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.") .... | 81,097 | 466,173 | 133,135 | 316,913 | 55,510 | 1,052,828 |
| 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.. | 81,097 | 466,173 | 133,135 | 316,913 | 55,510 | 1,052,828 |
| 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).. | 349,048 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 703,780 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 81,097 | 466,173 | 133,135 | 316,913 | 55,510 | 1,052,828 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 5,683 | 3,864 | 240 | 9,787 | ||
| 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.. | 100 | 75 | 1,000 | 1,175 | ||
| 11 | Total support (Add lines 7 through 10). | 1,063,790 | |||||






| 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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| OTHER INCOME PART II, LINE 10; DESCRIPTION: MISC.; 2007: 100.; 2008: 0.; 2009: 75.; 2010: 0.; 2011: 1000.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | The 990 was emailed to board members for a comment | |
| period and a request that each member respond during | ||
| that period with either an approval or with additions/ | ||
| corrections. Responses were then summarized and any | ||
| changes were forwarded to the tax preparer for inclusion | ||
| in the final return. | ||
| Pt VI, Line 19 | Our governing documents, financial statements, and 990's | |
| are available to the public upon request. | ||
| Pt XII, Line 2c | All four board members, due to the limited number, assume | |
| the responsibility for the oversight/review of the | ||
| organization's financial statements and selection of | ||
| the independent accountant. | ||
| Pt VI, Line 15 | The four board members/officers annually review salaries | |
| of key staff persons of similar-sized organizations | ||
| using the United Way and other comparable surveys to | ||
| help determine the organization's executive director's | ||
| and other staff salaries. Budgetary limits are also | ||
| taken into consideration when determining salaries. | ||
| Pt VI, Line 12c | Board members annually discuss the issue of conflict | |
| of interest at a board meeting and are encouraged to | ||
| discuss potential conflicts throughout the year as | ||
| well should any arise. | ||
| Pt.IX,line 26 | Joint costs - All the specific expenses for the | |
| creation, printing, and mailing of newsletters, direct | ||
| mail solicitations, and website maintenance are | ||
| considered 100% fundraising expenses in column D when | ||
| Form 990EZ, Part II, Line 24 | PROMISE TO GIVE - WITHIN ONE YEAR GRANTS RECEIVABLE PREPAID EXPENSES PROMISE TO GIVE - IN SECOND AND THIRD YEARS | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE | |
| Form 990, Part IX, Line 24f | CONSULTANT | |
| they don't meet the SOP 98-2 criteria of purpose, | ||
| audience, and content. Staff time expended on combined | ||
| educational campaigns and fundraising solicitations | ||
| sometimes meets the joint cost allocation criteria and | ||
| sometimes it doesn't. Tracking the time by specific | ||
| task (fundraising solicitations, newsletter production, | ||
| meetings with donors, writing grants, updating the | ||
| website, working with current and potential volunteers, | ||
| etc.), calculating the cost of the related task, then | ||
| determining the allocation based on the joint cost | ||
| allocation criteria would be onerous. As an alternative, | ||
| the costs of each staff person involved in combined | ||
| educational campaigns and fundraising solicitations | ||
| are allocated to Part IX based on a reasonable estimate | ||
| of time spent on program, management, and fundraising | ||
| activities. The allocation of the salaries and fringes | ||
| of those individuals are included on line 26 using the | ||
| same percentages as in Part IX. | ||
| Pt.V,line 2a | The organization shares its facilities, staff costs, | |
| and other expenses with an unrelated tax-exempt | ||
| organization. Shared staff are paid by the other | ||
| organization and reported on payroll returns | ||
| and W-2's with its I.D.#. This organization's portion of the | ||
| costs are then allocated to it based on time spent by | ||
| staff. Consequently, the organization included payroll | ||
| costs in Part IX but put -0- in Part 1, line 5 and | ||
| Part V, line 2a - the number of W-2's issued in 2011, | ||
| since the payroll was reported by the other organization. | ||
| Pt.VI B, line 13 | The board is currently reviewing whistleblower policies | |
| and will adopt one in the near future. | ||
| Pt.VI B, line 14 | The board is currently reviewing document retention/ | |
| destruction policies and will adopt one in the near | ||
| future. |
| Software ID: | 11000175 |
| Software Version: |