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 monetary support | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (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) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (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... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 33,498 | 39,669 | 44,727 | 174,213 | 149,356 | 441,463 |
| 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...... | 39,271 | 50,182 | 21,659 | 39,177 | 23,173 | 173,462 |
| 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. | 72,769 | 89,851 | 66,386 | 213,390 | 172,529 | 614,925 |
| 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.) | 614,925 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 72,769 | 89,851 | 66,386 | 213,390 | 172,529 | 614,925 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 276 | 276 | 29 | 15 | 24 | 620 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 276 | 276 | 29 | 15 | 24 | 620 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) .. | 3,805 | 3,805 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 73,045 | 90,127 | 66,415 | 213,405 | 176,358 | 619,350 |




| Facts And Circumstances Test |
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| Part III Line 12 Misc income/reimbursement for traveling, uniforms,bean bags, etc. |
| Explanation |
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| Part III Line 12 Misc income/reimbursement for traveling, uniforms,bean bags, etc. |
| Software ID: | 12000057 |
| Software Version: | 12.19.1011.1 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990-EZ, Part I, Line 8, Other Revenue Breathing Tubes Bean Bags 20 | ||
| Form 990-EZ, Part I, Line 8, Other Revenue 12 Traveling 638 | ||
| Form 990-EZ, Part I, Line 8, Other Revenue 12 Uniform 2,861 | ||
| Form 990-EZ, Part I, Line 8, Other Revenue Misc Income to reconcile 286 | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Blue Valley Band-sousaphones 6001 W 159th Street Stilwell KS 66085, Cash Grant 11,914, Relationship | ||
| Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee Blue Valley Band-Instruments 6001 W 159th Street Stilwell KS 66085, Cash Grant 25,274, Relationship | ||
| Form 990-EZ, Part I, Line 16, Other Expenses Annual Report 40 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Food Expense 6,835 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Hotel Expense 7,069 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 KMEA Expense 539 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 KSHSAA Music Festival expense 858 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Locker Magnets 267 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Marching Show Expense 7,321 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Binders/Flip Folders 319 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Instrument Expense 2,416 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Music Expense 1,512 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Aug Picnic 1,517 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Keepsake CD expense 440 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Pancake Breakfast Expense 835 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Spaghetti Dinner Expense 1,500 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Misc Expense 621 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Yahoo website expense 263 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Spring Concert awards 1,053 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Sr Banner expense 1,120 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Student Leadership Development exp 690 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Summer Band Picnic 45 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Tech expenses 18,338 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Traveling expenses 23,826 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 12 Uniform expenses 4,613 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 13 Food expenses 1,497 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 13 Marching Show expenses 11,705 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 13 Misc expenses 207 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 13 Summer Band Picnic 65 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses 13 Travel and entry fees expense 2,570 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses Sales tax expenses 297 | ||
| Form 990-EZ, Part I, Line 16, Other Expenses Reimbursments/credits to students 6,002 | ||
| Form 990-EZ, Part I, Line 20, Net Assets Prior Year Adjustment 2,207 | ||
| Form 990-EZ Part I Line 20 Prior period adjustment-changes to record addtional income after tax return filed last year. |
| Software ID: | 12000057 |
| Software Version: | 12.19.1011.1 |
| Person Name | Explanation |
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