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.") . | ||||||
| 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...... | 249,622 | 1,293,204 | 2,007,069 | 1,552,859 | 5,102,754 | |
| 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. | 249,622 | 1,293,204 | 2,007,069 | 1,552,859 | 5,102,754 | |
| 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.) | 5,102,754 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 249,622 | 1,293,204 | 2,007,069 | 1,552,859 | 5,102,754 | |
| 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.). | 5,102,754 | |||||




| 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 VI, Line 11a | This Form 990 was reviewed against 2011 Year-to-date financial | |
| compiled by an Accountant | ||
| Pt VI, Line 12c | The President and the Treasurer are both employees of this | |
| Corporation. It is mandatory under conflict of interest policy | ||
| to abstain from voting on any matter pertaining to them. | ||
| Pt VI, Line 15 | This organization has pay level schedule approved by the | |
| board of director which was submitted to IRS when | ||
| applying for 501(c)(3). The pay level used by | ||
| management in setting pay and raises | ||
| Pt VI, Line 2 | Roy Ray and Radiance Ray husband and wife. Roy is the | |
| President and Radiance is the Treasurer. Both of them | ||
| are Certifield Treatment parents for Foster Kids. They | ||
| always abstained from voting on any matter pertaining to them. | ||
| Pt VI, Line 19 | Copy of conflict of interest policy was attached to initial | |
| 501(c)(3) application. It is part of our daily operating policy. | ||
| The Financial Statement is always available to the general | ||
| public by calling 702-617-3466 for appointment to view it. | ||
| Form 990, Part IX, Line 24f | CAREGIVER EXPENSES 231781. 231781. 0. 0. EDUCATION/TRAINING 7630. 7630. 0. 0. AWARD EXPENSES 2741. 2741. 0. 0. INTERNET EXPENSES 6460. 6460. 0. 0. LAUNDRY/CLEANING/GROOMING 9233. 9233. 0. 0. EXPENSED EQUIPMENT 7744. 7744. 0. 0. LICENSE & PERMIT EXPENSES 2423. 2423. 0. 0. MAINTENANCE & REPAIR EXPENSES 45048. 45048. 0. 0. MEDICAL EXPENSES 16662. 16662. 0. 0. POSTAGE 201. 201. 0. 0. PRINTING 713. 713. 0. 0. PROFESSIONAL SERVICES EXPENSES 263054. 263054. 0. 0. SPONSORED EVENT EXPENSES 5041. 5041. 0. |
| Software ID: | 11000175 |
| Software Version: |