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.") .... | 141,025 | 106,304 | 146,234 | 179,188 | 189,636 | 762,387 |
| 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.. | 141,025 | 106,304 | 146,234 | 179,188 | 189,636 | 762,387 |
| 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).. | 189,301 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 573,086 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 141,025 | 106,304 | 146,234 | 179,188 | 189,636 | 762,387 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,760 | 1,781 | 1,128 | 17,711 | 643 | 24,023 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | 2,877 | 6,905 | 9,782 | |||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | 217 | 217 | ||||
| 11 | Total support (Add lines 7 through 10). | 796,409 | |||||






| 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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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | MEMORIALS - ACCEPT FUNDS TO PROVIDE TREES AND OTHER PARK MEMORIALS IN MEMORY OF INDIVIDUALS. . JULY 4TH CELEBRATION - ORGANIZE AND OPERATE THE ANNUAL 4TH OF JULY CELEBRATE AMERICA IN TOM BROWN PARK FOR TALLAHASSEE, FLORIDA AND SURROUNDING AREA. |
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | H. PALMER PROCTOR EMILY WAUGH VICE CHAIR TRUSTEE BUSINESS LAW PARTNERS MIKE BIST CINDY RAGANS TRUSTEE TRUSTEE EMPLOYER/EMPLOYEE |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | 990 WILL BE PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW BEFORE IT IS FILED. BOARD MEMBERS' CHANGES OR COMMENTS WILL BE REVIEWED AND ANY NECESSARY ADJUSTMENTS WILL BE MADE. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | EACH OFFICER, DIRECTOR, COMMITTEE CHAIR, AND STAFF MEMBER OF THE FOUNDATION MUST AVOID ACTUAL AND APPARENT CONFLICTS OF INTEREST THAT WOULD IMPAIR THEIR ABILITY TO DISCHARGE THEIR RESPONSIBILITIES TO THE FOUNDATION WITH THE NECESSARY LOYALTY AND INTEGRITY. EACH OFFICER, DIRECTOR, COMMITTEE CHAIR, AND STAFF MEMBER WILL COMPLETE THE ANNUAL CONFLICTS OF INTEREST DISCLOSURE FORM. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | NO COMPENSATED EMPLOYEES OR TRUSTEES |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | NO COMPENSATED EMPLOYEES OR TRUSTEES |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | UPON RECEIPT OF WRITTEN REQUEST FROM A MEMBER OF THE PUBLIC A COPY OF THE REQUESTED DOCUMENT WILL BE PROVIDED. |
| OTHER EXPENSES | FORM 990, PART IX, LINE 24E | PARK IMPROVEMENTS 25,510 CONTRACT SERVICES-YOUTH 24,389 REG & FEES YOUTH PROGS 21,126 EQUIPMENT RENTAL WF 19,373 ENTERTAINMENT JULY 4TH 16,760 EQUIPMENT RENTAL JULY 4TH 13,250 SUPPLIES JULY 4TH 6,877 UNIFORMS INKIND YOUTH PRG 5,000 EQUIPMENT RENTAL YOUTH 4,282 SUPPLIES MEMORIALS 1,959 CONTRACT SERVICE WF 750 EQUIPMENT RENTAL JBR 345 FILING FEES 186 |
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