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.") . | ||||||
| 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 |
|---|
| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
| Identifier | Return Reference | Explanation |
|---|---|---|
| Line 3 | INCLUDED IN ENROLLMENT LITERATURE |
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 10b | The organization's board of directors reviews the completed | |
| Form 990 on or before the due date, including requested extensions. | ||
| Pt VI, Line 11a | The organization's director reviews the final draft of the | |
| Form 990 and then the board of directors provide the final | ||
| approval prior to submittal. | ||
| Pt VI, Line 12c | The organization is in the process of updating their conflict | |
| of interest statements, whistle blower policy and document | ||
| retention and destruction policy. | ||
| Pt VI, Line 15 | The organization's board of directors reviews the adequacy of | |
| compensation for the director and employeess to ensure that | ||
| the amounts are comparable, reasonable & substantiated. | ||
| Pt VI, Line 7a | Parent volunteers vote on available board positions. | |
| Pt VI, Line 7b | Besides reviewing and approving compensation (including bonuses and | |
| pay increases) the board of directors also review and approve | ||
| large purchases. All decisions are contemporaneously documented. | ||
| Pt VI, Line 19 | The organization makes the governing documents and financial | |
| statements available upon request. The Form 990s are also | ||
| available for viewing on the Charitable Solicitations website. | ||
| Form 990EZ, Part II, Line 24 | EMPLOYEE ADVANCE 400. | |
| Form 990EZ, Part II, Line 26 | LINE OF CREDIT 633. PAYROLL TAXES PAYABLE 3975. | |
| Form 990, Part IX, Line 24f | BACKGROUND CHECKS 15. 15. 0. 0. BANK SERVICE CHARGES 36. 0. 36. 0. CHILDREN'S ACTIVITES/SUPPLIES 7528. 7528. 0. 0. FOOD FOR CHILDREN 6193. 6193. 0. 0. GIFTS 440. 440. 0. 0. INTEREST 111. 0. 111. 0. LICENSES & PERMITS 311. 0. 311. 0. MEALS - PARENTS/STAFF 1504. 1370. 134. 0. MEMBERSHIP FEES 210. 110. 100. 0. PAPER & CLEANING SUPPLIES 1098. 933. 165. 0. TELEPHONE 1259. 1070. 189. 0. |
| Software ID: | 11000175 |
| Software Version: |