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. | ||||||
| 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.") . | 138,556 | 115,625 | 118,707 | 105,478 | 176,377 | 654,743 |
| 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...... | 170,195 | 169,842 | 152,122 | 190,437 | 169,136 | 851,732 |
| 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. | 308,751 | 285,467 | 270,829 | 295,915 | 345,513 | 1,506,475 |
| 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. | 15,000 | 30,000 | 25,000 | 30,000 | 30,100 | 130,100 |
| c | Add lines 7a and 7b.. | 15,000 | 30,000 | 25,000 | 30,000 | 30,100 | 130,100 |
| 8 | Public Support (Subtract line 7c from line 6.) | 1,376,375 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 308,751 | 285,467 | 270,829 | 295,915 | 345,513 | 1,506,475 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 5,777 | 3,392 | 2,513 | 2,333 | 2,545 | 16,560 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 5,777 | 3,392 | 2,513 | 2,333 | 2,545 | 16,560 |
| 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.). | 314,528 | 288,859 | 273,342 | 298,248 | 348,058 | 1,523,035 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000129 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | General members of the Society have no management responsibilities nor voting rights...as do only members of the Board. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The organization's Treasurer reviews accounts and prepares financials and annual tax filings; financials are reviewed by Board of Directors; Form 990 tax filing is reviewed by organization's Executive and Financial Committee members and offered to entire Board for their review. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Monitoring and enforcement of conflict of interest policy is performed during annual completion of policy's forms by Board members. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | Personnel Committee interviews employee and recommends salary adjustments commensurate with performance and economy to Board during annual budgeting process. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | Governing documents, policies, and financial statements would be made available upon written request. |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | Current year unrealized loss on endowment investments of $12,346; prior year correction: cash reduction of $28 |
| Software ID: | 11000129 |
| Software Version: | v1.00 |