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.") .... | 7,500 | 319 | 1,098 | 142 | 189 | 9,248 |
| 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.. | 7,500 | 319 | 1,098 | 142 | 189 | 9,248 |
| 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. | 9,248 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 7,500 | 319 | 1,098 | 142 | 189 | 9,248 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 709 | 130 | 351 | 289 | 211 | 1,690 |
| 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). | 10,938 | |||||






| 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.") . | 196,328 | 187,000 | 184,341 | 214,922 | 231,732 | 1,014,323 |
| 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...... | 128,570 | 129,022 | 128,852 | 137,141 | 136,628 | 660,213 |
| 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. | 324,898 | 316,022 | 313,193 | 352,063 | 368,360 | 1,674,536 |
| 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.) | 1,674,536 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 324,898 | 316,022 | 313,193 | 352,063 | 368,360 | 1,674,536 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | |||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| 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. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 324,898 | 316,022 | 313,193 | 352,063 | 368,360 | 1,674,536 |




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | 10000149 |
| Software Version: | 2010.2.15 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part VI | 9 | ART SERAFINSKI, PRESIDENT, 2025 E. CLARK RD.,YPSILANTI, MI 48198 |
| Form 990 Part VI | 9 | DARRIN DUISTERMARS,PRESIDENT ELECT., 353 N. 120TH AVE.,HOLLAND,MI 49422 |
| Form 990 Part VI | 9 | TROY STOWELL, VICE PRESIDENT,200 N. FOSTER,LANSING,MI.,48912 |
| Form 990 Part VI | 9 | ERIC VAN HEVEL, JUNIOR OLYMPIC COMM., W. BROADWAY,MT. PLEASANT,MI.48858 |
| Form 990 Part VI | 9 | KEITH FRANK, PAST PRESIDENT, 522 SMITH ST., EAST TAWAS, MI 48730 |
| Form 990 Part VI | 9 | DUSTIN LENT, PLAYER REP., 135 E MAUMEE ST., ADRIAN, MI 49221 |
| Form 990 Part VI | 9 | JOHN HARRIS, PLAYER REP., 6234 KINGSHIRE RD., GRAND BLANC, MI 48439 |
| Form 990 Part VI | 9 | MARY SCHEURER, PLAYER REP., 259 KENT ST., PORTLAND, MI 48875 |
| Form 990 Part VI | 9 | GARY EVANS, STATE UIC, 325 W. WILLOW, MASON, MI 38854 |
| Form 990 Part VI | 9 | MIKE DELEO, REGIONAL UIC, 1049 S. 10TH ST., AU GRES, MI 48703 |
| Form 990 Part VI | 9 | ANTHONY MORENO, MEMBER AT LARGE,310 N. FRANKS AVE.,STURGIS,MI. 49091 |
| Form 990 Part VI | 9 | DICK BENKERT,MEMBER AT LARGE, 7710 W. SAGINAW HIGH, LANSING,MI.,488917 |
| Software ID: | 10000149 |
| Software Version: | 2010.2.15 |