Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
LOWER CAPE FEAR HISTORICAL SOCIETY INC
Employer identification number
56-6065283
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(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
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
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.") ....
44,250
27,488
36,552
24,109
25,627
158,026
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..
44,250
27,488
36,552
24,109
25,627
158,026
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.
158,026
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
44,250
27,488
36,552
24,109
25,627
158,026
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
20,585
12,901
11,958
13,294
10,905
69,643
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).
227,669
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
107,339
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
69.410 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
62.340 %
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
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.)
Section B. Total Support
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.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
LOWER CAPE FEAR HISTORICAL SOCIETY INC
Employer identification number
56-6065283
Identifier
Return Reference
Explanation
OTHER REVENUE
FORM 990-EZ, PART I, LINE 8
SALES TAX REFUND 632 OTHER 39 TOTAL 671
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
EXPENSES 515 3,950 UTILITIES 7,484 REPAIRS 13,161 20,860 SALES TAX 313 SALES EXPENSE 1,028 OTHER PROGRAM EXPENSES 15,611 NON-INVESTMENT DEPRECIATION 8,521 TOTAL 71,443
OTHER ASSETS
FORM 990-EZ, PART II, LINE 24
PLEDGES RECEIVABLE 4,660 0 ACCOUNTS RECEIVABLE 675 933 INVENTORIES FOR SALE OR USE 1,520 984 IMPROVEMENTS TO LAMPS 0 1,064 LESS ACCUMULATED DEPRECIATION 0 767 DOUBLE SCREEN DOORS 0 443 LESS ACCUMULATED DEPRECIATION 0 310 REPAIR SOFA AND CHAIR 0 945 LESS ACCUMULATED DEPRECIATION 0 945 DISHWASHER AND SINK 0 1,673 LESS ACCUMULATED DEPRECIATION 0 1,673 KITCHEN UPDATE 0 944 LESS ACCUMULATED DEPRECIATION 0 944 LATIMER HOUSE (ORG. COST & IMP) 0 220,153 LESS ACCUMULATED DEPRECIATION 0 178,139 LATIMER HOUSE IMPROVEMENTS 0 4,614 LESS ACCUMULATED DEPRECIATION 0 3,818 REWIRING 0 1,712 LESS ACCUMULATED DEPRECIATION 0 1,268 ARCHIVE EXPANSION 0 743 LESS ACCUMULATED DEPRECIATION 0 589 IMPROVEMENTS(PART FOR BATHROOM) 0 1,900 LESS ACCUMULATED DEPRECIATION 0 1,505 IMPROVEMENTS (PORCH, ETC) 0 1,705 LESS ACCUMULATED DEPRECIATION 0 1,292 REPAIR STAIRWELL/PORCH RESTOR. 0 550 LESS ACCUMULATED DEPRECIATION 0 411 CARPET 0 2,515 LESS ACCUMULATED DEPRECIATION 0 1,866 REPAIRS TO KITCHEN (CEILING/WALLS) 0 1,375 LESS ACCUMULATED DEPRECIATION 0 1,009 PAINTING - KITCHEN 0 550 LESS ACCUMULATED DEPRECIATION 0 417 KITCHEN IMPROVEMENTS 0 1,297 LESS ACCUMULATED DEPRECIATION 0 586 BUILIDING IMPROVEMENTS 0 20,831 LESS ACCUMULATED DEPRECIATION 0 8,746 BUILDING IMPROVEMENTS 0 17,970 LESS ACCUMULATED DEPRECIATION 0 7,084 SECURITY SYSTEM 0 1,626 LESS ACCUMULATED DEPRECIATION 0 1,626 HEAT & AIR SYSTEM 0 17,850 LESS ACCUMULATED DEPRECIATION 0 17,850 FIRE WALLS (FOR HEAT & AIR SYSTEM) 0 3,628 LESS ACCUMULATED DEPRECIATION 0 1,318 GARDEN 0 13,701 LESS ACCUMULATED DEPRECIATION 0 10,948 GARDEN 0 10,512 LESS ACCUMULATED DEPRECIATION 0 8,100 GARDEN 0 2,921 LESS ACCUMULATED DEPRECIATION 0 2,130 PARKING LOT 0 5,099 LESS ACCUMULATED DEPRECIATION 0 3,763 GARDEN 0 2,113 LESS ACCUMULATED DEPRECIATION 0 1,685 IMPROVEMENTS 0 1,352 LESS ACCUMULATED DEPRECIATION 0 1,071 WELL 0 2,949 LESS ACCUMULATED DEPRECIATION 0 1,467 PATIO REFURBISHMENT 0 8,888 LESS ACCUMULATED DEPRECIATION 0 4,436 IRRIGATION SYSTEM 0 1,125 LESS ACCUMULATED DEPRECIATION 0 561 LANDSCAPING (GINGKO TREE) 0 590 LESS ACCUMULATED DEPRECIATION 0 181 HOT WATER HEATER 0 375 LESS ACCUMULATED DEPRECIATION 0 375 GMC HEAT PUMP 10 SEER 2.5 TON 0 1,373 LESS ACCUMULATED DEPRECIATION 0 1,373 GMC AIR HANDLER 2.5 TON 10KW 0 836 LESS ACCUMULATED DEPRECIATION 0 836 ARCHIVES EQUIPMENT 0 1,786 LESS ACCUMULATED DEPRECIATION 0 1,786 FILES 0 275 LESS ACCUMULATED DEPRECIATION 0 275 PRINTER & SOFTWARE 0 1,119 LESS ACCUMULATED DEPRECIATION 0 1,119 COPIER 0 2,867 LESS ACCUMULATED DEPRECIATION 0 2,867 REFRIGERATOR 0 654 LESS ACCUMULATED DEPRECIATION 0 654 ROOF 0 1,830 LESS ACCUMULATED DEPRECIATION 0 1,450 SERVANTS QUARTERS-BLDG 0 53,265 LESS ACCUMULATED DEPRECIATION 0 43,100 WINDOWS (10) 0 658 LESS ACCUMULATED DEPRECIATION 0 484 CREDIT CARD MACHINE 0 495 LESS ACCUMULATED DEPRECIATION 0 495 PRINTER 0 165 LESS ACCUMULATED DEPRECIATION 0 165 COMPUTER, PRINTER 0 728 LESS ACCUMULATED DEPRECIATION 0 728 PRINTER 0 146 LESS ACCUMULATED DEPRECIATION 0 146 PROJECTOR 0 999 LESS ACCUMULATED DEPRECIATION 0 999 BLOWER 0 160 LESS ACCUMULATED DEPRECIATION 0 160 MONITOR 0 105 LESS ACCUMULATED DEPRECIATION 0 55 NETVISTA A-20 COMPUTER, 15' FLAT PAN 0 1,500 LESS ACCUMULATED DEPRECIATION 0 1,500 MS ACCESS DATABASE PROGRAM 0 200 LESS ACCUMULATED DEPRECIATION 0 200 ANTIQUES 54,500 54,500 TOTAL 61,355 154,019
OTHER LIABILITIES
FORM 990-EZ, PART II, LINE 26
ACCOUNTS PAYABLE AND ACCRUED EXPENSES 4,026 4,378
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.