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.") . | 166,818 | 167,666 | 153,929 | 169,513 | 272,559 | 930,485 |
| 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...... | 587,322 | 527,316 | 770,806 | 639,014 | 764,642 | 3,289,100 |
| 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. | 754,140 | 694,982 | 924,735 | 808,527 | 1,037,201 | 4,219,585 |
| 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.) | 4,219,585 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 754,140 | 694,982 | 924,735 | 808,527 | 1,037,201 | 4,219,585 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 16,470 | 5,617 | 709 | 547 | 169 | 23,512 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 16,470 | 5,617 | 709 | 547 | 169 | 23,512 |
| 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.). | 4,243,097 | |||||




| 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 6 | The organization has members. | |
| Pt VI, Line 7a | Members are surveyed to vote for persons to fill Board openings | |
| Pt VI, Line 11a | The 990 is reviewed & signed by the Exec Dir. The ED presents to the general Board | |
| Pt VI, Line 12c | Conflict of interest statements are required to be signed by all board members annually | |
| Pt VI, Line 15 | Compensation is reviewed by "personnel professionals" on the Pers. Committee | |
| Pt VI, Line 15 | Pers.Committee uses a formal performance evaluation in determining compensation | |
| Pt VI, Line 15 | Pers.Comm. may or may not keep contemporaneous substantiation. | |
| Pt VI, Line 19 | Financial statements, conflict of interest policy, governing docs are available. | |
| Pt XI | Adjustment to agree to 2010 audited fin stms completed after the 2010 990 was filed | |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE - NET RECEIVABLE FROM NATIONAL MSDC | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES DEFERRED REVENUE | |
| Form 990, Part IX, Line 24f | EQUIPMENT RENTAL & MAINT 6164. 4623. 1541. 0. MEMBERSHIPS & DUES 385. 0. 385. 0. AFFILIATES & BOARD EXPENSES 3356. 0. 3356. 0. JANITORIAL & MAINTENANCE 15560. 11670. 3890. 0. TELEPHONE 12277. 9208. 3069. 0. BANK CHARGES & FEES 10736. 0. 10736. 0. PRINTING 776. 0. 776. 0. MEDI/MBEIC/RAC EXPENSES 108956. 108956. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |