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.") .... | 3,258 | 3,224 | 2,376 | 0 | 3,179 | 12,037 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3.. | 3,258 | 3,224 | 2,376 | 0 | 3,179 | 12,037 |
| 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).. | 0 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 12,037 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,258 | 3,224 | 2,376 | 0 | 3,179 | 12,037 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 225 | 225 | 292 | 137 | 144 | 1,023 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | 0 | |||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | 1,985 | 290 | 1,046 | 1,730 | 1,610 | 6,661 |
| 11 | Total support (Add lines 7 through 10). | 19,721 | |||||






| 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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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: MISC INCOME ; AMOUNT: 298 | |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: INTEREST INCOME ; AMOUNT: 144 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ADVERTISING ; AMOUNT: 4210 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ROYALTIES ; AMOUNT: 1410 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SET CONSTRUCTION ; AMOUNT: 858 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: COSTUMES ; AMOUNT: 576 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: VIDEOGRAPHY ; AMOUNT: 760 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: REFRESHMENTS ; AMOUNT: 440 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: PROPS ; AMOUNT: 585 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SCRIPTS ; AMOUNT: 407 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: PHOTOGRAPHY ; AMOUNT: 200 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: FUEL ; AMOUNT: 280 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SET DRESSING ; AMOUNT: 141 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: LOBBY DESIGN ; AMOUNT: 17 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: GIFTS ; AMOUNT: 10 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: FOOD FOR WORKERS ; AMOUNT: 340 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: FURNITURE RENTAL ; AMOUNT: 603 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SUPPLIES ; AMOUNT: 15 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MISC EXPENSE ; AMOUNT: 539 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SEASON TICKET FORM ; AMOUNT: 979 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: PUBLIC STORAGE ; AMOUNT: 4553 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ACCOUNTING ; AMOUNT: 225 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: BANK SERVICE CHARGE ; AMOUNT: 53 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TRUCK RENTAL ; AMOUNT: 239 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: SMALL TOOLS ; AMOUNT: 67 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TICKETS ; AMOUNT: 107 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: OFFICE SUPPLIES ; AMOUNT: | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ADMINISTRATION ; AMOUNT: 135 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: OFFICE SUPPLIES ; AMOUNT: 286 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TELEPHONE ; AMOUNT: 729 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: DUES ; AMOUNT: 382 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: INSURANCE ; AMOUNT: 250 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: FUND RAISER RAFFLE TICKETS ; AMOUNT: 53 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: END OF SEASON PARTY ; AMOUNT: 158 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: AWARD TICKETS ; AMOUNT: 150 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ENTRY FEES ; AMOUNT: 20 | |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MEETING ; AMOUNT: 9 | |
| FORM 990-EZ, PART I, LINE 20 - CHANGES IN NET ASSE | DESCRIPTION: PREPAID INC ; AMOUNT: 3207 | |
| FORM 990-EZ, PART I, LINE 20 - CHANGES IN NET ASSE | DESCRIPTION: PREPAID AD SALES ; AMOUNT: 5759 |
| Software ID: | |
| Software Version: |