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. | 0 | |||||
| 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.. | 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). | ||||||






| 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...... | 1,182,344 | 1,182,344 | ||||
| 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. | 1,182,344 | 1,182,344 | ||||
| 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.) | 1,182,344 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 1,182,344 | 1,182,344 | ||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 9,242 | 9,242 | ||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 9,242 | 9,242 | ||||
| 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.). | 1,191,586 | |||||




| 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 | Copy of 990 is distributed to all board members and reviewed for accuracy. | |
| Pt VI-C, Line 19 | Copy of financial statements, policies and 990 is available upon written request to the RFCC. | |
| Pt XII, Line 2c | Board is responsible for oversight of audit. | |
| Pt VI-A, Line 8a | All meeting minutes are documented, distributed and approved. | |
| Pt VI-A, Line 8b | All meeting minutes are documented, distributed and approved. | |
| Pt VI-B, Line 12c | Conflict of interest policy statement is signed by members annually and reviewed. | |
| Pt VI-B, Line 15 | All compensation decisions are reviewed and approved by the Board. | |
| Form 990EZ, Part I, Line 16 | ADVERTISING BANK & CREDIT CARD CHARGES COMPUTER EXPENSES DUES & SUBSCRIPTIONS INSURANCE - BUSINESS LICENSES/CERTIFICATIONS MISCELLANEOUS PUBLIC RELATIONS REPAIRS & MAINTENANCE TRANSPORTATION UTILITIES PROGRAM EXPENSES | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES DEFERRED REVENUE | |
| Form 990, Part III, Line 4d | YOUTH PROGRAMS, THESE PROGRAMS PROVIDE AN OPPORTUNITY FOR THE 19776. 0. 35976. SENIOR AND ADULT PROGRAMS, THESE PROGRAMS PROVIDE THE ADULTS 5350. 0. 15244. OTHER PROGRAM EXPENSES 325179. 0. 0. | |
| Form 990, Part IX, Line 24f | LICENSES/CERTIFICATIONS 1481. 1481. MISCELLANEOUS 26245. 26245. PUBLIC RELATIONS 1341. 1341. UTILITIES 51993. 51993. REPAIRS & MAINTENANCE 62203. 62203. BROCHURES 7095. 7095. POSTAGE 1409. 1409. TELEPHONE 6343. 6343. SPECIAL EVENTS 7053. 7053. YOUTH PROGRAM 19776. 19776. ADULT PROGRAM 155. 155. CAMPS 63519. 63519. DAY CARE 66995. 66995. SENIOR PROGRAMS 5195. 5195. PRESCHOOL 6858. 6858. TOTS 1581. 1581. SEMINARS & CONFERENCES 1512. 1512. |
| Software ID: | 10000104 |
| Software Version: |