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 | ||||
| (1)
Wellston Ctr St Louis |
431633395 | 9 | No | Yes | Yes | 2,000 | |||
| (2)
Thensted Mercy Center |
720916694 | 9 | No | Yes | Yes | 3,000 | |||
| (3)
DC Services of San Antonio |
746106876 | 9 | No | Yes | Yes | 3,000 | |||
| (4)
Daughters of Charity Serv Arkansas |
621712703 | 9 | No | Yes | Yes | 2,000 | |||
| (5)
Guardian Angel Settlement |
430652636 | 9 | No | Yes | Yes | 2,000 | |||
| (6)
CSJ Care St Louis MO |
436000007 | 9 | No | Yes | Yes | 3,000 | |||
| (7)
Daug Charity Serv Dumas AR |
621712703 | 9 | No | Yes | Yes | 2,000 | |||
| (8)
Catholic Urban Prgm Belleville |
271442590 | 9 | No | Yes | Yes | 4,000 | |||
| (9)
St Gabriel Mercy Ctr Mound Bayou |
640926061 | 9 | No | Yes | Yes | 2,500 | |||
| (10)
St Agatha Ctr St L |
431579791 | 9 | No | Yes | Yes | 2,000 | |||
| (11)
Northside Community Cnter Inc St L |
431028098 | 9 | No | Yes | Yes | 1,500 | |||
| (12)
McAuley Counselling Serv |
431890340 | 9 | No | Yes | Yes | 2,000 | |||
| (13)
Mercy Endeavors Sr Ctr NO |
260502228 | 9 | No | Yes | Yes | 3,000 | |||
| (14)
Our Lady O Guadalupe St L |
430708879 | 9 | No | Yes | Yes | 1,000 | |||
| Total | 33,000 | ||||||||
| 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. | ||||||
| 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.. | ||||||
| 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.") . | ||||||
| 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) 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.. | 16,307 | 15,817 | 15,531 | 15,251 | 13,083 | 75,989 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 16,307 | 15,817 | 15,531 | 15,251 | 13,083 | 75,989 |
| 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.). | 16,307 | 15,817 | 15,531 | 15,251 | 13,083 | 75,989 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part XI | 5 | Amount represents net decline in market value of investments during 2011 |
| Form 990 Part VI | 11a | A draft of the 990 is reviewed and approved by the Treasurer and Executive Committee before the form is filed with the IRS. |
| Form 990 Part VI | 12c | The moral principles of the organizations ministry clearly confrom to the civil law requirements contemplated in the Whistle Blower, Record Retention and Conflict of interest Policies. |
| Form 990 Part VI | 15 | There are no paid employees or directors. All Directors are members of Roman Catholic religious orders and they are not compensated due to their personal vows of poverty. |
| Form 990 Part VII | 1 | There are no employees. All Directors are members of Roman Catholic religious orders and they are not compensated due to their personal vows of poverty. |
| Form 990 Part XI Line 5 Amount represents net decline in market value of investments during 2011 Form 990 Part VI Section B Line 11a A draft of the 990 is reviewed and approved by the Treasurer and Executive Committee before the form is filed with the IRS. Form 990 Part VI Section B Line 12c The moral principles of the organizations ministry clearly confrom to the civil law requirements contemplated in the Whistle Blower, Record Retention and Conflict of interest Policies. Form 990 Part VI Section B Line 15 There are no paid employees or directors. All Directors are members of Roman Catholic religious orders and they are not compensated due to their personal vows of poverty. Form 990 Part VII Line 1 There are no employees. All Directors are members of Roman Catholic religious orders and they are not compensated due to their personal vows of poverty. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |