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.") . | 192,711 | 217,165 | 200,596 | 146,171 | 104,425 | 861,068 |
| 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...... | 256,357 | 264,471 | 206,475 | 233,557 | 222,106 | 1,182,966 |
| 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. | 449,068 | 481,636 | 407,071 | 379,728 | 326,531 | 2,044,034 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 14,547 | 22,500 | 29,500 | 15,000 | 81,547 | |
| 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.. | 14,547 | 22,500 | 29,500 | 15,000 | 81,547 | |
| 8 | Public Support (Subtract line 7c from line 6.) | 1,962,487 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 449,068 | 481,636 | 407,071 | 379,728 | 326,531 | 2,044,034 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 123,758 | 83,721 | 75,422 | 78,912 | 84,532 | 446,345 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 123,758 | 83,721 | 75,422 | 78,912 | 84,532 | 446,345 |
| 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.) | 450 | 225 | 224 | 750 | 760 | 2,409 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 2,492,788 | |||||




| Facts And Circumstances Test |
|---|
| OTHER INCOME PART III, LINE 12; DESCRIPTION: MISCELLANEOUS; 2007: 450.; 2008: 225.; 2009: 224.; 2010: 750.; 2011: 760.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 3 | The Society contracts a management company, Association Innovation | |
| & Management, Inc. to perform management/administrative services. | ||
| Pt VI, Line 6 | The Society has voting members. | |
| Pt VI, Line 7a | The Society has members who elect members of the governing body. | |
| Pt VI, Line 7b | The business and affairs of the Society shall be managed | |
| by the Council consisting of 22 persons, 4 elected officers, | ||
| the immediate Past-President, the past past-president, the | ||
| Editor-in Chief of the Society's journal and 15 additional | ||
| elected council members. | ||
| Pt VI, Line 11a | A copy of the Form 990 was provided to an officer of the Society | |
| that reviewed the form for accuracy. | ||
| Pt VI, Line 19 | The Society makes it bylaws public through the Society's | |
| website www.ems-us.org | ||
| Conflict of interest and policies thereof are communicated by | ||
| council members verbally; written policies are in process. | ||
| The Society's financial statements are available upon request. | ||
| Pt XI | Unrealized gain /(loss) on market value of investments. | |
| Form 990, Part IX, Line 24f | MISCELLANEOUS 2969. 0. 2969. 0. BALLOT 733. 0. 733. 0. |
| Software ID: | 11000175 |
| Software Version: |