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.") .... | ||||||
| 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.. | ||||||
| 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.") . | 113,109 | 95,220 | 85,060 | 70,880 | 158,703 | 522,972 |
| 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...... | 301,251 | 354,523 | 382,732 | 442,822 | 342,677 | 1,824,005 |
| 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. | 414,360 | 449,743 | 467,792 | 513,702 | 501,380 | 2,346,977 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 427 | 1,130 | 3,535 | 2,587 | 7,679 | |
| 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. | 70,724 | 49,199 | 43,893 | 29,561 | 67,569 | 260,946 |
| c | Add lines 7a and 7b.. | 70,724 | 49,626 | 45,023 | 33,096 | 70,156 | 268,625 |
| 8 | Public Support (Subtract line 7c from line 6.) | 2,078,352 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 414,360 | 449,743 | 467,792 | 513,702 | 501,380 | 2,346,977 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 40,050 | 36,803 | 31,976 | 31,593 | 30,059 | 170,481 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 40,050 | 36,803 | 31,976 | 31,593 | 30,059 | 170,481 |
| 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.) | 113,586 | 80,503 | 126,688 | 134,430 | 201,343 | 656,550 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 567,996 | 567,049 | 626,456 | 679,725 | 732,782 | 3,174,008 |




| Facts And Circumstances Test |
|---|
| Part III Line 12a Other Income 109,981 fundraising, 3,605 miscelleneous income. Part III Line 12b Other income 80,503 fundriaising Part III Line 12c Other income 119,115 fundraising, 7,573 miscellaneous income Part III Line 12d Other income 130,709 fundraising, 3,721 miscellaneous income and 5,225 loss on sale of ssets Part III Line 12e Other income 193,857 fundraising, 7,486 miscellaneous income |
| Explanation |
|---|
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part III | 3 | As of 06/01/12 Child Care Services ceased at Family Support Services, due to inability to work at a profit. As a result the PAL grant was cancelled and all assets purchased with these monies over the years were handed back to the grantor. |
| Form 990 Part VI | 11a | Copies of the Form 990 are given to all members of the Board of Directors. It is reviewed by the Executive Director before filing. Any issues that might involve the entire governing body are discussed at that time. Any final changes are forwarded to the Accountant so the Form 990 can be completed and prepared for filing. |
| Form 990 Part VI | 12c | A conflict of interest questionnaire is sent out every January to each of the Board of Directors and Officers. Each Board member signs off that no conflict of interest exists, or if a conflict of interest exists the Board follows up to determine appropriate action to resolve the conflict. |
| Form 990 Part VI | 15a/b | Director and employee salaries are approved by the Executive Director based on availability of grant funds, educational requirements and other industry standards. The Board of Directors approves the Executive Directors salary based on a review of compensation compared to industry standards and other performance measures. |
| Form 990 Part VI | 19 | Governing documents, conflict of interest policy and financial statements are made available for public inspection at the offices on 1001 S. Polk Street, Amarillo, Texas. |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 180,170, Grants and allocations 0, Revenue 69,896 Child care services - provided to victims of family stress. Total children served - 66. |
| Form 990, Part III, Line 4d Program Service Expenses 180,170, Grants and allocations 0, Revenue 69,896 Child care services - provided to victims of family stress. Total children served - 66. Form 990 Part III Line 3 As of 06/01/12 Child Care Services ceased at Family Support Services, due to inability to work at a profit. As a result the PAL grant was cancelled and all assets purchased with these monies over the years were handed back to the grantor. Form 990 Part VI Section B Line 11a Copies of the Form 990 are given to all members of the Board of Directors. It is reviewed by the Executive Director before filing. Any issues that might involve the entire governing body are discussed at that time. Any final changes are forwarded to the Accountant so the Form 990 can be completed and prepared for filing. Form 990 Part VI Section B Line 12c A conflict of interest questionnaire is sent out every January to each of the Board of Directors and Officers. Each Board member signs off that no conflict of interest exists, or if a conflict of interest exists the Board follows up to determine appropriate action to resolve the conflict. Form 990 Part VI Section B Line 15a/b Director and employee salaries are approved by the Executive Director based on availability of grant funds, educational requirements and other industry standards. The Board of Directors approves the Executive Directors salary based on a review of compensation compared to industry standards and other performance measures. Form 990 Part VI Section C Line 19 Governing documents, conflict of interest policy and financial statements are made available for public inspection at the offices on 1001 S. Polk Street, Amarillo, Texas. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |