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. | ||||||
| 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.. | ||||||
| 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.") . | 108,013 | 97,878 | 109,284 | 87,988 | 103,931 | 507,094 |
| 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...... | 320,294 | 295,250 | 356,652 | 337,801 | 345,877 | 1,655,874 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 428,307 | 393,128 | 465,936 | 425,789 | 449,808 | 2,162,968 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 5,180 | 5,640 | 6,440 | 5,599 | 8,948 | 31,807 |
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 5,180 | 5,640 | 6,440 | 5,599 | 8,948 | 31,807 |
| 8 | Public Support (Subtract line 7c from line 6.) | 2,131,161 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 428,307 | 393,128 | 465,936 | 425,789 | 449,808 | 2,162,968 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 8,037 | 13,351 | 9,303 | 4,333 | 3,269 | 38,293 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 8,037 | 13,351 | 9,303 | 4,333 | 3,269 | 38,293 |
| 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.). | 436,344 | 406,479 | 475,239 | 430,122 | 453,077 | 2,201,261 |




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART III, LINE 4d | PART III LINE 4D ASSAULT SURVIVOR KITS FOR ASSAULT VICTIMS PROVIDED 558 KITS I M IN CHARGE SERVED 4026 CLIENTS SENIOR OUTREACH SERVICES SERVED 505 | |
| PART VI, SECTION A | LINE 7 THE ORGANIZATION IS MADE UP OF ITS MEMBERS | |
| PART VI, SECTION B, LINE 11 | COPY GIVEN TO EACH BOARD MEMBER AND IS REVIEWED | |
| PART VI, SECTION B, LINE 12c | SIGNED FORM REQUIRED THAT IS MONITORED BY THE MEMBERSHIP COMMITTEE | |
| PART VI, SECTION C, LINE 19 | THEY ARE AVAILABLE ON THE GREATER KC FOUNDATION WEBSITE |
| Software ID: | |
| Software Version: |