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)
UNION NORTH SCHOOL CORPORATION |
351073188 | 2 | Yes | Yes | Yes | 0 | |||
| (2)
LAKEVILLE UNITED METHODIST CHURCH |
351113856 | 1 | Yes | Yes | Yes | 0 | |||
| Total | 0 | ||||||||
| 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.. | ||||||
| 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 |
|---|
| Explanation |
|---|
| DESCRIPTION OF NON-MONETARY SUPPORT, SCHEDULE A, PART I, LINE 11H, UNION NORTH SCHOOL CORPORATION: NEWTON PARK INC. DOES NOT CONTRIBUTE CASH RESOURCES TO THE SUPPORTED ORGANIZATIONS BUT PROVIDES THE FACILITIES FOR USE BY THE SUPPORTED ORGANIZATIONS. LAKEVILLE UNITED METHODIST CHURCH: NEWTON PARK INC. DOES NOT CONTRIBUTE CASH RESOURCES TO THE SUPPORTED ORGANIZATIONS BUT PROVIDES THE FACILITIES FOR USE BY THE SUPPORTED ORGANIZATIONS. , |
| Software ID: | 11000230 |
| Software Version: | v2011.1.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | ACCORDING TO THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE BOARD, MAY DESIGNATE ONE OR MORE COMMITTEES, EACH OF WHICH SHALL CONSIST OF TWO OR MORE DIRECTORS, WHICH COMMITTEES, TO THE EXTENT PROVIDED IN SAID RESOLUTION, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION. THE DESIGNATION OF ANY SUCH COMMITTEE AND THE DELEGATION THEREOF OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY INDIVIDUAL DIRECTOR, OF ANY RESPONSIBILITY IMPOSED BY LAW. |
| Family/business relationships amongst interested persons | Form 990, Part VI, Section A, Line 2 | JOYCE L. NEWTON, MARJORIE D. SKAGGS, AND SCOTTY L. MERRILL - FAMILY RELATIONSHIP |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE ORGANIZATION'S PRESIDENT REVIEWS A FINAL DRAFT OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, WITH THE ORGANIZATION'S TAX ADVISORS PRIOR TO SUBMITTING TO THE IRS. A COPY IS ALSO PROVIDED TO THE ORGANIZATION'S OTHER BOARD MEMBERS PRIOR TO FILING. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | THE ORGANIZATION'S OFFICERS AND DIRECTORS COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. ONCE THE QUESTIONNAIRES ARE COMPLETED, THE ORGANIZATION'S ASSISTANT CONTROLLER AND TAX ADVISORS REVIEW THE RESPONSES FOR ANY POTENTIAL CONFLICTS OF INTEREST. IF ANY CONFLICTS OF INTEREST ARE DETERMINED TO EXIST, THE BOARD PRESIDENT WOULD BE NOTIFIED AND WOULD BE HANDLED ON A CASE-BY-CASE BASIS AS APPROPRIATE. |
| PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | FORM 990, PART VI, LINE 15A | COMPENSATON FOR NEWTON PARK'S TOP MANAGEMENT OFFICIAL IS PAID BY HOOSIER RACING TIRE CORP., A RELATED ORGANIZATION. THEREFORE, THIS QUESTION HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. |
| PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES | FORM 990, PART VI, LINE 15B | COMPENSATON FOR NEWTON PARK'S OTHER OFFICERS IS PAID BY HOOSIER RACING TIRE CORP., A RELATED ORGANIZATION. THEREFORE, THIS QUESTION HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| Average hours worked per week for related organization | Form 990, Part VII, Section A, Column B | MARJORIE D. SKAGGS - MARJORIE D. SKAGGS DEVOTES TIME TO HOOSIER RACING TIRE CORP, A RELATED ORGANIZATION, AS A FULL-TIME, PAID EMPLOYEE. SCOTTY L. MERRILL - SCOTTY L. MERRILL DEVOTES TIME TO HOOSIER RACING TIRE CORP, A RELATED ORGANIZATION, AS A FULL-TIME, PAID EMPLOYEE. JOYCE L. NEWTON - JOYCE L. NEWTON DEVOTES TIME TO HOOSIER RACING TIRE CORP, A RELATED ORGANIZATION, AS A FULL-TIME, PAID EMPLOYEE. |
| Software ID: | 11000230 |
| Software Version: | v2011.1.0 |