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? |
|||
|---|---|---|---|---|---|---|---|---|---|
| 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.") .... | 124,262 | 460,944 | 189,063 | 179,355 | 191,729 | 1,145,353 |
| 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.. | 124,262 | 460,944 | 189,063 | 179,355 | 191,729 | 1,145,353 |
| 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. | 1,145,353 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 124,262 | 460,944 | 189,063 | 179,355 | 191,729 | 1,145,353 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,745 | 12,688 | 13,613 | 933 | 28,979 | |
| 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). | 1,174,332 | |||||






| 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 VI-A, Line 8a | ALL THREE BOARD MEMBERS COMMUNICATE INFORMALLY VIA | |
| EMAIL ON A REGULAR BASIS. SINCE THERE ARE NO LARGE | ||
| ISSUES, FORMAL MINUTES ARE NOT KEPT. | ||
| Pt VI-A, Line 8b | SEE EXPLANATION TO VI-A, LINE 8A ABOVE. | |
| NO SEPARATE COMMITTEES EXIST. ISSUES ARE SIMPLE AND | ||
| ACCORDINGLY, FORMAL MINUTES ARE NOT CONSIDERED | ||
| NECESSARY. | ||
| Pt VI-B, Line 11a | PRESIDENT REVIEWS THE FORM 990 BEFORE FILING AND INFORMS | |
| OTHER TWO BOARD MEMBERS OF ANY SIGNIFICANT ISSUES. | ||
| Pt VI-C, Line 19 | ANNUAL REPORT AND AUDITED FINANCIAL STATEMENTS ARE | |
| POSTED ANNUALLY ON THE ORGANIZATION'S WEB SITE. | ||
| Form 990, Part IX, Line 24f | OTHER TAX 265. 239. 13. 13. PROPERTY TAX 77. 69. 4. 4. CONTRACT LABOR 650. 650. 0. 0. OTHER 199. 199. 0. 0. OFFICE SUPPLIES 2102. 1682. 210. 210. OPERATING SUPPLIES 3608. 3139. 469. 0. POSTAGE & DELIVERY 30160. 24430. 1508. 4222. PRINTING 52038. 49436. 0. 2602. REPAIR & MEINTENANCE 3088. 2780. 154. 154. SANITARY CARE 8864. 7978. 443. 443. SERVICES 2420. 2178. 121. 121. REAL ESTATE TAXES 1071. 963. 54. 54. TELEPHONE & INTERNET 3350. 3016. 167. 167. MEALS & ENTERTAINMENT 736. 662. 37. 37. UTILITIE |
| Software ID: | 10000104 |
| Software Version: |