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. | ||||||
| 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.") . | 104,536 | 61,387 | 64,200 | 79,534 | 65,084 | 374,741 |
| 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...... | 378,069 | 338,171 | 318,688 | 400,355 | 403,340 | 1,838,623 |
| 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. | 482,605 | 399,558 | 382,888 | 479,889 | 468,424 | 2,213,364 |
| 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.) | 2,213,364 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 482,605 | 399,558 | 382,888 | 479,889 | 468,424 | 2,213,364 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1 | 27 | 81 | 80 | 189 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1 | 27 | 81 | 80 | 189 | |
| 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.). | 482,606 | 399,558 | 382,915 | 479,970 | 468,504 | 2,213,553 |




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 01. Officer, directors, etc. family relationship (Part VI, line 2) | The Manager and the Board President have a family relationship The Manager Christian Miller is the son of the Board President Dr Chris Miller | |
| 02. Members or stockholder classes and rights (Part VI, line 6) | The organization is incorporated on a membership basis and has one class of members All members have the right to attend the annual meeting to cast a vote to elect Directors and to receive annual reports from officers and standing committees In addition members have the right to attend special meetings of the membership to vote on the stated business of the special meeting and to vote on any proposed amendments of bylaws | |
| 03. Member election for additional members (Part VI, line 7a) | The members have the right to elect Directors at the annual meeting of the organization | |
| 04. Governing body decisions (Part VI, line 7b) | The members have the right to approve any sale or purchase of real estate proposed by the Board of Directors such vote to occur at a special meeting of the membership called for the stated purpose of selling or purchasing said real estate | |
| 05. Form 990 governing body review (Part VI, line 11) | A copy of the 2011 Form 990 was presented to each member of the Board of Directors several weeks prior to its filing with the IRS No formal review of the prepared Form 990 was or will be conducted | |
| 06. CEO, executive director, top management comp (Part VI, line 15a) | The organizations practice is to ensure that any compensation arrangement involving board members officers or the manager be established pursuant to a process that satisfies the rebuttable presumption procedure available for section 534958-6a excess benefit transaction tax purposes This process involves approval of the compensation arrangement by an authorized decision making body composed of persons having no confilict of interest use of appropriate data regarding comparability and contemporaneous documentation of the basis for its determination | |
| 07. Other officer or key employee compensation (Part VI, line 15b | See response to Part VI Line 15a | |
| 08. Governing documents, etc, available to public (Part VI, line 19) | The organization makes its governing documents such as bylaws and its financial statements available to the public by providing an opportunity for inspection of the documents at the organizations office and by providing copies unon request |
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