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.") .... | 552,925 | 567,013 | 594,072 | 604,935 | 589,484 | 2,908,429 |
| 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.. | 552,925 | 567,013 | 594,072 | 604,935 | 589,484 | 2,908,429 |
| 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. | 2,908,429 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 552,925 | 567,013 | 594,072 | 604,935 | 589,484 | 2,908,429 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 229 | 123 | 64 | 64 | 62 | 542 |
| 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). | 2,908,971 | |||||






| 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 |
|---|
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 8a | THE BOARD MEETS ON A REGULAR BASIS AT LEAST QUARTERLY | |
| TO DISCUSS AND REVIEW REGULAR ISSUES | ||
| . | ||
| Pt VI, Line 11a | THE BOARD IS GIVEN A COPY OF FORM 990 TO REVIEW THE | |
| APPROVAL OF THE FORM 990 IS PART OF THE ORGANIZATIONAL | ||
| MINUTES. | ||
| Pt VI, Line 12c | THE ORGANIZATION IS GOVERNED BY THE CONFLICT OF | |
| INTEREST RULES FORMULATED BY THE TOWN OF SMITHFIELD. | ||
| Pt VI, Line 15 | ALL PAYROLL INCREASES ARE APPROVED IN ACCORDANCE WITH | |
| THE POLICIES ESTABLISHED BY THE TOWN OF SMITHFIELD | ||
| AND THE ORGANIZATIONS POLICIES DETAILING ANNUAL PAYROL | ||
| REVIEWS | ||
| Pt VI, Line 19 | FINANCIAL DOCUMENTS ARE AVAILABLE UPON REQUEST AND | |
| THE ORGANIZATIONS BUDGET IS APPROVED AT THE ANNUAL | ||
| TOWN MEETINGS AND TOWN COUNCIL AND ORGANIZATIONS | ||
| BOARD OF DIRECTORS. | ||
| Pt XII, Line 3b | THE ORGANIZATIONS FINANCIAL RECORDS ARE AUDITED | |
| AS PART OF THE TOWN OF SMITHFIELDS ANNUAL AUDIT. | ||
| THE OVERSIGHT IS THE SMITHFIELD TOWN COUNCIL | ||
| Pt XII | AUDIT TAX DIFFERENCE | |
| Form 990EZ, Part I, Line 16 | UTILITIES BOOKS AND CASSETTES BUILDING MAINTENANCE OFFICE EXPENSES DUE/CONFERENCES INSURANCE SECURITY PROGRAM ACTIVITIES CONTINGENCY/MISC COMPUTER/CLAN COSTS BANK CHARGES | |
| Form 990EZ, Part II, Line 24 | GRANTS RECEIVABLE - NET INVESTMENTS | |
| Form 990EZ, Part II, Line 26 | REFUNDABLE VIDEO DEPOSITS ACCRUED PAYROLL TAXES ACCRUED EMPLOYER TAXES TRANSFERS OUT | |
| Form 990, Part IX, Line 24f | DUES AND CONFERENCES 665. 665. 0. 0. SECURITY 209. 209. 0. 0. PROGRAM ACTIVITIES 3242. 3242. 0. 0. CONTINGENCY/MISC 307. 307. 0. 0. COMPUTER/CLAN COSTS 18117. 18117. 0. 0. BANK CHARGES 117. 117. 0. 0. PAYROLL SERVICE FEE 2000. 2000. 0. 0. PRINTING POSTAGE 900. 900. 0. 0. EQUIPMENT MAINTENANCE 12120. 12120. 0. 0. FURNITURE MAINTENACE 269. 269. 0. 0. CATALOG MOWRY COLLECTION 4774. 4774. 0. 0. BANK FEES 175. 175. 0. 0. OFFICIAL TRAVEL 432. 432. 0. 0. COMPUTER SOFTWARE 270. 270. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |