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 | ||||
| (1)
CENTRAL ME AREA AGENCY ON AGING |
010318051 | PUBLIC CHARITY | No | Yes | Yes | 20,265 | |||
| (2)
SOUTHERN MAINE AREA AGENCY ON AGING |
010360259 | PUBLIC CHARITY | No | Yes | Yes | 20,452 | |||
| (3)
EASTERN AREA ON AGING |
010328376 | PUBLIC CHARITY | No | Yes | Yes | 11,467 | |||
| (4)
AROOSTOOK AREA AGENCY ON AGING |
010322531 | PUBLIC CHARITY | No | Yes | Yes | 6,585 | |||
| (5)
SENIORSPLUS |
010317103 | PUBLIC CHARITY | No | Yes | Yes | 11,828 | |||
| Total | 70,597 | ||||||||
| 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.") . | ||||||
| 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: | 11000144 |
| Software Version: | 2011v1.2 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990-EZ, Part II, Line 26.1001 | Total Liabilities.1001 | Accounts Payable and Accrued Expenses - Beginning $0 Accounts Payable and Accrued Expenses - Ending $1832 |
| Form 990-EZ, Part II, Line 24.1011 | Other Assets.1011 | Prepaid Expenses and Deferred Charges - Beginning $0 Prepaid Expenses and Deferred Charges - Ending $876 |
| Form 990-EZ, Part II, Line 24.1005 | Other Assets.1005 | Accounts Receivable - Beginning $20279 Accounts Receivable - Ending $8137 |
| Form 990-EZ, Part I, Line 16.10 | Other Expenses.10 | Dues & Subscriptions $688 |
| Form 990-EZ, Part I, Line 16.9 | Other Expenses.9 | Office $712 |
| Form 990-EZ, Part I, Line 16.8 | Other Expenses.8 | TELEPHONE $1009 |
| Form 990-EZ, Part I, Line 16.7 | Other Expenses.7 | Communications support $1330 |
| Form 990-EZ, Part I, Line 16.6 | Other Expenses.6 | Board expenses $1430 |
| Form 990-EZ, Part I, Line 16.5 | Other Expenses.5 | Technology $1902 |
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | Website Development $2336 |
| Form 990-EZ, Part I, Line 16.3 | Other Expenses.3 | Subcontracted services $3580 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | Admin Transfer $6452 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | DHHS-OES Grant project $17178 |
| Form 990-EZ, Part I, Line 16.1012 | Other Expenses.1012 | Insurance $956 |
| Form 990-EZ, Part I, Line 16.1007 | Other Expenses.1007 | Conferences, Conventions, and Meetings $8068 |
| Form 990-EZ, Part I, Line 16.1005 | Other Expenses.1005 | Travel $4416 |
| Form 990-EZ, Part I, Line 16.1001 | Other Expenses.1001 | Advertising and Promotion $2800 |
| Form 990-EZ, Part I, Line 8.1 | Other Revenue.1 | Sponsorship revenue $3900 |
| Software ID: | 11000144 |
| Software Version: | 2011v1.2 |