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.") .... | 11,914,825 | 12,059,352 | 13,884,393 | 13,834,057 | 14,490,304 | 66,182,931 |
| 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.. | 11,914,825 | 12,059,352 | 13,884,393 | 13,834,057 | 14,490,304 | 66,182,931 |
| 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. | 66,182,931 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 11,914,825 | 12,059,352 | 13,884,393 | 13,834,057 | 14,490,304 | 66,182,931 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 251,058 | 204,818 | 254,229 | 207,553 | 191,206 | 1,108,864 |
| 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). | 67,291,795 | |||||






| 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 VII | 1a | Art Morris, 2301 Montclair Avenue, Siloam Springs, AR 72761 |
| Form 990 Part VII | 1a | George Lewis, PO Box 261, Bull Shoals, AR 72619 |
| Form 990 Part VII | 1a | Fred Vorsanger, 3644 N. Brodie Station, Fayetteville, AR 72703 |
| Form 990 Part VII | 1a | Jerry Hunton, 14221 Greasy Valley Rd, WC8, Prairie Grove, AR 72753 |
| Form 990 Part VII | 1a | Shannon Willis, HC 31 Box 213, Jasper, AR 72641 |
| Form 990 Part VII | 1a | Jackie Thompson, PO Box 1349, Huntsville, AR 72740 |
| Form 990 Part VII | 1a | Steve Stafford, PO Box 1900, Green Forest, AR 72638 |
| Form 990 Part VII | 1a | Joe Dillard, 114 N. Kingswood Drive, Mountain Home, AR 72653 |
| Form 990 Part VII | 1a | Diana Turner, 172 Klemm Place, Mountain Home, AR 72653 |
| Form 990 Part VII | 1a | John Paul Hammerschmidt, PO Box 999, Harrison, AR 72602 |
| Form 990 Part VII | 1a | Greg Stanfill, PO Box 1219, Lowell, AR 72745 |
| Form 990 Part VII | 1a | Joe Willis, 200 E. Rush, Harrison, AR 72601 |
| Form 990 Part VII | 1a | Jerry Mitchell, Executive Director, oversees the day to day operations of the Agency. The other comp is the Agencys pension contribution for Mr. Mitchell. |
| Form 990 Part V | 7g, 7h | The Agency received no contributions of intellectual property, cars, boats, etc. |
| Form 990 Part V | 8, 9 | There are no donor advised funds. |
| Form 990 Part VI | 11A | The Director of Finance reviews Form 990 and schedules, then the return goes to the Board President who reviews and signs the return. |
| Form 990 Part VI | 19 | No documents available to the public. |
| Form 990 Part XI | 5 | Other Changes in Net Assets 1 Adjustment in Vacation Reserve 9,897 Net Capitalization of Non-Expendable Assets 251,695 Depreciation of Non-Expendable Assets 239,438 Net Change 2,360. |
| Form 990 Part IV | 33 | Area Agency on Aging of Northwest Arkansas, Inc. owns 100 of AAA Payment Services, L.L.C. EID 26-2052888 and 100 of the transactions of the L.L.C. is included in the year end June 30, 2012 audit and tax return of Area Agency on Aging of Northwest Arkansas, Inc. |
| Form 990 Part VII Section A Line 1a Art Morris, 2301 Montclair Avenue, Siloam Springs, AR 72761 Form 990 Part VII Section A Line 1a George Lewis, PO Box 261, Bull Shoals, AR 72619 Form 990 Part VII Section A Line 1a Fred Vorsanger, 3644 N. Brodie Station, Fayetteville, AR 72703 Form 990 Part VII Section A Line 1a Jerry Hunton, 14221 Greasy Valley Rd, WC8, Prairie Grove, AR 72753 Form 990 Part VII Section A Line 1a Shannon Willis, HC 31 Box 213, Jasper, AR 72641 Form 990 Part VII Section A Line 1a Jackie Thompson, PO Box 1349, Huntsville, AR 72740 Form 990 Part VII Section A Line 1a Steve Stafford, PO Box 1900, Green Forest, AR 72638 Form 990 Part VII Section A Line 1a Joe Dillard, 114 N. Kingswood Drive, Mountain Home, AR 72653 Form 990 Part VII Section A Line 1a Diana Turner, 172 Klemm Place, Mountain Home, AR 72653 Form 990 Part VII Section A Line 1a John Paul Hammerschmidt, PO Box 999, Harrison, AR 72602 Form 990 Part VII Section A Line 1a Greg Stanfill, PO Box 1219, Lowell, AR 72745 Form 990 Part VII Section A Line 1a Joe Willis, 200 E. Rush, Harrison, AR 72601 Form 990 Part VII Section A Line 1a Jerry Mitchell, Executive Director, oversees the day to day operations of the Agency. The other comp is the Agencys pension contribution for Mr. Mitchell. Form 990 Part V Line 7g, 7h The Agency received no contributions of intellectual property, cars, boats, etc. Form 990 Part V Line 8, 9 There are no donor advised funds. Form 990 Part VI Section B Line 11A The Director of Finance reviews Form 990 and schedules, then the return goes to the Board President who reviews and signs the return. Form 990 Part VI Section C Line 19 No documents available to the public. Form 990 Part XI Line 5 Other Changes in Net Assets 1 Adjustment in Vacation Reserve 9,897 Net Capitalization of Non-Expendable Assets 251,695 Depreciation of Non-Expendable Assets 239,438 Net Change 2,360. Form 990 Part IV Line 33 Area Agency on Aging of Northwest Arkansas, Inc. owns 100 of AAA Payment Services, L.L.C. EID 26-2052888 and 100 of the transactions of the L.L.C. is included in the year end June 30, 2012 audit and tax return of Area Agency on Aging of Northwest Arkansas, Inc. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |