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.") .... | 356,819 | 440,036 | 552,393 | 463,098 | 455,651 | 2,267,997 |
| 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.. | 356,819 | 440,036 | 552,393 | 463,098 | 455,651 | 2,267,997 |
| 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. | 2,267,997 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 356,819 | 440,036 | 552,393 | 463,098 | 455,651 | 2,267,997 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 6,384 | 6,462 | -50,013 | 4,470 | 5,382 | -27,315 |
| 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). | 2,240,682 | |||||






| 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 | 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.) | 0 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | FORM 990 GIVEN TO FIRE CHIEF FOR REVIEW AND TO HOLD FOR PUBLIC INSPECTION. TREASURER GIVEN OPPORTUNITY TO REVIEW BEFORE FILING | |
| Pt VI, Line 19 | DOCUMENTS ON FILE ALONG WITH THE FORM 990 AVAILABLE FOR PUBLIC INSPECTION ON REQUEST | |
| Pt VI, Line 8a | BOARD MINUTES ARE TAKEN AT EACH BOARD MEETING. NO OTHER COMMITTEE WHO IS AUTHORIZED TO ACT FOR THE BOARD. | |
| Pt VI, Line 2 | There are some related parties who serve together with | |
| brother,sister in-law, or cousin on the board | ||
| Pt VI, Line 8b | NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF BOARD | |
| Pt VI, Line 12c | Policy is reviewed annually by the Board of Directors. | |
| A Form is provided to each member. If anyone becomes aware | ||
| of a potential conflict of interest then they complete and return it to the Board of Directors | ||
| Form 990, Part IX, Line 24f | DUES 1635. 0. 1635. 0. FUEL 14945. 0. 14945. 0. EQUIPMENT MAINT/REPAIR 44988. 0. 44988. 0. FIREMEN RELIEF FUND EXP 4086. 0. 4086. 0. APPARATUS MAINT 18348. 0. 18348. 0. CAPITAL OUTLAY 18871. 0. 18871. 0. |
| Software ID: | 11000175 |
| Software Version: |