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. | ||||||
| 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.. | ||||||
| 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.") . | 80,661 | 67,908 | 42,880 | 38,049 | 30,232 | 259,730 |
| 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...... | 122,262 | 47,100 | 27,676 | 50,768 | 45,760 | 293,566 |
| 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. | 202,923 | 115,008 | 70,556 | 88,817 | 75,992 | 553,296 |
| 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.) | 553,296 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 202,923 | 115,008 | 70,556 | 88,817 | 75,992 | 553,296 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 579 | 534 | 204 | 98 | 79 | 1,494 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 579 | 534 | 204 | 98 | 79 | 1,494 |
| 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.). | 203,502 | 115,542 | 70,760 | 88,915 | 76,071 | 554,790 |




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | 11000215 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990 PART VI LINE 11 THE BOARD MEMBERS ARE PROVIDED WITH A COPY | ||
| OF THE FINANCIAL ACCOUNTS AT EACH MONTHLY AND ANNUAL MEETING THE | ||
| TREASURER REVIEWS FORM 990 BEFORE FILING OTHER BOARD MEMBERS ARE GIVEN | ||
| A COPY OF FORM 990 FOR REVIEW BUT NOT BEFORE FORM 990 IS FILED SHOULD | ||
| A DISCREPANCY BE NOTED THE TREASURER WILL HAVE AN AMENDED FORM 990 | ||
| FILED TO CORRECT ANY INACCURACIES | ||
| FORM 990 PART VI LINE 15B PAY RECEIVED BY KEY EMPLOYEES AND OFFICERS | ||
| ARE VOTED ON BY THE EXECUTIVE BOARD AND THE ACTIONS OF THE BOARD ARE | ||
| AVAILABLE FOR REVIEW BY THE GENERAL PUBLIC AT THE MONTHLY AND ANNUAL | ||
| MEETINGS | ||
| FORM 990 PART VI LINE 19 ALL DOCUMENTS WILL BE MADE AVAILABLE UPON | ||
| REQUEST BY ANY PERSON WHOM MAY HAVE AN INTEREST IN THE ORGANIZATIONS | ||
| FINANCIAL AND TAX DOCUMENTS |
| Software ID: | 11000215 |
| Software Version: |