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.") . | 7,365 | 13,060 | 13,155 | 18,227 | 22,034 | 73,841 |
| 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...... | 810,775 | 952,298 | 983,161 | 1,075,567 | 1,106,291 | 4,928,092 |
| 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. | 818,140 | 965,358 | 996,316 | 1,093,794 | 1,128,325 | 5,001,933 |
| 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.) | 5,001,933 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 818,140 | 965,358 | 996,316 | 1,093,794 | 1,128,325 | 5,001,933 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 22,305 | 16,455 | 6,003 | 2,838 | 47,601 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 22,305 | 16,455 | 6,003 | 2,838 | 47,601 | |
| 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.) | 4,253 | 10,857 | 7,089 | 22,199 | ||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 5,071,733 | |||||




| Facts And Circumstances Test |
|---|
| OTHER INCOME PART III, LINE 12; DESCRIPTION: GROSS RENTS; 2007: 0.; 2008: 100.; 2009: 7500.; 2010: 2700.; DESCRIPTION: OTHER MISCELLANEOUS; 2007: 0.; 2008: 4153.; 2009: 3357.; 2010: 4389.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | The Form 990 is sent to all board members. The | |
| return is then discussed by the preparer and executive director | ||
| with board members by telephone conference or | ||
| individually by the preparer with any board member | ||
| who has a question or comment. Alternately, the return | ||
| may be presented at a called board meeting and discussed | ||
| by the preparer with all present. All questions on the | ||
| return are reviewed with the Board by the preparer. | ||
| Pt VI, Line 8b | Minutes are maintained of the Board of Directors meetings. | |
| The minutes are written and approved by the Board | ||
| in subsequent meetings. There are no committees with | ||
| authority to act for the Board of Directors. | ||
| Pt VI, Line 12c | Directors of the organization are required to | |
| disclose possible conflicts of interest annually. | ||
| These communications may be written or may be communicated | ||
| by e-mail. The review of disclosures is documented | ||
| in the minutes of the Board meeting when considered. | ||
| Pt VI, Line 15 | The Board of Directors approves the salary of the | |
| Executive Director, the only highly-compensated | ||
| employee of the organization. Officers and directors | ||
| are not compensated. The directors are knowledgable | ||
| about nonprofit organizations. Some of the directors | ||
| serve other nonprofit organizations in various | ||
| capacities. A discussion is conducted without the | ||
| executive director being present and comparable | ||
| salaries are considered. The discussions and final | ||
| Form 990, Part IX, Line 24f | BOOKS AND SUBSCRIPTIONS 6710. 6589. 121. 0. COMPUTER SUPPORT 6555. 0. 6555. 0. EQUIPMENT RENTAL/MAINTENANCE 6073. 0. 6073. 0. MEDIATOR STATE REGISTRA 3850. 3850. 0. 0. MEDIATORS/TRAINERS 279615. 279615. 0. 0. OTHER MISC 2034. 858. 1176. 0. PAYROLL PROCESSING 1968. 0. 1968. 0. POSTAGE AND SHIPPING 3985. 0. 3985. 0. STAFF DEVELOPMENT 615. 0. 615. 0. SUPPILES 32730. 29381. 3349. 0. TELEPHONE 16779. 0. 16779. 0. | |
| decision are documented in the minutes of the board | ||
| meeting. | ||
| Pt VI, Line 19 | The governing documents, conflict of interest policy, | |
| and the Form 990 are made available to the public | ||
| upon request at the office of the organization during | ||
| normal business hours. | ||
| Pt XI, Line 5 | After the Exempt Organization Return, Form 990, | |
| was filed last year and before the audited financial | ||
| statements were released, additional payables were | ||
| discovered and booked. The effect was to increase | ||
| expenses and accounts payable and to reduce the | ||
| unrestricted net assets. |
| Software ID: | 11000175 |
| Software Version: |