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.") .... | 464,967 | 585,788 | 473,020 | 489,122 | 500,190 | 2,513,087 |
| 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.. | 464,967 | 585,788 | 473,020 | 489,122 | 500,190 | 2,513,087 |
| 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. | 2,513,087 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 464,967 | 585,788 | 473,020 | 489,122 | 500,190 | 2,513,087 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,240 | 5,725 | 2,255 | 1,781 | 1,711 | 13,712 |
| 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). | 2,526,799 | |||||






| 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.) | 0 | |||||
| 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: | 10000104 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI-A, Line 6 | The Organization's bylaws state that members shall be the | |
| original incorporators named in the Articles of Incorporation; the | ||
| Steering Committee (Board of Directors); the Staff; and individuals | ||
| who have sought services or provided financial or in-kind support | ||
| to the organization during the previous three years. | ||
| Pt VI-A, Line 7a | The members shall affirm Steering Committee members of the | |
| Corporation by voting at the annual meeting. | ||
| Pt VI-B, Line 11a | The Finance Committee reviews the draft Form 990 and then brings | |
| it to the next Steering Committee (Board of Director) meeting where | ||
| any questions are addressed. When all members questions are | ||
| satisfied, the return is approved for filing by consensus. | ||
| Pt VI-B, Line 15 | The Personnel Committee and co-chairs of the Steering Committee | |
| review and recommend the Executive Director's compensation | ||
| to the full Steering Committee after comparing data from other | ||
| non-profits in the areas and other domestic violence resource | ||
| centers. | ||
| Pt VI-C, Line 19 | The Organization, upon request, makes available to the public | |
| any governing documents and financial statements. The conflict | ||
| of interest policy will also be made available upon request when | ||
| it is affirmed by the Steering Committee (Board of Directors). | ||
| Pt VI-B, Line 12a | A draft conflict of interest policy will be reviewed by the Steering | |
| Committee (BOD) this year. Included language will address any | ||
| disclosures that need to be made and how the organization will | ||
| regularly and consistently monitor and enforce compliance. | ||
| Pt VI-B, Line 13 | A draft whistleblower policy will be reviewed by the Steering | |
| Committee (BOD) this year. As mandated by the Maine State | ||
| Form 990EZ, Part I, Line 16 | PAYROLL TAXES SUPPLIES TELEPHONE MORTGAGE INTEREST EQUIPMENT RENTAL EQUIPMENT REPAIR & MAINTENANCE EQUIPMENT & OFFICE FURNITURE PURCHASES TRAVEL CONFERENCES & MEETINGS INSURANCE MEMBERSHIP DUES ADVERTISING CLIENT EMERGENCIES STAFF TRAINING FUNDRAISING EXPENSES MISCELLANEOUS EXPENSES WEB HOSTING BANK CHARGES INTEREST EXPENSE ROUNDING | |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE 3643. EMPLOYEE ADVANCES 1340. GRANTS RECEIVABLE 11378. OTHER RECEIVABLE 893. BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 70160. FURNITURE & EQUIPMENT (NET OF DEPRECIATION) 12651. | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE 5324. CREDIT CARDS PAYABLE 1081. DEFERRED REVENUES 4094. MORTGAGES PAYABLE 306737. | |
| Form 990, Part IX, Line 24f | FURNITURE PURCHASE 200. 200. 0. 0. BOOKS AND PUBLICATIONS 610. 311. 299. 0. MISCELLANEOUS EXPENSES 3016. 2471. 545. 0. ROUNDING 1. -1. 2. 0. | |
| Whistleblower's Protection Act, the Maine Dept. of Labor's | ||
| poster "Protection of Employees Who Report or Refuse to | ||
| Commit Illegal Acts" is prominently displayed in the | ||
| common area of the building for employees to review. | ||
| Pt VI-B, Line 14 | A draft retention and destruction policy will be reviewed by the | |
| Steering Committee (BOD) this year. | ||
| Pt XI, Line 5 | The reduction in Net Assets of $2,331 is as follows: | |
| 1) $2,000 of prior year grant funds returned to funding source | ||
| 2) $331 loss in fair market value of the beneficial interest | ||
| in assets held by others (quasi-endowment fund). |
| Software ID: | 10000104 |
| Software Version: |