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.") . | 230,331 | 311,880 | 300,616 | 376,119 | 472,706 | 1,691,652 |
| 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...... | 59,300 | 96,631 | 145,220 | 143,602 | 212,980 | 657,733 |
| 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. | 289,631 | 408,511 | 445,836 | 519,721 | 685,686 | 2,349,385 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 34,652 | 96,667 | 38,528 | 92,023 | 70,539 | 332,409 |
| 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. | 7,950 | 15,827 | 25,657 | 75,702 | 125,136 | |
| c | Add lines 7a and 7b.. | 34,652 | 104,617 | 54,355 | 117,680 | 146,241 | 457,545 |
| 8 | Public Support (Subtract line 7c from line 6.) | 1,891,840 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 289,631 | 408,511 | 445,836 | 519,721 | 685,686 | 2,349,385 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 373 | 751 | 579 | 310 | 427 | 2,440 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 373 | 751 | 579 | 310 | 427 | 2,440 |
| 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.). | 290,004 | 409,262 | 446,415 | 520,031 | 686,113 | 2,351,825 |




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Form 990 governing body review (Part VI, line 11) | FORM 990 AND THE INDEPENDENT AUDIT REPORT ARE REVIEWED BY THE GOVERNING BOARD AND APPROVED BEFORE THE REPORT IS COMPLETED AND THE FORM 990 IS SUBMITTED TO THE IRS | |
| 02. Conflict of interest policy compliance (Part VI, line 12c) | The conflict of interest policy is reviewed annually at a board meeting Board members and key employees are required to disclose interests that could lead to potential conflict of interest At that time there is also a review to determine if the organization has complied with and enforced the conflict of interest policy | |
| 03. Governing documents, etc, available to public (Part VI, line 19) | WEBSITE HAS AVAILABLE INFORMATION OF THE ORGANIZATION ALL FINANCIAL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST BY ANY INDIVIDUAL EITHER BY A EMAIL RECEIVED WRITTEN REQUEST OR BY ATTENDING BOARD MEETINGS OR REQUESTING IN PERSON AT THE OFFICE LOCATION 198 W LEXINGTON ROAD LITITZ PA 17543 ALSO AVAILABLE ON MORNIGSTAR WEBSITE |
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| Software Version: |