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.") .... | 8,566 | 9,580 | 8,599 | 15,826 | 22,852 | 65,423 |
| 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.. | 8,566 | 9,580 | 8,599 | 15,826 | 22,852 | 65,423 |
| 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. | 65,423 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 8,566 | 9,580 | 8,599 | 15,826 | 22,852 | 65,423 |
| 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.. | 13,516 | -62,938 | 38,945 | 22,670 | -11,001 | 1,192 |
| 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). | 66,615 | |||||






| 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-EZ | 0 | |
| Form 990-EZ, Part I, Line 8, Other Revenue Board reimbursement for expenses 740 Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Arts, Grantee Central School Project, Cash Grant 1,500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Arts, Grantee Bisbee Community Chorus PO Box 5317 Bisbee AZ 85603, Cash Grant 1,000, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Building, Grantee Strengthening Rural Arizona, Cash Grant 2,000, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Building, Grantee SEHAC, Cash Grant 3,542, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Arts Support, Grantee KBRP PO Box 1501 Bisbee AZ 85603, Cash Grant 1,100, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Arts, Grantee Bisbee Obscure Productions PO Box 277 Bisbee AZ 85603, Cash Grant 500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Building, Grantee Bisbee Boys Girls Club 405 Arizona Street Bisbee AZ 85603, Cash Grant 750, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Building, Grantee Bisbee Coaster Races, Cash Grant 500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Educational Scholarships, Grantee Various Individuals, Cash Grant 2,975, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Art Educational Grants, Grantee Various Individuals BHS assoc, Cash Grant 3,496, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Community Building, Grantee Friends of Copper Queen Library PO Box 1857 Bisbee AZ 85603, Cash Grant 529, Relationship Form 990-EZ, Part I, Line 16, Other Expenses Conferences, conventions, and meetings 1,000 Form 990-EZ, Part I, Line 16, Other Expenses Advertisement 822 Form 990-EZ, Part I, Line 16, Other Expenses Dues 60 Form 990-EZ, Part I, Line 16, Other Expenses Corporate filing 10 Form 990-EZ, Part I, Line 16, Other Expenses Website 800 Form 990-EZ, Part I, Line 16, Other Expenses Administrative Fees - Arizona Community Foundation 1,616 Form 990-EZ, Part I, Line 20, Net Assets Loss on value of investments with Arizona Community Foundation -11,016 Form 990-EZ, Part I, Line 20, Net Assets Reduction in unpaid grants reduction in liabilities 5,021 Form 990-EZ, Part II, Line 26, Liabilities SWAN Beginning of year 2,720, End of year 2,220 Form 990-EZ, Part II, Line 26, Liabilities Evergreen Checking Beginning of year 725, End of year 765 Form 990-EZ, Part II, Line 26, Liabilities SEHAC Beginning of year 8,300, End of year 4,758 Form 990-EZ, Part II, Line 26, Liabilities Unpaid Grants Beginning of year 0, End of year 1,400 Form 990-EZ |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |