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.") .... | 13,330 | 5,520 | 2,000 | 5,939 | 3,720 | 30,509 |
| 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.. | 13,330 | 5,520 | 2,000 | 5,939 | 3,720 | 30,509 |
| 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).. | 2,909 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 27,600 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 13,330 | 5,520 | 2,000 | 5,939 | 3,720 | 30,509 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 17,834 | 25,732 | 14,427 | 6,636 | 9,364 | 73,993 |
| 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). | 104,502 | |||||






| 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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| SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART II, SECTION C, LINE 17A, FACTS AND CIRCUMSTANCES TEST: THE ORGANIZATION CONTINUES TO SOLICIT FUNDS FROM THE GENERAL PUBLIC. IN LOOKING AT THE LIST OF DONORS, THERE HAVE BEEN HUNDREDS OF DONORS TO THE ORGANIZATION OVER THE LAST 5 YEARS SHOWN ON SCHEDULE A. A MAJORITY OF THESE DONATIONS ARE LESS THAN $100 EACH BUT THERE ARE MANY DIFFERENT INDIVIDUAL CONTRIBUTORS, WHICH INDICATES THIS IS A PUBLIC CHARITY. THE ORGANIZATION CONTINUES TO SOLICIT CONTRIBUTIONS FROM THE GENERAL PUBLIC. MAILINGS REQUESTING DONATIONS ARE SENT TO RESIDENTS OF THE DOVER CITY SCHOOL DISTRICT. THE PRESIDENT HAS SPOKEN TO LOCAL SERVICE GROUPS IN THE COMMUNITY, TO BETTER EXPLAIN THE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND TO REQUEST DONATIONS. THE ORGANIZATION WAS FORTUNATE TO RECEIVE A FEW LARGE DONATIONS IN ITS EARLY YEARS TO HELP GET THE PROGRAMS OFF THE GROUND. WHILE THOSE LARGE DONATIONS HAVE HELPED THE ORGANIZATION, IT DOES HAVE A SIGNIFICANT IMPACT ON THE PUBLIC SUPPORT CALCULATION. ANOTHER CHALLENGE IS THAT THE CURRENT ECONOMIC CONDITIONS HAVE MADE IT DIFFICULT TO OBTAIN A LARGE NUMBER OF CONTRIBUTIONS IN THE PAST SEVERAL YEARS. |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | DIVIDEND INCOME 7,890.. CAPITAL GAINS DISTRIBUTIONS 1,474.. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 9,364. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: ABEL, CORY. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 1,000. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: CAMERON, ERIC. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 1,000. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: DEITRICK, KIMBERLY. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: GIAMMO, GINO. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: LIMBACHER, LINDSAY. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: PRETE, SPENCER. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 1,000. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: TEACHER SCHOLARSHIPS. GRANTEE NAME: VARIOUS. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 351. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: BACHE, ANDREW. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: BELDEN, BEN. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: CAMERON, EVAN. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 1,000. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: HAGY, KATIE. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: MAMARELLA, MARCUS. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 1,000. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: PYLES, GEOFF. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: RAMSELL, STUART. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: TARULLI, MARISSA. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 1,000. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: WELFLEY, LAURA. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: WINKLER, STACEY. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: CLASSROOM GRANT. GRANTEE NAME: ZOBEL, TIFFANY. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 240. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: CLASSROOM GRANT. GRANTEE NAME: VARNER, J MATT. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 240. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: CLASSROOM GRANT. GRANTEE NAME: FRY, SARAH. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 300. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: CLASSROOM GRANT. GRANTEE NAME: HAMMERSTROM, KIMBERLEY. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 166. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: CLASSROOM GRANT. GRANTEE NAME: LOFFREDO, JEAN. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 166. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: CLASSROOM GRANT. GRANTEE NAME: CONNARE, MELISSA. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 166. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 12,629. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: OFFICE EXPENSE. AMOUNT: 390. DESCRIPTION: OHIO ATTORNEY GENERAL FEE. AMOUNT: 100. DESCRIPTION: INSURANCE. AMOUNT: 500. DESCRIPTION: FOREIGN TAXES PAID. AMOUNT: 21. DESCRIPTION: SUPPLIES. AMOUNT: 84. TOTAL TO FORM 990-EZ, LINE 16: 1,095. |
| OTHER CHANGES IN NET ASSETS | FORM 990-EZ, PART I, LINE 20 | DESCRIPTION: UNREALIZED GAINS ON INVESTMENTS. AMOUNT: 20,718. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: INVESTMENTS-SECURITIES. BEG. OF YEAR AMOUNT: 269,277. END OF YEAR AMOUNT: 278,533. |
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