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? |
|||
|---|---|---|---|---|---|---|---|---|---|
| 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.") .... | 98,214 | 125,380 | 117,652 | 196,000 | 197,525 | 734,771 |
| 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.. | 98,214 | 125,380 | 117,652 | 196,000 | 197,525 | 734,771 |
| 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. | 734,771 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 98,214 | 125,380 | 117,652 | 196,000 | 197,525 | 734,771 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | |||||
| 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). | 734,771 | |||||






| 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 |
|---|
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 6 | SEE PART VII SECTION A FOR LIST OF DIRECTORS. | |
| Pt VI, Line 7a | THERE ARE QUARTERLY MEETINGS REGARDING ELECTING NEW | |
| Pt VI, Line 7a | MEMBERS TO THE BOARD OF DIRECTORS. | |
| Pt VI, Line 7b | IN ACCORDANCE WITH FILE 1C3 REGULATIONS WE HAVE QUARTERLY | |
| Pt VI, Line 7b | BOARD MEETINGS WHERE AN AGENDA IS SUBMITTED TO THE SECRETARY | |
| Pt VI, Line 7b | BY ALL MEMBERS OF THE BOARD OF DIRECTORS WHERE WE DISCUSS | |
| Pt VI, Line 7b | ALL ASPECTS OF OUR MISSION STATEMENT AND ITS QUARTERLY | |
| Pt VI, Line 7b | PROGRESS. | |
| Pt VI, Line 8a | THE BOARD OF DIRECTORS/GOVERNING BODY DOCUMENTS ALL MEETINGS. | |
| Pt VI, Line 12c | IT IS A VERY SMALL ORGANIZATION WITH 3 OFFICERS | |
| Pt VI, Line 12c | THAT COMPLY WITH THE POLICIES OF THE ORGANIZATION | |
| Pt VI, Line 12c | IN THE BOARD MEETINGS THE OFFICERS GO OVER ALL | |
| Pt VI, Line 12c | COMPLIANCE ISSUES. | |
| Pt VI, Line 11a | THE BOARD OF DIRECTORS REVIEWS THE 990 WITH THE ACCOUNTANT | |
| Pt VI, Line 11a | THAT PREPARED THE TAX RETURN. | |
| Pt VI, Line 19 | UPON REQUEST ALL RECORDS ARE AVAILABLE FOR INSPECTION. | |
| Pt VI, Line 8b | THE GOVERNING BODY MAKES ALL DECISIONS REGARD THE FOUNDATIOM | |
| Pt VI, Line 18 | THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST | |
| Form 990, Part IX, Line 24f | LOCAL TRAVEL 91. 91. FILING FEES 60. 60. OFFICE SUPPLIES 2224. 1401. 823. INSURANCE 113. 0. 113. POSTAGE 91. 0. 91. HOLIDAY PARTY FOR THE HOMELESS 437. 437. TELEPHONE 5580. 4000. 1580. WEBSITE FEES 1329. 0. 1329. FREIGHT AND DELIVERY 34. 34. PAYROLL PROCESSING FEES 363. 363. REPAIRS 8041. 6541. 1500. OFFICE EXPENSE 2342. 1984. 358. TELEMARKETERS 129624. 129624. FREIGHT AND DELIVERY 34. 34. SECURITY TRAINING 447. 447. LICENCE FEES 60. 0. 60. |
| Software ID: | 11000175 |
| Software Version: |