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. | 0 | |||||
| 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.. | 0 | |||||
| 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.") . | ||||||
| 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: |
| Identifier | Return Reference | Explanation |
|---|---|---|
| Line 3 | POLICY IS PUBLISHED IN THE LOCAL NEWSPAPER EACH SEMESTER. IN ADDITION, POLICY IS ON ALL SCHOOL BROCHURES, THE APPLICATIONS FOR ENROLLMENT, AND THE PRESCHOOL'S WEB-SITE |
| Software ID: | 10000104 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI-B, Line 11a | TREASURER PRESENTS THE FORM 990 AT A MONTHLY BOARD | |
| MEETING AND THE BOARD HAS AN OPPORTUNITY TO ASK QUESTIONS. | ||
| Pt VI-B, Line 12c | THE ORGANIZATION REQUIRES ANNUAL POLICY REVIEW AT BOTH | |
| STAFF AND BOARD MEETINGS. ALL STAFF ARE REQUIRED TO | ||
| COMPLETE AN ANNUAL FORM DETAILING CONFLICTS, IF ANY. | ||
| THE DIRECTOR REVIEWS THE COMPLETED FORMS FOR | ||
| POTENTIAL CONFLICTS AND FOLLOWS-UP IF THERE IS ANY | ||
| INDICATION THAT A CONFLICT MAY EXIST. | ||
| Pt VI-B, Line 15 | BOARD HAS A HUMAN RESOURCES COMMITTEE THAT CARRIES OUT | |
| AN ANNUAL FORMAL PERFORMANCE EVALUATION OF THE DIRECTOR, | ||
| AS WELL AS AN EXAMINATION OF HER CONTRACT. | ||
| ADDITIONALLY THE COMMITTEE REVIEWS THE TEACHER | ||
| CONTRACTS DURING THE SAME PERIOD AND THEN | ||
| HAS OUTSIDE COUNSEL REVIEW FOR CURRENT EMPLOYMENT | ||
| REGULATIONS AND REQUIREMENTS. | ||
| Form 990EZ, Part I, Line 8 | BIRTHDAY BOOKS | |
| Form 990EZ, Part I, Line 16 | ADVERTISING AND PUBLICITY ART SUPPLIES BANK CHARGES FAMILY FUN DAY BOARD EXPENSES CLASSROOM EXPENSES ENRICHMENT PROGRAMS LICENSING FEES FIELD TRIP FIRST AID EXPENSE INSURANCE DUES & MEMBERSHIPS OFFICE SUPPLIES AND EXPENSES PAPER & CLEANING SUPPLIES SNACKS SUMMER ACTIVITIES TEACHER'S EDUCATION | |
| Form 990EZ, Part II, Line 26 | TUITION DEPOSITS 403(B) WITHHOLDING HEALTH PLAN REIMBURSMENTS | |
| Form 990, Part IX, Line 24f | EQUIPMENT LEASE 2019. 2019. 0. 0. FAMILY FUN DAY 461. 461. 0. 0. FIELD TRIPS 287. 287. 0. 0. FIRST AID & FLU SHOT 461. 461. 0. 0. FILM & DEVELOPING 234. 234. 0. 0. NURSE 2500. 2500. 0. 0. OUTSIDE SERVICES 2399. 0. 2399. 0. PAPER/CLEANING SUPPLIES 3257. 3257. 0. 0. POSTAGE 419. 399. 20. 0. TEACHER'S EDUCATION 4926. 4926. 0. 0. |
| Software ID: | 10000104 |
| Software Version: |