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.") .... | 171,528 | 156,963 | 230,831 | 409,275 | 341,414 | 1,310,011 |
| 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.. | 171,528 | 156,963 | 230,831 | 409,275 | 341,414 | 1,310,011 |
| 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).. | 446,000 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 864,011 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 171,528 | 156,963 | 230,831 | 409,275 | 341,414 | 1,310,011 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 270 | 270 | ||||
| 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). | 1,310,281 | |||||






| 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-B, Line 11a | Board Chair provided draft to Board and led review discussion at Board meeting. | |
| Pt VI-B, Line 12c | Board members are referred to Conflict of Interest provisions of the | |
| Illinois Non Profit Corporation Statute, which have been adopted as the | ||
| organization's policy. | ||
| Pt VI-B, Line 15 | Board discussed comparable salaries. Discussion and decision by majority | |
| of independent Board members was recorded in Board meeting minutes. | ||
| Pt VI-C, Line 19 | Form 990 and supporting financial statements are provided on the | |
| Illinois Attorney General web site; summary financial statements | ||
| from Form 990 are published by Network for Good, the organization's | ||
| on-line fundraising service. | ||
| Pt XII, Line 2c | The Board of Directors is responsible for the selection | |
| of the independent auditors and review and approval of | ||
| the audited financial statements. This process has not | ||
| changed from the prior year. | ||
| Form 990EZ, Part I, Line 8 | REIMBURSED EXPENSES 0. REFUNDS 0. MISCELLANEOUS INCOME 0. | |
| Form 990EZ, Part I, Line 16 | PROGRAM SERVICES 219300. ACCOUNTING FEES 38619. ADVERTISING 50. AUTOMOBILE EXPENSE 2638. BANK SERVICE CHARGES 638. DUES FUNDRAISING EXPENSE 1265. INSURANCE PREMIUMS 5571. INTEREST EXPENSE 264. MEALS & ENTERTAINMENT 980. OFFICE SUPPLIES 1712. LICENSES AND PERMITS 125. MISCELLANEOUS 0. PAYROLL TAXES 3340. PROFESSIONAL DEVELOPMENT 290. REPAIRS 0. TELEPHONE 1072. TRAVEL 0. ROUNDING -2. | |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE 40800. 34235. PLEDGES RECEIVABLE 17000. 17000. PREPAID EXPENSES 200. 6/30/09 AUDIT ADJUSTMENT ROUNDING 1. | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE 5014. 3350. CREDIT CARD PAYABLE 422. DEFERRED REVENUE PAYROLL TAX LIABILITIES 2570. NOTE PAYABLE - MARY DUDEK 5700. 0. ROUNDING 1. | |
| Form 990, Part III, Line 4d | CONDUCT AFTER-SCHOOL PROGRAMS AT FIVE OTHER CHICAGO CITY AND 194039. 0. 226760. | |
| Form 990, Part IX, Line 24f | PROGRAM EXPENSE - OTHER 68970. 68970. 0. 0. TELEPHONE 1072. 933. 107. 32. |
| Software ID: | 10000104 |
| Software Version: |