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.") . | 16,064 | 18,579 | 18,036 | 17,548 | 19,862 | 90,089 |
| 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...... | 22,558 | 22,501 | 23,252 | 20,973 | 5,390 | 94,674 |
| 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. | 38,622 | 41,080 | 41,288 | 38,521 | 25,252 | 184,763 |
| 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.) | 184,763 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 38,622 | 41,080 | 41,288 | 38,521 | 25,252 | 184,763 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 887 | 695 | 495 | 178 | 2,255 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 887 | 695 | 495 | 178 | 2,255 | |
| 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.) | 19,258 | 19,258 | ||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 39,509 | 41,775 | 41,783 | 38,699 | 44,510 | 206,276 |




| Facts And Circumstances Test |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| 01. List of grants and similar amounts paid (Part I, line 10) | ACTIVITY SPONSORSHIP GRANTEE DILLON CHRISTIAN PRESCHOOL ADDRESS 337 S COMMERCE DRIVE DILLON SC 29536 RELATIONSHIP NONE AMOUNT 250 ACTIVITY SPONSORSHIP GRANTEE CITY OF DILLON RECREATION ADDRESS PO BOX 431 DILLON SC 29536 RELATIONSHIP NONE AMOUNT 100 ACTIVITY SPONSORSHIP GRANTEE RALI-DILLON COUNTY ADDRESS PO BOX 1304 DILLON SC 29536 RELATIONSHIP NONE AMOUNT 50 ACTIVITY SPONSORSHIP GRANTEE DILLON CHRISTIAN SCHOOL ADDRESS PO BOX 151 DILLON SC 29536 RELATIONSHIP NONE AMOUNT 100 ACTIVITY SPONSORSHIP GRANTEE SC LIONS CHARITABLE SERVICES ADDRESS 110 MEDICAL CIRCLE WEST COLUMBIA SC 29169 RELATIONSHIP NONE AMOUNT 4000 ACTIVITY SIGHT CONSERVATION GRANTEE LIONS CLUB INTERNATIONAL ADDRESS 300 W 22ND ST OAK BROOK IL 60523 RELATIONSHIP NONE AMOUNT 2264 ACTIVITY SCHOLARSHIP GRANTEE LESLIE CAROLYN JACKSON ADDRESS 1000 COKER STREET DILLON SC 29536 RELATIONSHIP NONE AMOUNT 1000 ACTIVITY SPONSORSHIP GRANTEE CAROLINA FAMILY PLANNING CENTER ADDRESS 310 E WAHSINGTON ST DILLON SC 29536 RELATIONSHIP NONE AMOUNT 100 ACTIVITY SPONSORSHIP GRANTEE DILLON COUNTY THEATER ADDRESS 114 N MACARTHUR AVE DILLON SC 29536 RELATIONSHIP NONE AMOUNT 500 ACTIVITY SPONSORSHIP GRANTEE DILLON COUNTY PARTNERSHIP 4 KIDS ADDRESS PARTNERSHIP 4 KIDS PO BOX 476 LATTA SC 29565 RELATIONSHIP NONE AMOUNT 100 ACTIVITY SPONSORSHIP GRANTEE CUB SCOUT PACK 761 ADDRESS 1310 JOHN ST DILLON SC 29536 RELATIONSHIP NONE AMOUNT 300 ACTIVITY SPONSORSHIP GRANTEE BOY SCOUT TROOP 761 ADDRESS 1310 JOHN ST LATTA SC 29565 RELATIONSHIP NONE AMOUNT 600 ACTIVITY SPONSORSHIP GRANTEE PEE DEE COALITION ADDRESS 203 N 5TH AVENUE DILLON SC 29536 RELATIONSHIP NONE AMOUNT 500 ACTIVITY SPONSORSHIP GRANTEE ANDERSON MID-DAY LIONS CLUB ADDRESS 101 PINEFORST DRIVE ANDERSON SC 29625 RELATIONSHIP NONE AMOUNT 350 ACTIVITY SPONSORSHIP GRANTEE LIONS CLUB INTERNATIONAL ADDRESS 300 W 22ND STREET OAK BROOK IL 60523 RELATIONSHIP NONE AMOUNT 1000 | |
| 02. Description of other expenses (Part I, line 16) | DESCRIPTION AMOUNT CLUB SUPPLIES 1115 MEMORIALS 214 DUES 32C 1090 DUES INTERNATIONAL 2613 MEALS AND ENTERTAINMENT 12225 SCOUT HUT UTIL AND MAINT 1186 LICENSES 55 | |
| 03. Other changes in net assets or fund balances (Part I, line 20) | DESCRIPTION AMOUNT ROUNDING DIFFERENCES 4 PRIOR PERIOD ADJUSTMENT AR 978 | |
| 04. Description of other assets (Part II, line 24) | BEGINNING CATEGORY OF YEAR END OF YEAR BROOMS INVENTORY 1630 1630 SCHOLARSHIP CD 25000 25000 ACCOUNTS RECEIVABLE 1556 728 |
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