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.") . | 170,575 | 149,857 | 174,049 | 171,908 | 165,194 | 831,583 |
| 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...... | 164,161 | 250,025 | 235,206 | 255,612 | 253,585 | 1,158,589 |
| 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. | 334,736 | 399,882 | 409,255 | 427,520 | 418,779 | 1,990,172 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 18,250 | 29,000 | 42,000 | 47,270 | 42,500 | 179,020 |
| 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.. | 18,250 | 29,000 | 42,000 | 47,270 | 42,500 | 179,020 |
| 8 | Public Support (Subtract line 7c from line 6.) | 1,811,152 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 334,736 | 399,882 | 409,255 | 427,520 | 418,779 | 1,990,172 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 144,074 | 163,599 | 157,985 | 165,369 | 162,649 | 793,676 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 144,074 | 163,599 | 157,985 | 165,369 | 162,649 | 793,676 |
| 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.) | 1,260 | 225 | 1,060 | 1,089 | 1,745 | 5,379 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 2,789,227 | |||||




| Facts And Circumstances Test |
|---|
| OTHER INCOME PART III, LINE 12; DESCRIPTION: MISCELLANEOUS; 2007: 1260.; 2008: 225.; 2009: 1060.; 2010: 1089.; 2011: 1745.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 3 | The Society contracts a management company, Association | |
| Innovation & Management, Inc. to perform management/administrative services. | ||
| Pt VI, Line 19 | The Society makes its constitution and bylaws public | |
| through the Society's website www.teratology.org | ||
| Conflict of interests and policies thereof are communicated by | ||
| council member verbally; written policies are in process. | ||
| Pt VI, Line 6 | The Society has voting members. | |
| Pt VI, Line 7a | The Society has members who elect members of the governing body. | |
| Pt VI, Line 7b | The control and administration of the Society shall be vested | |
| in a Council whose voting members consist of the officers and 3 | ||
| elected members of the Society. | ||
| Pt VI, Line 11a | A copy of the Form 990 was provided to an officer of the | |
| Society that reviewed the form for accuracy. | ||
| Pt VI, Line 12c | Each Board member is asked to disclose any conflicts of interest | |
| in writing on a full disclosure form annually; | ||
| compliance is enforced at monthly Board meetings. | ||
| Pt XII, Line 2c | The Society has a finance committee that is responsible for | |
| oversight of its audited or reviewed financial statements | ||
| and selection of an independent accountant. | ||
| Pt XI | Line 5, Other changes in net assets consist of net unrealized gains on | |
| investments. | ||
| Form 990, Part III, Line 4d | MEMORIAL FUNDS USED TO AWARD INDIVIDUALS FOR VARIOUS 5112. 0. 0. | |
| Form 990, Part IX, Line 24f | COMMITTEE EXPENSE 468. 0. 468. 0. CREDIT CARD FEES 10453. 0. 10453. 0. DUES AND SUBSCRIPTIONS 13508. 0. 13508. 0. JOURNAL 34264. 34264. 0. 0. LONG RANGE PLAN 9514. 0. 9514. 0. MISCELLANEOUS 5569. 1952. 3617. 0. PRINTING AND PUBLICATIONS 10499. 10346. 153. 0. STORAGE 1080. 0. 1080. 0. TERATOLOGY PRIMER 883. 0. 883. 0. |
| Software ID: | 11000175 |
| Software Version: |