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.") .... | 3,120 | 37,588 | 30,673 | 91,944 | 163,325 | |
| 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.. | 3,120 | 37,588 | 30,673 | 91,944 | 163,325 | |
| 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. | 163,325 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,120 | 37,588 | 30,673 | 91,944 | 163,325 | |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 13 | 13 | ||||
| 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.. | 12 | 15 | 27 | |||
| 11 | Total support (Add lines 7 through 10). | 163,365 | |||||






| 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.) | 0 | |||||
| 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 |
|---|
| OTHER INCOME PART II, LINE 10; DESCRIPTION: MISCELLANEOUS; 2010: 12.; 2011: 15.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt.I, line 18 | In 2011, the organization was awarded a $50,000 | |
| grant for program work to be done Nov. 2011 through | ||
| October 2012. Since it was awarded in 2011, all the | ||
| revenue is being reported on this form 990EZ | ||
| while most of the expenses will be incurred in 2012. | ||
| Although this type of timing difference is common | ||
| in not-for-profit accounting, it's very helpful to | ||
| know the categories of Net Assets on Part 1, | ||
| line 27. | ||
| The categories were as follows: | ||
| Unrestricted | ||
| Undesignated $26,868 | ||
| Board designated 2,584 | ||
| Temporarily restricted 45,826 | ||
| Total Net Assets $75,278 | ||
| Form 990EZ, Part I, Line 8 | MISCELLANEOUS 15. | |
| Form 990EZ, Part I, Line 16 | ADVERTISING/PROMOTION 1781. INSURANCE 654. SUPPLIES 2224. TRAVEL 1291. CONFERENCE FEES 195. INFORMATION TECHNOLOGY 1423. OTHER 1218. AMORTIZATION 336. | |
| Form 990EZ, Part II, Line 24 | GRANT RECEIVABLE 0. 3579. PREPAID INSURANCE 470. 552. LEASEHOLD IMPROVEMENTS, NET OF AMORTIZATION 664. 328. PREPAID EXPENSES - OTHER 165. 550. PLEDGES RECEIVABLE 0. 37500. | |
| Form 990EZ, Part II, Line 26 | ACCRUED SALARY 0. 0. PAYROLL TAXES PAYABLE 1124. 2262. ACCOUNTS PAYABLE 664. 1887. DEFERRED REVENUE 1087. 0. |
| Software ID: | 11000175 |
| Software Version: |