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.") . | 50,538 | 44,224 | 42,970 | 54,950 | 58,352 | 251,034 |
| 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...... | 271,517 | 396,013 | 522,813 | 598,285 | 612,937 | 2,401,565 |
| 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. | 322,055 | 440,237 | 565,783 | 653,235 | 671,289 | 2,652,599 |
| 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.) | 2,652,599 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 322,055 | 440,237 | 565,783 | 653,235 | 671,289 | 2,652,599 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 553 | 77 | 38 | 11 | 8 | 687 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 553 | 77 | 38 | 11 | 8 | 687 |
| 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.) | 190 | 1,727 | 461 | 329 | 1,541 | 4,248 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 322,798 | 442,041 | 566,282 | 653,575 | 672,838 | 2,657,534 |




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Form 990 governing body review (Part VI, line 11) | THE EXECUTIVE DIRECTOR AND TREASURER REVIEW THE 990 RETURN BEFORE IT IS FILED THE FINANCE COMMITTEE REVIEWS THE RETURN AT A LATER DATE | |
| 02. Conflict of interest policy compliance (Part VI, line 12c) | THE GOVERNING BOARD REQUIRES AN ANNUAL STATEMENT FROM ALL OFFICERS TRUSTEES & KEY EMPLOYEES DISCLOSING ANY POTENTIAL CONFLICTS THERE HAS BEEN NO POTENTIAL CONFLICTS TO DATE IF A CONFLICT DID EXIST THE PERSON WOULD BE EXCUSED FROM THE GOVERNING BODY DURING ANY DISCUSSIONS OR VOTES RELATING TO THE CONFLICT THE ANNUAL REVIEW IS DONE IN JANUARY WHERE ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST REPORT ATTESTING TO THE FACT THAT HESHE HAS NO CONFLICT OF INTEREST | |
| 03. CEO, executive director, top management comp (Part VI, line 15a) | THE EXECUTIVE DIRECTORS SALARY WAS ESTABLISHED BY THE GOVERNING BOARD BY REVIEWING COMPARABLE SALARIES IN THE AREA FOR EXECUTIVE DIRECTORS THAT INFORMATION WAS USED AND COMPARED TO THE TIME AND DUTIES REQUIRED OF MAPS EXECUTIVE DIRECTOR AND AN OFFER WAS MADE AND ACCEPTED BY THE CURRENT EXECUTIVE DIRECTOR IN 2007 ANNUAL THE BOARD PRESIDENT AND VICE PRESIDENT PERFORM A PERFORMANCE AND SALARY REVIEW WITH INPUT FROM THE OTHER BOARD MEMBERS AND MAKE APPROPRIATE ADJUSTMENTS IF NECESSARY | |
| 04. Governing documents, etc, available to public (Part VI, line 19) | THE GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE MADE AVAILABLE BY NOTICE OF THE ANNUAL MEETING AND UPON REQUEST TO ANY PERSON OR AFFILIATION INTERESTED IN MAPS COUNSELING SERVICE IN PAPER FORM ANDOR BY EMAIL OF PDF DOCUMENTS |
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