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.") .... | 136,348 | 388,257 | 380,000 | 449,878 | 288,315 | 1,642,798 |
| 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.. | 136,348 | 388,257 | 380,000 | 449,878 | 288,315 | 1,642,798 |
| 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. | 1,642,798 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 136,348 | 388,257 | 380,000 | 449,878 | 288,315 | 1,642,798 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 6,535 | 6,206 | 7,000 | 2,323 | 861 | 22,925 |
| 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.. | 41,353 | 12,863 | 13,000 | 139,146 | 33,627 | 239,989 |
| 11 | Total support (Add lines 7 through 10). | 1,905,712 | |||||






| 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.) | ||||||
| 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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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| FORM 990, PART VI, SECTION A, LINE 6 | THE SEVEN MEMBERSHIP CLASSES ARE AS FOLLOWS: REGULAR MEMBERSHIP- SUCH MEMBERS ARE ENTITLED TO ONE VOTE AND MAY HOLD OFFICE AND SERVE ON THE NATIONAL OR CHAPTER LEVEL BOARD OF DIRECTORS. EXECUTIVE MEMBERSHIP- THESE MEMBERS ARE ENTITLED TO ONE VOTE AND MAY HOLD OFFICE AND SERVE ON THE NATIONAL OR CHAPTER LEVEL BOARD OF DIRECTORS. CHARTER MEMBERSHIP- SUCH MEMBERS MAY UPGRADE THEIR STATUS TO EXECUTIVE IF THEY MEET EXECUTIVE MEMBERSHIP CRITERIA. ENTRY LEVEL MEMBERSHIP- THESE MEMBERS DO NOT HAVE VOTING RIGHTS AND CANNOT SERVE IN AN APPOINTED OR ELECTED OFFICE. EXECUTIVE LIFE MEMBERSHIP- SUCH MEMBERS ARE ENTITLED TO ONE VOTE AND MAY HOLD OFFICE AND SERVE ON THE NATIONAL OR CHAPTER LEVEL BOARD OF DIRECTORS. HONORARY MEMBERSHIP- THOSE CONFERRED HONORARY MEMBERSHIP DO NOT RECEIVE A VOTE AND CANNOT SERVE IN AN APPOINTED OR ELECTED OFFICE. STUDENT MEMBERSHIP- STUDENT MEMBERS DO NOT HAVE VOTING RIGHTS OR THE RIGHTS TO SERVE IN AN APPOINTED OR ELECTED OFFICE. | |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS OF THE FOLLOWING CLASSES MAY USE THEIR VOTING RIGHTS TO ELECT NOMINEES FOR POSITIONS IN THE GOVERNING BODY: -REGULAR MEMBERS -EXECUTIVE MEMBERS -EXECUTIVE LIFE MEMBERS | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 TAX RETURN IN REVIEWED BY THE VP OF FINANCE & ADMINISTRATION AND BY THE OUTSIDE ACCOUNTING FIRM. | |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS MUST COMPLETE A FORM DISCLOSING CONFLICTS, IF ANY, OR SUBMIT A STATEMENT THAT NO CONFLICTS EXIST. IF A CONFLICT OR POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, IT IS UP TO THE EXECUTIVE COMMITTEE OF THE BOARD TO DETERMINE WHETHER A CONFLICT EXISTS. IF SO, A BOARD MEMBER IS NOT PERMITTED TO VOTE ON ANY DECISIONS RELATED TO THE TRANSACTION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | PRIOR PERIOD ADJUSTMENT OF END OF THE YEAR BALANCE -253,334. TOTAL TO FORM 990, PART XI, LINE 5: -253,334. |
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