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.") . | 31,227 | 31,192 | 61,674 | 56,306 | 105,293 | 285,692 |
| 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...... | 84,838 | 129,987 | 133,017 | 89,108 | 84,161 | 521,111 |
| 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. | 116,065 | 161,179 | 194,691 | 145,414 | 189,454 | 806,803 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public Support (Subtract line 7c from line 6.) | 806,803 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 116,065 | 161,179 | 194,691 | 145,414 | 189,454 | 806,803 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 579 | 894 | 499 | 127 | 17 | 2,116 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 579 | 894 | 499 | 127 | 17 | 2,116 |
| 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.). | 116,644 | 162,073 | 195,190 | 145,541 | 189,471 | 808,919 |




| Facts And Circumstances Test |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S MEMBERS HAVE THE RIGHT TO NOMINATE AND ELECT THE OFFICERS OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | PART VI - 7A: THE TERM FOR A VSA BOARD MEMBER IS TWO YEARS; DIRECTORS MAY SERVE THREE CONSECUTIVE TWO-YEAR TERMS BEFORE TAKING AT LEAST A ONE-YEAR HIATUS FROM BOARD SERVICE. THE BOARD OF DIRECTORS IS ELECTED BY VOTE OF ITS MEMBERS. THE BOARD DEVELOPMENT COMMITTEE OVERSEES THE NOMINATIONS AND ELECTION PROCESSES. | |
| FORM 990, PART VI, SECTION A, LINE 7B | PART VI - 7B: CHANGES TO THE ASSOCIATION BY-LAWS MUST BE VOTED UPON BY THE MEMBERSHIP. | |
| FORM 990, PART VI, SECTION B, LINE 11 | PART VI 11B: THE 990 FORM IS POSTED FOR REVIEW ON THE ASSOCIATION'S BOARD MEMBER WEBSITE. BODS ARE GIVEN THREE DAYS TO REVIEW THE DOCUMENT AND ASK QUESTIONS BEFORE THE RETURN IS SUBMITTED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | PART VI - 12C: 1) AT EVERY MEETING OF THE EXECUTIVE COMMITTEE AND THE FULL BOARD, THE SECRETARY TAKES ROLL ASKING FOR POTENTIAL CONFLICTS WITH ANY ITEM ON THE AGENDA. THE POLICY DESCRIBES STEPS FOR MANAGING POTENTIAL CONFLICTS. 2) ANNUALLY AND IN THE SUMMER, THE BOD REVIEWS THE CONFLICT-OF-INTEREST POLICY. ALSO BODS COMPLETE AND SUBMIT AN ANNUAL DISCLOSURE FORM. | |
| FORM 990, PART VI, SECTION C, LINE 19 | PART VI - 19: ASSOCIATION MEMBERS HAVE ACCESS TO BOARD MEETING MINUTES, THE BY-LAWS AND POLICIES THROUGH A MEMBERS-ONLY AREA OF THE VSA WEBSITE. FOR ALL OTHER PARTIES, THE DOCUMENTS ARE AVAILABLE DURING BUSINESS HOURS AT THE VSA OFFICE. COPIES CAN BE REQUESTED FOR A NOMINAL FEE. |
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