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.") . | 202,047 | 238,106 | 268,883 | 293,336 | 111,699 | 1,114,071 |
| 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. | 202,047 | 238,106 | 268,883 | 293,336 | 111,699 | 1,114,071 |
| 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.) | 1,114,071 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 202,047 | 238,106 | 268,883 | 293,336 | 111,699 | 1,114,071 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 200 | 201 | 555 | 294 | 1,141 | 2,391 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 200 | 201 | 555 | 294 | 1,141 | 2,391 |
| 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.). | 202,247 | 238,307 | 269,438 | 293,630 | 112,840 | 1,116,462 |




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | THE ORGANIZATIONS IS COMPOSED OF MEMBERS WHO PAY DUES WHICH ARE NON-DEDUCTIBLE AND ARE ALL EQUAL IN RIGHTS THERE IS ONLY ONE CLASS WHICH IS COMPOSED OF MEMBERS | |
| 02. Member election for additional members (Part VI, line 7a) | THE ORGANIZATION HAS AN ANNUAL MEETING AT WHICH TIME THE OFFICERS AND DIRECTORS ARE ELECTED THE BOARD DOES NOT RECOMMEND ANY MEMBER FOR THE BOARD OF DIRECTORS BUT ARE ELECTED FROM INDIVIDUALS ELECTING TO RUN FOR OFFICE OR FOR THE BOARD OF DIRECTORS THE ANNUAL MEETING IS PAID FOR BY THOSE ATTENDING AND THAT INCOME IS INCLUDED AS CONFERENCE INCOME | |
| 03. Governing body decisions (Part VI, line 7b) | THE EXECUTIVE BOARD OF DIRECTORS DECISIONS ARE AFFIRMED BY THE ENTIRE BOARD AND ALL DECISIONS ARE THEN PLACED BEFORE THE MEMBERS AT THE ANNUAL MEETING FOR THEIR APPROVALDISAPPROVAL THE EXECUTIVE BOARD IS RESPONSIBLE FOR OVERSEEING THE DAY TO DAY OPERATIONS OF THE ORGANIZATION THE ENTIRE BOARD WILL MEET IF A SIGNIFICANT DECISION NEEDS TO BE MADE | |
| 04. Form 990 governing body review (Part VI, line 11) | A COPY OF THE FORM 990 IS PROVIDED TO EACH DIRECTOR PRIOR TO FILING THE TAX RETURN | |
| 05. Conflict of interest policy compliance (Part VI, line 12c) | THE BOARD IS NOT CONTROLLED BY ANY ONE INDIVIDUAL BUT RATHER BY THE ENTIRE BOARD ALL DECISIONS REGARDING CONTRACTS WOULD BE REVIEWED BY THE EXECUTIVE BOARD WHO WOULD MAKE DECISIONS TO THE ENTIRE BOARD EACH BOARD MEMBER HAS ONE VOTE AND NONE ARE RELATED THEREFORE NO ONE PERSON WOULD BE ABLE TO VIOLATE THE CONFLICT OF INTEREST POLICY | |
| 06. CEO, executive director, top management comp (Part VI, line 15a) | THE PAY FOR THE EXECUTIVE DIRECTOR IS SET BY THE BOARD OF DIRECTORS THE EXECUTIVE DIRECTOR IS THE ONLY PAID TOP MANAGEMENT OFFICIAL ALL OTHER OFFICERS OF THE ORGANIZATION ARE VOLUNTEER | |
| 07. Other officer or key employee compensation (Part VI, line 15b | THE OTHER EMPLOYEES SALARIES THE EXECUTIVE DIRECTOR IS THE ONLY KEY EMPLOYEE ARE DETERMINED BY THE EXECUTIVE BOARD AND AFFIRMED BY THE ENTIRE BOARD THE BOARD DETERMINES ALL COMPENSATION | |
| 08. Governing documents, etc, available to public (Part VI, line 19) | THE FORM 990 IS AVAILABLE TO THE PUBLIC THE MINUTES AND OTHER DOCUMENTS OF THE ORGANIZATION ARE NOT AVAILABLE TO THE PUBLIC |
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