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.. | ||||||
| 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.") . | 159,188 | 145,100 | 175,355 | 154,057 | 65,976 | 699,676 |
| 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...... | 27,782 | 90,286 | 25,249 | 72,199 | 13,384 | 228,900 |
| 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. | 186,970 | 235,386 | 200,604 | 226,256 | 79,360 | 928,576 |
| 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.) | 928,576 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 186,970 | 235,386 | 200,604 | 226,256 | 79,360 | 928,576 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 137 | 397 | 272 | 63 | 29 | 898 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 137 | 397 | 272 | 63 | 29 | 898 |
| 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.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 187,107 | 235,783 | 200,876 | 226,319 | 79,389 | 929,474 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part III | 3 | The museum ceased operations in Colorado. The museum retained possession of all Colorados inventory and museum collections. |
| Form 990 Part XI | 5 | In previous years, the depreciation was not properly recorded. The figure of 48,171 represents the correction to fixed assets and accumulated depreciation. |
| Form 990 Part VI | 2 | Sam and Bowden Kirkpatrick have a family relationship/ |
| Form 990 Part VI | 7a | Members elect the board members. |
| Form 990 Part VI | 9 | Board Member Addresses Cythia Bayerdorffer, 15350 Sky King Dr, Port St. Lucie, FL, 34987 Mark Cantor, 62 Meadowbrook Ct, Patterson, NY 12563 Ralph Dykstra, 656 Horse Pond Road, Madison, CT 06443, Cally Gurley, 198 Falmouth Rd, Falmouth, ME 04105 Alma Hix, P.O. Box 2436, Estes Park, CO, 80517 Bowden Sam Kirkpatrick, 153 Imperial Ave, Bennington, VT 05201 Phil Lewis, 12700 Lake Ave, Cleveland, OH 44107 John Linderman, 28 Brae Burn, Glastonbury, CT 06033 D. Howard Randall, 2 Prospect Road, Prospect Hill, Plympton, MA 02367 Michael Roach, 516 N Milwaukee Ave, Libertyville, IL 60048 |
| Form 990 Part VI | 11b | The 990 is reviewed by the board chair and treasurer before the return is filed. |
| Form 990 Part VI | 15 | Compensation is set by the board and is comparable to area salaries. |
| Form 990 Part VI | 19 | Upon Request |
| Form 990 Part III Line 3 The museum ceased operations in Colorado. The museum retained possession of all Colorados inventory and museum collections. Form 990 Part XI Line 5 In previous years, the depreciation was not properly recorded. The figure of 48,171 represents the correction to fixed assets and accumulated depreciation. Form 990 Part VI Section A Line 2 Sam and Bowden Kirkpatrick have a family relationship/ Form 990 Part VI Section A Line 7a Members elect the board members. Form 990 Part VI Section A Line 9 Board Member Addresses Cythia Bayerdorffer, 15350 Sky King Dr, Port St. Lucie, FL, 34987 Mark Cantor, 62 Meadowbrook Ct, Patterson, NY 12563 Ralph Dykstra, 656 Horse Pond Road, Madison, CT 06443, Cally Gurley, 198 Falmouth Rd, Falmouth, ME 04105 Alma Hix, P.O. Box 2436, Estes Park, CO, 80517 Bowden Sam Kirkpatrick, 153 Imperial Ave, Bennington, VT 05201 Phil Lewis, 12700 Lake Ave, Cleveland, OH 44107 John Linderman, 28 Brae Burn, Glastonbury, CT 06033 D. Howard Randall, 2 Prospect Road, Prospect Hill, Plympton, MA 02367 Michael Roach, 516 N Milwaukee Ave, Libertyville, IL 60048 Form 990 Part VI Section B Line 11b The 990 is reviewed by the board chair and treasurer before the return is filed. Form 990 Part VI Section B Line 15 Compensation is set by the board and is comparable to area salaries. Form 990 Part VI Section C Line 19 Upon Request |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |