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. | ||||||
| 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.") . | 614,464 | 674,322 | 553,152 | 621,921 | 625,178 | 3,089,037 |
| 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...... | 724,465 | 692,289 | 958,439 | 892,777 | 1,301,683 | 4,569,653 |
| 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. | 1,338,929 | 1,366,611 | 1,511,591 | 1,514,698 | 1,926,861 | 7,658,690 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 630 | 90 | 29,455 | 45,610 | 192 | 75,977 |
| 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. | 435,970 | 375,840 | 581,979 | 491,613 | 840,528 | 2,725,930 |
| c | Add lines 7a and 7b.. | 436,600 | 375,930 | 611,434 | 537,223 | 840,720 | 2,801,907 |
| 8 | Public Support (Subtract line 7c from line 6.) | 4,856,783 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 1,338,929 | 1,366,611 | 1,511,591 | 1,514,698 | 1,926,861 | 7,658,690 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 4,648 | 6,523 | 7,115 | 16,508 | 12,245 | 47,039 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 4,648 | 6,523 | 7,115 | 16,508 | 12,245 | 47,039 |
| 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.) | 7,932 | 9,422 | 8,666 | 5,235 | 15,627 | 46,882 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 1,351,509 | 1,382,556 | 1,527,372 | 1,536,441 | 1,954,733 | 7,752,611 |




| Facts And Circumstances Test |
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| Other income Part II line 10 or Part III line 12 Detail of Other Income Shipping income 36819 Travel reimbursement 6455 Miscellaneous 3608 --------------------------------- Total Other Income 46882 |
| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Officer, directors, etc. family relationship (Part VI, line 2) | George Pinkham board chairman has a family relationship with Joseph Yoder business manager | |
| 02. Form 990 governing body review (Part VI, line 11) | The business manager reviews Form 990 for accuracy prior to its filing with the Internal Revenue Service | |
| 03. Conflict of interest policy compliance (Part VI, line 12c) | 1 Intersted Person Any director principal officer or member of a committee with governing board delegated powers who has a direct or indirect financial interest as defined below is an interested person 2 Financial Interest A person has a financial interest if the person has directly or indirectly through business investment or family A An ownership or investment interest in any entity with which the organization has a transaction or arrangement B A compensation arrangement with the organization or with any entity or individual with which the organization has a transaction or arrangement or C A potential ownership or investment interest in or compensation arrangement with any entity or individual with which the organization is negotiating a transaction or arrangement Compensation includes direct and indirect remuneration as well as gifts or favors that are not insubstantial A financial interest is not necessarily a conflict of interest Under Article III Section 2 a person who has a financial interest may have a conflict of interest only if the apporpriate governing board or committee decides that a conflict of interest exists Procedures 1 Duty to Disclose In connection with any actual or possible conflict of interest an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement 2 Determining whether a Conflict of Interest Exists After disclosure of the financial interest and all material facts and after any discussion with the interested person heshe shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon The remaining board or committee members shall decide if a conflict of interest exists 3 Procedures for Addressing the Conflict of Interest A An interested person may make a presentation at the governming board or committee meeting but after the presentation heshe shall leave the meeting during the discussion of and the vote on the transaction or arrangement involving the possible conflict of interest B The chairperson of the governing board or committee shall if appropriate appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement C After exercising due diligence the governing board or committee shall determine whether the Organization can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest D If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest the governing board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangements is in the Organizations best interest for its own benefit and whether it is fair and reasonable In conformity with the above determination it shall make its decision as to whether to enter into the transaction or arrangement 4 Violations of the Conflicts of Interest Policy A If the governing board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose B If after hearing the members response and after making further investigation as warranted by the circumstances the governing board or committee determines the member has failed to disclose an actual or possible conflict of interest it shall take appropriate disciplinary and corrective action Records of Proceedings The minutes of the governing board and all committees with board delegated powers shall contain A The names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest the nature of the financial interest any action taken to determine whether a conflict of interest was present and the governing boards or committees decision as to whether a conflict of interest in fact existed B The names of the persons who were present for discussions and votes relating to the transaction or arrangement the content of the discussion including any alternatives to the proposed transaction or arrangement and a record of any votes taken in connection with the proceedings Annual Statemetns Each director principal officer and member of a committee with governing board delegated powers shall annually sign a statement which affirms such person A Has received a copy of the conflicts of interest policy B Has read and understands the polciy C Has agreed to comply with | |
| 04. CEO, executive director, top management comp (Part VI, line 15a) | The compensation level of MZLs business manager was determined by the governing board but the process in doing so did not contain all three elements required to check yes | |
| 05. Governing documents, etc, available to public (Part VI, line 19) | Annual financial statements and other governing documents such as the conflict of interest policy and by-laws are available upon request These documents may also be inspected at MZLs business office located in Deer Lodge TN during normal business hours |
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