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.") .... | 123,664 | 57,248 | 48,615 | 82,879 | 88,092 | 400,498 |
| 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.. | 123,664 | 57,248 | 48,615 | 82,879 | 88,092 | 400,498 |
| 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. | 400,498 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 123,664 | 57,248 | 48,615 | 82,879 | 88,092 | 400,498 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 63,811 | 35,886 | 24,654 | 26,543 | 28,557 | 179,451 |
| 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). | 579,949 | |||||






| 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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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part VI | Line 11b | Form 990 is prepared by the organizations treasurer/bookkeeper. It is submitted for review by the executive committee. After reviewing, the Executive Committee presents form 990 at the next board meeting for board acceptance. After acceptance, form 990 is filed. |
| Form 990 Part VI | 15a 15b | An evaluation form of the directors preformance is distributed to each board member for their comments and evaluations. The forms are then reviewed by the executive committee. Depending on the results and if it is economically feasible, the committee may or may not recommend a salary change. For other wages, the director along with the executive committee evaluate the performance of the employees and determine wages at that time. |
| Form 990 Part VI | 19 | Any person desiring to review our form 990 needs only to ask either verbally or in written form of the executive director. The information requested is then provided to that person in paper form within five business days. |
| Form 990 Part XI | 5 | The other change in net assets results in the market change in our investments. The fair market value decreased by 11,882.46 from the prior year. |
| Form 990 Part VI Section Section b Line Line 11b Form 990 is prepared by the organizations treasurer/bookkeeper. It is submitted for review by the executive committee. After reviewing, the Executive Committee presents form 990 at the next board meeting for board acceptance. After acceptance, form 990 is filed. Form 990 Part VI Section Section B Line 15a 15b An evaluation form of the directors preformance is distributed to each board member for their comments and evaluations. The forms are then reviewed by the executive committee. Depending on the results and if it is economically feasible, the committee may or may not recommend a salary change. For other wages, the director along with the executive committee evaluate the performance of the employees and determine wages at that time. Form 990 Part VI Section Section C Line 19 Any person desiring to review our form 990 needs only to ask either verbally or in written form of the executive director. The information requested is then provided to that person in paper form within five business days. Form 990 Part XI Line 5 The other change in net assets results in the market change in our investments. The fair market value decreased by 11,882.46 from the prior year. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |