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.") . | 740,332 | 1,204,931 | 558,713 | 537,593 | 828,899 | 3,870,468 |
| 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...... | 1,179 | 2,250 | 3,429 | |||
| 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. | 740,332 | 1,204,931 | 558,713 | 538,772 | 831,149 | 3,873,897 |
| 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.) | 3,873,897 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 740,332 | 1,204,931 | 558,713 | 538,772 | 831,149 | 3,873,897 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,647 | 4,547 | 7,535 | 4,074 | 145 | 19,948 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 3,647 | 4,547 | 7,535 | 4,074 | 145 | 19,948 |
| 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.) | 3,192 | 8,536 | 244 | 11,972 | ||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 747,171 | 1,209,478 | 574,784 | 542,846 | 831,538 | 3,905,817 |




| 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) | THE ORGANIZATIONS FORM 990 IS PREPARED BY AUDITORS BASED ON THE COMPLETED AUDIT IT IS SUBMITTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING WITH THE IRS THE FINANCE COMMITTEE REPORTS TO THE FULL BOARD ON ITS REVIEW OF THE 990 AND PROVIDES ELECTRONIC COPIES TO THE FULL BOARD PRIOR TO A BOARD MEETING AT WHICH QUESTIONS OR COMMENTS ARE ENTERTAINED | |
| 02. Conflict of interest policy compliance (Part VI, line 12c) | THE ORGANIZATION HAS ADOPTED A CONFLICT OF INTEREST POLICY FOR BOARD MEMBERS AND OFFICERS A CONFLICT OF INTEREST POLICY HAS ALSO BEEN ADOPTED FOR EMPLOYEES AND IS INCORPORATED INTO THE ORGANIZATIONS PERSONNEL HANDBOOK EACH YEAR EVERY MEMBER OF THE BOARD AND OFFICERS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A CONFLICT OF INTEREST FORM IN WHICH ANY CONFLICTS MUST BE IDENTIFIED THE FORM ALSO REMINDS BOARD MEMBERS AND OFFICERS THAT SHOULD ANY CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST ARISE DURING THE YEAR IT MUST BE DECLARED THE BOARD THEN FOLLOWS THE POLICY TO ENSURE THAT THE ORGANIZATIONS DECISIONS ARE NOT AFFECTED BY THE CONFLICT OF INTEREST | |
| 03. CEO, executive director, top management comp (Part VI, line 15a) | EACH YEAR AS PART OF THE BUDGET DEVELOPMENT AND APPROVAL PROCESS THE BOARD OF DIRECTORS REVIEWS AND SETS THE SALARY OF THE EXECUTIVE DIRECTOR BOARD MEMBERS AND OFFICERS ARE NOT COMPENSATED AND ANY OTHER SENIOR STAFF SALARIES REVIEW AND APPROVAL IS BASED UPON A NUMBER OF EXPLICIT FACTORS INCLUDING AN ANALYSIS OF COMPENSATION FOR SIMILAR POSITIONS IN SIMILARLY SIZED NON-PROFIT ORGANIZATIONS AS DOCUMENTED BY INDEPENDENT SALARY SURVEYS WHICH INCLUDE TOTAL COMPENSATION SALARY COMPENSATIONAND BENEFIT COMPENSATION | |
| 04. Other officer or key employee compensation (Part VI, line 15b | EACH YEAR AS PART OF THE BUDGET DEVELOPMENT AND APPROVAL PROCESS THE BOARD OF DIRECTORS REVIEWS AND SETS THE SALARY OF THE EXECUTIVE DIRECTOR BOARD MEMBERS AND OFFICERS ARE NOT COMPENSATED AND ANY OTHER SENIOR STAFF SALARIES REVIEW AND APPROVAL IS BASED UPON A NUMBER OF EXPLICIT FACTORS INCLUDING AN ANALYSIS OF COMPENSATION FOR SIMILAR POSITIONS IN SIMILARLY SIZED NON-PROFIT ORGANIZATIONS AS DOCUMENTED BY INDEPENDENT SALARY SURVEYS WHICH INCLUDE TOTAL COMPENSATION SALARY COMPENSATION AND BENEFIT COMPENSATION | |
| 05. Governing documents, etc, available to public (Part VI, line 19) | THE ORGANIZATION MAKES GOVERNING DOCUMENTS AUDITED FINANCIAL STATEMENTS AND POLICIES AVAILABLE TO THE PUBLIC UPON REQUEST | |
| 06. General explanation attachment | PART VI LINE 17 ADDITIONAL STATES REQUIRED KENTUCKY MASSACHUSETTS MARYLAND MAINE MINNESOTA MISSISSIPPI NORTH CAROLINA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK OHIO OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA TENNESSEE UTAH VIRGINIA WASHINGTON WISCONSIN WEST VIRGINIA |
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