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. | ||||||
| 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.") . | 46,900 | 46,900 | ||||
| 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...... | 108,388 | 149,882 | 125,568 | 291,466 | 675,304 | |
| 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. | 108,388 | 149,882 | 125,568 | 338,366 | 722,204 | |
| 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.) | 722,204 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 108,388 | 149,882 | 125,568 | 338,366 | 722,204 | |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | |||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| 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. | 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.). | 108,388 | 149,882 | 125,568 | 338,366 | 722,204 | |




| Facts And Circumstances Test |
|---|
| 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 IX | 24e | Supplies Elderberry - 6,717 |
| Form 990 Part IX | 24e | Boxes packing material - 2,095 |
| Form 990 Part IX | 24e | Truck Rental delivery / pickup - 113 |
| Form 990 Part IX | 24e | Auto maintenance repair - 8,139 |
| Form 990 Part IX | 24e | Drug testing and screening - 158 |
| Form 990 Part IX | 24e | Equipment Repair - 132 |
| Form 990 Part IX | 24e | Repairs to sale items - 142 |
| Form 990 Part IX | 24e | Fax, copies, print services - 323 |
| Form 990 Part IX | 24e | Office and warehouse supplies - 5,078 |
| Form 990 Part IX | 24e | FCS Operations - Other - 4,352 |
| Form 990 Part IX | 24e | Rentals - 465 |
| Form 990 Part IX | 24e | Security - 60 |
| Form 990 Part IX | 24e | Telecom - 793 |
| Form 990 Part IX | 24e | Telephone Elderberry - 914 |
| Form 990 Part IX | 24e | Other expenses Elderberry - 2,222 |
| Form 990 Part IX | 24e | PayPal Sellers Fees - 2,225 |
| Form 990 Part IX | 24e | Dues and Subs - 524 |
| Form 990 Part IX | 24e | Supplies - furniture equipment - 306 |
| Form 990 Part IX | 24e | Telephone - 613 |
| Form 990 Part IX | 24e | Meals entertainment - 851 |
| Form 990 Part IX | 24e | Miscellaneous expenses - 369 |
| Form 990 Part IX | 24e | Reconciliation discrepancies - 9 |
| Form 990 Part IX | 24e | Tolls - 10 |
| Form 990 Part IX Line 24e Supplies Elderberry - 6,717 Form 990 Part IX Line 24e Boxes packing material - 2,095 Form 990 Part IX Line 24e Truck Rental delivery / pickup - 113 Form 990 Part IX Line 24e Auto maintenance repair - 8,139 Form 990 Part IX Line 24e Drug testing and screening - 158 Form 990 Part IX Line 24e Equipment Repair - 132 Form 990 Part IX Line 24e Repairs to sale items - 142 Form 990 Part IX Line 24e Fax, copies, print services - 323 Form 990 Part IX Line 24e Office and warehouse supplies - 5,078 Form 990 Part IX Line 24e FCS Operations - Other - 4,352 Form 990 Part IX Line 24e Rentals - 465 Form 990 Part IX Line 24e Security - 60 Form 990 Part IX Line 24e Telecom - 793 Form 990 Part IX Line 24e Telephone Elderberry - 914 Form 990 Part IX Line 24e Other expenses Elderberry - 2,222 Form 990 Part IX Line 24e PayPal Sellers Fees - 2,225 Form 990 Part IX Line 24e Dues and Subs - 524 Form 990 Part IX Line 24e Supplies - furniture equipment - 306 Form 990 Part IX Line 24e Telephone - 613 Form 990 Part IX Line 24e Meals entertainment - 851 Form 990 Part IX Line 24e Miscellaneous expenses - 369 Form 990 Part IX Line 24e Reconciliation discrepancies - 9 Form 990 Part IX Line 24e Tolls - 10 |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |