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.") .... | ||||||
| 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.") . | 67,707 | 67,566 | 31,996 | 45,455 | 23,408 | 236,132 |
| 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...... | 4,843 | 5,064 | 5,873 | 8,469 | 13,305 | 37,554 |
| 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. | 72,550 | 72,630 | 37,869 | 53,924 | 36,713 | 273,686 |
| 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.) | 273,686 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 72,550 | 72,630 | 37,869 | 53,924 | 36,713 | 273,686 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 30,523 | 19,877 | 7,195 | 12,064 | 12,784 | 82,443 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 30,523 | 19,877 | 7,195 | 12,064 | 12,784 | 82,443 |
| 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.) | 2,257 | 3,253 | 2,108 | 2,285 | 2,439 | 12,342 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 105,330 | 95,760 | 47,172 | 68,273 | 51,936 | 368,471 |




| Facts And Circumstances Test |
|---|
| Other income Part II line 10 or Part III line 12 CRP and PFC Payments 1988 Unused Medical Reimbursement Account 43073 Unknown Revenue 2000 Total Other Income 243873 |
| Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | This corporation is organized exclusively for charitable educational and scientific and literary purposes The conditions of membership in this corporation shall be as fixed by the By-Laws Our members support Chaplin Nature Center with donations of money and time including fund raising maintenance and construction projects and helping staff the visitors center | |
| 02. Form 990 governing body review (Part VI, line 11) | Before the Form 990 is filed it is copied by one of the Board members and sent to all officers and Directors by e-mail It is then discussed at a Board meeting prior to being filed | |
| 03. Conflict of interest policy compliance (Part VI, line 12c) | We do have a written Conflict of Interest policy but we have never compensated any officer or director for services rendered to or for the society | |
| 04. Governing documents, etc, available to public (Part VI, line 19) | All records are retained indefinitely at a storage location at the Chaplin Nature Center | |
| 05. Explanation of other changes in net assets or fund balances (Part XI, line 5) | Unrealized Capital Loss on Endowment Fund of 16735 reported as net reduction in assets All realized interest and Capital Gain Distribution reported in income Expenses related to Endowment Fund reported in expenses |
| Software ID: | |
| Software Version: |