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.") .... | 197,882 | 255,503 | 229,411 | 180,970 | 327,921 | 1,191,687 |
| 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.. | 197,882 | 255,503 | 229,411 | 180,970 | 327,921 | 1,191,687 |
| 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).. | 22,915 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 1,168,772 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 197,882 | 255,503 | 229,411 | 180,970 | 327,921 | 1,191,687 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,337 | 880 | 698 | 595 | 729 | 6,239 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | 45,200 | 37,948 | 28,075 | 10,714 | 121,937 | |
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | 1,851 | 913 | 280 | 3,691 | 6,735 | |
| 11 | Total support (Add lines 7 through 10). | 1,326,598 | |||||






| 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 |
|---|
| OTHER INCOME PART II, LINE 10; DESCRIPTION: MISCELLANEOUS INCOME; 2008: 1851.; 2009: 913.; 2010: 280.; 2011: 3691.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 8b | The organization does not have committees. | |
| Pt VI, Line 11a | The Form 990 is first provided to the Executive Director and | |
| Pt VI, Line 11a | a board member prior to the final completion of the return | |
| Pt VI, Line 11a | by the accounting firm. After this review,the finalized | |
| Pt VI, Line 11a | return is provided to the members of the board prior to being | |
| Pt VI, Line 11a | filed with the Internal Revenue Service. | |
| Pt VI, Line 12c | The organization regularly and consistently monitors and enforces | |
| Pt VI, Line 12c | compliance with the conflict of interest policy. The board members are | |
| Pt VI, Line 12c | required to disclose any activity that could give rise to a conflict | |
| Pt VI, Line 12c | of interest to the Board Chair. | |
| Pt VI, Line 15 | Compensation is determined by the board of directors. The salary is based | |
| Pt VI, Line 15 | upon the organization's budget and the experience of the applicant. | |
| Pt VI, Line 19 | The organization makes its governing documents, conflict of interest policy, | |
| Pt VI, Line 19 | and financial statements available upon written request | |
| Pt VI, Line 19 | to the organization. | |
| Pt XI | Prior Period Adjustment. |
| Software ID: | 11000175 |
| Software Version: |