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. | ||||||
| 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.") . | 415,445 | 394,458 | 404,072 | 366,198 | 277,752 | 1,857,925 |
| 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. | 415,445 | 394,458 | 404,072 | 366,198 | 277,752 | 1,857,925 |
| 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.) | 1,857,925 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 415,445 | 394,458 | 404,072 | 366,198 | 277,752 | 1,857,925 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,690 | 364 | 210 | 149 | 68 | 2,481 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,690 | 364 | 210 | 149 | 68 | 2,481 |
| 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.). | 417,135 | 394,822 | 404,282 | 366,347 | 277,820 | 1,860,406 |




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | THE PURPOSES OF THE ASSOCIATION ARE: -TO ENCOURAGE & IMPROVE THE QUALITY OF ICE HOCKEY IN WESTERN MICHIGAN; -TO PROVIDE BOTH INSTRUCTIONAL AND COMPETITIVE ICE HOCKEY OPPORTUNITIES TO ITS MEMBERS; -TO ASSOCIATE WITH THE MICHIGAN AMATEUR HOCKEY ASSOCIATION (MAHA), USA HOCKEY AND OTHER HOCKEY ASSOCIATIONS; -TO DEVELOP AND ENCOURAGE SPORTSMANSHIP BETWEEN ALL PLAYERS; -TO HELP DEFRAY THE EXPENSE ASSOCIATED WITH ICE HOCKEY AND TEAM EVENTS THROUGH FUNDRAISING; -TO DO ANY AND AND ALL ACTS DESIRABLE IN THE FURTHERANCE OF THE FOREGOING PURPOSES. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS APPROVED BY THE BOARD TREASURER BEFORE IT IS SUBMITTED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANY MEMBER OF THE BOARD OF DIRECTORS THAT HAS A PERSONAL INTEREST IN, OR OTHER CONFLICT OF INTEREST, IN ANY MATTER PENDING BEFORE THE BOARD, SHALL RECUSE HIMSELF/HERSELF FROM ANY DELIBERATION, DEBATE OR DETERMINATION OF SUCH ISSUES IN WHICH THE PERSONAL INTEREST OR CONFLICT OF INTEREST MAY BE PRESENT. THE PRESIDENT OF THE ASSOCATION, WITH THE CONSENT OF THE MAJORITY MEMBERS OF THE BOARD OF DIRECTORS PRESENT, MAY REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS, FROM ANY ISSUES THAT MAY BE PERCEIVED AS A CONFLICT OF INTEREST IF THE MEMBER IN QUESTION DECLINES TO RECUSE HIMSELF/HERSELF. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST |
| Software ID: | |
| Software Version: |