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.") .... | 639,894 | 820,427 | 1,575,748 | 1,734,608 | 1,062,938 | 5,833,615 |
| 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.. | 639,894 | 820,427 | 1,575,748 | 1,734,608 | 1,062,938 | 5,833,615 |
| 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. | 5,833,615 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 639,894 | 820,427 | 1,575,748 | 1,734,608 | 1,062,938 | 5,833,615 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,215 | 10,120 | 11,473 | 10,141 | 1,882 | 35,831 |
| 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). | 5,869,446 | |||||






| 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 III, Line 2 | No other programs were undertaken during 2010 | |
| Pt III, Line 3 | No changes made in how the organization conducts program | |
| Pt III, Line 3 | services | |
| Pt VI-B, Line 11a | A draft of the completed Form 990 is provided to the board | |
| Pt VI-B, Line 11a | of directors for review, questions and answers and final | |
| Pt VI-B, Line 11a | approval. | |
| Pt VI-B, Line 12c | Management requests conflict of interest statements from | |
| Pt VI-B, Line 12c | board members at its annual board meeting. Management | |
| Pt VI-B, Line 12c | follows up on obtaining statements until received. | |
| Pt VI-B, Line 15 | The board of directors determines the pay for the | |
| Pt VI-B, Line 15 | executive director and other key employees. Pay is typically | |
| Pt VI-B, Line 15 | determined based on the experience of employee, comparable | |
| Pt VI-B, Line 15 | pay at other similiar sized nonprofits in the area. | |
| Form 990, Part IX, Line 24f | WORKMAN'S COMP INSURANCE 1204. 903. 120. 181. BIRDIES FOR CHARITY 50400. 37800. 5040. 7560. CAPITAL CAMPAIGN-ROOM TO HEAL 34128. 25596. 3413. 5119. EQUINE THERAPY 6048. 4536. 605. 907. EQUIPMENT REPAIRS & MAINTENANCE 9948. 7461. 995. 1492. EVENT THIRD PARTY ASSISTANCE 212. 159. 21. 32. GALA-NON DIRECT BENEFIT 20348. 15261. 2035. 3052. INSURANCE 12479. 9359. 1248. 1872. INTEREST 336. 252. 34. 50. MEALS, GIFTS & ENTERTAINMENT 15702. 11777. 1570. 2355. OTHER 124. 93. 12. 19. POSTAGE 7866. 5900. 787 |
| Software ID: | 10000104 |
| Software Version: |