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.") .... | 2,624,590 | 2,182,527 | 1,934,640 | 1,657,783 | 1,725,584 | 10,125,124 |
| 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.. | 2,624,590 | 2,182,527 | 1,934,640 | 1,657,783 | 1,725,584 | 10,125,124 |
| 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. | 10,125,124 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 2,624,590 | 2,182,527 | 1,934,640 | 1,657,783 | 1,725,584 | 10,125,124 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 13,612 | 12,203 | 3,529 | 2,665 | 2,716 | 34,725 |
| 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). | 10,159,849 | |||||






| 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 | FORM 990 IS REVIEWED BY THE CONTROLLER PRIOR TO SUBMISSION | |
| Pt VI-B, Line 12c | BOARD MEMBERS SIGN ETHICS POLICY AND AGREE TO ABIDE BY IT. | |
| BOARD MEMBERS ALSO SIGN NON-DISCLOSURE CONFIDENTIALITY AGREEMENT. | ||
| Pt VI-B, Line 15 | COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS | |
| AFTER REVIEWING THE ORGANIZATION'S FISCAL CONDITION AND | ||
| THE ACCOMPLISHMENTS OF THE EXECUTIVE DIRECTOR. | ||
| Pt VI-C, Line 19 | THE FINANCIAL STATEMENTS ARE MAILED UPON REQUEST AND POSTED | |
| ON THE WEBSITE | ||
| Pt XI | UNREALIZED INVESTMENT GAIN/LOSS | |
| Form 990EZ, Part I, Line 16 | INSURANCE PROFESSIONAL DEVELOPMENT DUES MISCELLANEOUS CONTRACT SVC & PROFESSIONAL PROGRAM EXPENSES BAD DEBTS ADVERTISING & RECRUITMENT COMPUTER SOFTWARE & SERVICES BANK CHARGES EMERGENCY FUND PROJECT STAY | |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE - NET INVESTMENTS | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES BONDS, MORTGAGES & OTHER NOTES | |
| Form 990, Part IX, Line 24f | BANK FEES/PROCESSING CHG 5694. 4471. 1223. 0. REFUND 932. 932. 0. 0. BUILDING REPAIR & MAINTENANCE 20230. 15957. 4273. UTILITIES 16754. 13155. 3599. 0. TELEPHONE 25147. 20783. 4364. 0. SCREENING 21065. 21065. 0. 0. MED/PSYCH SUPPLIES 15633. 15633. 0. 0. MISCELLANEOUS 515. 0. 515. 0. |
| Software ID: | 10000104 |
| Software Version: |