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.. | ||||||
| 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.") . | 3,828 | 5,530 | 3,450 | 4,225 | 4,950 | 21,983 |
| 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...... | 123,015 | 106,854 | 104,263 | 104,542 | 118,247 | 556,921 |
| 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. | 126,843 | 112,384 | 107,713 | 108,767 | 123,197 | 578,904 |
| 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.) | 578,904 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 126,843 | 112,384 | 107,713 | 108,767 | 123,197 | 578,904 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 609 | 284 | 232 | 143 | 1,268 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 609 | 284 | 232 | 143 | 1,268 | |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 126,843 | 112,993 | 107,997 | 108,999 | 123,340 | 580,172 |




| 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 Part IV | 38 | Form 990 reviewed by board of directors and is available to members upon request. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 4,250, Grants and allocations 0, Revenue 0 Big Brothers/Big Sisters |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,500, Grants and allocations 0, Revenue 0 Boy Scouts |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 900, Grants and allocations 0, Revenue 0 Castle Project-Sunrise Presbyterian |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 2,280, Grants and allocations 0, Revenue 0 Catholic Charities |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,895, Grants and allocations 0, Revenue 0 Central Kansas Foundation Alcohol |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 4,000, Grants and allocations 0, Revenue 0 Child Abuse Prevention Services |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 2,250, Grants and allocations 0, Revenue 0 Domestic Violence Association |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 2,400, Grants and allocations 0, Revenue 0 First Presbyterian Social Justice |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 900, Grants and allocations 0, Revenue 0 The First Tee |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,700, Grants and allocations 0, Revenue 0 Heartland Program |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,200, Grants and allocations 0, Revenue 0 Hospice of Salina |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 4,250, Grants and allocations 0, Revenue 0 Martin Luther King Jr. Child Care |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,500, Grants and allocations 0, Revenue 0 Merry Maids Cleaning for a Reason |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 500, Grants and allocations 0, Revenue 0 Newspapers in Education |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 500, Grants and allocations 0, Revenue 0 Salina Area Youth Sportsmanship Initiative |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 2,100, Grants and allocations 0, Revenue 0 Salina Child Care Association |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 500, Grants and allocations 0, Revenue 0 Salina Christian Academy |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 500, Grants and allocations 0, Revenue 0 Salina Education Foundation |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 5,000, Grants and allocations 0, Revenue 0 Salina Emergency Food Bank |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,800, Grants and allocations 0, Revenue 0 Salina Family YMCA |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,800, Grants and allocations 0, Revenue 0 Salna Habitat for Humanity |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,899, Grants and allocations 0, Revenue 0 SRHC Infant Child Development |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 3,000, Grants and allocations 0, Revenue 0 Salina Rescue Mission |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 1,275, Grants and allocations 0, Revenue 0 Saline County for Retarded Citizens |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 5,000, Grants and allocations 0, Revenue 0 Salvation Army |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 500, Grants and allocations 0, Revenue 0 St. Marys Grade School |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 3,750, Grants and allocations 0, Revenue 0 St. Francis Academy |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 3,060, Grants and allocations 0, Revenue 0 Sunflower Adult Day Services |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 2,250, Grants and allocations 0, Revenue 0 Tammy Walker Cancer Center |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 750, Grants and allocations 0, Revenue 0 Volunteer Connection |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 500, Grants and allocations 0, Revenue 0 Wally Beets/John Marino Scholarship Fund |
| Form 990, Part III, Line 4d Program Service Expenses 4,250, Grants and allocations 0, Revenue 0 Big Brothers/Big Sisters Form 990, Part III, Line 4d Program Service Expenses 1,500, Grants and allocations 0, Revenue 0 Boy Scouts Form 990, Part III, Line 4d Program Service Expenses 900, Grants and allocations 0, Revenue 0 Castle Project-Sunrise Presbyterian Form 990, Part III, Line 4d Program Service Expenses 2,280, Grants and allocations 0, Revenue 0 Catholic Charities Form 990, Part III, Line 4d Program Service Expenses 1,895, Grants and allocations 0, Revenue 0 Central Kansas Foundation Alcohol Form 990, Part III, Line 4d Program Service Expenses 4,000, Grants and allocations 0, Revenue 0 Child Abuse Prevention Services Form 990, Part III, Line 4d Program Service Expenses 2,250, Grants and allocations 0, Revenue 0 Domestic Violence Association Form 990, Part III, Line 4d Program Service Expenses 2,400, Grants and allocations 0, Revenue 0 First Presbyterian Social Justice Form 990, Part III, Line 4d Program Service Expenses 900, Grants and allocations 0, Revenue 0 The First Tee Form 990, Part III, Line 4d Program Service Expenses 1,700, Grants and allocations 0, Revenue 0 Heartland Program Form 990, Part III, Line 4d Program Service Expenses 1,200, Grants and allocations 0, Revenue 0 Hospice of Salina Form 990, Part III, Line 4d Program Service Expenses 4,250, Grants and allocations 0, Revenue 0 Martin Luther King Jr. Child Care Form 990, Part III, Line 4d Program Service Expenses 1,500, Grants and allocations 0, Revenue 0 Merry Maids Cleaning for a Reason Form 990, Part III, Line 4d Program Service Expenses 500, Grants and allocations 0, Revenue 0 Newspapers in Education Form 990, Part III, Line 4d Program Service Expenses 500, Grants and allocations 0, Revenue 0 Salina Area Youth Sportsmanship Initiative Form 990, Part III, Line 4d Program Service Expenses 2,100, Grants and allocations 0, Revenue 0 Salina Child Care Association Form 990, Part III, Line 4d Program Service Expenses 500, Grants and allocations 0, Revenue 0 Salina Christian Academy Form 990, Part III, Line 4d Program Service Expenses 500, Grants and allocations 0, Revenue 0 Salina Education Foundation Form 990, Part III, Line 4d Program Service Expenses 5,000, Grants and allocations 0, Revenue 0 Salina Emergency Food Bank Form 990, Part III, Line 4d Program Service Expenses 1,800, Grants and allocations 0, Revenue 0 Salina Family YMCA Form 990, Part III, Line 4d Program Service Expenses 1,800, Grants and allocations 0, Revenue 0 Salna Habitat for Humanity Form 990, Part III, Line 4d Program Service Expenses 1,899, Grants and allocations 0, Revenue 0 SRHC Infant Child Development Form 990, Part III, Line 4d Program Service Expenses 3,000, Grants and allocations 0, Revenue 0 Salina Rescue Mission Form 990, Part III, Line 4d Program Service Expenses 1,275, Grants and allocations 0, Revenue 0 Saline County for Retarded Citizens Form 990, Part III, Line 4d Program Service Expenses 5,000, Grants and allocations 0, Revenue 0 Salvation Army Form 990, Part III, Line 4d Program Service Expenses 500, Grants and allocations 0, Revenue 0 St. Marys Grade School Form 990, Part III, Line 4d Program Service Expenses 3,750, Grants and allocations 0, Revenue 0 St. Francis Academy Form 990, Part III, Line 4d Program Service Expenses 3,060, Grants and allocations 0, Revenue 0 Sunflower Adult Day Services Form 990, Part III, Line 4d Program Service Expenses 2,250, Grants and allocations 0, Revenue 0 Tammy Walker Cancer Center Form 990, Part III, Line 4d Program Service Expenses 750, Grants and allocations 0, Revenue 0 Volunteer Connection Form 990, Part III, Line 4d Program Service Expenses 500, Grants and allocations 0, Revenue 0 Wally Beets/John Marino Scholarship Fund Form 990 Part IV Line 38 Form 990 reviewed by board of directors and is available to members upon request. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |