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.") .... | ||||||
| 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) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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) 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.") . | 62,772 | 108,591 | 123,524 | 165,965 | 183,504 | 644,356 |
| 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...... | 14,904 | 20,063 | 16,411 | 23,573 | 37,560 | 112,511 |
| 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. | 77,676 | 128,654 | 139,935 | 189,538 | 221,064 | 756,867 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 130 | 120 | 5,398 | 2,720 | 13,835 | 22,203 |
| 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. | 29,700 | 84,276 | 5,000 | 52,118 | 171,094 | |
| c | Add lines 7a and 7b.. | 130 | 29,820 | 89,674 | 7,720 | 65,953 | 193,297 |
| 8 | Public Support (Subtract line 7c from line 6.) | 563,570 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 77,676 | 128,654 | 139,935 | 189,538 | 221,064 | 756,867 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,061 | 737 | 185 | 68 | 70 | 2,121 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,061 | 737 | 185 | 68 | 70 | 2,121 |
| 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.). | 758,988 | |||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 4 | BY LAWS WERE REVISED,COPY BEING SENT BY MAIL TO IRS | |
| Pt VI, Line 11a | COPIES OF THE 990 WILL BE REVIEWED BY BOARD MEMBERS | |
| PRIOR TO FILING. | ||
| Form 990EZ, Part I, Line 16 | INSURANCE DUES PAYROLL TAXES MEETING EXPENSE DELIVERY EXPENSE LICENSES AND FEES SEMINARS,TRAINING VOLUNTEER EXPENSE PUBLICITY SUPPLIES PROGRAM SERVICES TELEPHONE OFFICE EXPENSE DISPOSAL FEES DISPOSAL OF DONATED GOODS BANK CHARGES TRAVEL | |
| Form 990EZ, Part II, Line 24 | INVENTORIES 8483. | |
| Form 990, Part III, Line 4d | CLOTHING, HOUSING FOR THE HOMELESS, FOOD, AND 14723. 0. 0. | |
| Form 990, Part IX, Line 24f | FUND RAISING EXPENSES 6464. 0. 0. 6464. |
| Software ID: | 11000175 |
| Software Version: |