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.") .... | 5,674,335 | 5,906,895 | 6,781,733 | 6,449,272 | 6,730,490 | 31,542,725 |
| 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.. | 5,674,335 | 5,906,895 | 6,781,733 | 6,449,272 | 6,730,490 | 31,542,725 |
| 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. | 31,542,725 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 5,674,335 | 5,906,895 | 6,781,733 | 6,449,272 | 6,730,490 | 31,542,725 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 34,091 | 5,988 | 1,082 | 1,762 | 3,005 | 45,928 |
| 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.. | 70,689 | 40,983 | 111,672 | |||
| 11 | Total support (Add lines 7 through 10). | 31,700,325 | |||||






| 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 |
|---|
| Part II Line 10 Other Income Detail Part II Line 10 Senior Center usage 15,868 Part II Line 10 More at Four Preschool 69,851 Part II Line 10 Yadkin County Commerce Program 6,455 Part II Line 10 Other 19,498 Part II Line 10 Total 111,672 |
| Explanation |
|---|
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part III | 4d | All Other Achievements CSBG Self Sufficiency Program, OAA Title III A B, Senior Center Operations 5 Centers, Weatherization Assistance Programs WAP/HARPP, RSVP - Elderly Volunteer Services, Domestic Violence - Education and Prevention, FEMA. |
| Form 990 Part VI | 11b | After completion of the draft copy of the Form 990, an encrypted electronic copy of the form is made available by the Finance Director to the Executive Director and the Board of Directors. Upon review the Board/Finance Committee members can direct any questions or comments to the Finance Director and Executive Director. |
| Form 990 Part VI | 12c | The conflict of interest policy requires annual review and disclosure by Directors. |
| Form 990 Part VI | 15a/15b | The Board of Directors has final authority to approve the compensation for the Executive Director. The Agencys personnel committee reviews the compensation for all compensated officers and key employees as defined for Form 990. |
| Form 990 Part VI | 19 | Form 990 and the financial statements of the Agency are available to the public at the Agencys main offices. Other governing documents can be available to the public with approval from the Board. |
| Form 990 Part XI | 5 | Other changes in net assets or fund balances. There was a decrease in net assets due to a change in fair value of marketable securities of 800. |
| Form 990 Part III Line 4d All Other Achievements CSBG Self Sufficiency Program, OAA Title III A B, Senior Center Operations 5 Centers, Weatherization Assistance Programs WAP/HARPP, RSVP - Elderly Volunteer Services, Domestic Violence - Education and Prevention, FEMA. Form 990 Part VI Section B Line 11b After completion of the draft copy of the Form 990, an encrypted electronic copy of the form is made available by the Finance Director to the Executive Director and the Board of Directors. Upon review the Board/Finance Committee members can direct any questions or comments to the Finance Director and Executive Director. Form 990 Part VI Section B Line 12c The conflict of interest policy requires annual review and disclosure by Directors. Form 990 Part VI Section B Line 15a/15b The Board of Directors has final authority to approve the compensation for the Executive Director. The Agencys personnel committee reviews the compensation for all compensated officers and key employees as defined for Form 990. Form 990 Part VI Section C Line 19 Form 990 and the financial statements of the Agency are available to the public at the Agencys main offices. Other governing documents can be available to the public with approval from the Board. Form 990 Part XI Line 5 Other changes in net assets or fund balances. There was a decrease in net assets due to a change in fair value of marketable securities of 800. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |