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.") .... | ||||||
| 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. | ||||||
| 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.") . | 53,583 | 62,566 | 71,216 | 67,364 | 55,447 | 310,176 |
| 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. | 53,583 | 62,566 | 71,216 | 67,364 | 55,447 | 310,176 |
| 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.) | 310,176 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 53,583 | 62,566 | 71,216 | 67,364 | 55,447 | 310,176 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 180 | 721 | 681 | 700 | 120 | 2,402 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 180 | 721 | 681 | 700 | 120 | 2,402 |
| 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.). | 53,763 | 63,287 | 71,897 | 68,064 | 55,567 | 312,578 |




| 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) | FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR FOR REVIEW AND SIGNATURE BEFORE SUBMISSION TO THE IRS | |
| 02. CEO, executive director, top management comp (Part VI, line 15a) | PERSONS CONSIDERED FOR THE POSITION OF EXECUTIVE DIRECTOR ARE REQUIRED TO SUBMIT AN EMPLOYMENT APPLICATION AND A RESUME FOR INITIAL REVIEW BY A COMMITTEE APPOINTED BY THE BOARD OF DIRECTORS THAT COMMITTEE CALLS QUALIFIED CANDIDATES IN FOR AN INTERVIEW BY THE COMMITTEE THE COMMITTEE DETERMINES BY MAJORITY VOTE WHICH CANDIDATE WILL BE OFFERED THE POSITION THE CANDIDATES NAME AND RESUME ARE PRESENTED TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL BY MAJORITY VOTE BEFORE THE OFFER OF EMPLOYEMENT IS MADE TO THE CANDIDATE | |
| 03. Other officer or key employee compensation (Part VI, line 15b | PERSONS CONSIDERED FOR THE POSITION OF ADMINISTRATIVE ASSISTANT ARE REQUIRED TO SUBMIT AN EMPLOYMENT APPLICATION AND A RESUME FOR INITIAL REVIEW BY A COMMITTEE APPOINTED BY THE BOARD OF DIRECTORS THAT COMMITTEE CALLS QUALIFIED CANDIDATES IN FOR AN INTERVIEW BY THE COMMITTEE THE COMMITTEE DETERMINES BY MAJORITY VOTE WHICH CANDIDATE WILL BE OFFERED THE POSITION THE CANDIDATES NAME AND RESUME ARE PRESENTED TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL BY MAJORITY VOTE BEFORE THE OFFER OF EMPLOYEMENT IS MADE TO THE CANDIDATE | |
| 04. Governing documents, etc, available to public (Part VI, line 19) | PERSONS WHO HAVE AN INTEREST IN VIEWING THE GOVERNING DOCUMENTS TAX RETURNS AND OTHER DOCUMENTS OF THE ORGANIZATION ARE INVITED TO PRESENT A REQUEST THAT LISTS THE DOCUMENTS TO BE SEEN TO THE EXECUTIVE DIRECTOR WHO IN TURN PRESENTS THE REQUEST TO THE BOARD OF DIRECTORS FOR APPROVAL APPROVED REQUESTS ARE FULFILLED ON A TIMELY BASIS BY RETRIEVING THE REQUESTED DOCUMENTS AND NOTIFYING THE REQUESTOR OF THE TIME AVAILABLE FOR REVIEW | |
| 05. "Other" or change in accounting method (Part XII, line 1) | MEMBERS OF THE PUBLIC ARE INVITED TO PRESENT ANY REQUEST FOR GOVERNING DOCUMENTS POLICY AND FINANCIAL STATEMENTS TO THE EXECUTIVE DIRECTOR WHO IN TURN PRESENTS THE REQUEST TO THE BOARD OF DIRECTORS FOR CONSIDERATION DOCUMENTS TO BE MADE AVAILABLE PURSUANT TO SUCH A REQUEST ARE PRESENTED TO THE PERSON REQUESTING ACCESS AT THE OFFICE OF THE ORGANIZATION DURING NORMAL BUSINESS OPERATING HOURS FOR THEIR READING AND REVIEW | |
| 06. Explanation of other changes in net assets or fund balances (Part XI, line 5) | NET ASSETS DECREASED BY 154300 DUE A PRIOR PERIOD ERROR IN ACCUMULATED DEPRECIATION NET ASSETS DECREASED BY 7510800 BECAUSE OF THE SEPARATION OF AN ACTIVITY THAT WAS MERGED INTO ANOTHER EXEMPT ORGANIZATION |
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