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.") .... | 274,175 | 301,010 | 356,548 | 295,038 | 384,827 | 1,611,598 |
| 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.. | 274,175 | 301,010 | 356,548 | 295,038 | 384,827 | 1,611,598 |
| 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. | 1,611,598 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 274,175 | 301,010 | 356,548 | 295,038 | 384,827 | 1,611,598 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 47,007 | 23,085 | 18,315 | 18,569 | 29,321 | 136,297 |
| 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). | 1,747,895 | |||||






| 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 11a | THE FOUNDATION WILL REVIEW THE FORM 990 AT ONE OF THEIR MONTHLY BOARD MEETINGS. | |
| Pt VI, Line 12c | THE BOARD HAS A WRITTEN CONFLICT OF INTEREST POLICY | |
| Pt VI, Line 12c | AND A STATEMENT IS SIGNED BY ALL MEMBERS. ANYTIME THERE IS A POTENTIAL FOR CONFLICT OF INTERST IT | |
| Pt VI, Line 12c | WILL BE BROUGHT UP FOR DISCUSSION AT THE NEXT MEETING. | |
| Pt VI, Line 15 | DELIBERATION AND DECISION BY THE BOARD OF THE FOUNDATION | |
| Pt VI, Line 15 | FOR DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR | |
| Pt VI, Line 15 | INCLUDES REVIEW AND APPROVAL PROCESS THIS PROCESS INCLUDES | |
| Pt VI, Line 15 | THE EVALUATION OF THE EXECUTIVE DIRECTOR THROUGHOUT THE YEAR | |
| Pt VI, Line 15 | TO DETERMINE IF SHE HAD PERFORMED THEIR DUTIES OF GENERATING | |
| Pt VI, Line 15 | FINANCIAL SUPPORT IN THE COMMUNITY FOR THE ENHANCEMENT OF THE FOUNDATION | |
| Form 990, Part IX, Line 24f | MISC. EXP 8898. 8867. 31. 0. PROMOTION & DONOR RECOGNITION 169. 0. 169. 0. CELL PHONES 444. 0. 444. 0. ANNUAL DRIVE - FUNDRAISING EXPENSES 6827. 0. 0. 6827. BOOT & BBQ FUNDRAISING 37628. 0. 0. 37628. |
| Software ID: | 11000175 |
| Software Version: |