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.") .... | 179,052 | 98,375 | 97,103 | 118,517 | 124,347 | 617,394 |
| 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.. | 179,052 | 98,375 | 97,103 | 118,517 | 124,347 | 617,394 |
| 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).. | 56,491 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 560,903 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 179,052 | 98,375 | 97,103 | 118,517 | 124,347 | 617,394 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,625 | 857 | 299 | 196 | 95 | 3,072 |
| 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). | 620,466 | |||||






| 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 | 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. | ||||||
| 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.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 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.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Description of other revenue (Part I, line 8) | DESCRIPTION AMOUNT RETURN OF UNUSED GRANTS 54119 | |
| 02. List of grants and similar amounts paid (Part I, line 10) | ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE NEW BEGINNINGS PREGNANCY HELP CTR ADDRESS PO BOX 506 ASH FLAT AR 72513 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE AGAPE CHILD AND FAMILY SERVICES ADDRESS 111 RACINE MEMPHIS TN 38111 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE HANNAH MEDICAL CENTER ADDRESS 101 W MAIN ST SUT 201 EL DORADO AR 71730 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE HEART TO HEART PREG SUPPORT CTR INC ADDRESS 417 S 16TH ST FORT SMITH AR 72901 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE HARMONY BAPTIST ASSOCIATION ADDRESS 2001 S CHERRY ST PINE BLUFF AR 71601 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE FAMILIES ARE SPECIAL INC ADDRESS PO BOX 5789 NORTH LITTLE ROCK AR 72119 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE A WOMANS PLACE PREG RESOURCE CTR ADDRESS PO BOX 795 CABOT AR 72023 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE NEW BEGINNINGS PREG RESOURCE CTR ADDRESS 120 S CONRAD ST BENTON AR 72015 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE SEARCY CHILDRENS HOMES INC ADDRESS PO BOX 1141 SEARCY AR 72145 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE COMPASSION MINISTRIES LTD ADDRESS PO BOX 1876 SPRINGDALE AR 72765 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE BETHANY CHRISTIAN SERVICES OF AR ADDRESS 1100 N UNIVERSITY SUITE 66 LITTLE ROCK AR 72207 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE ADOPTION SERVICES INC ADDRESS 2500 N TYLER ST LITTLE ROCK AR 72207 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE FIRST CHOICE PREGNANCY RESOURCE CTR ADDRESS 602 MAIN ST TEXARKANA TX 75501 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE PREGNANCY RESOURCE CTR MTN HOME ADDRESS 15 E 5TH ST MOUNTAIN HOME AR 72653 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE NEW BEGINNINGS PREGNANCY SERV INC ADDRESS PO BOX 1112 SILOAM SPRINGS AR 72761 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE HOPE PLACE MONTICELLO ADDRESS 103 N MAIN MONTICELLO AR 71655 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE LIFEHOUSE MINISTRIES INC ADDRESS PO BOX 861 GUION AR 72540 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE NW AR WOMENS RESOURCES INC ADDRESS 801 S 7TH ST ROGERS AR 72756 AMOUNT 6484 ACTIVITY CHOOSE LIFE ADOPTION GRANT GRANTEE CHOICES PREGNANCY RESOURCE CLINIC ADDRESS PO BOX 394 RUSSELLVILLE AR 72811 AMOUNT 6484 | |
| 03. Description of other expenses (Part I, line 16) | DESCRIPTION AMOUNT ADVERTISING AND DONATIONS 14342 REIMBURSE FOR OFFICEPAYROLL EXP 7336 CONVENTION EXPENSES 386 CHOOSE LIFE EXPENSE 3910 CAMP JOSHUA EXPENSE 3195 TRAVEL EXPENSE 1996 LIFE INSURANCE EXPENSE 249 FAIREVENT EXPENSE 8157 BANKCREDIT CARD FEES 283 OTHER OFFICEMISC EXP 119 | |
| 04. Description of total liabilities (Part II, line 26) | BEGINNING CATEGORY OF YEAR END OF YEAR CREDIT CARD BALANCE 2048 480 |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
| ROSE MIMMS | SHARED KEY EMPLOYEE - SALARY PAID BY ARKANSAS RIGHT TO LIFE INC |