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.") .... | 157,144 | 215,803 | 225,814 | 179,203 | 189,944 | 967,908 |
| 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.. | 157,144 | 215,803 | 225,814 | 179,203 | 189,944 | 967,908 |
| 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. | 967,908 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 157,144 | 215,803 | 225,814 | 179,203 | 189,944 | 967,908 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 4,170 | 4,254 | 1,786 | 1,680 | 1,163 | 13,053 |
| 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). | 980,961 | |||||






| 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.) | ||||||
| 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: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part III | 4a | Fayette Co. Society for the Disabled Served approximately 130 individuals, including 65 children in a summer speech clinic. Provides a variety of services ranging from assistance with adaptive equipment, obtaining prescribed medication, glasses, therapy services, etc. Heritage Memorial Church This is a newly funded program for UWFC in 2011 and 311 Christmas food baskets were distributed. This is an increase of 103 over last year. My Sisters House Provided shelter to 56 women and children who were victims of domestic violence and served an additional 276 clients. The Well at Sunnyside Provided hot meals to community members in need. Vistors to The Well may also get free clothing and other supplies. |
| Form 990 Part III | 4b | Fayette Co. Commission on Aging Transported seniors on 2,559 trips to doctors appointments, nutrition sites, grocery shopping, and much more. Some of those Seniors Citizens were transported to the center so they could receive help with their medicare, Low Income Subsidy, to receive help finding free medication and to hear our educational speakers or to take part in exercise programs and the congregate meal. Fayette Progressive Industries TransitionTeam Worked to transition 10 persons with disabilities into competitive employment in the community, which includes helping them get thier diploma for GED, necessary clothes and shoes for work, and a reliable means of transportation. PROMOTING GOOD HEALTH Acess to medial attention, prescription drugs and activities that promote physical and mental well-bing. CARE VanA rolling rimples program was conducted for 81 participants representing |
| Form 990 Part III | 4b | 11 different businesses. To improve overall health, a summer exercise program was offered in which 213 adults and 125 children participated. Free health screenings were provided to 265 people, helping to monitor their cholesterol, blood sugar and other measurements. Health Care Help Fund Programs offered assistance with 39 eye exams eyeglasses and 14 people received prescription assistance. Home Delivered Meals Meals for non-seniors with special dietary needs or for people who have recently had surgery and are recovering at home. In 2011 there were 1,105 meals provided. Fayette Co. Family YMCA In 2011, 823 individuals received scholarship assistance for YMCA memberships valued at over 67,000. Another 99 people received program scholarships for karate, swim classes, etc. Another 12,000 was spent to offer Day Camp to kids who could not otherwise afford it. |
| Form 990 Part III | 4c | At the elementary school level, 4th grade was presented the Our Region program in 4 classes- 103 students. Children Offered Resources Early CORE Assesment for at-risk children from birth to age five. There were 59 children from birth to age three with delays or being at risk for developing delays in 2011. Therapies are provided to help the children develop on target for their age 41 speech evaluation, 52 occupational therapy evaluations and 45 physicl therapy evaluations. Girl Scouts Youth-serving organizaton for girls 5-17. Helps cultivate values, social conscience, and self-esteem while teaching critical life skills that enable girls to succeed as adults. In 2011, the program served 172 Fayette county girls. CORE Car Seat Program Eighty eight car seat safety inspections were done to check for proper installation. Reduced price or free car seats were made available. |
| Form 990 Part III | 4c | need. Planet Youth A community outreach program providing safe, fun, supportive Christian environment. The program currently serves between 230-250 students each week. An additional 100 adults and children are served on Saturday mornings through The Planets Bread of Life food pantry. Fayette Asset Builders Promotes positive characteristics in youth by developing strategies to be used by parents, schools and the community. The organization also hosts free family activities during the year. Over 500 essays about family were submitted by children to the organizations annual essay contest. |
| Form 990 Part III Line 4a Fayette Co. Society for the Disabled Served approximately 130 individuals, including 65 children in a summer speech clinic. Provides a variety of services ranging from assistance with adaptive equipment, obtaining prescribed medication, glasses, therapy services, etc. Heritage Memorial Church This is a newly funded program for UWFC in 2011 and 311 Christmas food baskets were distributed. This is an increase of 103 over last year. My Sisters House Provided shelter to 56 women and children who were victims of domestic violence and served an additional 276 clients. The Well at Sunnyside Provided hot meals to community members in need. Vistors to The Well may also get free clothing and other supplies. Form 990 Part III Line 4b Fayette Co. Commission on Aging Transported seniors on 2,559 trips to doctors appointments, nutrition sites, grocery shopping, and much more. Some of those Seniors Citizens were transported to the center so they could receive help with their medicare, Low Income Subsidy, to receive help finding free medication and to hear our educational speakers or to take part in exercise programs and the congregate meal. Fayette Progressive Industries TransitionTeam Worked to transition 10 persons with disabilities into competitive employment in the community, which includes helping them get thier diploma for GED, necessary clothes and shoes for work, and a reliable means of transportation. PROMOTING GOOD HEALTH Acess to medial attention, prescription drugs and activities that promote physical and mental well-bing. CARE VanA rolling rimples program was conducted for 81 participants representing Form 990 Part III Line 4b 11 different businesses. To improve overall health, a summer exercise program was offered in which 213 adults and 125 children participated. Free health screenings were provided to 265 people, helping to monitor their cholesterol, blood sugar and other measurements. Health Care Help Fund Programs offered assistance with 39 eye exams eyeglasses and 14 people received prescription assistance. Home Delivered Meals Meals for non-seniors with special dietary needs or for people who have recently had surgery and are recovering at home. In 2011 there were 1,105 meals provided. Fayette Co. Family YMCA In 2011, 823 individuals received scholarship assistance for YMCA memberships valued at over 67,000. Another 99 people received program scholarships for karate, swim classes, etc. Another 12,000 was spent to offer Day Camp to kids who could not otherwise afford it. Form 990 Part III Line 4c At the elementary school level, 4th grade was presented the Our Region program in 4 classes- 103 students. Children Offered Resources Early CORE Assesment for at-risk children from birth to age five. There were 59 children from birth to age three with delays or being at risk for developing delays in 2011. Therapies are provided to help the children develop on target for their age 41 speech evaluation, 52 occupational therapy evaluations and 45 physicl therapy evaluations. Girl Scouts Youth-serving organizaton for girls 5-17. Helps cultivate values, social conscience, and self-esteem while teaching critical life skills that enable girls to succeed as adults. In 2011, the program served 172 Fayette county girls. CORE Car Seat Program Eighty eight car seat safety inspections were done to check for proper installation. Reduced price or free car seats were made available. Form 990 Part III Line 4c need. Planet Youth A community outreach program providing safe, fun, supportive Christian environment. The program currently serves between 230-250 students each week. An additional 100 adults and children are served on Saturday mornings through The Planets Bread of Life food pantry. Fayette Asset Builders Promotes positive characteristics in youth by developing strategies to be used by parents, schools and the community. The organization also hosts free family activities during the year. Over 500 essays about family were submitted by children to the organizations annual essay contest. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |