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.") .... | 420,997 | 351,938 | 317,305 | 242,054 | 135,328 | 1,467,622 |
| 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.. | 420,997 | 351,938 | 317,305 | 242,054 | 135,328 | 1,467,622 |
| 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. | 1,467,622 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 420,997 | 351,938 | 317,305 | 242,054 | 135,328 | 1,467,622 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 18,075 | 10,925 | 15,018 | 14,987 | 14,096 | 73,101 |
| 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). | 1,540,723 | |||||






| 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 VI-B, Line 11a | THE EXECUTIVE DIRECTOR REVIEWS AND SIGNS THE RETURN | |
| THE BOARD IS PRESENTED WITH A COPY OF THE AUDIT REPROT | ||
| AND FORM 990 WHICH IS THEN REVIEWED AND APPROVED OR NOT | ||
| IF CHANGES ARE REQUIRED AN AMENDED RETURN IS PREPARED | ||
| Pt VI-B, Line 12c | STAFF MEMBERS ARE REQUIRED TO SIGN A CONFIDENTIALITY | |
| AND CONFLICT OF INTEREST PLDEGE ANNUALLY. MEMBERS OF | ||
| THE BOARD ARE REQUIRED TO SIGN A CONFLICT OF INTEREST | ||
| PLEDGE UPON TAKING OFFICE. CONFLICT OF INTEREST | ||
| ISSUES ARE DISCUSSED AT DAILY AND MONTHLY STAFF | ||
| MEETINGS AND AT BOARD OF DIRECTOR MEETINGS. | ||
| Pt VI-B, Line 15 | ALL KEY EMPLOYEES ARE EVALUATED FOR PERFORMANCE ANNUALLY | |
| AND COMPENSATION IS BASED ON EVALUATIONS AS WELL AS | ||
| THE FINANCIAL CONDITION OF THE ORGANIZATION. | ||
| THIS EVALUATION AND COMPENSATION PROCESS IS CONDUCTED | ||
| BY THE EXECUTIVE DIRECTOR. THE BOARD CONDUCTS A SIMILAR | ||
| PROCESS FOR DETERMINING COMPENSATION FOR THE DIRECTOR | ||
| Pt XII, Line 2c | THE FINANCE COMMITTEE OF THE BOARD IS RESPONSIBLE | |
| FOR THE AUDIT AND RECOMMENDS THE HIRING OF THE AUDITOR | ||
| TO THE BOARD OF DIRECTORS. | ||
| Pt VI-C, Line 19 | THE ORGANIZATION IS PREPARED TO PROVIDE ITS GOVERNING | |
| DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL | ||
| STATEMENTS TO ANYONE IMMEDIATELY UPON REQUEST. | ||
| Form 990, Part IX, Line 24f | UTILITIES 37953. 36055. 1898. 0. PRINTING 7955. 2387. 5568. 0. MAINTENANCE 38539. 36612. 1927. 0. PARTICIPANT TRANSPORTATION 48707. 48707. 0. 0. OTHER SERVICES 6280. 0. 6280. 0. OTHER EXPENSES 3769. 0. 3769. 0. ANNUAL APPEAL 8426. 0. 0. 8426. VOLUNTEERS 20000. 6000. 14000. 0. |
| Software ID: | 10000104 |
| Software Version: |