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.") . | 117,858 | 132,702 | 108,254 | 119,362 | 108,756 | 586,932 |
| 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...... | 2,925 | 8,749 | 8,174 | 4,994 | 6,660 | 31,502 |
| 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. | 120,783 | 141,451 | 116,428 | 124,356 | 115,416 | 618,434 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 11,315 | 11,000 | 10,584 | 9,535 | 13,000 | 55,434 |
| 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.. | 11,315 | 11,000 | 10,584 | 9,535 | 13,000 | 55,434 |
| 8 | Public Support (Subtract line 7c from line 6.) | 563,000 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 120,783 | 141,451 | 116,428 | 124,356 | 115,416 | 618,434 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 11,972 | 12,251 | 3,576 | 2,759 | 3,411 | 33,969 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 11,972 | 12,251 | 3,576 | 2,759 | 3,411 | 33,969 |
| 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.). | 132,755 | 153,702 | 120,004 | 127,115 | 118,827 | 652,403 |




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | MEMBERS PAY ANNUAL DUES AND RECEIVE A QUARTERLY NEWSLETTER AND ARE ENCOURGED TO PARTCIPATE IN THE ORGANIZATIONS ACTIVITIES MEMBERS DO NOT HAVE ANY VOTING RIGHTS OR GOVERNANCE OVERSIGHT | |
| 02. Form 990 governing body review (Part VI, line 11) | A MEMBER OF THE BOARD OF DIRECTORS REVIEWS AND APPROVE A DRAFT OF THE 990 RETURN PRIOR TO THE RETURN BEING FILED | |
| 03. Conflict of interest policy compliance (Part VI, line 12c) | TO ENSURE THAT ENTITY OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS PERIODIC REVIEWS ARE CONDUCTED THAT INCLUDE THE FOLLOWING SUBJECTS A WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE RESONABLE ARE BASED ON COMPETENT SURVEY INFORMATION AND ARE THE RESULTS OF ARMSS LENGHTH BARGAINING B WHETHER PARTNERSHIPS JOINT VENTURES AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ENTITYS WRITTEN POLICIES ARE PROPERLY RECORDED REFLECT RESONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT IMPERMISSABLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION | |
| 04. CEO, executive director, top management comp (Part VI, line 15a) | TO ENSURE THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS PERIODIC REVIEWS ARE CONDUCTED THAT INCLUDE THE FOLLOWING SUBJECTS WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE ARE BASED ON COMPETENT SURVEY INFORMATION AND ARE THE RESULTS OF ARMSS LENGHTH BARGAINING AN EXECUTIVE COMPENSATION PROCESS IS FOLLOWED WHEREBY ALL FORMS OF COMPENSATION INCLUDING INSURANCE RETIREMENT AND ALLOWANCES PROVIDED TO THE EXECUTIVE ARE REVIEWED AND COMPARED WITH INDUSTRY STANDARDS TO ENSURE THEY ARE REASONABLE | |
| 05. Governing documents, etc, available to public (Part VI, line 19) | THE ENTITYS GOVERNING DOCUMENTS INCLUDING FORMS 1023 AND 990 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST THE ENTITYS CONFLICT OF INTEREST WHISTLE BLOWER AND DOCUMENT RETENTION POLICIES ARE MAINTAINED AND AVAILABLE UPON REQUEST | |
| 06. Explanation of other changes in net assets or fund balances (Part XI, line 5) | UNREALIZED GAIN ON INVESTMENTS 38901 |
| Software ID: | |
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