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.") .... | 27,950 | 38,732 | 29,270 | 24,304 | 48,890 | 169,146 |
| 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.. | 27,950 | 38,732 | 29,270 | 24,304 | 48,890 | 169,146 |
| 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. | 169,146 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 27,950 | 38,732 | 29,270 | 24,304 | 48,890 | 169,146 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | |||||
| 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). | 169,146 | |||||






| 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-B, Line 11a | A completed copy of the 990 is forwarded to the director, who then reports to the officers and then approves the 990. | |
| Pt VI-B, Line 15 | Key employee compensation is sent and reviewed by the President. | |
| Pt VI-C, Line 19 | Upon request copies are furnished or online at Stae of Florida Website. | |
| Pt VI-A, Line 2 | Vice President and Excutive Director are sisters. | |
| Pt XI | Line 5: Adjustment for Prior Year Depreciation Adjustment | |
| Pg 1, Part 1, Line1 | Organization's mission statement clarified. | |
| Pg 2, Part III, Line 1 | Organization's mission statement clarified. | |
| Pg 2, Part III, Lind 4A | Organization's mission statement clarified. | |
| Sch L,Part II, LIne 1 | Loan was To Organization from Officer. It is classified as a liability on the Balance Sheet. | |
| Pg 10, Part IX, Lind 22 | Usage Ford SUV decreased from 100% in 2009 to 55% in 2010. Depreciation expense was decreased. | |
| Form 990, Part VI, Line 9 | VERONICA JORDAN 1731 PHANTOM AVE SAN JOSE CA 95125 LORIE FARRELL 2122 SHERWOOD TOLEDO OH 43614 PETE MEYERS 27410 BARBADOS RAMROD KEY FL 33042 MAYA TOTMAN 1388 AVENUE B BIG PINE KEY FL 33043 | |
| Form 990, Part IX, Line 24f | CREMATION FEES 515. 515. LICENSES AND PERMITS 396. 396. PAYROLL FEES 6646. 6646. POSTAGE AND DELIVERY 1202. 1202. PROGRAM SERVICE FEES TO COUNTY 6463. 6463. REPAIRS AND MAINTENANCE 830. 830. SUPPLIES 12396. 12396. TELEPHONE 3457. 3457. UTILITIES 5893. 5893. VETERINARY EXPENSES 21700. 21700. RENT EXPENSE 1699. 1699. CONSULTING 681. 681. CASUAL LABOR 11255. 11255. DUES AND SUBSCRIPTIONS 5. 5. |
| Software ID: | 10000104 |
| Software Version: |