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.") .... | ||||||
| 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) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (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) 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.) | ||||||
| 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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| Identifier | Return Reference | Explanation |
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| EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION | SCHEDULE E, PART I, LINE 3 | THE ORGANIZATION PUBLISHES ITS NON-DISCRIMINATORY POLICY IN ALL SCHOOL LITERATURE |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT OF THE FORM 990 AND THE SUMMARY OF THE FINANCIAL INFORMATION ARE PROVIDED TO THE MEMBERS OF THE GOVERNING BODY BY MAIL, E-MAIL OR IN PERSON. THE MEMBERS PROVIDE THEIR COMMENTS TO THE PRESIDENT. UPON REVIEW OF THE COMMENTS AND CONSIDERATION TO THE COMMENTS FROM THE GOVERNING BODY, THE FORM 990 IS THEN FINALIZED | |
| FORM 990, PART VI, SECTION C, LINE 19 | FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND OTHE FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON AN ADVANCE WRITTEN NOTICE TO THE PRESIDENT OF AT LEAST 21 DAYS. | |
| FORM 990, PAGE 7, PART VII, SECTION A, REPORTABLE COMPENSATION | EXPLANATION AND BREAKDOWN OF REPORTABLE COMPENSATION DURING THE YEAR DUE TO SOME ERRORS CERTAIN PERIODIC COMPENSATION WAS NOT PAID IN THE PRIORS YEARS TO AN OFFICER. PART OF SUCH COMPENSATION WAS PAID DURING THE YEAR ENDED 9-30-2011. THE BREAKDOWN OF THE TOTAL COMPENSATION PAID DURING THE YEAR ENDED SEPTEMBER 30, 2011 IS AS FOLLOWS: PRIOR YEARS' UNPAID COMPENSATION PAID: UNPAID AMOUNT FROM JULY 2008 TO SEPTEMBER 2008 $ 5,099 UNPAID AMOUNT FROM JANUARY 2009 TO MARCH 2009 $ 5,938 UNPAID AMOUNT FROM JANUARY 2010 TO SEPTEMBER 2010 $ 26,346 TOTAL PAID FOR PRIOR YEARS' ARREARS $ 37,383 COMPENSATION FOR THE CURRENT YEAR ENDED SEPTEMBER 30,2011 $ 43,320 TOTAL AMOUNT PAID DURING THE YEAR $ 80,703 |
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