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.") .... | 192,410 | 187,440 | 167,741 | 147,425 | 169,807 | 864,823 |
| 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.. | 192,410 | 187,440 | 167,741 | 147,425 | 169,807 | 864,823 |
| 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. | 864,823 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 192,410 | 187,440 | 167,741 | 147,425 | 169,807 | 864,823 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,732 | 6,564 | 9,154 | 9,152 | 8,333 | 36,935 |
| 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). | 901,758 | |||||






| 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.) | 0 | |||||
| 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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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | Form 990 circulated to BOD for review and approval | |
| before filing. | ||
| Pt VI, Line 12c | Annual updates required and reviewed. | |
| Pt VI, Line 19 | Available upon request at administrative office. | |
| Pt XII, Line 2c | Executive director works with auditor. Board involved | |
| in approving selection of auditor and annual audit | ||
| engagement. | ||
| Form 990, Part III, Line 4d | THRIFT SHOP 106592. 0. 140931. YOUTH AND SOCIAL SERVICES 133347. 0. 0. COMMUNITY FOOD BANK 1635910. 0. 0. NEIGHBORHOOD STABILIZATION PROGRAM 10598. 0. 0. HEADSTART PROGRAM 27413. 0. 55670. | |
| Form 990, Part IX, Line 24f | UTILITIES 56715. 54562. 2153. 0. FUEL 7828. 7828. 0. 0. EMERGENCY FOOD ASSIST 9857. 9857. 0. 0. BANK FEES 416. 0. 416. 0. SUPPLIES 12852. 7914. 4938. 0. TRAINING 889. 0. 889. 0. FAMILY SUPPORT 12349. 12349. 0. 0. PUBLICATIONS 3494. 0. 3494. 0. EMERGENCY HOUSING ASSIST 6494. 6494. 0. 0. EQUIPMENT RENTAL 524. 524. 0. 0. POSTAGE 4233. 0. 4233. 0. VEHICLE LICENSING 482. 482. 0. 0. DISTRIBUTED FOOD 1580334. 1580334. 0. 0. PURCHASED SERVICES 1130. 1130. 0. 0. TELEPHONE 6543. 6204. 339. 0. FEES AND PER |
| Software ID: | 11000175 |
| Software Version: |