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) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 298,229 | 499,303 | 342,801 | 292,826 | 302,656 | 1,735,815 |
| 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.. | 298,229 | 499,303 | 342,801 | 292,826 | 302,656 | 1,735,815 |
| 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. | 1,735,815 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 298,229 | 499,303 | 342,801 | 292,826 | 302,656 | 1,735,815 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 27,092 | 72,230 | 31,234 | 28,112 | 14,219 | 172,887 |
| 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.. | 486,902 | 462,877 | 108,075 | 114,459 | 114,686 | 1,286,999 |
| 11 | Total support (Add lines 7 through 10). | 3,195,701 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (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) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (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: | 10000149 |
| Software Version: | 2010.2.15 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part XI | 5 | OTHER CHANGES IN NET ASSETS REPRESENTS UNREALIZED HOLDING GAINS ON INVESTMENTS MAINTAINED AT THE GIBSON COUNTY COMMUNITY FOUNDATION |
| Form 990 Part VI | 11 | A COPY OF FORM 990 WAS PROVIDED FOR REVIEW AND QUESTIONS AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING |
| Form 990 Part VI | 19 | THE CORPORATE DOCUMENTS, CONFLICT OF INTEREST STATEMENTS, AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| Form 990 Part VI | 12 | CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED NO LESS THAN ANNUALLY |
| Form 990 Part VI | 15 | SALARIES OF KEY EMPLOYEES AND EXECUTIVES ARE REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS BY COMPARING THE RATES OF PAY WITH AGENCIES OF SIMILAR SIZE AND PROGRAMMING |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 543,844, Grants and allocations 0, Revenue 0 Approximately 34 individuals are served in our Living Options program. These individuals receive less than 24 hour in-home care as well as some respite. The individuals are taught daily living skills such as grocery shopping, house cleaning, cooking, and how to pay bills and handle their money. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 508,601, Grants and allocations 0, Revenue 0 Child care services are provided for children from the ages of 6 weeks thru 6 years. The day care facility has a capacity of 119 children. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 142,522, Grants and allocations 0, Revenue 0 Health and nutrition information and education are provided to expectant and new mothers with children through the age of 3 years thru the Women-Infants-Children grant. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 80,022, Grants and allocations 0, Revenue 0 Vocational rehabilitation services are provided to unemployed individuals. Services include training and ongoing monitoring following placement in a position |
| Form 990, Part III, Line 4d Program Service Expenses 543,844, Grants and allocations 0, Revenue 0 Approximately 34 individuals are served in our Living Options program. These individuals receive less than 24 hour in-home care as well as some respite. The individuals are taught daily living skills such as grocery shopping, house cleaning, cooking, and how to pay bills and handle their money. Form 990, Part III, Line 4d Program Service Expenses 508,601, Grants and allocations 0, Revenue 0 Child care services are provided for children from the ages of 6 weeks thru 6 years. The day care facility has a capacity of 119 children. Form 990, Part III, Line 4d Program Service Expenses 142,522, Grants and allocations 0, Revenue 0 Health and nutrition information and education are provided to expectant and new mothers with children through the age of 3 years thru the Women-Infants-Children grant. Form 990, Part III, Line 4d Program Service Expenses 80,022, Grants and allocations 0, Revenue 0 Vocational rehabilitation services are provided to unemployed individuals. Services include training and ongoing monitoring following placement in a position Form 990 Part XI Line 5 OTHER CHANGES IN NET ASSETS REPRESENTS UNREALIZED HOLDING GAINS ON INVESTMENTS MAINTAINED AT THE GIBSON COUNTY COMMUNITY FOUNDATION Form 990 Part VI Section B Line 11 A COPY OF FORM 990 WAS PROVIDED FOR REVIEW AND QUESTIONS AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING Form 990 Part VI Section C Line 19 THE CORPORATE DOCUMENTS, CONFLICT OF INTEREST STATEMENTS, AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990 Part VI Section b Line 12 CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED NO LESS THAN ANNUALLY Form 990 Part VI Section B Line 15 SALARIES OF KEY EMPLOYEES AND EXECUTIVES ARE REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS BY COMPARING THE RATES OF PAY WITH AGENCIES OF SIMILAR SIZE AND PROGRAMMING |
| Software ID: | 10000149 |
| Software Version: | 2010.2.15 |