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.") .... | ||||||
| 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. | ||||||
| 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). | ||||||






| 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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| Identifier | Return Reference | Explanation |
|---|---|---|
| 01 Description of nondiscriminatory policy Question 3 | 3-PUBLICATION OF NONDISCRIMATORY POLICY THE SCHOOL DOES NOT ADVERTISE IN PRINT OR BROADCAST MEDIA HOWEVER THE SCHOOL DRAWS IT STUDENTS FROM THE LOCAL COMMUNITY AND FOLLOWS A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS AS DEFINED IN REV PROC 75-50 1975-2 CB 587 SECTION 403 2 C THUS IT FOLLOWS SECTION 402 AND INCLUDES A STATEMENT OF OF ITS RACIALLY NONDISCRIMANTORY POLICY AS TO STUDENTS IN THE BROCHURES AND APPLICATIONS GIVEN TO STUDENTS AND PROSPECTIVE STUDENTS EITHER DIRECTLY FROM THE SCHOOL OR ON THE SCHOOLS WEBSITE THE SCHOOL CURRENTLY ENROLLS STUDENTS OF RACIAL MINORITY GROUPS IN MEANINGFUL NUMBERS | |
| 02 Record maintenances Questions 4a 4b 4c or 4d | 4B-RECORDS DOCUMENTING SCHOLARSHIPS AND OTHER FINANCIAL ASSISTANCE CURRENTLY THE SCHOOL DOES NOT OFFER ANY SCHOLARSHIPS OR OTHER FINANCIAL ASSISTANCE THUS THERE ARE NO RECORDS TO KEEP IF AND WHEN THE SCHOOL WOULD OFFER SCHOLARSHIPS OR OTHER FINANCIAL ASSISTANCE IT WOULD BE DONE SO ON A NONDISCRIMINATORY BASIS AND RECORDS WOULD BE KEPT TO DOCUMENT THIS |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | THE ORGANIZATION HAS ONLY ONE CLASS OF MEMBERS WHICH IS THE PARENTS OF THE CHILDREN ATTENDING THE SCHOOL | |
| 02. Member election for additional members (Part VI, line 7a) | ANNUALLY THE PARENTS MEMBERS ELECT THE BOARD MEMBERS FROM THE CURRENT MEMBERS THEN THE CURRENT BOARD ELECTS THE POSITIONS OF PRESIDENT TREASURER AND SECRETARY FROM AMONG THE CURRENT BOARD MEMBERS | |
| 03. Committee meeting documentation (Part VI, line 8b) | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES ALL MEETINGS ARE ENTIRE BOARD MEETINGS | |
| 04. Form 990 governing body review (Part VI, line 11) | A COPY OF FORM 990 IS GIVEN TO THE BOARD MEMBERS FOR THEIR REVIEW BOARD MEMBERS APPROVE THE FORM 990 PRIOR TO THE RETURN BEING FILED | |
| 05. Conflict of interest policy compliance (Part VI, line 12c) | AT THE FIRST BOARD MEETING OF EVERY YEAR THE CONFLICT OF INTEREST POLICY IS REVIEWED ANY BOARD MEMBER WITH A CONFLICT MUST DISCLOSE SUCH CONFLICT THAT INDIVIDUAL ABSTAINS FROM VOTING ON ANY DECISION WHERE THERE IS A CONFLICT | |
| 06. CEO, executive director, top management comp (Part VI, line 15a) | THE ORGANIZATION HAS AN EXECUTIVE ADMINISTRATOR THE BOARD AUTHORIZES THE EXECUTIVE ADMINISTRATORS COMPENSATION BASED ON A COMPARSION OF OTHER CHILDCARE ADMINISTRATORS AND DOCUMENTS SUCH ACTION IN THE BOARD MINUTES | |
| 07. Other officer or key employee compensation (Part VI, line 15b | THERE ARE NO OTHER OFFICERS OR KEY EMPLOYEES THAT RECEIVE COMPENSATION FROM THE ORGANIZATION | |
| 08. Governing documents, etc, available to public (Part VI, line 19) | THE ORGANIZATION DOES NOT GENERALLY MAKE THEIR GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC | |
| 09. General explanation attachment | PART VI - LINE 14 WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY THE STATE OF MICHIGAN CHILDCARE LICENSING DIVISION DETERMINES THE POLICY FOR RETENTION OF CHILDCARE DOCUMENTS |
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