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.") . | 74,752 | 71,816 | 101,762 | 111,536 | 98,156 | 458,022 |
| 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...... | 261,123 | 241,359 | 264,740 | 283,165 | 322,199 | 1,372,586 |
| 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. | 335,875 | 313,175 | 366,502 | 394,701 | 420,355 | 1,830,608 |
| 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.) | 1,830,608 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 335,875 | 313,175 | 366,502 | 394,701 | 420,355 | 1,830,608 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 56 | 55 | 55 | 55 | 221 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 56 | 55 | 55 | 55 | 221 | |
| 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.). | 1,830,829 | |||||




| Facts And Circumstances Test |
|---|
| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 2 | Ellen & Paul Tharp have a family relationship. | |
| Pt VI, Line 2 | Eugene & Roseann Sorensen have a family relationship. | |
| Pt VI, Line 2 | Ellen Tharp & Janet Rubich have a family relationship. | |
| Pt VI, Line 8b | There are no committees with authority to act on behalf of the governing body. | |
| Pt VI, Line 11a | A qualified and authorized person shall complete the annual Form 990 informational | |
| return under the direction of the Treasurer. The return shall be reviewed by the | ||
| Executive Director or Treasurer and then presented to all board members either via | ||
| e-mail or by paper copy prior to its filing with the IRS. | ||
| Pt VI, Line 12c | THE ORGANIZATION ANNUALLY MONITORS THE CONFLICT OF INTEREST POLICY.THE POLICY APPLIES | |
| TO THE BOARD MEMBERS, STAFF AND VOLUNTEERS.DISCLOSURE OF ANY | ||
| CONFLICTS GO TO THE PRESIDENT WHO REGULARLY MONITORS ENFORCEMENT. | ||
| Pt VI, Line 15 | These positions are held by uncompensated volunteers. | |
| Pt VI, Line 18 | Organizations Filings are available upon written request. | |
| Pt VI, Line 19 | The organization makes its Governing Documents, Conflicts of Interest Policy | |
| and Financials Statements available to the public upon written request. | ||
| Form 990EZ, Part I, Line 16 | PERFORMERS OFFICE EXPENSES OTHER PROGRAM EXPENSES MERCHANT FEES PROPS AND COSTUMES OTHER GENERAL AND ADMIN STAFF DEVELOPMENT INSURANCE ADVERTISING DUES AND SUBSCRIPTIONS TELEPHONE/FAX/INTERNET BANK SERVICE FEES MEETINGS EXPENSE FEES | |
| Form 990EZ, Part II, Line 24 | NORTH FIELD SAVINGS STOCK | |
| Form 990EZ, Part II, Line 26 | ACCURED EXPENSES DIRECTOR LOAN | |
| Form 990, Part IX, Line 24f | BOOKS & JOURNALS 827. 0. 827. 0. PROCESSING FEES 13256. 0. 13256. 0. BANKING FEES 117. 0. 117. 0. DUE AND SUBSCRIPTIONS 699. 0. 699. 0. TELEPHONE/INTERNET 4746. 0. 4626. 120. PROPS & COSTUMES 15725. 15725. 0. 0. POSTAGE & SHIPPING 2326. 0. 2206. 120. PRINTING & COPYING 10933. 10433. 500. STAFF DEVELOPMENT 1067. 0. 1067. 0. EQUIPMENT RENTAL 4320. 0. 4320. 0. TECHNICAL PRODUCTION 23848. 23848. 0. 0. COMPUTER EXPENSES 1921. 0. 1921. 0. PROFESSIONAL FEES 5100. 0. 5100. 0. DIRECTOR FEES 7555. 7555. 0 |
| Software ID: | 11000175 |
| Software Version: |