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. | ||||||
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.") . | 7,923 | 15,496 | 9,491 | 1,384 | 34,294 | |
| 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...... | 54,842 | 54,574 | 44,156 | 48,673 | 51,362 | 253,607 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 54,842 | 62,497 | 59,652 | 58,164 | 52,746 | 287,901 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | 287,901 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2008 | (b) 2009 | (c) 2010 | (d) 2011 | (e) 2012 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 54,842 | 62,497 | 59,652 | 58,164 | 52,746 | 287,901 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 79 | 79 | ||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 79 | 79 | ||||
| 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.) .. | 0 | |||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 54,921 | 62,497 | 59,652 | 58,164 | 52,746 | 287,980 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 12000229 |
| Software Version: | 2012v2.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990-EZ, Part II, Line 24.1004 | Other Assets.1004 | Miscellaneous - Beginning $2636 Miscellaneous - Ending $2280 |
| Form 990-EZ, Part II, Line 24.1003 | Other Assets.1003 | Machinery and Equipment - Beginning $854 Machinery and Equipment - Ending $723 |
| Form 990-EZ, Part I, Line 16.38 | Other Expenses.38 | POSTAGE & DELIVERY $18 |
| Form 990-EZ, Part I, Line 16.37 | Other Expenses.37 | DINNERS $28 |
| Form 990-EZ, Part I, Line 16.36 | Other Expenses.36 | BANK CHARGES $44 |
| Form 990-EZ, Part I, Line 16.35 | Other Expenses.35 | NURSE'S OFFICE SUPPLIES $52 |
| Form 990-EZ, Part I, Line 16.34 | Other Expenses.34 | ORIENTATION $77 |
| Form 990-EZ, Part I, Line 16.33 | Other Expenses.33 | BOX TOPS $94 |
| Form 990-EZ, Part I, Line 16.32 | Other Expenses.32 | KINDERGARTEN WELCOME PACKETS $100 |
| Form 990-EZ, Part I, Line 16.31 | Other Expenses.31 | HOLIDAY SHOPPES $198 |
| Form 990-EZ, Part I, Line 16.30 | Other Expenses.30 | MST DAY MATERIALS $209 |
| Form 990-EZ, Part I, Line 16.29 | Other Expenses.29 | ADMINISTRATIVE COSTS $219 |
| Form 990-EZ, Part I, Line 16.28 | Other Expenses.28 | STAFF APPRECIATION $222 |
| Form 990-EZ, Part I, Line 16.27 | Other Expenses.27 | STAFF SUPPLIES $225 |
| Form 990-EZ, Part I, Line 16.26 | Other Expenses.26 | GIFTS & PRIZES $239 |
| Form 990-EZ, Part I, Line 16.25 | Other Expenses.25 | BUS DRIVER BREAKS $248 |
| Form 990-EZ, Part I, Line 16.24 | Other Expenses.24 | DONATIONS EXPENSE $250 |
| Form 990-EZ, Part I, Line 16.23 | Other Expenses.23 | INSURANCE $281 |
| Form 990-EZ, Part I, Line 16.22 | Other Expenses.22 | MOVIE NIGHT EXPENSE $317 |
| Form 990-EZ, Part I, Line 16.21 | Other Expenses.21 | SMALL EQUIPMENT $318 |
| Form 990-EZ, Part I, Line 16.20 | Other Expenses.20 | SENIOR LUNCHEON $382 |
| Form 990-EZ, Part I, Line 16.19 | Other Expenses.19 | BARBEQUE $471 |
| Form 990-EZ, Part I, Line 16.18 | Other Expenses.18 | SMENCILS $590 |
| Form 990-EZ, Part I, Line 16.17 | Other Expenses.17 | SPECIAL EVENTS $655 |
| Form 990-EZ, Part I, Line 16.16 | Other Expenses.16 | 4TH GRADE CELEBRATION $723 |
| Form 990-EZ, Part I, Line 16.15 | Other Expenses.15 | STAFF LUNCHEON $847 |
| Form 990-EZ, Part I, Line 16.14 | Other Expenses.14 | STUDENT SUPPLIES $906 |
| Form 990-EZ, Part I, Line 16.13 | Other Expenses.13 | HALLOWEEN PARTY $964 |
| Form 990-EZ, Part I, Line 16.12 | Other Expenses.12 | CARNATION SALE $1001 |
| Form 990-EZ, Part I, Line 16.11 | Other Expenses.11 | CRAFT CLUB $1030 |
| Form 990-EZ, Part I, Line 16.10 | Other Expenses.10 | LIBRARY EXPENSE $1044 |
| Form 990-EZ, Part I, Line 16.9 | Other Expenses.9 | LITERATURE NIGHT $1128 |
| Form 990-EZ, Part I, Line 16.8 | Other Expenses.8 | PARTY EXPENSE $1500 |
| Form 990-EZ, Part I, Line 16.7 | Other Expenses.7 | DOLLARS FOR SCHOLARS $2000 |
| Form 990-EZ, Part I, Line 16.6 | Other Expenses.6 | ARTS IN EDUCATION EXPENSE $3671 |
| Form 990-EZ, Part I, Line 16.5 | Other Expenses.5 | BOOK FAIR EXP $3989 |
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | YEARBOOK EXPENSES $4974 |
| Form 990-EZ, Part I, Line 16.3 | Other Expenses.3 | FIELD TRIPS $5443 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | SCHOOL SPIRIT $7866 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | FUNDRAISING EXPENSES $12731 |
| Form 990-EZ, Part I, Line 16.1009 | Other Expenses.1009 | Depreciation $487 |
| Form 990-EZ, Part I, Line 10.1 | Grants and Similar Amounts Paid In Excess of $5,000.1 | | Donee's Name: BEAR ROAD ELEMENTARY SCHOOL | Donee's Address: 5590 BEAR ROAD NORTH SYRACUSE, NY 13212 | Description of Property: CLASSROOM SOUND SYSTEMS | Date of Gift: 20130311 | Book Value: $7509 | Method Used to Determine BV: PURCHASE PRICE | Fair Market Value: $7509 | Method Used to Determine FMV: PURCHASE PRICE |
| Software ID: | 12000229 |
| Software Version: | 2012v2.0 |