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.") .... | 166,573 | 138,612 | 158,445 | 418,818 | 349,189 | 1,231,637 |
| 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.. | 166,573 | 138,612 | 158,445 | 418,818 | 349,189 | 1,231,637 |
| 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).. | 108,711 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 1,122,926 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 166,573 | 138,612 | 158,445 | 418,818 | 349,189 | 1,231,637 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 448 | 448 | ||||
| 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.. | 915 | 718 | 2,802 | 4,435 | ||
| 11 | Total support (Add lines 7 through 10). | 1,236,520 | |||||






| 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 |
|---|
| OTHER INCOME PART II, LINE 10; DESCRIPTION: MISCELLANEOUS INCOME; 2009: 915.; 2010: 718.; 2011: 2802.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt III, Line 2 | In July of 2010, the Organization purchased a bus | |
| for the purpose of transforming it into a mobile | ||
| crisis pregnancy center where free pregnancy tests | ||
| and free ultrasounds would be provided for | ||
| women in a crisis pregnancy. This project was realized, | ||
| and the mobile crisis pregnancy center opened in February of 2011. | ||
| Pt VI, Line 2 | Two of the Board members, Karen & Victor Perez, are a | |
| married couple. | ||
| Pt VI, Line 11a | The form is reviewed by the Executive Director & the | |
| Board. All questions are reviewed to make certain that | ||
| there are no incorrect answers. | ||
| Pt VI, Line 12c | A questionnaire is completed annually by Board members. | |
| Should an answer to the questionnaire disclose something | ||
| of concern, it is addressed and a solution is implemented. | ||
| Pt VI, Line 15 | Salary increases are reviewed by the Board. There is an | |
| annual review of salaries. Any concerns are discussed | ||
| in depth, and a conclusion is discussed with these | ||
| employees. | ||
| Pt VI, Line 19 | Upon request, they are provided to grantors, contributors, | |
| and Board members. | ||
| Pt XI | Prior Period Adjustment - $29,123 | |
| Pt XII, Line 1 | Taxpayer is on the accrual basis effective 2011 because | |
| their books are being audited annually based on the | ||
| accrual basis of accounting. | ||
| Form 990, Part IX, Line 24f | TAXES 345. 0. 345. 0. COMPUTER EXPENSES 1748. 1451. 297. 0. OTHER EXPENSES 2062. 1711. 351. 0. TRAINING 753. 495. 258. 0. MOVING 391. 78. 313. 0. PRINTING 1718. 1277. 441. 0. TELEPHONE 3284. 3284. 0. 0. VOLUNTEER EXPENSES 2195. 2195. 0. 0. PARKING 177. 177. 0. 0. SUPPLIES 10281. 10281. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |