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.") .... | 500,260 | 367,735 | 429,021 | 249,441 | 239,013 | 1,785,470 |
| 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.. | 500,260 | 367,735 | 429,021 | 249,441 | 239,013 | 1,785,470 |
| 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. | 1,785,470 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 500,260 | 367,735 | 429,021 | 249,441 | 239,013 | 1,785,470 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | -16,904 | -71,536 | 3,224 | 1,212 | 738 | -83,266 |
| 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.. | 457 | 1,074 | 2,469 | 4,000 | ||
| 11 | Total support (Add lines 7 through 10). | 1,706,204 | |||||






| 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; 2009: 457.; 2010: 1074.; 2011: 2469.; DESCRIPTION: THEFT LOSS; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | The form 990 is distributed to the director and the board | |
| members for their review. The form 990 is approved in the | ||
| board meetings. | ||
| Pt VI, Line 12c | Annually the board of directors completes conflict of interest | |
| statements. | ||
| Form 990EZ, Part I, Line 8 | MISCELLANEOUS REVENUE | |
| Form 990EZ, Part I, Line 16 | TELEPHONE PROGRAM SUPPLIES INSURANCE FOOD TRAVEL MEAL SUPPLIES OFFICE SUPPLIES FEES AND PERMITS BANK CHARGES MISCELLANEOUS PROFESSIONAL TRAINING | |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE - NET 5760. PREPAIDS 1680. UTILITY DEPOSITS 230. | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES 4717. DEFERRED REVENUE | |
| Form 990, Part IX, Line 24f | PROFESSIONAL TRAINING 922. 922. 0. 0. TELEPHONE 1730. 1557. 173. 0. PROGRAM SUPPLIES 4495. 4495. 0. 0. QUALITY ENHANCEMENT 3031. 3031. 0. 0. BANK CHARGES 1746. 1571. 175. 0. MAINTENANCE/JANITORIAL 6215. 6215. 0. 0. FEES & PERMITS 385. 385. 0. 0. MEAL SUPPLIES 5638. 5638. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |