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) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 360,404 | 463,495 | 373,191 | 297,612 | 457,383 | 1,952,085 |
| 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.. | 360,404 | 463,495 | 373,191 | 297,612 | 457,383 | 1,952,085 |
| 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. | 1,952,085 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 360,404 | 463,495 | 373,191 | 297,612 | 457,383 | 1,952,085 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,456 | 523 | 157 | 2,136 | ||
| 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). | 1,954,221 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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.) | 1,952,085 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| FORM 990, PART VI, LINE 11B - FORM 990 REVIEW PROCESS THE EXECUTIVE DIRECTOR, CPA AND BOARD TREASURER WILL REVIEW AND APPROVE THE 990 FILING. ONCE APPROVED IT WILL BE PRESENTED AT THE BOARD MEETING FOR BOARD APPROVAL. FORM 990, PART VI, LINE 12C - EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS OF INTEREST YES, OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO REPORT CHANGES IN THEIR STATUS WHICH MIGHT RESULT IN A CONFLICT OF INTEREST. BOARD MEMBERS SIGN A BOARD COMMITMENT PLEDGE ANNUALLY WHICH STATES: I, ____________________, AGREE TO SERVE ON THE TEEN LIFELINE BOARD OF DIRECTORS. AS A MEMBER OF THE BOARD, I HEREBY COMMIT THAT i WILL: FORM 990, PART VI, LINE 15A, COMPENSATION REVIEW & APPROVAL PROCESS BOARD MEMBERS EXAMINED EXECUTIVE COMPENSATION BASED ON THE NON PROFIT COMPENSATION AND BENEFIT REPORT COMPILED BY ASU LODESTAR CENTER AT ARIZONA STATE UNIVERSITY WHICH WAS DISTRIBUTED TO ALL MEMBERS. THE BOARD DID EXAMINE EXECUTIVE COMPENSATION BASED ON BOTH BUDGET SIZE AND TYPE OF ORGANIZATION AND NOTED THAT CURRENT COMPENSATION IS BELOW THE MEAN IN BOTH CATERGORIES. AS SUCH, THE BOARD ANALYZED THE DATA AND IS SATISFIED THAT THE COMPENSATION IS REASONABLE. FORM 990, PART VI, LINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE THE 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON TEEN LIFELINE'S WEBSITE, WWW.TEENLIFELINE.ORG AND CAN ALSO BE FOUND ON GUIDESTAR. THE POLICEIS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST BY CONTACTING THE EXECUTIVE ASSISTANT AT EXECASST@TEENLIFELINE.ORG OR CALLING OUR BUSINESS LINE AT 602-248-8337. |
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