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.") .... | ||||||
| 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.") . | 45,262 | 83,690 | 50,290 | 54,711 | 50,822 | 284,775 |
| 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...... | 106,918 | 99,103 | 113,659 | 139,526 | 103,415 | 562,621 |
| 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. | 152,180 | 182,793 | 163,949 | 194,237 | 154,237 | 847,396 |
| 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.) | 847,396 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 152,180 | 182,793 | 163,949 | 194,237 | 154,237 | 847,396 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,615 | 3,616 | 2,060 | 829 | 276 | 10,396 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 3,615 | 3,616 | 2,060 | 829 | 276 | 10,396 |
| 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.) | 26,441 | 22,376 | 30,696 | 27,840 | 24,821 | 132,174 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 989,966 | |||||




| Facts And Circumstances Test |
|---|
| OTHER INCOME PART III, LINE 12; DESCRIPTION: GROSS RENTS; 2007: 26441.; 2008: 17525.; 2009: 30696.; 2010: 27840.; 2011: 21821.; DESCRIPTION: OTHER INCOME; 2008: 2158.; DESCRIPTION: REIMBURSEMENTS; 2007: 0.; 2008: 2693.; 2009: 0.; 2010: 0.; 2011: 0.; DESCRIPTION: SPONSORSHIPS; 2010: 0.; 2011: 3000.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | Tax return is provided to members of the board | |
| Pt VI, Line 19 | Organizational documents can be viewed on Guide Star | |
| Pt VI, Line 15 | Exec Director compensation is approved by the BOD based on recommendation | |
| Pt VI, Line 15 | of a Board appointed committee. This is reviewed annually. Other | |
| Pt VI, Line 15 | employee wages are determined by the Exec Director and reviewed annually. | |
| Pt VI, Line 3 | Operations have been delegated to the executive director | |
| Pt VI, Line 8b | Not applicable | |
| Form 990EZ, Part I, Line 8 | RENT ROUNDING | |
| Form 990EZ, Part I, Line 16 | ADVERTISING BANK SERVICE CHARGES CITY FEE CONTRACT LABOR CREDIT CARD FEES DONATIONS DUES AND SUBSCRIPTIONS FILING FEE INSURANCE INTERNET FEES MARKETING MEMBERSHIP REGISTRATION FEE SUPPLIES TRAVEL MEALS & ENTERTAINMENT USE TAX SMALL EQUIPMENT OFFICE EXPENSE | |
| Form 990EZ, Part II, Line 24 | INVENTORIES | |
| Form 990EZ, Part II, Line 26 | PAYROLL LIABILITIES SALES TAX PAYABLE | |
| Form 990, Part IX, Line 24f | CREDIT CARD FEES 2468. 2468. 0. 0. MISCELLANEOUS 130. 130. 0. 0. REGISTRATION FEE 370. 370. 0. 0. SUPPLIES 11. 11. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |