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.") .... | 50,709 | 50,709 | ||||
| 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.. | 50,709 | 50,709 | ||||
| 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).. | 27,838 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 22,871 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 50,709 | 50,709 | ||||
| 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). | 50,709 | |||||






| 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.. | ||||||
| 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 |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF DIRECTORS WHICH SHALL HAVE ALL VOTING POWER INCLUDING POWER TO VOTE ON ELECTING APPOINTING OR REMOVING DIRECTORS THE BOARD SHALL CONSIST OF A MAXIMUM OF NINE MEMBERS THE PRESENT BOARD OF DIRECTORS CONSISTS OF SEVEN MEMBERS | |
| 02. Member election for additional members (Part VI, line 7a) | THE BOARD OF DIRECTORS HAS EXCLUSIVE VOTING POWER TO ELECT APPOINT OR REMOVE DIRECTORS | |
| 03. Governing body decisions (Part VI, line 7b) | THE BOARD OF DIRECTORS HAS EXCLUSIVE VOTING POWER TO APPROVE ANY GOVERNANCE DECISIONS OF THE ASSOCIATION | |
| 04. Form 990 governing body review (Part VI, line 11) | THE PRESIDENT OR TREASURER SHALL REVIEW THE FORM 990 RETURN WITH ALL BOARD MEMBERS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE A REPORT FOR THE FORM 990 IS PROVIDED TO BOARD MEMBERS DURING THIS REVIEW | |
| 05. CEO, executive director, top management comp (Part VI, line 15a) | ALL BOARD MEMBERS ARE NOT COMPENSATED FOR ANY SERVICES PROVIDED TO THE ASSOCIATION THUS COMPENSATION REVIEWS ARE NOT APPLICABLE AND NOT PERFORMED | |
| 06. Other officer or key employee compensation (Part VI, line 15b | ALL BOARD MEMBERS ARE NOT COMPENSATED FOR ANY SERVICES PROVIDED TO THE ASSOCIATION THUS COMPENSATION REVIEWS ARE NOT APPLICABLE AND NOT PERFORMED | |
| 07. Governing documents, etc, available to public (Part VI, line 19) | GOVERNING DOCUMENTS THE FORM 990 AND THE FORM 1023 ARE PROVIDED TO THE PUBLIC UPON REQUEST | |
| 08. Explanation of other changes in net assets or fund balances (Part XI, line 5) | AMOUNT REPRESENTS THE BEGINNING FUND BALANCE THIS AMOUNT WAS NOT REPORTED IN THE BEGINNING OF YEAR BALANCE IN COLUMN A SINCE THIS WAS THE FIRST YEAR FILING OF THE FORM 990 LONG FORM |
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