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.") .... | 74,360 | 40,447 | 40,713 | 16,454 | 77,595 | 249,569 |
| 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.. | 74,360 | 40,447 | 40,713 | 16,454 | 77,595 | 249,569 |
| 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. | 249,569 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 74,360 | 40,447 | 40,713 | 16,454 | 77,595 | 249,569 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 25,205 | 27,473 | 26,983 | 26,779 | 24,528 | 130,968 |
| 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). | 380,537 | |||||






| 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: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part III | 2 | Grants are made to students in the State of Virginia, Carroll County School District in grades 8 through 12 attending the Carroll County Intermediate School and the Carroll County High School. The guidance department in each school receives applications for the grants from the students and assures that all information is provided and submits the applications to the Scholarship Fondation Board for approval. Forms are provided by the Scholarship Foundation Board to the school guidance departments for this purpose. In case of graduating senior scholarship applications, the form requires a record of the students academic status and extracurricular experience, student vocational interest and work objectives, college preferences, college admittance status, and a financial plan for college attendance. Award criteria vary for several scholarships the Foundation has available |
| Form 990 Part III | 2 | the student must met the award criteria first. Then in the selection of a recipient, emphasis is placed on the probability of sucess of the student reaching the students stated goals. Some scholarshis provided by the Foundation include financial need as one criterion. In such case family and student financial status is provided and is considered in selection of a student for an award. In the case of the Leretie Goad Fund that assists needy 8th through 12th grade students the application form requires a statement of the purpose of the grant funds needed. First, the Foundation Board must include that the stated purpose of the applicaiton will assist the student in their academic pursuits. Then the family and the students financial status determines if the student qualifies to receive all or a portion of the requested grant. |
| Form 990 Part XI | 5 | Investments were transferred from Wells Fargo Advisors to Ameriprise Financial March 13, 2012. A difference in the amount of 5041.00 resulted from this transfer. |
| 5 | Investments were transferred from Wells Fargo Advisors to Ameriprise Financial March 13, 2012. A difference in the amount of 5041.00occurred during this transfer. | |
| Form 990 Part III Line 2 Grants are made to students in the State of Virginia, Carroll County School District in grades 8 through 12 attending the Carroll County Intermediate School and the Carroll County High School. The guidance department in each school receives applications for the grants from the students and assures that all information is provided and submits the applications to the Scholarship Fondation Board for approval. Forms are provided by the Scholarship Foundation Board to the school guidance departments for this purpose. In case of graduating senior scholarship applications, the form requires a record of the students academic status and extracurricular experience, student vocational interest and work objectives, college preferences, college admittance status, and a financial plan for college attendance. Award criteria vary for several scholarships the Foundation has available Form 990 Part III Line 2 the student must met the award criteria first. Then in the selection of a recipient, emphasis is placed on the probability of sucess of the student reaching the students stated goals. Some scholarshis provided by the Foundation include financial need as one criterion. In such case family and student financial status is provided and is considered in selection of a student for an award. In the case of the Leretie Goad Fund that assists needy 8th through 12th grade students the application form requires a statement of the purpose of the grant funds needed. First, the Foundation Board must include that the stated purpose of the applicaiton will assist the student in their academic pursuits. Then the family and the students financial status determines if the student qualifies to receive all or a portion of the requested grant. Form 990 Part XI Line 5 Investments were transferred from Wells Fargo Advisors to Ameriprise Financial March 13, 2012. A difference in the amount of 5041.00 resulted from this transfer. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |