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.") .... | 25,611 | 73,770 | 77,852 | 87,496 | 208,924 | 473,653 |
| 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.. | 25,611 | 73,770 | 77,852 | 87,496 | 208,924 | 473,653 |
| 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. | 473,653 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 25,611 | 73,770 | 77,852 | 87,496 | 208,924 | 473,653 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 165,816 | 159,592 | 78,675 | 200,627 | 124,764 | 729,474 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | 19,669 | 19,669 | ||||
| 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). | 1,222,796 | |||||






| 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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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 15 | Committee reviewed Exec Director's performance from | |
| the inception to date, reviewing minutes from prior | ||
| meetings that documented completed projects, funds | ||
| raised, future projects, etc. Also discussed the | ||
| economy and what the Board could afford. Looked at | ||
| what other people in comparable positions in the | ||
| North Texas area were earning, taking into account | ||
| Exec Director's expertise in fundraising, types of contacts | ||
| she has access to, fundraising progress to date, etc. | ||
| Committee brought recommendation to Board for approval. | ||
| Pt VI, Line 11a | Process to reveiw this 990: Financial data is gathered | |
| and reviewed by the staff that assists with the book- | ||
| keeping of the organization. The completed 990 is | ||
| reviewed by the investment officer and the treasurer | ||
| of the organization. | ||
| Pt VI, Line 19 | Governing documents, policies and statements are made | |
| available upon request. | ||
| Pt V, Line 3b | Raffle activity is not regularly conducted. | |
| Pt XI | Prior year fund balance adjustment | |
| Form 990, Part VI, Line 9 | SALLY BUSTAMANTE 6433 DAVIS BLVD NR HILLS TX 76182 BRENT BARROW 2820 E BELKNAP ST FORT WORTH TX 76111 TOM HARRIS 13600 HERITAGE PKWY, #200 FORT WORTH TX 76177 GARY JOHNSON 1501 SUMMIT AVE FORT WORTH TX 76102 WHITNEY HARDING 7001 SMITHFIELD RD NR HILLS TX 76182 DENNIS KNAUTZ 3024 ACME BRICK PLAZA FORT WORTH TX 76109 DEWEY MARKUM 3000 MARKUM DR HALTOM CITY TX 76117 RANDY MORESI 4401 BOOTH CALLOWAY RD NR HILLS TX 76180 SHARON MYLIUS 4607 COLLEYVILLE BLVD COLLEYVILLE TX 76034 DOUG ORR 690 E LAMAR BL |
| Software ID: | 11000175 |
| Software Version: |