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.") .... | 223,111 | 133,268 | 9,020 | 291,159 | 19,709 | 676,267 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | 9,868 | 13,020 | 16,331 | 24,450 | 25,162 | 88,831 |
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | 232,979 | 146,288 | 25,351 | 315,609 | 44,871 | 765,098 |
| 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. | 765,098 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 232,979 | 146,288 | 25,351 | 315,609 | 44,871 | 765,098 |
| 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.. | 17,224 | 14,788 | 13,954 | 4,000 | 3,000 | 52,966 |
| 11 | Total support (Add lines 7 through 10). | 818,064 | |||||






| 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: INSURANCE REIMBURSEMENTS; 2007: 17224.; 2008: 14788.; 2009: 13629.; 2010: 4000.; 2011: 3000.; DESCRIPTION: VOIDED CHECKS; 2007: 0.; 2008: 0.; 2009: 325.; 2010: 0.; 2011: 0.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 7a | OFFICERS ARE ELECTED BY VOLUNTEER FIREMEN AT AN ANNUAL MEETING | |
| Pt VI, Line 11a | BOARD REVIEWS AND APPROVES AT REGULAR MEETING BEFORE FILING | |
| Form 990EZ, Part I, Line 8 | INSURANCE REIMBURSEMENTS | |
| Form 990EZ, Part I, Line 16 | FUEL INSURANCE MEALS PROFESSIONAL FEE BANK SERVICE CHARGE SUPPLIES GIFTS & FLORALS DUES AND SUBSCRIPTIONS CONTINUING EDUCATION OFFICE SUPPLIES RENTAL OF EQUIPMENT TAXES AND LICENSES TRAVEL UNIFORMS FUNDRAISING PURCHASES | |
| Form 990, Part IX, Line 24f | TELEPHONE 462. 462. MEALS 2629. 2629. CONTINUING EDUCATION 13700. 13700. BANK SERVICE CHARGE 66. 66. OFFICE SUPPLIES 2434. 2434. LEGAL & ACCOUNTING 1290. 1290. INTEREST 1364. 1364. INSURANCE 3416. 3416. |
| Software ID: | 11000175 |
| Software Version: |