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. | 0 | |||||
| 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.. | 0 | |||||
| 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.") . | 192,351 | 207,952 | 192,603 | 244,703 | 371,514 | 1,209,123 |
| 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...... | 61,101 | 66,438 | 51,677 | 52,402 | 53,240 | 284,858 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 54,821 | 65,455 | 57,559 | 68,384 | 156,892 | 403,111 |
| 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. | 308,273 | 339,845 | 301,839 | 365,489 | 581,646 | 1,897,092 |
| 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.) | 1,897,092 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 308,273 | 339,845 | 301,839 | 365,489 | 581,646 | 1,897,092 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,912 | 1,186 | 558 | 207 | 103 | 3,966 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,912 | 1,186 | 558 | 207 | 103 | 3,966 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 65,561 | 42,425 | 26,921 | 31,253 | 60,050 | 226,210 |
| 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.). | 2,127,268 | |||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 8a | MINUTES ARE RECORDED AT EACH GOVERNING BODY MEETING. | |
| . | ||
| Pt VI, Line 8b | NO INDIVIDUAL COMMITTEES, GOVERNING BODY ONLY. | |
| . | ||
| Pt VI, Line 11a | FORM 990 PROVIDED TO GOVERNING BODY FOR REVIEW | |
| PRIOR TO FILING | ||
| . | ||
| Pt VI, Line 12c | REGULAR COMMUNICATION WITH THE GOVERNING BODY IS THE | |
| MEANS USED TO IDENTIFY AND CORRECT ANY POTENTIAL | ||
| CONFLICT OF INTEREST ISSUES. | ||
| . | ||
| Pt VI, Line 15 | COMPENSATION OF EXECUTIVE DIRECTOR AND STAFF WAS DISCUSSED | |
| AND APPROVED BY THE GOVERNING BODY BASED UPON REASONABLE, | ||
| COMPARATIVE PAY LEVELS AND BUDGET RESTRAINTS. | ||
| YEAR OF REVIEW: DIRECTOR 2005, STAFF 2007 | ||
| . | ||
| Pt VI, Line 19 | DOCUMENTS ARE PROVIDED UPON REQUEST. | |
| Form 990, Part IX, Line 24f | ADOPTION EXPENSE 210. 210. CREDIT CARD & PAYPAL FEES 4158. 2495. 1663. MISC & OTHER EXPENSES 4927. 3374. 1312. 241. PAYROLL SERVICE 556. 334. 195. 27. BANK SERVICE CHARGES 1006. 1006. DUES & SUBSCRIPTIONS 1586. 775. 811. TELEPHONE 1827. 1827. VOLUNTEER EXPENSES 14679. 14679. STORAGE RENT 761. 761. |
| Software ID: | 11000175 |
| Software Version: |