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.") .... | 180,864 | 194,174 | 26,386 | 15,449 | 7,820 | 424,693 |
| 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.. | 180,864 | 194,174 | 26,386 | 15,449 | 7,820 | 424,693 |
| 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. | 424,693 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 180,864 | 194,174 | 26,386 | 15,449 | 7,820 | 424,693 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 559 | 3,721 | 78,527 | 70,920 | 55,628 | 209,355 |
| 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). | 634,048 | |||||






| 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 3 | Building sold, developing community based programs | |
| Pt VI-B, Line 11a | Handed out & asked to review | |
| Pt VI-B, Line 12c | Reviewed annually. | |
| Form 990EZ, Part I, Line 8 | RENT REIMBURSEMENTS OTHER | |
| Form 990EZ, Part I, Line 16 | INSURANCE VEHICLE INTEREST RESIDENT CARE STAFF HOUSING MAINTENANCE ACADEMY FARM OFFICE ADMIN OFFICE RENT STAFF REAL ESTATE TAXES EDUCATIONAL CONTRIBUTIONS FUNDRAISING OTHER MUSIC OFFICE SUPPLIES OPEN HOUSE PERSONAL CARE OTHER PROGRAMS PROPERTY MTCE R/E TAX SCHOOL STAFF VOCATIONAL UTILITIES SUPPLIES SUBSCRIPTIONS TRASH SHOP MISC OTHER SUPPLIES | |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE PREPAID ASSETS | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE LINE OF CREDIT DEPOSIT HELD LOANS PAYABLE - < 1YR LOANS PAYABLE - < 1 YR | |
| Form 990, Part VI, Line 9 | STEVE ROWELL 211 ESAU ST HOLLIDAYSBURG PA 16648 BRANDON WILLIARD 10474 MAPLETON RD SHIPPENSBURG PA 17257 | |
| Form 990, Part IX, Line 24f | PETTY CASH 230. 230. 0. 0. STAFF 28. 28. 0. 0. POSTAGE 190. 0. 0. 190. RECRUITMENT 53. 53. 0. 0. OFFICE EQUIPMENT 763. 763. 0. 0. VEHICLE REPAIRS 1881. 1881. 0. 0. GASOLINE 4000. 4000. 0. 0. VEHICLE MTCE 881. 881. 0. 0. SUPPLIES 565. 565. 0. 0. TELEPHONE 2048. 1843. 205. 0. OFFICE RENT 4800. 4320. 480. 0. EQUINE THERAPY 2291. 2291. 0. 0. |
| Software ID: | 10000104 |
| Software Version: |