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.") .... | 606,605 | 670,615 | 99,346 | 107,474 | 92,998 | 1,577,038 |
| 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.. | 606,605 | 670,615 | 99,346 | 107,474 | 92,998 | 1,577,038 |
| 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. | 1,577,038 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 606,605 | 670,615 | 99,346 | 107,474 | 92,998 | 1,577,038 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,564 | 3,578 | 1,112 | 3 | 5 | 8,262 |
| 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). | 1,585,300 | |||||






| 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 |
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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 3 | THE ORGANIZATION EMPLOYS A MANAGEMENT COMPANY FOR | |
| MANAGEMENT AND MAINTENANCE DUTIES FOR SOME OF THEIR | ||
| HOUSING SITES. A CONTRACT IS IN PLACE THAT DETERMINES | ||
| THE FEES PAID AND SERVICES RECEIVED | ||
| Pt VI, Line 11a | A DRAFT OF FORM 990 WILL BE PROVIDED TO THE EXECUTIVE COMMITTEE | |
| FOR REVIEW AND THEN SUBMITTED TO THE BOARD ALLOWING FOR A | ||
| COMMENT PERIOD | ||
| Pt VI, Line 12c | IF THE BOARD OR EXECUTIVE COMMITTEE HAS A REASONABLE CAUSE TO | |
| BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POTENTIAL | ||
| 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. IF AFTER HEARING THE | ||
| MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION | ||
| WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR EXECUTIVE | ||
| COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN | ||
| ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE | ||
| APPROPRIATE CORRECTIVE ACTION | ||
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT | |
| OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE | ||
| TO THE PUBLIC UPON REQUEST | ||
| Form 990, Part IX, Line 24f | STAFF TRAINING, DEVELOPMENT, MEETINGS 1720. 343. 1377. 0. EQUIPMENT RENT 2911. 0. 2911. 0. MEALS 3665. 2220. 1445. 0. REPAIRS & MAINTENANCE 10948. 7907. 3041. 0. AUTO & TRAVEL 3661. 3561. 100. 0. MISCELLANEOUS 22640. 256. 22384. 0. PROGRAM SERVICES 20465. 20465. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |