBERS ANNUALLY | |
| 08. Explanation of other changes in net assets or fund balances (Part XI, line 5) | CORRECTION FOR PREPAID INSURANCE NOT REPORTED ON FORM 990 PART X ON 2009 TAX RETURN AND ROUNDING DIFFERENCE |
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