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.") .... | 93,003 | 131,716 | 131,444 | 143,795 | 93,206 | 593,164 |
| 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.. | 93,003 | 131,716 | 131,444 | 143,795 | 93,206 | 593,164 |
| 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).. | 79,335 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 513,829 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 93,003 | 131,716 | 131,444 | 143,795 | 93,206 | 593,164 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 10 | 5 | 1 | 1 | 7 | 24 |
| 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.. | 311 | 7,032 | 6,124 | 13,467 | ||
| 11 | Total support (Add lines 7 through 10). | 606,655 | |||||






| 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 |
|---|
| Explanation |
|---|
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990-EZ, Part I, Line 16, Other Expenses Travel 1,253 Form 990-EZ, Part I, Line 16, Other Expenses Meals and entertainment 848 Form 990-EZ, Part I, Line 16, Other Expenses Amortization 12 Form 990-EZ, Part I, Line 16, Other Expenses Depreciation 39,320 Form 990-EZ, Part I, Line 16, Other Expenses Equipment rental and maintenance 1,655 Form 990-EZ, Part I, Line 16, Other Expenses Interest 5,633 Form 990-EZ, Part I, Line 16, Other Expenses Supplies 4,716 Form 990-EZ, Part I, Line 16, Other Expenses BANK CHARGES MERCHANT DISCOUNTS 1,716 Form 990-EZ, Part I, Line 16, Other Expenses DUES SUBSCRIPTIONS 84 Form 990-EZ, Part I, Line 16, Other Expenses LICENSES FEES 234 Form 990-EZ, Part I, Line 16, Other Expenses OFFICE SUPPLIES 201 Form 990-EZ, Part I, Line 16, Other Expenses TELEPHONE COMMUNICATIONS 2,767 Form 990-EZ, Part I, Line 16, Other Expenses VEHICLE EXPENSE 5,462 Form 990-EZ, Part I, Line 16, Other Expenses VET PRESCRIPTIONS 4,209 Form 990-EZ, Part I, Line 16, Other Expenses WOLF FOOD 47,527 Form 990-EZ, Part I, Line 16, Other Expenses LICENSES FEES 85 Form 990-EZ, Part II, Line 24, Other Assets FIXED ASSETS, NET OF DEPRECIATION Beginning of year 161,232, End of year 121,912 Form 990-EZ, Part II, Line 24, Other Assets LOAN FEES, NET OF AMORTIZATION Beginning of year 12, End of year 0 Form 990-EZ, Part II, Line 24, Other Assets INVENTORY Beginning of year 3,776, End of year 2,366 Form 990-EZ, Part II, Line 24, Other Assets INTEREST RECEIVABLE FROM ESTATE Beginning of year 2,377, End of year 0 Form 990-EZ, Part II, Line 26, Liabilities ACCOUNTS PAYABLE ACCRUED EXPENSES Beginning of year 2,256, End of year 3,693 Form 990-EZ, Part II, Line 26, Liabilities LOANS FROM OFFICERS Beginning of year 95,376, End of year 99,871 Form 990-EZ, Part II, Line 26, Liabilities LOANS PAYABLE - SYNERGY Beginning of year 20,972, End of year 8,688 |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |