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.") .... | 167,345 | 189,923 | 178,964 | 536,232 | ||
| 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.. | 0 | 0 | 167,345 | 189,923 | 178,964 | 536,232 |
| 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).. | 288,343 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 247,889 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 0 | 0 | 167,345 | 189,923 | 178,964 | 536,232 |
| 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). | 536,232 | |||||






| 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 |
|---|
| Explanation |
|---|
| Line 12 - Gross receipts from related activites of $327,693 consists of (student) trips tuition and fellows fees of $112,946, $100,075 and $114,672 for 2008, 2009 and 2010, respectively. |
| Software ID: | 10000077 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| F990_P06_S0A_L02 | Form 990, Part VI, Section A, Line 2 | Board members Chris Barclay and Sambia Shivers-Barclay are spouses. |
| F990_P06_S0B_L11a | Form 990, Part VI, Section B, Line 11a | The members of the Board of Directors are provided copies of the draft 990 with ample opportunity of comment prior to filing. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | LSI's general counsel annually requires each board member to acknowledge having reviewed the policy and understanding it. Board members are required to disclose any conflict of interest at any and all times that board member is considering or voting on any matter before the board or a board committee. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | Board members determine these compensation levels based on board members' independent experience in the education and nonprofit fields, including comparability information. Relevant committee and board decisions are contemporaneously recorded in the permanent records of LSI. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The organization makes its Form 1023 and Forms 990-EZ and 990 available to the public upon request. |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | Minor difference of $489 between 2009 990-EZ ending net assets and 2010 beginning net assets per books is a bookkeeping error and will be resolved in the subsequent period. |
| F990_P12_S00_L01 | Form 990, Part XII, Line 1 | LearnServe recently hired an outside bookkeeping firm. This firm will keep the books and prepare the financial statements and 990's on an accrual basis. The change in accounting methods is not expected to result in significant changes to the results of operations nor to the financial position of the organization, in this reporting period or in the future. |
| Software ID: | 10000077 |
| Software Version: | v1.00 |