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) 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 | 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. | 0 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (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) 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.") . | 112,355 | 159,723 | 188,425 | 199,525 | 197,111 | 857,139 |
| 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...... | 31,374 | 1,714 | 1,870 | 2,420 | 1,622 | 39,000 |
| 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. | 143,729 | 161,437 | 190,295 | 201,945 | 198,733 | 896,139 |
| 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.) | 896,139 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 143,729 | 161,437 | 190,295 | 201,945 | 198,733 | 896,139 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 4,843 | 3,164 | 65 | 59 | 64 | 8,195 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 4,843 | 3,164 | 65 | 59 | 64 | 8,195 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 148,572 | 164,601 | 190,360 | 202,004 | 198,797 | 904,334 |




| 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-EZ, Part I, Line 16, Other Expenses Depreciation 14,978 Form 990-EZ, Part I, Line 16, Other Expenses TRANSPORTATION EXP 938 Form 990-EZ, Part I, Line 16, Other Expenses BANK CHARGES 83 Form 990-EZ, Part I, Line 16, Other Expenses DUE SUBSCRIPTIONS 699 Form 990-EZ, Part I, Line 16, Other Expenses FOOD SUMMER CAMP 5,978 Form 990-EZ, Part I, Line 16, Other Expenses INSURANCE- PROPERTY/LIABILITY 6,756 Form 990-EZ, Part I, Line 16, Other Expenses WORKERS COMP INSURANCE 1,425 Form 990-EZ, Part I, Line 16, Other Expenses CASUAL HELP 2,165 Form 990-EZ, Part I, Line 16, Other Expenses LEADERSHIP TRAINING 1,447 Form 990-EZ, Part I, Line 16, Other Expenses EMPLOYER PAYROLL TAXES 7,632 Form 990-EZ, Part I, Line 16, Other Expenses RECRUITMENT EXPS 410 Form 990-EZ, Part I, Line 16, Other Expenses REP MAINT POOL 1,767 Form 990-EZ, Part I, Line 16, Other Expenses REP MAINT BUILDING GROUNDS 6,032 Form 990-EZ, Part I, Line 16, Other Expenses OFFICE SUPPLIES AND EXP 2,526 Form 990-EZ, Part I, Line 16, Other Expenses WASTE REMOVAL 821 Form 990-EZ, Part I, Line 16, Other Expenses MISC SUPPLIES, CRAFT,KITCHEN,FIRSTAID,SNACK SHOP 3,553 Form 990-EZ, Part I, Line 16, Other Expenses OTHER PROGRAM EXPENSES, LICENSES, PERMITS 2,311 Form 990-EZ, Part I, Line 16, Other Expenses CAMP VOLUNTEER AND WORKER EXPENSES 604 Form 990-EZ, Part II, Line 24, Other Assets EQUIPMENT Beginning of year 1,600, End of year 1,500 Form 990-EZ, Part II, Line 24, Other Assets RABBI TRUST INVESTMENT Beginning of year 54,904, End of year 54,904 Form 990-EZ, Part II, Line 24, Other Assets PREPAID EXPS Beginning of year 0, End of year 803 Form 990-EZ, Part II, Line 26, Liabilities DEFERRED COMP LIABILITY Beginning of year 54,904, End of year 54,904 Form 990-EZ, Part II, Line 26, Liabilities ACCOUNTS PAYABLE Beginning of year 5,749, End of year 8,454 Form 990-EZ, Part II, Line 26, Liabilities other accont payable Beginning of year 0, End of year 803 |
| Software ID: | 10000149 |
| Software Version: | 2010.2.15 |