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.") . | 87,130 | 110,831 | 55,322 | 48,671 | 47,349 | 349,303 |
| 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...... | 160,314 | 168,944 | 153,645 | 159,379 | 148,488 | 790,770 |
| 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. | 247,444 | 279,775 | 208,967 | 208,050 | 195,837 | 1,140,073 |
| 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.) | 1,140,073 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 247,444 | 279,775 | 208,967 | 208,050 | 195,837 | 1,140,073 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 335 | 144 | 46 | 35 | 81 | 641 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 335 | 144 | 46 | 35 | 81 | 641 |
| 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.) | 568 | 651 | 175 | 650 | 2,044 | |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 1,142,758 | |||||




| Facts And Circumstances Test |
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| OTHER INCOME PART III, LINE 12; DESCRIPTION: SPECIAL EVENTS; 2008: 568.; 2009: 651.; 2010: 175.; 2011: 650.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 6 | THE ORGANIZATION HAS MEMBERS. | |
| Pt VI, Line 7a | THE GOVERNING BODY IS ELECTED EVERY THREE YEARS BY MEMBERS | |
| OF THE ORGANIZATION. OFFICERS ARE ELECTED ANNUALLY BY THE | ||
| BOARD OF DIRECTORS. | ||
| Pt VI, Line 7b | DECISIONS INTRODUCED AT EACH MEETING BY THE GOVERNING BODY | |
| ARE VOTED ON AND SUBJECT TO APPROVAL BY THE OFFICERS AND DIRECTORS | ||
| PRESENT AT THOSE MEETINGS. | ||
| Pt VI, Line 8a | WRITTEN ACTIONS UNDERTAKEN BY THE GOVERNING BODY DURING THE YEAR | |
| ARE DOCUMENTED IN THE MINUTES TAKEN DURING EACH MEETING. | ||
| Pt VI, Line 8b | WRITTEN ACTIONS UNDERTAKEN BY EACH COMMITTEE DURING THE YEAR | |
| ARE DOCUMENTED IN THE MINUTES TAKEN DURING EACH MEETING. | ||
| Pt VI, Line 11a | FORM 990 IS REVIEWED BY THE GOVERNING BODY AND SIGNED BY | |
| THE PRESIDENT PRIOR TO FILING. | ||
| Pt VI, Line 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL | |
| STATEMENTS AVAILABLE TO THE PUBLIC. | ||
| Form 990EZ, Part I, Line 16 | PREMIUMS JUDGES INSURANCE CONTRACT SERVICES REAL ESTATE TAXES OFFICE SUPPLIES DUES RIBBONS AND TROPHIES MISCELLANEOUS PAYROLL TAXES INTEREST MILEAGE CONFERENCES AND MEETINGS ADVERTISING RENT DONATIONS SUPPLIES | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE & ACCRUED EXPENSES BONDS, MORTGAGES & OTHER NOTES | |
| Form 990, Part IX, Line 24f | REAL ESTATE TAXES 65. 65. 0. 0. SUPPLIES 3485. 3485. 0. 0. DUES 554. 0. 554. 0. RENT 5850. 5850. 0. 0. MISCELLANEOUS 194. 0. 194. 0. |
| Software ID: | 11000175 |
| Software Version: |