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? |
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|---|---|---|---|---|---|---|---|---|---|
| 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.") . | 2,000,000 | 2,000,000 | ||||
| 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. | 2,000,000 | 2,000,000 | ||||
| 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.) | 2,000,000 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,000,000 | 2,000,000 | ||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 349 | 16,842 | 15,472 | 32,663 | ||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 349 | 16,842 | 15,472 | 32,663 | ||
| 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.). | 2,000,349 | 16,842 | 15,472 | 2,032,663 | ||




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION'S PURPOSE IS TO MAKE GRANTS TO OTHER VARIOUS EXEMPT 501 (C)(3) ORGANIZATIONS, IN PARTICULAR THOSE WHO PROVIDE PROGRAMS WHICH ASSIST INDIGENT AND/OR HOMELESS INDIVIDUALS AND THEIR FAMILIES. THE EXEMPT PURPOSE WAS ACCOMPLISHED WITH THE ORGANIZATION'S ENTIRE 2011 SUPPORT WAS MADE TO THE DONEE ORGANIZATION NAMED DESCRIBED IN SCHEDULE I. SUCH ORGANIZATION SPECIFICALLY MEETS THIS ORGANIZATION'S PURPOSE. |
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | SEE 990 SCHEDULE O, AND SUPPORTING DETAIL STATEMENTS FOR A COMPLETE DESCRIPTION. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | A DRAFT OF THE 990 IS PRESENTED BY THE CPA TO THE PRESIDENT FOR REVIEW AND COMMENTARY. INTERNAL MEETINGS AND DISCUSSIONS OCCUR AMONG OTHER DIRECTORS, AS REQUIRED. COMMENTS, IF ANY, ARE CLEARDED INTERNALLY AND THEN WITH THE CPA IF ANY CHANGES ARE REQUIRED. ONCE CLEARED AND ACCEPTED, THE RETURN IS SIGNED AND FILED WITH THE INTERNAL REVENUE SERVICE. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST POLICY A. MEMBERS OF THE BOARD SHALL NOT PERSONALLY BENEFIT AS A RESULT OF THEIR BOARD INVOLVEMENT EXCEPT FOR REASONABLE COMPENSATION OF SERVICES RENDERED. THE PURPOSE OF THIS PROVISION IS TO PREVENT BOARD MEMBERS FROM ACTING PRIMARILY ON THE BASIS OF FINANCIAL SELF-INTEREST AND TO PREVENT THE (ORGANIZATION) FROM OPERATING IN A MANNER THAT FAVORS BOARD MEMBERS TO THE DETRIMENT OF OTHERS. B. IN THE EVENT THAT THE BOARD CONSIDERS AN ISSUE THAT INVOLVES THE FINANCIAL RELATIONSHIP BETWEEN THE ORGANIZATION AND A MEMBER OF THE BOARD, THE BOARD MEMBER WILL DISCLOSE TO THE BOARD THE FINANCIAL RELATIONSHIP THAT THE PARTICULAR BOARD MEMBER HAS, WITH RESPECT TO THE ISSUE, THE BOARD MEMBER SHALL REFRAIN FROM VOTING ON THE MATTER. C. BOARD MEMBERS WHO SERVE AS AN EMPLOYEE OR VOLUNTEER IN A DECISION MAKING CAPACITY ON BEHALF OF ANOTHER ORGANIZATION WHICH THE (ORGANIZATION) IS WORKING WITH OR TRANSACTING BUSINESS WITH, SHALL INFORM THE BOARD PRESIDENT AND THE EXECUTIVE DIRECTOR AS TO THEIR INVOLVEMENT IN THE SAID ORGANIZATION. D. IT SHOULD BE MENTIONED THAT THE CONFLICT OF INTEREST POLICY AS ENUMERATED HEREIN APPLIES TO A BOARD MEMBERS IMMEDIATE FAMILY AS WELL AS THEMSELVES. E. STAFF AND THEIR CURRENT SPOUSE, IF APPLICABLE, ARE RESTRICTED FROM SERVING AS VOTING MEMBERS OF THE BOARD AND FORMER STAFF MEMBERS ARE RESTRICTED AS VOTING MEMBERS FOR A PERIOD OF TWO YEARS FROM THE DATE OF THEIR SEPARATION AS THE STAFF MEMBER OF THE (ORGANIZATION). F. STAFF SHALL NOT ENGAGE IN ANY OUTSIDE ACTIVITY OR EMPLOYMENT WHICH INVOLVES THE DIRECT OR INDIRECT USE OF INFORMATION OBTAINED AS AN EMPLOYEE WHICH SHALL PROVIDE FINANCIAL GAIN TO HIM OR HERSELF OR A MEMBER OF HIS OR HER IMMEDIATE FAMILY WITHOUT THE EXPRESS CONSENT OF THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR SHALL NOT SIMILARLY ACT WITHOUT THE EXPRESS CONSENT OF THE PRESIDENT. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST FROM EITHER THE ORGANIZATION ITSELF, OR THAT OF THE NYS ATTORNEY GENERAL CHARITY'S DEPARTMENT OFFICE. |
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