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.") . | 268,693 | 288,525 | 387,380 | 270,600 | 261,800 | 1,476,998 |
| 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...... | 141,046 | 92,152 | 83,713 | 88,206 | 93,371 | 498,488 |
| 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. | 409,739 | 380,677 | 471,093 | 358,806 | 355,171 | 1,975,486 |
| 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.) | 1,975,486 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 409,739 | 380,677 | 471,093 | 358,806 | 355,171 | 1,975,486 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 18,401 | 14,236 | 15,790 | 34,481 | 14,163 | 97,071 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 18,401 | 14,236 | 15,790 | 34,481 | 14,163 | 97,071 |
| 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.) | 3,474 | 7,319 | 6,019 | 1,980 | 2,124 | 20,916 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 431,614 | 402,232 | 492,902 | 395,267 | 371,458 | 2,093,473 |




| Facts And Circumstances Test |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | FIFTY STATES THE DISTRICT OF COLUMBIA TWO US POSSESSIONS AND THREE CANADIAN PROVINCES ARE VOTING MEMBERS OF THE ORGANIZATION AND PAY ANNUAL DUES | |
| 02. Governing body decisions (Part VI, line 7b) | THE ANNUAL BUDGET IS APPROVED BY THE BOARD OF DIRECTORS AND IS THEN SENT TO THE VOTING MEMBERS FOR FURTHER APPROVAL | |
| 03. Form 990 governing body review (Part VI, line 11) | THE EXECUTIVE DIRECTOR READS AND REVIEWS THE FORM 990 FIRST THEN THE BOARD OF DIRECTORS READS THE FORM 990 AND MAKES NECESSARY REVISIONS AS NEEDED BEFORE APPROVING THE FROM 990 AS PRESENTED BY THE EXECUTIVE DIRECTOR | |
| 04. Conflict of interest policy compliance (Part VI, line 12c) | THE EXCUTIVE DIRECTOR REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH CONFLICTS OF INTEREST BY REQUESTING THAT ALL OFFICERS DIRECTORS AND EMPLOYEES SIGN AN ANNUAL STATEMENT DISCLOSING ANY AND ALL INTERESTS THAT MIGHT CONFLICT WITH ANY INTEREST OF THE ORGANIZATION | |
| 05. CEO, executive director, top management comp (Part VI, line 15a) | ALL DIRECTORS ARE CONSIDERED TO BE INDEPENDENT AND NONE ARE EMPLOYEES OR OTHERWISE IN A BUSINESS RELATIONSHIP WITH THE ORGANIZATION COMPARABILITY DATA ARE USED TO EVALUATE THE EXECUTIVE DIRECTORS COMPENSATION | |
| 06. Governing documents, etc, available to public (Part VI, line 19) | REGARDING THE FILING OF FORMS 1099-MISC AND TRANSMITTAL FORM 1096 THE AMOUNT REPORTED REPRESENTS PAYMNET OF THE ANNUAL RETAINER OF 15000 TO THE ORGANIZATIONS ATTORNEY DISCLOSURE OF GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY FINANCIAL STATEMENTS AND OTHER POLICY DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND PRINTED COPIES ARE MAILED TO THE INDIVIDUALS MAKING THE REQUEST | |
| 07. Explanation of other changes in net assets or fund balances (Part XI, line 5) | NET UNREALIZED LOSS ON SECURITIES 2616 |
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