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.") .... | 99,519 | 103,633 | 59,547 | 70,802 | 80,177 | 413,678 |
| 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.. | 99,519 | 103,633 | 59,547 | 70,802 | 80,177 | 413,678 |
| 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).. | 174,246 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 239,432 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 99,519 | 103,633 | 59,547 | 70,802 | 80,177 | 413,678 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,984 | 4,501 | 973 | 647 | 145 | 9,250 |
| 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). | 422,928 | |||||






| 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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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | RELIEF OF THE POOR, DISTRESSED, OR UNDERPRIVILEGED ESPECIALLY CHILDREN AND YOUTH; PROMOTION AND DEVELOPMENT OF THE ARTS AND EDUCATION ESPECIALLY FOR THE BENEFIT OF CHILDREN AND YOUTH, AND ON MAKING DISTRIBUTIONS TO ORGANIZATIONS THAT ALSO QUALIFY AS SECTION 501 ( C ) ( 3 ) EXEMPT ORGANIZATIONS FOR THE BENEFIT OF CHILDREN AND YOUTH. |
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | TO SUPPORT PROGRAMS THAT PROVIDE CARE AND SHELTER FOR ABUSED, NEGLECTED, AND HOMELESS CHILDREN AND FAMILIES. ALLOCATIONS TO VARIOUS CHARITABLE RECIPIENTS TO PROVIDE EDUCATION, FOOD, CLOTHING, AND HEALTH CARE FOR NEEDY CHILDREN IN THE LOCAL AREA. |
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | ALASONDRA NOVINGER MARK MATTHIAS SECRETARY PRESIDENT EMPLOYEE/EMPLOYER IN OTHER CO. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE COMPLETED FORM 990, PREPARED BY A CPA FIRM, IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING BEFORE THE RETURN IS FILED WITH THE IRS. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE WRITTEN CONFLICT OF INTEREST POLICY WILL BE REVIEWED AND ADOPTED AT THE ANNUAL MEETING IN APRIL 2012. THEREAFTER, ALL BOARD OF DIRECTORS AND MEMBERS WILL ATTEST TO THEIR INDEPENDENCE BY SIGNING A FORM OF ASSURANCE AT THE ANNUAL MEETING. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | FORMS 1023, 990 AND ALL RELATED FINANCIAL INFORMATION ARE AVAILABLE FOR THE PUBLIC TO VIEW UPON REQUEST. |
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