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) 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.") .... | 460,944 | 189,063 | 179,355 | 191,729 | 394,920 | 1,416,011 |
| 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.. | 460,944 | 189,063 | 179,355 | 191,729 | 394,920 | 1,416,011 |
| 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. | 1,416,011 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 460,944 | 189,063 | 179,355 | 191,729 | 394,920 | 1,416,011 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 12,688 | 13,613 | 1,848 | 1,316 | 29,465 | |
| 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.. | 5,706 | 3,921 | 4,744 | 4,076 | 11,728 | 30,175 |
| 11 | Total support (Add lines 7 through 10). | 1,475,651 | |||||






| 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.) | 0 | |||||
| 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 |
|---|
| OTHER INCOME PART II, LINE 10; DESCRIPTION: SALES NET OF COGS; 2007: 5706.; 2008: 3921.; 2009: 4744.; 2010: 4076.; 2011: 11728.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 8a | ALL THREE BOARD MEMBERS COMMUNICATE INFORMALLY VIA | |
| EMAIL ON A REGULAR BASIS. SINCE THERE ARE NO LARGE | ||
| ISSUES, FORMAL MINUTES ARE NOT KEPT. | ||
| Pt VI, Line 8b | SEE EXPLANATION TO VI-A, LINE 8A ABOVE. | |
| NO SEPARATE COMMITTEES EXIST. ISSUES ARE SIMPLE AND | ||
| ACCORDINGLY, FORMAL MINUTES ARE NOT CONSIDERED | ||
| NECESSARY. | ||
| Pt VI, Line 11a | PRESIDENT REVIEWS THE FORM 990 BEFORE FILING AND INFORMS | |
| OTHER TWO BOARD MEMBERS OF ANY SIGNIFICANT ISSUES. | ||
| Pt XI | ADJUSTMENT FROM PREVIOUS YEARS FOR AUDIT ADJUSTMENT- | |
| ACCRUAL OF PLEDGES RECEIVABLE RECORDED AS AUDIT ADJUSTMENT | ||
| AFTER FILING OF FORM 990, NET OF $613 UNREALIZED LOSS | ||
| ON INVESTMENTS. | ||
| Form 990, Part IX, Line 24f | PROPERTY TAX 76. 68. 4. 4. OTHER TAX 10. 8. 1. 1. OFFICE SUPPLIES 1458. 1239. 219. 0. OPERATING SUPPLIES 4692. 3988. 704. 0. POSTAGE & DELIVERY 29994. 24295. 1500. 4199. PRINTING 28086. 26682. 0. 1404. REPAIR & MEINTENANCE 12871. 11583. 644. 644. SANCTUARY CARE 5575. 5017. 279. 279. SERVICES 1823. 1639. 92. 92. REAL ESTATE TAXES 1071. 965. 53. 53. EXHIBIT 560. 0. 0. 560. TELEPHONE & INTERNET 3440. 3096. 172. 172. UTILITIES 6391. 5751. 320. 320. |
| Software ID: | 11000175 |
| Software Version: |