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.") .... | 3,781,641 | 2,527,878 | 2,617,416 | 2,565,895 | 2,384,201 | 13,877,031 |
| 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.. | 3,781,641 | 2,527,878 | 2,617,416 | 2,565,895 | 2,384,201 | 13,877,031 |
| 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. | 13,877,031 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,781,641 | 2,527,878 | 2,617,416 | 2,565,895 | 2,384,201 | 13,877,031 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 25,457 | 9,963 | 31,534 | 46,324 | 18,378 | 131,656 |
| 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). | 14,008,687 | |||||






| 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 |
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| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 8b | THE ORGANIZTION HAS AN ACTIVE BOARD OF DIRECTORS | |
| Pt VI, Line 11a | A COPY OF THE FORM 990 IS GIVEN TO THE BOARD OF DIRECTORS | |
| FOR ITS APPROVAL PRIOR TO ITS ANNUAL FILING AT THE | ||
| DECEMBER BOARD MEETING. | ||
| Pt VI, Line 12c | THE ORGANIZATION MONITORS AND ENFORCES THE CONFLICT OF | |
| INTEREST POLICY THROUGH THE QUALITY ASSURANCE DEPARTMENT | ||
| Pt VI, Line 15 | THE SALARY OF THE PRESIDENT IS DETERMINCED SOLELY BY | |
| THE BOARD OF DIRECTORS. THE SALARY OF THE REST OF THE | ||
| OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE PRESIDENT. | ||
| THE HUMAN RESOURCE DEPARTMENT ASSISTS IN DETERMINING | ||
| COMPARABLE SALARIES IN THE SURROUNDING AREAS. | ||
| Pt VI, Line 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST BY THE | |
| INQUIRING PARTY CALLING THE PHONE MUMBER ON THIS RETURN. | ||
| Pt VII, Col (E) | $153,621 OF $345,647 IS RETIREMENT PAY PAID ON JUNE 30, | |
| 2012 FOR THE RETIRING PRESIDENT. THE OFFICER TITLES ARE | ||
| THEIR RESPECTIVE TITLES AS OF JULY 1, 2012. | ||
| Form 990, Part IX, Line 24f | ELECTRIC 65507. 65507. 0. 0. TRASH 13282. 13282. 0. 0. WATER 11030. 11030. 0. 0. JANITORIAL SUPPLIES 10429. 10429. 0. 0. REPAIRS AND MAINTENANCE 64766. 64766. 0. 0. COPIERS 4240. 4240. 0. 0. OUTSIDE COUNSELORS 103735. 103735. 0. 0. MEDICAL SIPPLIES 35263. 35263. 0. 0. TESTING SUPPLIES 26198. 26198. 0. 0. LABORATORY FEES 20850. 20850. 0. 0. DUES AND SUBSCRIPTIONS 21079. 21079. 0. 0. TELEPHONE 52208. 50780. 1428. 0. POSTAGE 6882. 6882. 0. 0. PRINTING 8854. 8854. 0. 0. EDUCATIONAL SUPPLIES 2631. 26 |
| Software ID: | 11000175 |
| Software Version: |