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.") .... | 73,279 | 74,202 | 70,130 | 59,023 | 63,569 | 340,203 |
| 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.. | 73,279 | 74,202 | 70,130 | 59,023 | 63,569 | 340,203 |
| 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. | 340,203 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 73,279 | 74,202 | 70,130 | 59,023 | 63,569 | 340,203 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 28,175 | 5,504 | 4,622 | 55 | 34 | 38,390 |
| 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). | 378,593 | |||||






| 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.) | ||||||
| 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: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part VI | 11B | THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITOR AND REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE. ONCE FORM 990 AND ALL SCHEDULES ARE FINALIZED, A COPY IS SENT TO ALL BOARD MEMBERS. |
| Form 990 Part VI | 12C | EACH YEAR THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THEY ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY, HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT ALL POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT, THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN WITH THOSE INVOLVED RECUSING THEMSELVES AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION. |
| Form 990 Part VI | 15 | COMPENSATION IS PAID BY A RELATED ENTITY. THAT ENTITY ANNUALLY CONDUCTS A PERFORMANCE REVIEW AND EVALUATION OF THE CEO BY THE EXECUTIVE COMMITTEE. THE REVIEW ALSO ESTABLISHES THE CEOS COMPENSATION FOR THE FOLLOWING YEAR. THIS PROCESS INVOLVES THE EVALUATION OF THE INDIVIDUAL AND A REVIEW OF THE COMPENSATION OF COMPARABLE POSITIONS OBTAINED FROM FORM 990S OF SIMILAR ORGANIZATIONS AS WELL AS FROM OTHER AVAILABLE SALARY DATA. THE CEO ESTABLISHES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES AND REVIEWS THEIR PERFORMANCE EVALUATIONS. YEARLY COMPENSATIONS ARE SET WITHIN THE FISCAL OPERATING BUDGET PROCESS. |
| Form 990 Part VI | 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS ARTICLES OF INCORPORATION AND BY-LAWS , ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION WILL MAIL COPIES UPON REQUEST OR PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. THE ORGANIZATIONS GOVERNING DOCUMENTS ARE ALSO AVAILABLE ON THE SECRETARY OF STATES WEBSITE. |
| Form 990 Part VI Section B Line 11B THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITOR AND REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE. ONCE FORM 990 AND ALL SCHEDULES ARE FINALIZED, A COPY IS SENT TO ALL BOARD MEMBERS. Form 990 Part VI Section B Line 12C EACH YEAR THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THEY ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY, HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT ALL POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT, THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN WITH THOSE INVOLVED RECUSING THEMSELVES AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION. Form 990 Part VI Section B Line 15 COMPENSATION IS PAID BY A RELATED ENTITY. THAT ENTITY ANNUALLY CONDUCTS A PERFORMANCE REVIEW AND EVALUATION OF THE CEO BY THE EXECUTIVE COMMITTEE. THE REVIEW ALSO ESTABLISHES THE CEOS COMPENSATION FOR THE FOLLOWING YEAR. THIS PROCESS INVOLVES THE EVALUATION OF THE INDIVIDUAL AND A REVIEW OF THE COMPENSATION OF COMPARABLE POSITIONS OBTAINED FROM FORM 990S OF SIMILAR ORGANIZATIONS AS WELL AS FROM OTHER AVAILABLE SALARY DATA. THE CEO ESTABLISHES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES AND REVIEWS THEIR PERFORMANCE EVALUATIONS. YEARLY COMPENSATIONS ARE SET WITHIN THE FISCAL OPERATING BUDGET PROCESS. Form 990 Part VI Section C Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS ARTICLES OF INCORPORATION AND BY-LAWS , ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION WILL MAIL COPIES UPON REQUEST OR PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. THE ORGANIZATIONS GOVERNING DOCUMENTS ARE ALSO AVAILABLE ON THE SECRETARY OF STATES WEBSITE. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |