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.") . | 225,032 | 240,510 | 198,276 | 211,976 | 105,413 | 981,207 |
| 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...... | 170,714 | 182,930 | 147,070 | 154,863 | 151,567 | 807,144 |
| 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. | 395,746 | 423,440 | 345,346 | 366,839 | 256,980 | 1,788,351 |
| 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.) | 1,788,351 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 395,746 | 423,440 | 345,346 | 366,839 | 256,980 | 1,788,351 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 155 | 116 | 75 | 37 | 16 | 399 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 155 | 116 | 75 | 37 | 16 | 399 |
| 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.). | 1,788,750 | |||||




| 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 2 | In three cases husband and wives sit on the Board of | |
| Pt VI, Line 2 | Directors. However, the couple only has one vote. | |
| Pt VI, Line 8b | Only the governing body has the authority to act on | |
| Pt VI, Line 8b | behalf of the Association. | |
| Pt VI, Line 11a | A copy of the tax return is reviewed with the | |
| Pt VI, Line 11a | Treasurer of the Association. | |
| Pt VI, Line 11a | Any director may review the tax return. | |
| Pt VI, Line 12c | In the small village, the directors always know | |
| Pt VI, Line 12c | whenever there is a conflict of interest. | |
| Pt VI, Line 12c | All known conflicts of interest are reviewed by the | |
| Pt VI, Line 12c | Board of Directors. | |
| Pt VI, Line 15 | The Association reviews the budget of the Foster | |
| Pt VI, Line 15 | Grandparents/Senior Companion Program each year. | |
| Pt VI, Line 19 | All requests must be made in writing and mailed to | |
| Pt VI, Line 19 | the office of the Association. | |
| Pt VI, Line 19 | The individual will be contacted by an officer and | |
| Pt VI, Line 19 | allowed to review the documents. | |
| Pt XII, Line 2c | The Board of Directors acts as the compilation | |
| Pt XII, Line 2c | committee. | |
| Form 990, Part IX, Line 24f | AMBULANCE SERVICES 500. 500. AWARDS 765. 765. JULY DANCE 997. 997. CONTRIBUTIONS AND DONATIO 1250. 1250. FREIGHT EXPENSE 0. 0. JUDGES 450. 450. MISCELLANEOUS 1303. 1303. PICTURES 285. 285. POSTAGE 455. 302. 153. PUBLICATION PURCHASES MAINTENANCE & REPAIRS 1350. 1350. RAFFLE PAYOUT 0. 0. SANCTIONING FEES 0. 0. SCHOLARSHIPS 500. 500. SHOW PAYOUTS SHOW EXPENSES SPRING ROUNDUP 2822. 2822. STOCK CONTRACTOR 7500. 7500. SUPPLIES 7498. 6665. 833. BBQ SUPPLIES 1030. 1030. WEBSITE FEES 231. 231. ADJUSTMEN |
| Software ID: | 11000175 |
| Software Version: |