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.") .... | 807,041 | 674,766 | 670,481 | 746,277 | 763,984 | 3,662,549 |
| 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.. | 807,041 | 674,766 | 670,481 | 746,277 | 763,984 | 3,662,549 |
| 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. | 3,662,549 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 807,041 | 674,766 | 670,481 | 746,277 | 763,984 | 3,662,549 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 215 | 94 | 42 | 42 | 34 | 427 |
| 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). | 3,662,976 | |||||






| 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 |
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| Explanation |
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| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | ORGANIZATIONS PROCESS USED TO REVIEW FORM 990. | |
| THE BOARD WILL REVIEW THE 990 AND FORMALLY ACCEPT | ||
| IT IN THE MINUTES AT A BOARD MEETING. | ||
| Pt VI, Line 12c | ENFORCEMENT OF CONFLICTS POLICY | |
| ANNUALLY, ALL EMPLOYEES WILL SIGN FORM DISCLOSING | ||
| ANY POSSIBLE CONFLICTS OF INTEREST THAT THEY ARE | ||
| AWARE OF. ANNUALLY, THE BOARD WILL REVIEW THESE | ||
| FORMS INDIVIDUALLY FOR ALL EMPLOYESS | ||
| Pt VI, Line 15 | COMPENSATION PROCESS FOR TOP OFFICALS | |
| THE ADMINISTRATOR'S SALARY IS CONTRACTED AND SET | ||
| THROUGH THE SANILAC COUNTY COMMUNITY MENTAL HEALTH | ||
| CONTRACT. EACH CONTRACTED HOME HAS A FEE FOR SERVICE | ||
| FOR THE IMPLEMENTING OF FINANCIAL SPECIALIZED | ||
| RESIDENTIAL SERVICES FOR EACH HOME. THE ADMINISTRATOR | ||
| MUST STAY IN COMPLIANCE WITH REGULATIONS OF THE SIGNED | ||
| CONTRACT WITH SANILAC COUNTY COMMUNITY MENTAL HEALTH | ||
| WITH THE APPROPRIATION OF ADMINISTRATIVE SALARY. THE | ||
| ADMINISTATIVE ASSISTANT WILL BE PAID THROUGHT THE | ||
| ADMINISTRATORS SALARY WHILE STILL STAYING IN | ||
| COMPIANCE WITH ADMINISTRATIVE FUNDS OF THE BUDGETED | ||
| CONTRACT. | ||
| Pt VI, Line 19 | MAKING DOCUMENT AVAILABLE TO THE PUBLIC. | |
| THE CORPORATION PROVIDES COPIES OF THIS DOCUMENT | ||
| TO THE SANILAC COUNTY MENTAL HEALTH ANNUALLY | ||
| ALONG WITH THE AUDITED FINANCIAL STATEMENT THAT FOLLOWS | ||
| THE GAP GUIDELINES. THE INFORMATION IS ALSO UPON | ||
| Form 990, Part IX, Line 24f | REPAIRS EQUIPMENT 1741. | |
| REQUEST BY CONTACTING THE TREASURER OF THE | ||
| COPORATION IN WRITING. |
| Software ID: | 11000175 |
| Software Version: |