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.") .... | 589,056 | 643,932 | 549,801 | 532,214 | 497,100 | 2,812,103 |
| 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.. | 589,056 | 643,932 | 549,801 | 532,214 | 497,100 | 2,812,103 |
| 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).. | 98,661 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 2,713,442 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 589,056 | 643,932 | 549,801 | 532,214 | 497,100 | 2,812,103 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 34 | 410 | 27 | 128 | 599 | |
| 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). | 2,812,702 | |||||






| 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 |
|---|---|---|
| 01. Form 990 governing body review (Part VI, line 11) | EACH BOARD MEMBER AND EXECUTIVE DIRECTOR ARE SENT AN ELECTRONIC COPY OF THE FORM 990 TO REVIEW AT LEAST ONE WEEK PRIOR TO THE SUBMISSION OF THE FORM EACH BOARD MEMBER THEN HAS ONE WEEK TO NOTIFY TAX PREPARER OF ANY CHANGES OR MODIFICATIONS TO BE MADE | |
| 02. Conflict of interest policy compliance (Part VI, line 12c) | EACH BOARD MEMBER THE EXECUTIVE DIRECTOR AND EMPLOYEES MUST COMPLETE A NEW CONFLICT OF INTEREST QUESTIONAIRE ANNUALLY THE EXECUTIVE DIRECTOR IS RESPONSIBLE TO COLLECT THE FORMS AND ENSURE THAT EVERYONE HAS SUBMITTED ONE AND THAT THERE ARE NO CONFLICTS | |
| 03. CEO, executive director, top management comp (Part VI, line 15a) | ON AN ANNUAL BASIS THE BOARD OF DIRECTORS EVALUATES THE EXECUTIVE DIRECTORS SALARY TO DETERMINE IF IT IS REASONABLE AND IF THERE ARE ANY ADJUSTMENTS THAT ARE NEEDED DIFFERENT FACTORS TAKEN INTO ACCOUNT ARE DUTIES ASSUMED AREA COMPARABILITY AND COST OF LIVING INCREASES | |
| 04. Other officer or key employee compensation (Part VI, line 15b | THE EXECUTIVE DIRECTOR REVIEWS ALL OTHER EMPLOYEES COMPENSATION ANNUALLY TO DETERMINE IF WAGE LEVEL IS APPROPRIATE BASED ON LEVEL OF RESONSIBILITIES DUTIES ASSUMED AREA COMPARABILITY AND COST OF LIVING INCREASES | |
| 05. Governing documents, etc, available to public (Part VI, line 19) | THE ORGANIZATIONS GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST COPIES WILL BE MADE AVAILABLE AT THE ORGANIZATIONS MAIN OFFICE IN A REASONABLE PERIOD OF TIME UPON PROPER REQUEST |
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