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? |
|||
|---|---|---|---|---|---|---|---|---|---|
| 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. | 0 | |||||
| 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.. | 0 | |||||
| 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.") . | 208,464 | 235,668 | 204,751 | 89,351 | 89,136 | 827,370 |
| 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...... | 13,120 | 25,989 | 16,603 | 17,800 | 73,512 | |
| 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. | 221,584 | 261,657 | 221,354 | 107,151 | 89,136 | 900,882 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 1,500 | 11,628 | 14,430 | 7,200 | 34,758 | |
| 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.. | 1,500 | 11,628 | 14,430 | 7,200 | 34,758 | |
| 8 | Public Support (Subtract line 7c from line 6.) | 866,124 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 221,584 | 261,657 | 221,354 | 107,151 | 89,136 | 900,882 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,373 | 971 | 1,105 | 725 | 4,174 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,373 | 971 | 1,105 | 725 | 4,174 | |
| 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.). | 905,056 | |||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt III, Line 3 | The ministry moved away from hosting retreats at its | |
| location to providing workshops and retreats for | ||
| Christian organizations and ministries in developing | ||
| and equipping leaders to their locations or environments. | ||
| Pt VI, Line 2 | Dalton and Victoria Jantzen are husband and wife | |
| Pt VI, Line 11a | Copy of 990 given to member by email and reviewed | |
| at board meeting | ||
| Pt VI, Line 12c | All discussions with possible conflict of interest | |
| are conducted with those with possible conflict of | ||
| interest excluded from discussion and vote until | ||
| decisions are made. | ||
| Pt VI, Line 15 | Decisions on compensation are conducted by board members | |
| without conflict of interest, comparable data from | ||
| other non profit organizations are considered, budget | ||
| constrants and job requirements are taken into | ||
| consideration | ||
| Part XI Line 5 | Adjustment to Fund balance due to change of timing on | |
| payroll liabilities | ||
| Form 990EZ, Part II, Line 26 | CREDIT CARD LIABILITIES PAYROLL LIABILITIES CHURCH FINANCE CORP ROUNDING | |
| Form 990, Part IX, Line 24f | POSTAGE 172. 100. 72. PRINTING & REPRODUCTION 1019. 900. 119. REPAIR & MAINTENANCE 6906. 6906. 0. 0. TELEPHONE 962. 962. BOOKS, TAPES CD'S 212. 212. INTERNET 186. 186. SPIRITUALLY HEALTHY LEADERS 1085. 1085. WARRANTIES 207. 207. TRAINING AND DEVELOPMENT LICENSES & PERMITS 2700. 2000. 700. BOARD MEETING EXPENSE 1032. 516. 516. 0. |
| Software ID: | 11000175 |
| Software Version: |