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.") .... | 223,263 | 208,939 | 212,486 | 263,393 | 234,472 | 1,142,553 |
| 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.. | 223,263 | 208,939 | 212,486 | 263,393 | 234,472 | 1,142,553 |
| 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. | 1,142,553 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 223,263 | 208,939 | 212,486 | 263,393 | 234,472 | 1,142,553 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 9,944 | 9,567 | 5,889 | 4,549 | 4,465 | 34,414 |
| 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.. | 1,302 | 4,955 | 6,829 | 1,851 | 767 | 15,704 |
| 11 | Total support (Add lines 7 through 10). | 1,192,671 | |||||






| 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 |
|---|
| OTHER INCOME PART II, LINE 10; DESCRIPTION: AMUSEMENT PARK PASS; 2007: 1302.; 2008: 2490.; 2009: 4319.; 2010: 1851.; 2011: 767.; DESCRIPTION: SIXERS TICKETS; 2008: 2465.; 2009: 2510.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 6 | Members pay annual dues and receive information on foster parenting | |
| Pt VI, Line 7a | Members elect the Officers and Board of Directors | |
| Pt VI, Line 11a | Executive Director reviews the 990 and informs the Board | |
| Pt VI, Line 12c | Board annually reviews compliance with policies | |
| Pt VI, Line 15 | Personnel committee collects salary information from comparable | |
| organizations and the Board approves their recommendations | ||
| Form 990, Part VI, Line 9 | ELAINE NEWKIRK PO BOX 375 CURWENSVILLE PA 16833 RONALD WILLIAMS PO BOX 203 LAKE WINOLA PA 18625 DEBBIE ANTHONY 189 HEDGEHOG LANE BRADFORD PA 16701 BILL KASPER 10 SWEETBRIAR LANE LEBANON PA 17046 BARBARA FORSHEY 199 BIG PLUM RUN ROAD LOCK HAVEN PA 17745 SANDY FENSTERMACHER 239 ORNDORFF ROAD WAYNESBURG PA 15370 DIANE HINES 371 EAST GORGAS LANE PHILADELPHIA PA 19119 EDITH LAWSON 140 RAYMOND AVENUE CORRY PA 16407 GARRY KRENTZ PO BOX 203 BAINBRIDGE PA 17502 PHYLLIS STEVENS 478 MOYER ROAD HARLEYSVILLE | |
| Form 990, Part IX, Line 24f | AMUSEMENT PARK PASSES 0. 0. 0. 0. TELEPHONE 5248. 2362. 524. 2362. DUES 85. 0. 85. 0. FOSTER CARE MONTH 1150. 1150. 0. 0. INSURANCE 2887. 1299. 289. 1299. MISCELLANEOUS 15. 15. 0. 0. POSTAGE 232. 220. 12. 0. PRINTING 1161. 522. 117. 522. BANK FEES 1310. 0. 1310. 0. |
| Software ID: | 11000175 |
| Software Version: |