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) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (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) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (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) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (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) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (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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| Our church and community group is a tribal religious organization that operates both under the native american tribal laws, government and Southern Baptist doctrine. We also serve as a tribal and general community out-reach religious organization. We reach out to the community at large providing spiritual needs, funds for health and daily family life. |
| Software ID: | 10000077 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| F990_P00_S00_L0A | Form 990, Header, Line A | services are provided for many community out reach programs |
| F990_P03_S00_L02 | Form 990, Part III, Line 2 | Health services to all that need services. General medical and foot care services performed on a sliding scale so as to provide people with no or low income people health services. On-line education and spiritual education in the Holistic arts. Providing assistance for Utilities. |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | There is a tribal council has the governing section. Yet The members of the tribal community which number 100-125 that have voting rights to present items and or items that are up for vote that have been presented as isues to be voted on. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | The tribal council is put into place by the clan mothers of the tribe, also the members of the tribal community vote on council members and the tally of the two groups makes the outcome of the council. |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | The tribal community members that are of the age 13 and above vote on issues concerning the operation of the tribal community organization and it's services. |
| F990_P06_S0B_L11a | Form 990, Part VI, Section B, Line 11a | A special tribal council meeting is called for this one item. The file is reviewed by all and voted on to pass or not the final document. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | A conflict of interest concern is handled by the council. If any issues arise the council will conduct a meeting and detail and review the complains or issues that may have been stated and the council as a whole makes a determination if any conflict of interest in taking place. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | All laws , policies and regulations of our tribal council on conducting business are open to the public. |
| Software ID: | 10000077 |
| Software Version: | v1.00 |