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.") .... | 742,840 | 991,892 | 1,577,205 | 1,256,265 | 901,034 | 5,469,236 |
| 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.. | 742,840 | 991,892 | 1,577,205 | 1,256,265 | 901,034 | 5,469,236 |
| 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. | 5,469,236 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 742,840 | 991,892 | 1,577,205 | 1,256,265 | 901,034 | 5,469,236 |
| 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). | 5,469,236 | |||||






| 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.) | 0 | |||||
| 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: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | A copy of the 990 is provided to the full board in advance of the | |
| board meeting in which the form is reviewed. Review focuses | ||
| on the description of programs and activities; and | ||
| policies and practices related to governance, including | ||
| conflict of interest, whistle-blower, document retention | ||
| and executive director compensation. Questions raised | ||
| are addressed and any resulting changes to the form are | ||
| incorporated prior to filing. | ||
| Pt VI, Line 12c | The organization completes and reviews the policy annually | |
| with staff and the board. | ||
| Pt VI, Line 15 | The organization reviews the Executive Director's salary annually. | |
| Pt XI | Prior period adjustment | |
| Pt III, Line 4e | Based on our experience with the AmeriCorps and Youth | |
| Conservation programs we have developed youth programming | ||
| aimed primarily at 11-17 year olds. The goal is to offer | ||
| a continuum of services that prepare young people to | ||
| participate in AmeriCorps and Youth Conservation and | ||
| other development programs. Youth Services provides safe, | ||
| supportive and engaging environments for young people | ||
| to explore and realize their potential. We focus on | ||
| After-School and Out-of-School Time programming that | ||
| promotes healthy peer relationships, youth-adult mentorship | ||
| and service-learning opportunities. | ||
| Form 990EZ, Part II, Line 24 | GRANTS RECEIVABLE PREPAID EXPENSES | |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES DEFERRED REVENUE NOTES PAYABLE - LINE OF CREDIT | |
| Form 990, Part III, Line 4d | YOUTH SERVICES 8949. 0. 15262. | |
| Form 990, Part IX, Line 24f | MISCELLANEOUS 8232. 8232. 0. 0. PROGRAM EXPENSES 24488. 24488. 0. 0. PROFESSIONAL FEES 46747. 35107. 11640. 0. REPAIRS/MAINTENANCE 317. 317. 0. 0. TELEPHONE & INTERNET 9671. 7737. 1934. 0. TRAVEL-AMERICORP & YCC 29493. 29493. 0. 0. UTILITIES 8867. 8867. 0. 0. OFFICE SUPPLIES 2851. 1780. 1071. 0. TRAINING AND EDUCATION 5150. 5150. 0. 0. POSTAGE 1176. 1176. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |