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.") .... | 929,802 | 642,039 | 1,128,644 | 1,002,550 | 1,091,772 | 4,794,807 |
| 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.. | 929,802 | 642,039 | 1,128,644 | 1,002,550 | 1,091,772 | 4,794,807 |
| 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).. | 1,105,078 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 3,689,729 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 929,802 | 642,039 | 1,128,644 | 1,002,550 | 1,091,772 | 4,794,807 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 12,451 | 9,664 | 4,075 | 2,614 | 1,204 | 30,008 |
| 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.. | 8,143 | 6,902 | 3,934 | 5,150 | 4,468 | 28,597 |
| 11 | Total support (Add lines 7 through 10). | 4,853,412 | |||||






| 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.) | 0 | |||||
| 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 |
|---|
| OTHER INCOME PART II, LINE 10; DESCRIPTION: LIST RENTAL; 2007: 1903.; 2008: 3935.; 2009: 0.; 2010: 0.; 2011: 0.; DESCRIPTION: ROYALTIES; 2007: 499.; 2008: 676.; 2009: 2509.; 2010: 2735.; 2011: 3048.; DESCRIPTION: MISCELLANEOUS; 2007: 5741.; 2008: 2291.; 2009: 1425.; 2010: 2415.; 2011: 1420.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | A copy of the Form 990 is provided to the Treasurer before | |
| it is filed. After it is filed, it is provided to all | ||
| members of the governing body. | ||
| Pt VI, Line 12c | All new board members are briefed on this policy at the | |
| beginning of their terms. All board and stafff are | ||
| reminded of the policy annually, and asked to affirm | ||
| that they have no conflicts of interest and/or to disclose | ||
| any possible conflicts. | ||
| Pt VI, Line 15 | The Executive Director's compensation is reviewed and | |
| approved by the Executive Committee. The committee reviews | ||
| comparability data. The minutes of the Executive Committee | ||
| meeting reflect these actions. The Board of Directors is | ||
| aware of the salary ranges for employees and periooically | ||
| reviews comparability data. | ||
| Pt VI, Line 19 | The organization makes its governing documents, conflict of | |
| interest policy and financial statements available upon | ||
| request. | ||
| Pt XII, Line 2c | The treasurer serves this role. | |
| Form 990EZ, Part II, Line 24 | RECEIVABLES PREPAIDS DEPOSITS | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES | |
| Form 990, Part III, Line 4d | HELEN RODRIGUEZ-TRIAS WOMEN'S HEALTH LEADERSHIP DEVELOPMENT 36093. 0. 0. | |
| Form 990, Part IX, Line 24f | STATE REGISTRATION FEES 4415. 4415. 0. 0. ALLOC. OF INDIRECT EXPENSES REPORTED IN (C) 0. 149619. -152608. 2989. |
| Software ID: | 11000175 |
| Software Version: |