Form 990-Ez - Return Of Organization Exempt From Income Tax - 2012 Page 7

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Schedule A (Form 990 or 990-EZ) 2012
Page 2
MU^
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170 ( b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A . Public Support
Calendar year ( or fiscal year beginning
( a) 2008
(b) 2009
(c) 2010
( d) 2011
(e) 2012
(f) Total
in) 11111
1
Gifts, grants , contributions, and
membership fees received (Do not
11,147
2,661
4,745
16,997
13,161
48,711
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
11,147
2,661
4,745
16,997
13,161
48,711
5
The portion of total contributions
by each person ( other than a
governmental unit or publicly
supported organization ) included on
4,349
line 1 that exceeds 2% of the
amount shown on line 11, column
(f)
6
Public support . Subtract line 5 from
44,362
line 4
Section B. Total Su pp ort
Calendar year ( or fiscal year beginning
( a) 2008
( b) 2009
( c) 2010
(d) 2011
( e) 2012
( f) Total
in)
7
Amounts from line 4
11,147
2,661
4,745
16,997
13,161
48,711
8
Gross income from interest,
dividends, payments received on
securities loans, rents , royalties
and income from similar
sources
9
Net income from unrelated
business activities, whether or not
the business is regularly carried
on
10
Other income Do not include gain
or loss from the sale of capital
assets (Explain in Part IV )
11
Total support (Add lines 7 through
48,711
10)
12
Gross receipts from related activities, etc (see instructions)
12
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check
this box and stop here
.ItE
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Com p utation of Public Su pp ort Percenta g e
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
14
91 070
15
Public support percentage for 2011 Schedule A, Part II, line 14
15
100 000 %
16a
331 / 3%support test - 2012 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here . The organization qualifies as a publicly supported organization
b 331 / 3%support test - 2011 . If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here . The organization qualifies as a publicly supported organization
17a
10%-facts-and -circumstances test - 2012 . If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here . Explain
in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported
organization
b
10%-facts-and-circumstances test-2011 . If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts- and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly
supported organization
18
Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
Schedule A (Form 990 or 990-EZ) 2012

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