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.") .... | 408,186 | 518,315 | 807,047 | 620,950 | 555,111 | 2,909,609 |
| 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.. | 408,186 | 518,315 | 807,047 | 620,950 | 555,111 | 2,909,609 |
| 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. | 2,909,609 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 408,186 | 518,315 | 807,047 | 620,950 | 555,111 | 2,909,609 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 17,894 | 13,772 | 5,406 | 2,873 | 779 | 40,724 |
| 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.. | 11,261 | 12,998 | 3,453 | 7,917 | 3,480 | 39,109 |
| 11 | Total support (Add lines 7 through 10). | 2,989,442 | |||||






| 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: OTHER INCOME; 2007: 11261.; 2008: 12998.; 2009: 3453.; 2010: 7917.; 2011: 3480.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt XII, Line 2c | Audit committee/budget & finance committee oversees CPA | |
| and reviews return; Board of Directors reviews and approves | ||
| return based on finance committee recommendation. | ||
| Pt VI, Line 12c | Per By-laws members of the Board must sign a code of | |
| ethics acknowledgement when their term begins and must | ||
| be approved by the Board. | ||
| Pt VI, Line 15 | Compensations is approved by Board, based on comparability | |
| studies of similar size and geographic location | ||
| United Way offices. | ||
| Pt VI, Line 11a | Finance Committee reviews draft form 990 submitted by | |
| independent CPA and submits to Board of Directors with | ||
| recommendation to approve; Board approves and files. | ||
| Pt VI, Line 19 | Governing documents, conflict of interest policy and | |
| Financial statements are available to the public on | ||
| request made to Headquarters office. | ||
| Form 990, Part III, Line 4d | RESOURCE DEVELOPMENT 24437. 0. 0. | |
| Form 990, Part IX, Line 24f | ENTERTAINMENT, AWARDS 5167. 5167. 0. 0. SUPPLIES-EVENTS 14417. 8495. 78. 5844. OTHER EXPENSE 2011. 215. 1796. 0. PLEDGE LOSS EXPENSE 48292. 48292. 0. 0. DIRECT CLIENT SERVICES 9416. 9416. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |