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.") . | 22,898 | 22,353 | 168,119 | 341,372 | 22,625 | 577,367 |
| 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...... | 56,369 | 59,907 | 74,526 | 58,328 | 68,915 | 318,045 |
| 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. | 79,267 | 82,260 | 242,645 | 399,700 | 91,540 | 895,412 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 5,000 | 5,000 | 5,000 | 185,000 | 5,000 | 205,000 |
| 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.. | 5,000 | 5,000 | 5,000 | 185,000 | 5,000 | 205,000 |
| 8 | Public Support (Subtract line 7c from line 6.) | 690,412 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 79,267 | 82,260 | 242,645 | 399,700 | 91,540 | 895,412 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 13,250 | 13,283 | 8,301 | 13,373 | 9,533 | 57,740 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 13,250 | 13,283 | 8,301 | 13,373 | 9,533 | 57,740 |
| 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.). | 92,517 | 95,543 | 250,946 | 413,073 | 101,073 | 953,152 |




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | THE ORGANIZATION IS A MEMBERSHIP ORGANIZATION WHICH CHARGES 5 ANNUAL DUES | |
| 02. Member election for additional members (Part VI, line 7a) | ANNUALLY EACH MAY THE ORGANIZATION HOLDS ITS ANNUAL MEETING OF THE MEMBERSHIP MEMBERS ELECT DIRECTORS AT THAT MEETING IN ADDITION TO APPROVING ANY BY-LAW CHANGES RECOMMENDED BY THE BOARD | |
| 03. Governing body decisions (Part VI, line 7b) | AT THE ANNUAL MEETING IN MAY THE MEMBERSHIP RATIFIES THE ACTIONS OF THE BOARD OF DIRECTORS DURING THE CURRENT FISCAL YEAR | |
| 04. Form 990 governing body review (Part VI, line 11) | THE BOARD OF DIRECTORS DOES NOT REVIEW THE 990 PRIOR TO FILING BUT IS GIVEN A COPY FOR REVIEW AFTER IT HAS BEEN FILED | |
| 05. Governing documents, etc, available to public (Part VI, line 19) | THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC ITS ANNUAL FORM 990 REVIEWED FINANCIAL STATEMENTS AND ITERIM STATEMENTS UPON WRITTEN REQUEST OF THE TREASURER | |
| 06. Explanation of other changes in net assets or fund balances (Part XI, line 5) | UNREALIZED GAIN ON BENIFICIAL ASSETS HELD BY OTHERS |
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