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) 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 | 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) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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.. | 0 | |||||
| 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) 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.") . | 51,837 | 8,499 | 6,582 | 66,918 | ||
| 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...... | 65,362 | 62,948 | 57,532 | 61,416 | 247,258 | |
| 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. | 117,199 | 71,447 | 64,114 | 61,416 | 314,176 | |
| 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.) | 314,176 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 117,199 | 71,447 | 64,114 | 61,416 | 314,176 | |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 851 | 851 | ||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 851 | 851 | ||||
| 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.). | 315,027 | |||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 8a | Minutes were taken at each meeting of the governing | |
| Pt VI, Line 8a | body. After the meeting minutes were typed and made | |
| Pt VI, Line 8a | available to the governing body. At the following meeting | |
| Pt VI, Line 8a | minutes were read aloud and approved by the attendants. | |
| Pt VI, Line 8b | Whenever necessary for a committee meeting, minutes | |
| Pt VI, Line 8b | were taken and later distributed to all committee members. | |
| Pt VI, Line 11a | Our procedure for completing the Form 990 is our CPA | |
| Pt VI, Line 11a | works with the treasurer in reviewing the financial | |
| Pt VI, Line 11a | statements and in receiving all the information needed | |
| Pt VI, Line 11a | to complete the forms. Once the CPA has completed the | |
| Pt VI, Line 11a | Form 990 it is sent electronically to the President and she contacts | |
| Pt VI, Line 11a | the governing body to review it, ask questions and | |
| Pt VI, Line 11a | make any changes. After it is approved she notifies | |
| Pt VI, Line 11a | the CPA and hard copies are sent to the President for | |
| Pt VI, Line 11a | signatures and filing. | |
| Pt VI, Line 12c | Each director, principal officer and member of a committee with governing board | |
| delegated powers shall sign a statement which affirms such person: | ||
| a. Has received a copy of the conflicts of interest policy, | ||
| b. Has read and understands the policy, | ||
| c. Has agreed to comply with the policy, and | ||
| d. Understands the Organization is charitable and in order to | ||
| maintain its federal tax exemption it must engage primarily | ||
| in activities which accomplish one or more of its | ||
| tax-exempt purposes. | ||
| Pt VI, Line 19 | Governing documents, financial statements and the Form | |
| 990 are available by request. Please contact Tracy | ||
| Kidder at (919)266-2373 or tkidder71@yahoo.com. | ||
| Sch I Pt 1 Line 2 | Women's Center of Wake County, Inc is a multi-services | |
| resource center that addresses the challenging issues of | ||
| poverty and homelessness for single women and women with | ||
| families. Their focus is to end homelessness. | ||
| Franklin County Volunteers in Medicine is a non-profit | ||
| who seeks to meet the primary health care needs of | ||
| the medically underserved people of Franklin County, | ||
| NC. They serve adults with chronic illnesses, | ||
| providing them medical care and pharmaceuticals. | ||
| Haven House Services is a non-profit agency that changes | ||
| outcomes for struggling youth and their families. Working | ||
| with families, schools, gov't agencies, the courts and | ||
| other organizations to help kids find their way to a | ||
| positive, productive life. |
| Software ID: | 11000175 |
| Software Version: |