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. | 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.. | ||||||
| 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.") . | 268,548 | 197,451 | 197,479 | 184,078 | 206,896 | 1,054,452 |
| 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...... | 9,971 | 18,797 | 13,877 | 12,788 | 17,097 | 72,530 |
| 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. | 278,519 | 216,248 | 211,356 | 196,866 | 223,993 | 1,126,982 |
| 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.) | 1,126,982 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 278,519 | 216,248 | 211,356 | 196,866 | 223,993 | 1,126,982 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | |||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| 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. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 278,519 | 216,248 | 211,356 | 196,866 | 223,993 | 1,126,982 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part IX | 24E | WEB EXPENSE 11,256 OTHER EXPENSES 4,911 |
| Form 990 Part VI | 2 | As of January of 2009 the Assistant to Executive Secreatry Jane Carlson is the wife of the Executive Secretary W. Bernard Carlson |
| Form 990 Part VI | 6 | The Society has approximately 1600 dues-paying members |
| Form 990 Part VI | 7b | The Society has a constitution, and any changes to the constitution must be approved first by the Executive Council and then by a vote at the annual meeting of memebers. |
| Form 990 Part VI | 9b | The Society does not have any local chapters and so it does not have any written policies concerning such subsidiaries. |
| Form 990 Part VI | 11 | Addresses of current officers who cannot be reached by the Societys main address President Ron Kline, 123 N. Sunset Dr., Ithica, NY 14850. Vice-President Burce Seely, 212 Hubbell St., Houghton, MI 49931. Secretary Bernard Carlson, 2815 Pleasantview Lane, Charlottesville, VA 22901. Treasurer, Hugh Gorman, 807 E Baraga Ave., Houghton, MI 49931. Editor, Technology Culture Suzanne Moon, 516 Macy St., Norman, OK 73071. |
| Form 990 Part VI | 19 | The Societys constitution is available on its website at www. historyoftechnology.org. Its annual financial statement is available for inspection by members and the public at the annual meeting held annually in October. |
| Form 990 Part XI | 5 | Represents transfer of funds from unrestricted funds to restricted funds. |
| Form 990 Part IX | 24-A | SIG EXPENSES 8,344 |
| Form 990 Part IX Line 24E WEB EXPENSE 11,256 OTHER EXPENSES 4,911 Form 990 Part VI Line 2 As of January of 2009 the Assistant to Executive Secreatry Jane Carlson is the wife of the Executive Secretary W. Bernard Carlson Form 990 Part VI Line 6 The Society has approximately 1600 dues-paying members Form 990 Part VI Line 7b The Society has a constitution, and any changes to the constitution must be approved first by the Executive Council and then by a vote at the annual meeting of memebers. Form 990 Part VI Line 9b The Society does not have any local chapters and so it does not have any written policies concerning such subsidiaries. Form 990 Part VI Section A Line 11 Addresses of current officers who cannot be reached by the Societys main address President Ron Kline, 123 N. Sunset Dr., Ithica, NY 14850. Vice-President Burce Seely, 212 Hubbell St., Houghton, MI 49931. Secretary Bernard Carlson, 2815 Pleasantview Lane, Charlottesville, VA 22901. Treasurer, Hugh Gorman, 807 E Baraga Ave., Houghton, MI 49931. Editor, Technology Culture Suzanne Moon, 516 Macy St., Norman, OK 73071. Form 990 Part VI Section C Line 19 The Societys constitution is available on its website at www. historyoftechnology.org. Its annual financial statement is available for inspection by members and the public at the annual meeting held annually in October. Form 990 Part XI Line 5 Represents transfer of funds from unrestricted funds to restricted funds. Form 990 Part IX Line 24-A SIG EXPENSES 8,344 |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |