Form990-EZ
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
bullet Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions).
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form.
bulletThe organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-1150
2011
Open to Public
Inspection
A
For the 2011 calendar year, or tax year beginning 07-01-2011, and ending 06-30-2012
B
Check if applicable:
C Name of organization
ACT II Thrift Shop Inc
 
Number and street (or P. O. box, if mail is not delivered to street address)170 Boston Post Road
  Room/suite
City or town, state or country, and ZIP + 4 Madison, CT06443
D Employer identification number

26-2535551
E Telephone number

(203) 245-2815
F Group Exemption
Number. . bullet  
G Accounting method: Other (specify) bullet   H Check bulletI Website:bulletwww.act2thrift.orgJ Tax-Exempt status(check only one)—Click to see attachment(   ) bullet(insert no.) or
K Check bullet A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts; If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more,file Form 990 instead of Form 990-EZ........... bullet $ 133,165
Part IRevenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I.)Check if the organization used Schedule O to respond to any question in this Part I...........
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1 132,874
2 Program service revenue including government fees and contracts ............ 2  
3 Membership dues and assessments...................... 3  
4 Investment income........................... 4 291
5a Gross amount from sale of assets other than inventory........ 5a  
b Less: cost or other basis and sales expenses........... 5b  
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c  
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a  
b Gross income from fundraising events (not including $   of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b  
c Less: direct expenses from gaming and fundraising events....... 6c  
d Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c) 6d  
7a Gross sales of inventory, less returns and allowances........ 7a  
b Less: cost of goods sold................. 7b  
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c  
8 Other revenue (describe in Schedule O) ..................... 8  
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8................. 9 133,165
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10 59,002
11 Benefits paid to or for members........................ 11  
12 Salaries, other compensation, and employee benefits................ 12  
13 Professional fees and other payments to independent contractors............ 13 884
14 Occupancy, rent, utilities, and maintenance................... 14 52,212
15 Printing, publications, postage, and shipping................... 15 147
16 Other expenses (describe in Schedule O) .................... 16 9,042
17 Total expenses. Add lines 10 through 16 .................... 17 121,287
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 11,878
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return)................ 19 83,117
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20  
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 94,995
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2011)
Form 990-EZ (2011)
Page 2
Part IIBalance Sheets (see the instructions for Part II.)Check if the organization used Schedule O to respond to any question in this Part II.............

(See the instructions for Part II.)(A) Beginning of year(B) End of year
22Cash, savings, and investments................
70,240
22
81,503
23Land and buildings....................
 
23
 
24Other assets (describe in Schedule O) ..........
13,415
24
13,915
25Total assets......................
83,655
25
95,418
26
Total liabilities (describe in Schedule O) .............
538
26
423
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
83,117
27
94,995
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III.) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? Ensure coverage of a portion of Madison ABC Program
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Monthly payments to the Madison ABC Program to help cover operating costs, including education and living expenses for student participants
(Grants $ 46,873) If this amount includes foreign grants, check here ...MediumBullet		 28a 46,873
29 Donation to Madison ABC Program for purchase of computer
(Grants $ 1,594) If this amount includes foreign grants, check here ...MediumBullet		 29a 1,594
30 Call To Care
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 30a 500
Community Dining Room of Branford
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Shoreline Soup Kitchen
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Michael J Fox Foundation
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Habitat for Humanity
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Camp Border Collie for Kids
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
CLOUT Cares
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Foundation for Prader-Willi Research
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Shoreline Youth Symphony Orchest
(Grants $ 250) If this amount includes foreign grants, check here ...MediumBullet		 250
Warm the Children
(Grants $ 250) If this amount includes foreign grants, check here ...MediumBullet		 250
Neighbor 2 Neighbor
(Grants $ 250) If this amount includes foreign grants, check here ...MediumBullet		 250
Marvin Display
(Grants $ 35) If this amount includes foreign grants, check here ...MediumBullet		 35
New Haven Reads
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Madison Lions Foundation
(Grants $ 1,200) If this amount includes foreign grants, check here ...MediumBullet		 1,200
Scranton Library
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Madison Community Services
(Grants $ 1,000) If this amount includes foreign grants, check here ...MediumBullet		 1,000
The Cove Center
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Read To Grow
(Grants $ 250) If this amount includes foreign grants, check here ...MediumBullet		 250
Madison Chamber of Commerce
(Grants $ 300) If this amount includes foreign grants, check here ...MediumBullet		 300
Leap-Americorps
(Grants $ 500) If this amount includes foreign grants, check here ...MediumBullet		 500
Nite In Hand
(Grants $ 250) If this amount includes foreign grants, check here ...MediumBullet		 250
Hygeia Foundation
(Grants $ 200) If this amount includes foreign grants, check here ...MediumBullet		 200
H2ope Water Foundation
(Grants $ 250) If this amount includes foreign grants, check here ...MediumBullet		 250
VIBE Show Choir
(Grants $ 300) If this amount includes foreign grants, check here ...MediumBullet		 300
31 Other program services (describe in Schedule O) ..................
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a)..............bullet 32 59,002
Part IV List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (see the instructions for Part IV.)Check if the organization used Schedule O to respond to any question in this Part IV..........
(a) Name and title (b) Average
hours per week
devoted to position		 (c)Reportable compensation
(Forms W-2/1099-MISC)
(if not paid, enter -0-) 		(d) Health benefits, contributions to employee benefit plans,
and deferred compensation		 (e) Estimated amount
of other compensation
Priscilla MacInnis
170 Boston Post Road
Madison,CT06443
 President040.00 0    
Ellen Maguire
170 Boston Post Road
Madison,CT06443
 VP/Secretary010.00 0    
Julie Condrin
170 Boston Post Road
Madison,CT06443
 Treasurer020.00 0    
Kim Hastings
170 Boston Post Road
Madison,CT06443
 Director010.00 0    
Ann Pfisterer
170 Boston Post Road
Madison,CT06443
 Director010.00 0    
Form 990-EZ (2011)
Form 990-EZ (2011)
Page 3
Part VOther Information(Note the Schedule A and personal benefit contract statement requirements in the instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions). ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If ‘Yes’ to line 35a, has the organization filed a Form 990-T for the year? If ‘No,’ provide an explanation in Schedule O.
35b
 
 
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III.
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes,” complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
 
b
Did the organization file Form 1120-POL for this year?...................
37b
 
 
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..
38a
 
No
b
If “Yes,” complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet0 ; section 4912 bullet0 ; section 4955 bullet0
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefittransaction during the year or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I. ......
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958...bullet  
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization....................bullet  
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T. ......................
40e
 
No
41List the states with which a copy of this return is filed. bullet
42aThe organization's books are in care of bulletJulie Condrin Telephone no. bullet (203) 245-2815
Located at bullet170 Boston Post Road
Madison,CT ZIP + 4bullet06443
b
At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
Yes
No
42b
 
No
If “Yes,” enter the name of the foreign country: bullet  
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
42c
 
No
If “Yes,” enter the name of the foreign country: bullet  
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990-EZ.................................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If ‘Yes,’ Form 990 must be completedinstead of Form990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If ‘No,’ provide an explanationin Schedule O................................
44d
 
 
45a
Did the organization have a controlled entity within the meaning of
section 512(b)(13)?............................
45a
 
No
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form990-EZ (see instructions).....................
45b
 
No
Form 990-EZ (2011)
Form 990-EZ (2011)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes,” complete Schedule C, Part I. ..............
46
 
No
Part VI
Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47-49b and 52. Check if the organization used Schedule O to respond to any question in this Part VI ...........
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................
47
 
No
48
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ....
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
No
b
If "Yes," was the related organization a section 527 organization?................
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee paid more than $100,000 (b) Average
hours per week
devoted to position		 (c) Reportable compensation
(Forms W-2/1099-MISC) 		(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
NONE
f
Total number of other employees paid over $100,000 .................bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation
NONE
d
Total number of other independent contractors each receiving over $100,000..........bullet  
52
Did the organization complete Schedule A? NOTE:All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A .....................
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2011)

Additional Data


Software ID: 11000218
Software Version: 2011.0.0

Form 990-EZ, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ACT II Thrift Shop Inc
 
Employer identification number

26-2535551
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(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                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
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
Section B. Total Support
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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
0 %
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
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.") . 64,766 126,629 119,599 120,107 132,874 563,975
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. 64,766 126,629 119,599 120,107 132,874 563,975
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.)           563,975
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6... 64,766 126,629 119,599 120,107 132,874 563,975
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..     1,423 501 291 2,215
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b.     1,423 501 291 2,215
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)           0
13 Total support (Add lines 9, 10c, 11 and 12.). 64,766 126,629 121,022 120,608 133,165 566,190
14
Section C. Computation of Public Support Percentage
15
15
0 %
16
16
 
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID: 11000218
Software Version: 2011.0.0
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ACT II Thrift Shop Inc
 
Employer identification number

26-2535551
Identifier Return Reference Explanation
    Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Call To Care c/oEllen Maguire,48 Grn Sprgs Madison CT 06443, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee CommDiningRoomofBranford 30 Harris Avenue Branford CT 06405, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Shoreline Soup Kitchen PO Box 804 Essex CT 06426, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Michael J Fox Foundation PO Box 4777 New York NY 10163, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Habitat for Humanity PO Box 916 Madison CT 06443, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Camp Border Collie for Kids 217 Pegg Road Morris NY 13808, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee CLOUT Cares Inc. c/oKenslers,4 Milano Drive Madison CT 06443, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Found.forPrader-WilliResearch c/oG.Golub,4031 ThorngateDr Williamsburg VA 23188, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee ShorelineYouthSympathyOrch c/oA.Clemmons,126Deepwood Madison CT 06443, Cash Grant 250, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Warm The Children c/oR.DeSabo,57NolinRoad Westbrook CT 06498, Cash Grant 250, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Neighbor 2 Neighbor c/oMadisonFound.POBox 446 Madison CT 06443, Cash Grant 250, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Marvin Display 58-B Research Drive Milford CT 06460, Cash Grant 35, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee New Haven Reads 45 Bristo Street New Haven CT 06511, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Madison Lions Foundation c/oR.Mahon,39RollingMeadow Madison CT 06443, Cash Grant 1,200, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Scranton Library c/oK.Castilli,801BostonPostRd Madison CT 06443, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Madison Comm. Services 2 Meetinghouse Lane Madison CT 06443, Cash Grant 1,000, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee The Cove Center 250 PomeroyAve, Suite 107 Meriden CT 06450, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Read To Grow 52 School Ground Road Branford CT 06405, Cash Grant 250, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee MadisonChamberof Comm. PO Box 706 Madison CT 06443, Cash Grant 300, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Leap-Americorps 31 Jefferson Street New Haven CT 06511, Cash Grant 500, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Nite In Hand c/oR.Ferguson,836GreenhillRd Madison CT 06443, Cash Grant 250, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Hygeia Foundation PO Box 3943 New Haven CT 06525, Cash Grant 200, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee H2ope Water Foundation 3 Highland Terrace Madison CT 06443, Cash Grant 250, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee VIBE Show Choir 286 Green Hill Road Madison CT 06443, Cash Grant 300, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Madison ABC Inc. PO Box 371 Madison CT 06443, Cash Grant 46,873, Relationship Donor Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Madison ABC Inc. PO Box 371 Madison CT 06443, Relationship Donor, Description of Property Computer, Purpose of Payment , Book Value 0, Method Used to Determine BV , Fair Market Value 1,594, Method Used to Determine FMV , Date Received 6/27/2012 Form 990-EZ, Part I, Line 16, Other Expenses Supplies 539 Form 990-EZ, Part I, Line 16, Other Expenses Advertising 1,774 Form 990-EZ, Part I, Line 16, Other Expenses Taxes 75 Form 990-EZ, Part I, Line 16, Other Expenses Credit Card Fees 2,314 Form 990-EZ, Part I, Line 16, Other Expenses Dues Subscriptions 75 Form 990-EZ, Part I, Line 16, Other Expenses Insurance 2,529 Form 990-EZ, Part I, Line 16, Other Expenses Volunteer Appreciation 477 Form 990-EZ, Part I, Line 16, Other Expenses Miscellaneous Expenses 117 Form 990-EZ, Part I, Line 16, Other Expenses Business Development 20 Form 990-EZ, Part I, Line 16, Other Expenses Back Room Expansion 1,122 Form 990-EZ, Part II, Line 24, Other Assets Approximate value of in-kind-donations on hand for resale at fiscal year end. Beginning of year 12,500, End of year 13,000 Form 990-EZ, Part II, Line 24, Other Assets Security Deposit Beginning of year 915, End of year 915 Form 990-EZ, Part II, Line 26, Liabilities Sales Tax Payable Beginning of year 538, End of year 423 Form 990-EZ, Part III, Line 31 Community Dining Room of Branford Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Shoreline Soup Kitchen Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Michael J Fox Foundation Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Habitat for Humanity Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Camp Border Collie for Kids Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 CLOUT Cares Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Foundation for Prader-Willi Research Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Shoreline Youth Symphony Orchest. Grants and allocations 250, Program service expenses 250 Form 990-EZ, Part III, Line 31 Warm the Children Grants and allocations 250, Program service expenses 250 Form 990-EZ, Part III, Line 31 Neighbor 2 Neighbor Grants and allocations 250, Program service expenses 250 Form 990-EZ, Part III, Line 31 Marvin Display Grants and allocations 35, Program service expenses 35 Form 990-EZ, Part III, Line 31 New Haven Reads Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Madison Lions Foundation Grants and allocations 1,200, Program service expenses 1,200 Form 990-EZ, Part III, Line 31 Scranton Library Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Madison Community Services Grants and allocations 1,000, Program service expenses 1,000 Form 990-EZ, Part III, Line 31 The Cove Center Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Read To Grow Grants and allocations 250, Program service expenses 250 Form 990-EZ, Part III, Line 31 Madison Chamber of Commerce Grants and allocations 300, Program service expenses 300 Form 990-EZ, Part III, Line 31 Leap-Americorps Grants and allocations 500, Program service expenses 500 Form 990-EZ, Part III, Line 31 Nite In Hand Grants and allocations 250, Program service expenses 250 Form 990-EZ, Part III, Line 31 Hygeia Foundation Grants and allocations 200, Program service expenses 200 Form 990-EZ, Part III, Line 31 H2ope Water Foundation Grants and allocations 250, Program service expenses 250 Form 990-EZ, Part III, Line 31 VIBE Show Choir Grants and allocations 300, Program service expenses 300
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID: 11000218
Software Version: 2011.0.0