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. | 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.. | 0 | |||||
| 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.") . | 309,300 | 331,749 | 339,916 | 375,091 | 386,726 | 1,742,782 |
| 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. | 309,300 | 331,749 | 339,916 | 375,091 | 386,726 | 1,742,782 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 650 | 250 | 900 | 700 | 700 | 3,200 |
| 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.. | 650 | 250 | 900 | 700 | 700 | 3,200 |
| 8 | Public Support (Subtract line 7c from line 6.) | 1,739,582 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 309,300 | 331,749 | 339,916 | 375,091 | 386,726 | 1,742,782 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 6,294 | 1,764 | 127 | 91 | 74 | 8,350 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 6,294 | 1,764 | 127 | 91 | 74 | 8,350 |
| 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.). | 1,751,132 | |||||




| 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 IS REVIEWED BY THE BOARD CHAIRMAN. | |
| FORM 990 IS AVAILABLE TO ANY MEMBER OF THE BOARD UPON REQUEST. | ||
| Pt VI, Line 19 | COPIES OF GOVERNING DOCUMENTS, FORM 990, AND FINANCIAL | |
| STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | ||
| Pt VI, Line 7b | APPOINTMENT OF MEMBERS TO THE BOARD OF DIRECTORS IS SUBJECT | |
| TO REVIEW BY THE CULPEPER COUNTY DEPARTMENT OF | ||
| HUMAN SERVICES. | ||
| Pt I, Line 1 | MISSION & ACTIVITIES: CULPEPER COMMUNITY THRIFT STORE'S | |
| PRIMARY EXEMPT PURPOSE IS TO GENERATE FUNDS USED TO PROVIDE | ||
| EMERGENCY SUPPORT FOR INDIGENT AND/OR ELDERLY MEMBERS OF THE | ||
| CULPEPER COMMUNITY. ADDITIONALLY FUNDS ARE SET ASIDE TO AID | ||
| THIS SEGMENT OF OUR COMMUNITY AND TO MEET FUTURE EMERGENCY | ||
| NEEDS AS THEY MAY ARISE. | ||
| . | ||
| CULPEPER COMMUNITY THRIFT STORE WORKS IN CLOSE COOPERATION | ||
| WITH CULPEPER HUMAN SERVICES (FEIN 54-6001236), A DIVISION | ||
| OF CULPEPER COUNTY, VIRGINIA, TO ACHIEVE THE ABOVE GOALS | ||
| AS WELL AS TO PROVIDE THE FOLLOWING ADDITIONAL SERVICES | ||
| TO THE COMMUNITY. | ||
| a) Provide a work site for VIEW recipients entering the | ||
| Financial Employment Program the goal of which is to | ||
| assist these individuals in becoming self sufficient. | ||
| b) Provide a work site for the Culpeper County High School | ||
| Employment Support Program (challenged students). | ||
| c) Partner with the Criminal Justice Program to provide | ||
| a work site for those ordered to provide community | ||
| Form 990EZ, Part II, Line 24 | INVENTORY | |
| Form 990, Part IX, Line 24f | VEHICLE FUEL 5455. 5455. VEHICLE MAINTENANCE 4502. 4502. MISCELLANEOUS 937. 937. LICENSES 232. 232. POSTAGE/PRINTING 542. 542. | |
| Pt I, Line 1 | service. | |
| d) Provide a work site for student volunteers working toward | ||
| school projects, congressional awards, etc. | ||
| e) Donate toiletries and cell phones to SAFE (woman's | ||
| abuse shelter). | ||
| f) Donate convalescent items to Veterans of Foreign Wars | ||
| to be loaned to persons in need. | ||
| g) Provide blankets to the Humane Society and the | ||
| Animal Shelter. | ||
| h) Collect food items for the Culpeper Food Closet. | ||
| i) Provide support and referrals for those in need. | ||
| j) Provide adequate clothing for anyone preparing for | ||
| a job interview. | ||
| k) Provide needed items for those who have suffered a | ||
| disaster such as flood or fire. | ||
| . | ||
| Culpeper Community Thrift Store generates funds and | ||
| materials, and provides facilities, to accomplish the | ||
| above purposes by operating a thrift store which sells, | ||
| or uses, goods donated by the general public. Donations | ||
| consist primarily of used clothing, furniture, and | ||
| household goods. All net proceeds of the thrift store | ||
| operation are applied to the exempt purpose goals. | ||
| . | ||
| For the year ended June 30, 2012, Culpeper Community | ||
| Thrift Store provided $6,000 to Culpeper Human Services | ||
| for the "Emergency Fund". These funds are applied to | ||
| Pt I, Line 1 | provide food, medical care, in home living assistance, | |
| utility assistance, and other emergency assistance to the | ||
| indigent and/or elderly in the Culpeper community. | ||
| . | ||
| Pt III, Line 1 | See Part I, Line 1 entry above. | |
| . | ||
| Pt III, Line 4 | See Part I, Line 1 entry above. | |
| . | ||
| Pt VII, Sec A | Culpeper Community Thrift Store works closely with | |
| Culpeper Human Services (FEIN 54-6001236) a division of | ||
| Culpeper County, Virginia as noted above. The two | ||
| organizations cooperate and are related further as follows: | ||
| . | ||
| a) Culpeper Community Thrift Store Board of Directors - | ||
| the following members of this Board are employees | ||
| of Culpeper Human Services (CHS): | ||
| . | ||
| Lisa Peacock, Director of CHS | ||
| Doris Clatterbuck, Executive Assistant, CHS | ||
| . | ||
| b) Culpeper Community Thrift Store Officers/Key Employees | ||
| and Compensation: | ||
| . | ||
| Pamela S. Lohr, Corporate Administrator, is an employee | ||
| of CHS as an Administrative Manager. | ||
| Kathy L. Gordon, Store Manager, is an employee of CHS. | ||
| . | ||
| The personnel who operate Culpeper Community Thrift | ||
| Store are provided on a contractual basis by CHS. For | ||
| the year ended 6/30/12 such personnel contract payments | ||
| totaled $233,444 which were allocated as follows: | ||
| . | ||
| Pamela S. Lohr $ 60,000 | ||
| Kathy L. Gordon 40,000 | ||
| Others 133,444 | ||
| . | ||
| c) Culpeper Community Thrift Store rents retail and | ||
| office space through a sub-lease with CHS. For the | ||
| year ended 6/30/12 such rent totaled $60,000, and is | ||
| included in Form 990, Part IX, Line 16, Occupancy. | ||
| . | ||
| Pt IX, Line 5 | See Part VII, Section A entry above |
| Software ID: | 11000175 |
| Software Version: |