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.") . | 93,247 | 43,660 | 116,674 | 111,200 | 109,509 | 474,290 |
| 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...... | 73,898 | 2,150 | 97,879 | 119,891 | 139,171 | 432,989 |
| 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. | 167,145 | 45,810 | 214,553 | 231,091 | 248,680 | 907,279 |
| 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.) | 907,279 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 167,145 | 45,810 | 214,553 | 231,091 | 248,680 | 907,279 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 885 | 126 | 136 | 97 | 130 | 1,374 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 885 | 126 | 136 | 97 | 130 | 1,374 |
| 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.) | 168,482 | 19,566 | 63,730 | 62,440 | 73,860 | 388,078 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 336,512 | 65,502 | 278,419 | 293,628 | 322,670 | 1,296,731 |




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Schedule A (Form 990), Part III, line 12 Other Income **2007 Inventory Sales $168,482, Other Revenue $0, TOTAL $168,482 **2008 (SHORT YEAR) Inventory Sales $19,485, Other Revenue $81, TOTAL $19,566 **2009 Inventory Sales $63,730, Other Revenue $0, TOTAL $63,730 ** 2010 Inventory Sales $61,744, Other Revenue $696, TOTAL $62,440 **2011 Inventory Sales 73,227, Other Revenue $633, TOTAL $73,860 |
| Software ID: | 11000129 |
| Software Version: | v1.00 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| F990_P06_S0A_L02 | Form 990, Part VI, Section A, Line 2 | Clay Clakrson & Sally Clarkson - family relationship, Gary Custer & Lynn Custer - family relationship |
| F990_P06_S0A_L08a | Form 990, Part VI, Section A, Line 8a | For 2012, the policy with the new Board will be to record minutes, distribute digitally within 30 days, and approve the minutes at the next meeting. |
| F990_P06_S0A_L08b | Form 990, Part VI, Section A, Line 8b | Organization has no committees with authority to act on behalf of the governing body. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | Copies of the 990 will be sent to Board members for comment and review. The 990 will be discussed at the next Board meeting. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | Compensation for the following positions was determined in the following years by review and approval by the governing body, comparative data, and contemporaneous documentation: Executive Director - Clay Clarkson - 2005, Vice Director - Sally Clarkson - 2005 |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | Governing documents and financial statements are available to the public upon request. |
| Software ID: | 11000129 |
| Software Version: | v1.00 |