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.") .... | ||||||
| 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.. | 0 | |||||
| 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.") . | 279,799 | 403,786 | 473,320 | 567,653 | 1,724,558 | |
| 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...... | 2,435,843 | 2,348,457 | 4,073,360 | 6,528,778 | 8,027,465 | 23,413,903 |
| 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. | 2,435,843 | 2,628,256 | 4,477,146 | 7,002,098 | 8,595,118 | 25,138,461 |
| 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.) | 25,138,461 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,435,843 | 2,628,256 | 4,477,146 | 7,002,098 | 8,595,118 | 25,138,461 |
| 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.). | 25,138,461 | |||||




| 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 | A copy of the Form 990 is provided to the Board of | |
| Directors for their review before filing. | ||
| Pt VI, Line 12c | Annually the Board conducts a written survey of all | |
| directors, officers and staff. Each survey is reviewed | ||
| by the Board's standing Legal and Ethics Committee. | ||
| Disclosures are presented to the Board. If any | ||
| disclosures are unacceptable to the Board or violates | ||
| the Conflict of Interest policy, the officer, director | ||
| or staff recuses himself from decisions pertaining | ||
| to disclosures or can be asked to resign. | ||
| Pt VI, Line 15 | The Board of Directors appoints an Executive Compensation | |
| Committee of a minimum of 3 independent directors which | ||
| must include 3 members of the Executive Committee-- | ||
| Chairperson, Treasurer and a member of the Human | ||
| Resources Committee. Annually, a comparible independent | ||
| salary study is conducted for the President/CEO and | ||
| key officers. The Board of Directors completes an | ||
| annual written performance evaluation of the CEO. The | ||
| results are presented to the Board of Directors to | ||
| approve the CEO salary. The CEO utilizes the annual | ||
| salary survey and a written performance evaluation to | ||
| set compensation within the salary administration | ||
| parameters. | ||
| Pt VI, Line 19 | All such documents are provided to the public upon | |
| written request. | ||
| Pt V, Line 2a | All employees are paid by Nobis Works Inc. | |
| Form 990, Part IX, Line 24f | TESTING 6025. 6025. 0. 0. | |
| The respective wages are then charged to the related | ||
| entities that include Tommy Nobis Center Inc., Tommy | ||
| Nobis Foundation Inc. and Nobis Enterprises Inc. The | ||
| number of employees reported on this line represent | ||
| those employees who performed services for that entity | ||
| even though they received their W-2 from Nobis Works, Inc. | ||
| Pt VII, Sect A | There are highly compensated individuals paid by Nobis | |
| Works, Inc. (See explanation for Pt V, line 2a | ||
| above) but those individuals are shown on the respective | ||
| related entities for which they performed their services. |
| Software ID: | 11000175 |
| Software Version: |