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.") .... | 210,625 | 319,849 | 240,926 | 323,473 | 286,016 | 1,380,889 |
| 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.. | 210,625 | 319,849 | 240,926 | 323,473 | 286,016 | 1,380,889 |
| 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. | 1,380,889 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 210,625 | 319,849 | 240,926 | 323,473 | 286,016 | 1,380,889 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 5,624 | 3,452 | 596 | 338 | 257 | 10,267 |
| 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). | 1,391,156 | |||||






| 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 | 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. | ||||||
| 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.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| 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. | ||||||
| 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.). | ||||||




| 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 VI | 11b | BRUCE VAN EYCK, EXECUTIVE DIRECTOR, REVIEWS DRAFT OF FORM 990 WITH MEMBER OF CPA FIRM. THE BOARD REVIEWS THE FINAL DRAFT OF FORM 990 BEFORE FILING. |
| Form 990 Part VI | 12c | ANNUALLY, ALL BOARD MEMBERS MUST SIGN A CONFLICT OF INTEREST CERTIFICATION STATING THEY HAVE NOT DERIVED ANY PERSONAL MONITARY GAIN BY REASON OF THEIR PARTICIPATION IN BIG BROTHERS BIG SISTERS OF JACKSON. |
| Form 990 Part VI | 19 | BIG BROTHERS BIG SISTERS OF JACKSON HAS A LINK TO GUIDESTAR.COM ON ITS WEBSITE TO MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE AGENCY HAS SIGNED CONFLICT OF INTEREST FORMS AVAILABLE UPON REQUEST IN WRITING TO BRUCE VAN EYCK, EXECUTIVE DIRECTOR, 536 N. JACKSON ST., JACKSON, MI 49201 |
| Form 990 Part VI | 15 | THE BOARD OF DIRECTORS SET A SALARY RANGE AT THE TIME THE SEARCH FOR AN EXECUTIVE DIRECTOR WAS PUBLISHED WHEN A JOB OFFER WAS MADE. THE AGENCY AND CANDIDATE ENTERED INTO NEGOTIATION FOR COMPENSATION BASED UPON QUALIFICATIONS AND EXPERIENCE OF THE APPLICANT. |
| Form 990 Part VI Section B Line 11b BRUCE VAN EYCK, EXECUTIVE DIRECTOR, REVIEWS DRAFT OF FORM 990 WITH MEMBER OF CPA FIRM. THE BOARD REVIEWS THE FINAL DRAFT OF FORM 990 BEFORE FILING. Form 990 Part VI Section B Line 12c ANNUALLY, ALL BOARD MEMBERS MUST SIGN A CONFLICT OF INTEREST CERTIFICATION STATING THEY HAVE NOT DERIVED ANY PERSONAL MONITARY GAIN BY REASON OF THEIR PARTICIPATION IN BIG BROTHERS BIG SISTERS OF JACKSON. Form 990 Part VI Section C Line 19 BIG BROTHERS BIG SISTERS OF JACKSON HAS A LINK TO GUIDESTAR.COM ON ITS WEBSITE TO MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE AGENCY HAS SIGNED CONFLICT OF INTEREST FORMS AVAILABLE UPON REQUEST IN WRITING TO BRUCE VAN EYCK, EXECUTIVE DIRECTOR, 536 N. JACKSON ST., JACKSON, MI 49201 Form 990 Part VI Section B Line 15 THE BOARD OF DIRECTORS SET A SALARY RANGE AT THE TIME THE SEARCH FOR AN EXECUTIVE DIRECTOR WAS PUBLISHED WHEN A JOB OFFER WAS MADE. THE AGENCY AND CANDIDATE ENTERED INTO NEGOTIATION FOR COMPENSATION BASED UPON QUALIFICATIONS AND EXPERIENCE OF THE APPLICANT. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |