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.") .... | 47,500 | 62,829 | 77,898 | 167,775 | 212,000 | 568,002 |
| 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.. | 47,500 | 62,829 | 77,898 | 167,775 | 212,000 | 568,002 |
| 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. | 568,002 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 47,500 | 62,829 | 77,898 | 167,775 | 212,000 | 568,002 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 10 | 325 | 13 | 348 | ||
| 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). | 568,350 | |||||






| 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.") . | 47,500 | 62,829 | 77,898 | 167,775 | 212,000 | 568,002 |
| 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. | 47,500 | 62,829 | 77,898 | 167,775 | 212,000 | 568,002 |
| 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.) | 568,002 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 47,500 | 62,829 | 77,898 | 167,775 | 212,000 | 568,002 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 10 | 325 | 13 | 348 | ||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 10 | 325 | 13 | 348 | ||
| 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.). | 47,500 | 62,839 | 78,223 | 167,775 | 212,013 | 568,350 |




| 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 III | 4a | The Pocahontas County Family Resource Network operates under a 42,500 multi-year renewable grant from the WV Department of Health and Human Services Division of Children and Families. The grant provides operation costs and salaries for the Executive Director. This money facilitates the Family Resource Network stratigic work plan that includes the following componets Information regarding local resources. Referal services to local service providers. West Virginia Service Array Regional Capacity and Development planning and facilitation. BeeLocal web bases information website input. Region IV Summit participation. Greenbrier Connections Collaborative initiatives. Other community engagement strategies for capacity building and sustainability. |
| Form 990 Part III | 4b | The Regional Tobacco Prevention grant in the amount of 94,500 provides tobacco prevention programing in five West Virginia counties with an emphasis on youth. Cessation classes are offered and coalitions are recruited and maintained in each county to promote healthy tobacco free lifestyles. It provides salary benefits to the programs Director and facilitates the strategic work of the WV tobacco Prevention Coalition. |
| Form 990 Part III | 4c | The partners in Prevention mini-grant in the amount of 75,000 provides funding for educating new and expectant parents. This educational forum includes informatuion such as breast feeding, infant and childhood nutrition and imunizations, safe sleep, car seat safety, post partum depression, stress management, brain development, physical mile stones, realistic expectations, and positive parenting strategies. This grant is provided by Team for WVs Children. |
| Form 990 Part III Line 4a The Pocahontas County Family Resource Network operates under a 42,500 multi-year renewable grant from the WV Department of Health and Human Services Division of Children and Families. The grant provides operation costs and salaries for the Executive Director. This money facilitates the Family Resource Network stratigic work plan that includes the following componets Information regarding local resources. Referal services to local service providers. West Virginia Service Array Regional Capacity and Development planning and facilitation. BeeLocal web bases information website input. Region IV Summit participation. Greenbrier Connections Collaborative initiatives. Other community engagement strategies for capacity building and sustainability. Form 990 Part III Line 4b The Regional Tobacco Prevention grant in the amount of 94,500 provides tobacco prevention programing in five West Virginia counties with an emphasis on youth. Cessation classes are offered and coalitions are recruited and maintained in each county to promote healthy tobacco free lifestyles. It provides salary benefits to the programs Director and facilitates the strategic work of the WV tobacco Prevention Coalition. Form 990 Part III Line 4c The partners in Prevention mini-grant in the amount of 75,000 provides funding for educating new and expectant parents. This educational forum includes informatuion such as breast feeding, infant and childhood nutrition and imunizations, safe sleep, car seat safety, post partum depression, stress management, brain development, physical mile stones, realistic expectations, and positive parenting strategies. This grant is provided by Team for WVs Children. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |