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.") .... | 4,875 | 3,730 | 105,205 | 74,365 | 108,655 | 296,830 |
| 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.. | 4,875 | 3,730 | 105,205 | 74,365 | 108,655 | 296,830 |
| 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. | 296,830 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 4,875 | 3,730 | 105,205 | 74,365 | 108,655 | 296,830 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,547 | 2,073 | 1,341 | 308 | 320 | 5,589 |
| 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). | 302,419 | |||||






| 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 |
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| FORM 990, PART VI, SECTION A, LINE 2 | MEMBERS OF THE BOARD OF DIRECTORS ARE CHILDREN OF THE FOUNDATION FOUNDER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PAGE 2 PART III | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ORGANIZATION'S PRIMARY EXEMPT PURPOSE THE LUSTER PRODUCTS BLACK HERITAGE FOUNDATION IS ORGANIZED EXCLUSIVELY FOR CHARTITABLE, RELIGIOUS, EDUCATIONAL AND SCIENTIFIC PURPOSES, INCLUDING FOR SUCH PUPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990 PAGE 2 PART III ORGANIZATIONS EXEMPT PURPOSE ACHIEVEMENTS: A) CASH DONATIONS TO THE AMERICAN CANCER SOCIETY B) FOOD BASKETS WERE DISTRIBUTED TO VARIOUS CHURCHES AND HOMELESS SHELTERS IN THE CHICAGO AREA TO AID THE POOR AND NEEDY. C) CASH CONTRIBUTION TO RICHARD C. HALEY FOUNDATION. THE RICHARD C. HALEY FOUNDATION IS A SCHOLARSHIP FOUNDATION COMMITTED TO DEVELOPING THE POTENTIAL OF YOUTH THROUGH EDUCATION, SCHOLARSHIP, AND LEADERSHIP SKILLS PROGRAMS. D) CASH CONTRIBUTION TO THE JOSEPH ASSIGNMENT GLOBAL INITIATIVE. THE JOSEPH ASSIGNMENT GLOBAL INITIATIVE IS AN INTERNATIONAL CHRISTIAN GLOBAL RELIEF ORGANIZATION COMMITTED TO THE BASIC NEEDS OF PEOPLE LIVING IN POVERTY ACROSS THE WORLD. THE LUSTER BLACK HERITAGE FOUNDATION WAS ESTABLISHED IN 1989 BY FRED LUSTER, SR. FOUNDER AND FIRST PRESIDENT OF LUSTER PRODUCTS, INC. THE PURPOSE OF THE FOUNDATION IS TO SUPPORT COMMUNITY BASED ORGANIZATIONS THAT PROMOTE POSITIVE VALUES, COMMUNITY SERVICE AND INSPIRATIONAL ROLE MODELS FOR AFRICAN-AMERICAN YOUTH. |
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