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.") .... | ||||||
| 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.") . | 42,770 | 62,572 | 176,375 | 189,075 | 320,141 | 790,933 |
| 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. | 42,770 | 62,572 | 176,375 | 189,075 | 320,141 | 790,933 |
| 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.) | 790,933 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 42,770 | 62,572 | 176,375 | 189,075 | 320,141 | 790,933 |
| 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.). | 790,933 | |||||




| 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 19 | Documents are readily available both at the company's website or upon verbal request. | |
| Pt VI, Line 11a | Prior to filing the returns are reviewed by two directors | |
| Pt VI, Line 8b | There are no established directors. Actions are taken by groups of directors | |
| Form 990EZ, Part I, Line 16 | HAITI EXPENSES: ART SUPPLIES 41229. DISASTER RELIEF SUPPORT FOOD FOR CHILDREN IN HAITI 34840. LICENSES AND FEES IN HAITI 1210. MEDICAL NEEDS FOR CHILDREN IN HAITI 5780. HAITIAN YOUTH - CHILDREN MENTORSHIP PROGRAM 6320. OFFICE EXPENSE IN HAITI 14752. PUBLIC TRANSPORTATION IN HAITI 1800. RENT FOR BUILDING IN HAITI 7000. REPAIRS FOR THE BUILDING IN HAITI 4481. SMALL EQUIPMENT IN HAITI SUPPLIES IN HAITI 8976. TEACHERS AND ADMINISTRATION IN HAITI 60271. SCHOOL TUITION & UNIFORMS FOR CHILDREN IN HAITI | |
| Form 990EZ, Part II, Line 24 | PRINCIPAL DUE, MICROLOANS TO ACFFC FAMILIES 1528. 0. | |
| Form 990EZ, Part II, Line 26 | NOTES PAYABLE 85000. | |
| Form 990, Part IX, Line 24f | BUILDING REPAIRS 4481. 4481. 0. 0. HOUSING FOR YOUTH IN HAITI 13081. 13081. 0. 0. LICENSING AND FEES 1210. 1210. 0. 0. PASSPORT FEES AND ID CARDS 2700. 2700. 0. 0. PUBLIC TRANSPORTATION COST IN HAITI 1800. 1800. 0. 0. RENT FOR BULDING IN HAITI 7000. 7000. 0. 0. SCHOOL TUITION AND UNIFORMS FOR CHILDREN IN HAITI 10470. 10470. 0. 0. SHIPPING 1500. 1500. 0. 0. UTILITIES 4600. 4600. 0. 0. VEHICLE MAINTENANCE & FUEL IN HAITI 8200. 8200. 0. 0. SUPPLIES IN HAITI 8976. 8976. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |