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.") . | 119,301 | 131,706 | 112,605 | 97,044 | 124,579 | 585,235 |
| 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...... | 65,789 | 82,271 | 105,592 | 98,660 | 83,760 | 436,072 |
| 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. | 185,090 | 213,977 | 218,197 | 195,704 | 208,339 | 1,021,307 |
| 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.) | 1,021,307 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 185,090 | 213,977 | 218,197 | 195,704 | 208,339 | 1,021,307 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 825 | 1,205 | 292 | 63 | 872 | 3,257 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 825 | 1,205 | 292 | 63 | 872 | 3,257 |
| 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.). | 185,915 | 215,182 | 218,489 | 195,767 | 209,211 | 1,024,564 |




| 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) | AN INDEPENDENT CPA PREPARES THE TAX RETURN FOR THE ORGANIZATION HE WORKS WITH THE BOOKKEEPER OF THE ORGANIZATION THE CPA REVIEWS THE RETURN WITH THE BOARD MEMBERS BEFORE THE BOARD SIGNS AND MAILS TO THE IRS | |
| 02. Conflict of interest policy compliance (Part VI, line 12c) | THE ORGANIZATION REQUIRES ALL MEMBERS OF THE GOVERNING BODY AS WELL AS PRESENT AND PAST BOARD MEMBERS AND THEIR FAMILIES TO BE AWARE OF THE ISSUES INVOLVING CONFLICT OF INTEREST PROPER BUSINESS RELATIONSHIPS AND INDEPENDENCE IN ALL DEALINGS BETWEEN THEM AND THE ORGANIZATION A YEARLY STATEMENT AND QUESTIONAIRE IS SIGNED BY ALL INDIVIDUALS CONCERNED | |
| 03. CEO, executive director, top management comp (Part VI, line 15a) | A MEETING OF THE BOARD OF DIRECTORS IS HELD TO DISCUSS COMPENSATION ISSUES FOR ANY DUTIES INVOLVING ENNUMERATION OF PAY OF ANY KINDTHE JOB REQUIREMENTS ARE DISCUSSED AND A STUDY IS PERFORMED TO CONSIDER COMPARABLE JOB REQUIREMENTS AND PAY BY OTHER SIMILIAR ORGANIZATIONS IN THE AREA USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILIARLY QUALIFIED PERSONS IN FUNTIONALLY COMPARABLE POSITIONS AT SIMILIAR SITUATED ORGANIZATIONS IS CONSIDERED MEMBERS INVOLVED IN THE PROCESS WILL BE INDEPENDENT AS TO THE APPLICANT INVOLVED | |
| 04. Other officer or key employee compensation (Part VI, line 15b | BOARD MEMBERS ARE NOT PAID FOR THEIR TIME AND EFFORT TO HELP OUR ORGANIZATION | |
| 05. Governing documents, etc, available to public (Part VI, line 19) | THE GOVERNING DOCUMENTSCONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION UPON WRITTEN REQUESTTHE REQUEST MAYBE MADE BY MAIL AND THE INSPECTION WILL BE HELD AT A SMALL OFFICE IN THE THEATRE BUILDING |
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