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.") .... | ||||||
| 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.") . | 2,251,676 | 1,953,724 | 1,782,202 | 1,253,752 | 1,594,242 | 8,835,596 |
| 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...... | 11,939 | 4,335 | 4,648 | 402 | 0 | 21,324 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 2,263,615 | 1,958,059 | 1,786,850 | 1,254,154 | 1,594,242 | 8,856,920 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 806,000 | 806,000 | ||||
| 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. | 13,492 | 13,492 | ||||
| c | Add lines 7a and 7b.. | 0 | 0 | 13,492 | 0 | 806,000 | 819,492 |
| 8 | Public Support (Subtract line 7c from line 6.) | 8,037,428 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,263,615 | 1,958,059 | 1,786,850 | 1,254,154 | 1,594,242 | 8,856,920 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 93,054 | 61,581 | 69,649 | 43,320 | 24,732 | 292,336 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 93,054 | 61,581 | 69,649 | 43,320 | 24,732 | 292,336 |
| 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.) | 17,985 | 130,000 | 44,121 | 4,110 | 45,535 | 241,751 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 2,374,654 | 2,149,640 | 1,900,620 | 1,301,584 | 1,664,509 | 9,391,007 |




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - SPECIAL EVENT REVENUE, COLUMN A - 17985, COLUMN B - 0, COLUMN C - 28350, COLUMN D - 4040, COLUMN E - 2569, COLUMN F - 50375; DESCRIPTION - OTHER INCOME, COLUMN A - 0, COLUMN B - 130000, COLUMN C - 15771, COLUMN D - 70, COLUMN E - 42966, COLUMN F - 145841;, |
| Software ID: | 11000230 |
| Software Version: | v2011.1.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | PRIOR TO FILING THE RETURN WITH THE IRS, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY THE ORGANIZATION'S OUTSIDE INDEPENDENT TAX ADVISORS ALONG WITH THE ORGANIZATION'S MANAGEMENT. SUBSEQUENT TO THIS REVIEW, THE COMPLETED AND FINAL FORM 990 IS PRESENTED TO THE FULL BOARD FOR REVIEW AND IS SUBSEQUENTLY FILED WITH THE IRS. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | ANNUALLY, THE ORGANIZATION SENDS OUT CONFLICT OF INTEREST QUESTIONNAIRE TO ALL INTERESTED PERSONS IN ORDER TO DETERMINE IF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST EXIST. THE EXECUTIVE DIRECTOR/PRESIDENT THEN REVIEWS THE RESPONSES, AND DETERMINES IF AN ACTUAL CONFLICT EXISTS. IF AN ACTUAL CONFLICT IS DETERMINED TO EXIST, THE INTERESTED PERSON INVOLVED SHALL NOT PARTICIPATE IN ANY ACTION ON THAT MATTER, AND SHALL REFRAIN FROM DISCUSSING OR SPEAKING OF THE SUBSTANCE OF THE ISSUE WITH OTHER INTERESTED PERSONS. FURTHERMORE, THROUGHOUT THE YEAR IF AN INTERESTED PERSON BECOMES AWARE OF A POTENTIAL OR ACTUAL CONFLICT, THE INTERESTED PERSON SHALL DECLARE HIS OR HER CONFLICT TO THE BOARD. INTERESTED PERSONS SHALL CONDUCT THEMSELVES TO AVOID ANY POSSIBILITY THAT THEY MIGHT PERSONALLY BENEFIT FROM BOARD SERVICE. VIOLATION OF ANY PART OF THIS SECTION WILL CAUSE THE CONFLICTED OR "SELF DEALING" INTERESTED PERSON TO BE TERMINATED FROM BOARD SERVICE PERMANENTLY. |
| WRITTEN WHISTLEBLOWER POLICY | FORM 990, PART VI, LINE 13 | THE ORGANIZATION HAS DRAFTED A WHISTLEBLOWER POLICY THAT IS CURRENTLY IN REVIEW. |
| WRITTEN DOCUMENT RETENTION & DESTRUCTION POLICY | FORM 990, PART VI, LINE 14 | THE ORGANIZATION HAS DRAFTED A DOCUMENT RETENTION AND DESTRUCTION POLICY THAT IS CURRENTLY IN REVIEW. |
| DETERMINATION OF COMPENSATION FOR THE CEO | FORM 990, PART VI, LINE 15A | THE AD HOC HIRING COMMITTEE OF THE BOARD REVIEWED AND APPROVED THE COMPENSATION OF THE EXECUTIVE DIRECTOR IN FEBRUARY OF 2010. RECORDS OF THE REVIEW AND DISCUSSIONS WERE TIMELY DOCUMENTED IN THE ORGANIZATION'S RECORDS. IN MARCH 2011, THE EXECUTIVE DIRECTOR LEFT THE ORGANIZATION. IN APRIL 2011, THE AD HOC HIRING COMMITTEE AND EXECUTIVE COMMITTEE AGREED TO THE HIRING OF THE PRESIDENT AND CEO WITH AN APPROVED COMPENSATION. THE COMPENSATION WAS SET IN A MEETING OF THE EXECUTIVE COMMITTEE WITH THE BOARD'S CHAIRMAN. FORMAL DOCUMENTATION OF THE DISCUSSIONS WAS NOT KEPT. |
| COMPENSATION OF THE ORGANIZATIONS OTHER OFFICERS | FORM 990, PART VI, LINE 15B | THE ORGANIZATION DOES NOT HAVE ANY OTHER OFFICERS OR KEY EMPLOYEES, THEREFORE, THIS LINE IS NOT APPLICABLE, AND HAS BEEN MARKED "NO." |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104, THEREFORE, THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | DONATED SERVICES - 16430; |
| Software ID: | 11000230 |
| Software Version: | v2011.1.0 |