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. | ||||||
| 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.. | ||||||
| 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.") . | 60,499 | 63,678 | 41,693 | 48,024 | 48,708 | 262,602 |
| 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...... | 93,839 | 90,440 | 70,504 | 68,050 | 88,054 | 410,887 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 154,338 | 154,118 | 112,197 | 116,074 | 136,762 | 673,489 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | 673,489 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 154,338 | 154,118 | 112,197 | 116,074 | 136,762 | 673,489 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,621 | 3,172 | 2,683 | 1,178 | 758 | 11,412 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 3,621 | 3,172 | 2,683 | 1,178 | 758 | 11,412 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 2,330 | 1,517 | 8,022 | 1,694 | 2,345 | 15,908 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 160,289 | 158,807 | 122,902 | 118,946 | 139,865 | 700,809 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000144 |
| Software Version: | 2011v1.2 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990-EZ, Part II, Line 26.1003 | Total Liabilities.1003 | Deferred Revenue - Beginning $10095 Deferred Revenue - Ending $4440 |
| Form 990-EZ, Part II, Line 26.1001 | Total Liabilities.1001 | Accounts Payable and Accrued Expenses - Beginning $120 Accounts Payable and Accrued Expenses - Ending $3500 |
| Form 990-EZ, Part II, Line 24.1011 | Other Assets.1011 | Prepaid Expenses and Deferred Charges - Beginning $1900 Prepaid Expenses and Deferred Charges - Ending $96 |
| Form 990-EZ, Part II, Line 24.1005 | Other Assets.1005 | Accounts Receivable - Beginning $2062 Accounts Receivable - Ending $620 |
| Form 990-EZ, Part I, Line 20.1001 | Other Changes In Net Assets Or Fund Balances.1001 | Net Unrealized Gains and Losses on Investments $1334 |
| Form 990-EZ, Part I, Line 16.6 | Other Expenses.6 | Donation $100 |
| Form 990-EZ, Part I, Line 16.5 | Other Expenses.5 | Dues & Subscriptions $150 |
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | Picture book $474 |
| Form 990-EZ, Part I, Line 16.3 | Other Expenses.3 | Board Retreat $1601 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | Miscellaneous $2101 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | ALA Counselor $3000 |
| Form 990-EZ, Part I, Line 16.1012 | Other Expenses.1012 | Insurance $1333 |
| Form 990-EZ, Part I, Line 16.1007 | Other Expenses.1007 | Conferences, Conventions, and Meetings $65499 |
| Form 990-EZ, Part I, Line 8.2 | Other Revenue.2 | Miscellaneous $95 |
| Form 990-EZ, Part I, Line 8.1 | Other Revenue.1 | Advertising $2250 |
| Software ID: | 11000144 |
| Software Version: | 2011v1.2 |