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.. | ||||||
| 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.") . | 44,544 | 70,187 | 78,539 | 177,596 | 170,684 | 541,550 |
| 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. | 44,544 | 70,187 | 78,539 | 177,596 | 170,684 | 541,550 |
| 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.) | 541,550 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 44,544 | 70,187 | 78,539 | 177,596 | 170,684 | 541,550 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 344 | 49 | 393 | |||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 344 | 49 | 393 | |||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 44,544 | 70,531 | 78,588 | 177,596 | 170,684 | 541,943 |




| 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 VI | 2 | Shay Beider, has a brother-in-law serving as an unpaid volunteer on the advisory board. |
| Form 990 Part VI | 11a | A draft copy of the Form 990 is provided to all board members via U.S. mail or email. Upon completion of the Form 990 review, the board either approves the return for filing, or remands the return back to the accountant to make any necessary changes. |
| Form 990 Part VI | 12c | Board members are required to review and sign a conflict of interest statement annually. At the annual review, the board members are reminded to disclose any potential conflicts of interest, whether financial, or through support of another organization whose mission is counter to the organizations mission. |
| Form 990 Part VI | 15a | Executive compensation is determined by studying prevailing salaries paid to directors of non-profit organizations in the Tucson, Arizona area. The gross revenues of non-proftis in the area are also noted. A ratio of gross revenues are calculated of this organization to other organizations. The resulting percentage is then applied to an average of the aforementioned prevailing salaries paid in the area. |
| Form 990 Part VI | 19 | The Form 990 is made available to the public on the World Wide Web through GuideStar, a non-profit watchdog agency, which collects Forms 990 filed with the Internal Revenue Service nationwide. The organization will also provide a copy of the Form 990, or financial statements upon written or phoned-in request. |
| Form 990 Part XI | 5 | Other changes in fund balances are due to prior year previously unreconciled bank adjustments specifically doubled up checks that were adjusted after the tax year 2010 Form 990 was already filed. |
| Form 990 Part III | 2 | The organization launched its Healing Day program for families with children with special needs. The Healing Day program serves as an initiation into the organizations Health-Caring model and as an educational opportunity for families with children with special medical needs to learn various health and wellness topics.The Healing Day program provides families with in-depth hands on experience in the following topic areas Lifestyle and nutrition counseling, Conventional and integrative therapies, Art, Music, Dance, and Energy therapies, Support groups specifically designed for children with special health needs, their parents and caregivers, and their siblings.A team of Healing Arts practitioners volunteer their professional services and each member of the family has an opportunity to learn about the health and wellness topic being covered and to experience it hands on. |
| Form 990 Part VI Section A Line 2 Shay Beider, has a brother-in-law serving as an unpaid volunteer on the advisory board. Form 990 Part VI Section B Line 11a A draft copy of the Form 990 is provided to all board members via U.S. mail or email. Upon completion of the Form 990 review, the board either approves the return for filing, or remands the return back to the accountant to make any necessary changes. Form 990 Part VI Section B Line 12c Board members are required to review and sign a conflict of interest statement annually. At the annual review, the board members are reminded to disclose any potential conflicts of interest, whether financial, or through support of another organization whose mission is counter to the organizations mission. Form 990 Part VI Section B Line 15a Executive compensation is determined by studying prevailing salaries paid to directors of non-profit organizations in the Tucson, Arizona area. The gross revenues of non-proftis in the area are also noted. A ratio of gross revenues are calculated of this organization to other organizations. The resulting percentage is then applied to an average of the aforementioned prevailing salaries paid in the area. Form 990 Part VI Section C Line 19 The Form 990 is made available to the public on the World Wide Web through GuideStar, a non-profit watchdog agency, which collects Forms 990 filed with the Internal Revenue Service nationwide. The organization will also provide a copy of the Form 990, or financial statements upon written or phoned-in request. Form 990 Part XI Line 5 Other changes in fund balances are due to prior year previously unreconciled bank adjustments specifically doubled up checks that were adjusted after the tax year 2010 Form 990 was already filed. Form 990 Part III Line 2 The organization launched its Healing Day program for families with children with special needs. The Healing Day program serves as an initiation into the organizations Health-Caring model and as an educational opportunity for families with children with special medical needs to learn various health and wellness topics.The Healing Day program provides families with in-depth hands on experience in the following topic areas Lifestyle and nutrition counseling, Conventional and integrative therapies, Art, Music, Dance, and Energy therapies, Support groups specifically designed for children with special health needs, their parents and caregivers, and their siblings.A team of Healing Arts practitioners volunteer their professional services and each member of the family has an opportunity to learn about the health and wellness topic being covered and to experience it hands on. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |