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.") .... | ||||||
| 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.") . | 208,192 | 406,230 | 498,942 | 493,927 | 367,735 | 1,975,026 |
| 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. | 208,192 | 406,230 | 498,942 | 493,927 | 367,735 | 1,975,026 |
| 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.) | 1,975,026 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 208,192 | 406,230 | 498,942 | 493,927 | 367,735 | 1,975,026 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 300 | 5 | 305 | |||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 300 | 5 | 305 | |||
| 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.). | 1,975,331 | |||||




| 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 15 | Set by board based on comparative salaries for similar non-profits | |
| Pt VI-B, Line 11a | Board reviews the Form 990 upon presentation by the Executive Director. | |
| Form 990EZ, Part I, Line 16 | SUPPLIES 174. TELEPHONE 7854. COMMUNICATIONS 1355. POSTAGE 1314. PRINTING 1625. REFERENCE MATERIALS 150. ARIZONA CHAPTER EXPENSES 2393. OTHER CLIENT SERVICES 9616. DISASTER RESPONSE EXPENSES 39896. TRAVEL 536. CONFERENCES EXPENSE 50. MEETINGS EXPENSE 3411. VEHICLE MAINTENANCE 72. FUEL 1869. OTHER AUTO 207. MERCHANT BANKING FEES 446. BANK FEES 845. VOLUNTEER TRAINING 462. INSURANCE 813. DUES & SUBSCRIPTIONS 229. COMPUTER SERVICES 781. OTHER 303. | |
| Form 990EZ, Part II, Line 24 | UNDEPOSITED FUNDS 1638. 0. SUPPLIES INVENTORY 0. 1261. | |
| Form 990EZ, Part II, Line 26 | CREDIT CARD 1989. 1989. PAYROLL LIABILITIES 6315. 0. | |
| Form 990, Part IX, Line 24f | PRINTING 1625. 1000. 625. 0. REFERENCE MATERIALS 150. 150. 0. 0. CLIENT SERVICES 9616. 9616. 0. 0. DISASTER RESPONSE 39896. 39896. 0. 0. MAINTENANCE 3073. 2000. 1073. 0. UTILITIES 9549. 7162. 2387. 0. OCCUPANCY EXPENSES-OTHER 1129. 847. 282. 0. AUTO 2148. 2148. 0. 0. MERCHANT FEES 446. 0. 446. 0. BANK FEES 845. 0. 845. 0. TRAINING 462. 462. 0. 0. DUES 229. 229. 0. 0. BUSINESS EXPENSES 303. 303. 0. 0. |
| Software ID: | 10000104 |
| Software Version: |