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 | ||||
| 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.") . | 630 | 630 | ||||
| 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...... | 95,986 | 231,469 | 98,490 | 169,612 | 595,557 | |
| 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. | 95,986 | 231,469 | 98,490 | 169,612 | 630 | 596,187 |
| 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. | 90,986 | 226,469 | 93,490 | 164,612 | 575,557 | |
| c | Add lines 7a and 7b.. | 90,986 | 226,469 | 93,490 | 164,612 | 575,557 | |
| 8 | Public Support (Subtract line 7c from line 6.) | 20,630 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 95,986 | 231,469 | 98,490 | 169,612 | 630 | 596,187 |
| 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.). | 596,187 | |||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 6 | There are 4 members of the not for profit organization, | |
| one director, one treasurer, one secretary and one coordinator | ||
| Pt VI, Line 2 | The director and coordinator are husband and wife | |
| Pt VI, Line 15 | The director was involved in the process of determining | |
| salaries of the treasurer, secretary and coordinator. | ||
| It was determined based on hours worked, revenues and | ||
| other expenditures of the not for profit organization | ||
| The outside CPA was also asked for his input. | ||
| The same process was used for the director's salary, | ||
| except this was discussed amongst the other officers, not | ||
| the director. | ||
| Pt VI, Line 8a | Meetings are documented by the 4 members of the not for profit | |
| organization | ||
| Pt VI, Line 8b | If there is a committee formed that is granted authority | |
| to act on behalf of the governing body, then those | ||
| meetings are also documented | ||
| Pt VI, Line 11a | A copy of the Form 990 was shown to the director, treasurer, | |
| secretary and coordinator before it was filed. | ||
| Pt VI, Line 19 | The only document that is made available to the Public | |
| is Form 990 and that is made available upon request. | ||
| Pt VI, Line 7a | Any new members who are elected are done so by a group meetin | |
| between the four members of the not for profit organization | ||
| Pt VI, Line 7b | The governing body is the 4 members | |
| Form 990, Part III, Line 4d | ALL OTHER COMPANIES/INDIVIDUAL DEALT WITH 31892. 0. 46207. | |
| Form 990, Part IX, Line 24f | POSTAGE/SHIPPING 1201. 601. 600. 0. TRAINING/DEVELOPMENT 0. 0. 0. 0. TRANSPORTATION 1671. 836. 835. 0. MARKETING 5037. 5037. 0. 0. LIABILITY INSURANCE 1783. 1783. 0. 0. BANK/ MERCHANT FEES 8399. 0. 8399. 0. GRANT RESEARCH 0. 0. 0. 0. MEMBERSHIPS 300. 0. 300. 0. PROFESSIONAL SERVICES 229. 115. 114. 0. TELEPHONE/ INTERNET 3320. 1660. 1660. 0. GSA IFF 714. 357. 357. 0. AIRFARE 660. 660. 0. 0. EVENT 750. 0. 750. 0. VEHICLE REGISTRATION 95. 0. 95. 0. EQUIPMENT RENTAL 279. 140. 139. 0. |
| Software ID: | 11000175 |
| Software Version: |