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? |
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|---|---|---|---|---|---|---|---|---|---|
| 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.") .... | 27,528 | 27,015 | 11,062 | 41,744 | 19,384 | 126,733 |
| 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.. | 27,528 | 27,015 | 11,062 | 41,744 | 19,384 | 126,733 |
| 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. | 126,733 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 27,528 | 27,015 | 11,062 | 41,744 | 19,384 | 126,733 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1 | 2 | 2 | 5 | ||
| 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). | 126,738 | |||||






| 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 |
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| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990-EZ Part VI | 11-a | Form 990 is prepared by an independent auditor in consultation with management. The Audit Committee reveiws the 990 and recommends its approval to the BOD. |
| Form 990 Part VI | 12-c | Potential conflicts of interest are evaluated by the Compliance Manager at the management level and Board level depending on the type of potential conflict. Determination and action is taken to either allow based on written reasoning that will be reflected in the personnel polcy manula or board minutes or disallowed as a conflict and or abstention during voting |
| Form 990 Part VI | 15-b | Compensation is determined for key employees, when appropropriate, based on like positons in the area and the specific skills required by the position and the organization. The Executive Director and the Board of Directors determines the compensation. The Entity does not have any employees. |
| Form 990 Part VI | 19 | Public records are made available thourgh the 990 filing. Other records are made available upon writen request and evaluated on a case by case basis. |
| Form 990 Part VI Section B Line 12-c Potential conflicts of interest are evaluated by the Compliance Manager at the management level and Board level depending on the type of potential conflict. Determination and action is taken to either allow based on written reasoning that will be reflected in the personnel polcy manula or board minutes or disallowed as a conflict and or abstention during voting Form 990 Part VI Section B Line 15-b Compensation is determined for key employees, when appropropriate, based on like positons in the area and the specific skills required by the position and the organization. The Executive Director and the Board of Directors determines the compensation. The Entity does not have any employees. Form 990 Part VI Section C Line 19 Public records are made available thourgh the 990 filing. Other records are made available upon writen request and evaluated on a case by case basis. Form 990-EZ Part VI Section B Line 11-a Form 990 is prepared by an independent auditor in consultation with management. The Audit Committee reveiws the 990 and recommends its approval to the BOD. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |