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.") . | 176,279 | 25,601 | 56,090 | 24,293 | 45,225 | 327,488 |
| 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...... | 444,875 | 474,628 | 461,206 | 516,489 | 565,541 | 2,462,739 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 32,187 | 36,422 | 35,627 | 35,717 | 139,953 | |
| 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. | 621,154 | 532,416 | 553,718 | 576,409 | 646,483 | 2,930,180 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 1,905 | 1,905 | ||||
| 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.. | 1,905 | 1,905 | ||||
| 8 | Public Support (Subtract line 7c from line 6.) | 2,928,275 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 621,154 | 532,416 | 553,718 | 576,409 | 646,483 | 2,930,180 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 353 | 38 | 391 | |||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 353 | 38 | 391 | |||
| 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.). | 2,930,571 | |||||




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | ORGANIZATION PROVIDES A COPY OF THE COMPLETED FORM 990 | |
| TO EACH BOARD MEMBER FOR REVIEW AND COMMENTS PRIOR | ||
| TO FILING. APPROPRIATE CHANGES MADE WHERE NECESSARY | ||
| PRIOR TO FILING. | ||
| Pt VI, Line 12c | THE ORGANIZATION HAS HAD A CONFLICT OF INTEREST POLICY | |
| IN PLACE FOR SEVERAL YEARS. A NEW PROCEDURE WAS INSTITUTED | ||
| WHEREBY EACH YEAR A COPY OF THE POLICY IS GIVEN TO EACH | ||
| BOARD MEMBER AND THE EXECUTIVE DIRECTOR. AT SUCH TIME | ||
| THE POLICY IS PROVIDED, THE INDIVIDUAL SIGNS | ||
| ACKNOWLEDGEMENT OF SUCH POLICY. ENFORCEMENT OF THE | ||
| POLICY IS DETAILED IN THE CONFLICT OF INTEREST POLICY. | ||
| Pt VI, Line 15 | COMPENSATION FOR THE EXECUTIVE DIRECTOR IS EXAMINED | |
| BY AN INDEPENDENT COMMITTEE. COMPENSATION IS COMPARED TO | ||
| THE COMPENSATION OF OTHER EXECUTIVE DIRECTORS LISTED | ||
| IN A COMPENSATION SURVEY. THE DATA IS COMPILED, REVIEWED | ||
| AND CONTEMPORANEOUS SUBSTANTIATION OF THE | ||
| DELIBERATION AND DECISION IS DOCUMENTED. THIS PROCEDURE | ||
| BEGAN IN JAN 2010. | ||
| Pt VI, Line 19 | UPON REQUEST SUCH DOCUMENTS ARE PROVIDED TO REQUESTING | |
| PARTY. |
| Software ID: | 11000175 |
| Software Version: |