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 | ||||
| (1)
THE SUMMIT OF CENTRAL FLORIDA INC DBA WELLSPRINGS OF FLORIDA |
591923715 | 9 | Yes | Yes | Yes | 2,469 | |||
| Total | 2,469 | ||||||||
| 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. | ||||||
| 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.. | ||||||
| 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...... | ||||||
| 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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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| FORM 990, PART VI, LINE 6: THE CORPORATION IS ORGANIZED AS A NON STOCK MEMBERSHIP CORPORATION. THE SOLE MEMBER OF THE CORPORATION SHALL BE THE SUMMIT OF CENTRAL FLORIDA INC DBA WELLSPRINGS OF FLORIDA, A FLORIDA CORPORATION. FORM 990, PART VI, LINE 7A: THE SOLE MEMBER'S, THE SUMMIT OF CENTRAL FLORIDA INC DBA WELLSPRINGS OF FLORIDA, BOARD HAS THE RIGHT TO ELECT ALL THE GOVERNING BOARD OF THE SUMMIT ENDOWMENT FOUNDATION INC. FORM 990, PART VI, LINE 7B: THE SOLE MEMBER, THE SUMMIT OF CENTRAL FLORIDA INC DBA WELLSPRINGS OF FLORIDA HAS THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE GOVERNING BOARD, WHICH INCLUDES BUT IS NOT LIMITED TO ELECTION OR APPROVAL OF MEMBERS OF THE GOVERNING BODY, ADOPT, ALTER OR RESCIND THE BYLAWS OF THE SUMMIT ENDOWMENT FOUNDATION, INC., AS WELL AS APPROVE OF THE GOVERNING BODY'S DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, LINE 10: THE EXECUTIVE DIRECTOR E-MAILS A COPY OF THE COMPLETED FORM 990 TO EACH VOTING BOARD MEMBER PRIOR TO FILING. ALONG WITH THE FORM 990, THE RETURN PREPARER PROVIDES A CHECKLIST FOR BOARD REVIEW OF 990. THE RETURN PREPARER IS AVAILABLE TO ANSWER ANY QUESTIONS FROM THE GOVERNING BOARD PRIOR TO FILING THE FORM 990. FORM 990, PART VI, LINE 12C: THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY BY: REQUIRING EACH OFFICER AND DIRECTOR OR KEY EMPLOYEE, IF APPLICABLE, TO SIGN A STATEMENT AFFIRMING RECEIPT OF COPY OF POLICY, THAT THEY HAVE READ AND UNDERSTAND IT AND THAT THEY AGREE TO COMPLY WITH THE POLICY. THE EXECUTIVE DIRECTOR OF THE SOLE MEMBER, WELLSPRINGS OF FLORIDA, PERIODICALLY REVIEWS THESE TO BE SURE THEY STAY IN COMPLIANCE. THE POLICY INCLUDES SPECIFIC PROCEDURES FOR POTENTIAL VIOLATIONS OF THE CONFLICT OF INTEREST POLICY. IN ADDITION, SHOULD THE NEED ARISE, THE ORGANIZATION WOULD INSTITUTE STRATEGIES FOR COMPETITIVE BIDDING. FORM 990, PART VI, LINE 15: THE ORGANIZATION DOES NOT COMPENSATE ANY PERSONS AND THEREFORE DOES NOT HAVE, NOR REQUIRE, A PROCESS FOR REVIEW & APPROVAL OF SUCH. FORM 990, PART VI, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC BY PROVIDING VIEWING TIMES UPON APPOINTMENT AT THE ORGANIZATION'S OFFICE DURING OFFICE HOURS. PART XI, LINE 5, RECONCILIATION OF NET ASSETS OTHER CHANGES IN NET ASSETS CONSISTS OF THE FOLLOWING: CHANGE IN UNREALIZED GAIN (LOSS) ON SECURITIES $22,128 TRANSFER OF ENDOWMENT FUNDS FROM WELLSPRINGS OF FLORIDA 82,285 OTHER CHANGES IN NET ASSETS (CONTINUED) EQUITY TRANSFER TO WELLSPRINGS OF FLA IN DISSOLUTIONMENT (165,139) CANCELLATION OF DEBT/TRANSFER IN DISSOLUTIONMENT (309,500) ____________________________________________________________________ TOTAL OTHER CHANGES IN NET ASSETS ($370,226) ________________________________________________________________ NOTE: THE SUMMIT ENDOWMENT FOUNDATION INC DISSOLVED IN 2010 AND ALL ASSETS WERE TRANSFERRED TO THE SUMMIT OF CENTRAL FLORIDA INC DBA WELLSPRINGS OF FLORIDA IN AN EQUITY TRANSFER. |
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