Ernest M Sewell CPA PA

Transcription

1 Ernst M Swll CPA PA 6 Goth Rd Bluffton, SC Phon: (843) Fax: (866) swll@swllcpa.com April 19, 2012 Bluffton Slf Hlp Inc PO Box 2420 Bluffton, SC Ladis and Gntlmn:: Enclosd is th 2010 amndd fdral rturn for a tax-xmpt organization, prpard for Bluffton Slf Hlp Inc from th additional information providd. Th rturn will lctronically fild with th Intrnal Rvnu Srvic upon rcipt from you of th nclosd form 8879EO. This form should signd and datd y a Board mmr and rturnd to our offic y fax, mail or -mail. Th organization's amndd fdral rturn rflcts nithr a rfund nor a alanc du. An amndd Stat of South Carolina Annual Financial Rport for Charital Organizations (with th attachd amndd Fdral form 990) should maild to th SC Scrtary of Stat, Pulic Charatis Division. No tax or f is du with this rport. Thank you for th opportunity to of srvic. For furthr assistanc with your tax nds, plas do not hsitat to contact this offic at (843) Sincrly, Ernst M Swll CPA

2 Part I 1 22 Part II Sign Hr Paid Prparr Us Only 990 Rturn of Organization Exmpt From Incom Tax Undr sction 501(c), 527, or 4947(a)(1) of th Intrnal Rvnu Cod (xcpt lack lung nfit trust or privat foundation) A For th 2010 calndar yar, or tax yar ginning, 2010, and nding, 20 B Form Dpartmnt of th Trasury Intrnal Rvnu Srvic SAME AS C ABOVE SC Summary Brifly dscri th organization's mission or most significant activitis: BLUFFTON SELF HELP, INC.'S MISSION IS TO 2 Chck this ox if th organization discontinud its oprations or disposd of mor than 25% of its nt assts. 3 Numr of voting mmrs of th govrning ody (Part VI, lin 1a) Numr of indpndnt voting mmrs of th govrning ody (Part VI, lin 1) Total numr of individuals mployd in calndar yar 2010 (Part V, lin 2a) Total numr of voluntrs (stimat if ncssary) a Total unrlatd usinss rvnu from Part VIII, column (C), lin a Nt unrlatd usinss taxal incom from Form 990-T, lin a Total assts (Part, lin 16)... Total liailitis (Part, lin 26)... Nt assts or fund alancs. Sutract lin 21 from lin Signatur Block For Paprwork Rduction Act Notic, s th sparat instructions. Th organization may hav to us a copy of this rturn to satisfy stat rporting rquirmnts. Contriutions and grants (Part VIII, lin 1h) Program srvic rvnu (Part VIII, lin 2g) Invstmnt incom (Part VIII, column (A), lins 3, 4, and 7d)... Othr rvnu (Part VIII, column (A), lins 5, 6d, 8c, 9c, 10c, and 11)... Total rvnu - add lins 8 through 11 (must qual Part VIII, column (A), lin 12)... Grants and similar amounts paid (Part I, column (A), lins 1-3) Bnfits paid to or for mmrs (Part I, column (A), lin 4) Salaris, othr compnsation, mploy nfits (Part I, column (A), lins 5-10)... Profssional fundraising fs (Part I, column (A), lin 11) Total fundraising xpnss (Part I, column (D), lin 25) Othr xpnss (Part I, column (A), lins 11a-11d, 11f-24f) Total xpnss. Add lins (must qual Part I, column (A), lin 25)... Rvnu lss xpnss. Sutract lin 18 from lin May th IRS discuss this rturn with th prparr shown aov? (s instructions) 2010 Opn to Pulic Inspction C Nam of organization BLUFFTON SELF HELP INC D Employr idntification no. Nam chang Numr and strt (or P.O. ox if mail is not dlivrd to strt addrss) Room/suit E Tlphon numr Trminatd City or town, stat or country, and ZIP ,196 Amndd rturn BLUFFTON, SC G Gross rcipts $ Application pnding F Nam and addrss of principal officr: PETER BROMLEY H(a) Is this a group rturn for affiliats? Ys K Form of organization: Corporation Trust Association Othr L Yar of formation: M Stat of lgal domicil: A c G t o i v v i r t n i a n s c & R v n u E x p n s s Chck if applical: Addrss chang Initial rturn Doing Businss As Prior Yar OMB No I Tax-xmpt status: 501(c)(3) 501(c) ( ) (insrt no.) 4947(a)(1) or 527 H() Ar all affiliats includd? Ys No If "No," attach a list. (s instructions) J Wsit: H(c) Group xmption numr Currnt Yar Nt Bginning of Currnt Yar End of Yar Assts or Fund Balancs Undr pnaltis of prjury, I dclar that I hav xamind this rturn, including accompanying schduls and statmnts, and to th st of my knowldg and lif, it is tru, corrct, and complt. Dclaration of prparr (othr than officr) is asd on all information of which prparr has any knowldg. Signatur of officr Typ or print nam and titl Dat Print/Typ prparr's nam Prparr's signatur Chck if PTIN Firm's nam Firm's addrss PO BO 2420 ASSIST INDIVIDUALS IN THE LOCAL AREA IN FINANCIAL HARDSHIP. THIS INCLUDES ASSISTANCE IN THE FORM OF FOOD, CLOTHING, UTILITIES AND RENT. GENE BROWN GENE BROWN, TREASURER Ernst M Swll CPA Ernst M Swll CPA Ernst M Swll CPA PA Firm's EIN slf-mployd 6 Goth Rd Phon no Bluffton SC Dat Ys No No , ,719 1,063 3,534 18,334 20, , , , ,180 65,257 73, ,230 54, , , , , , ,176 1,646 1, , , Form 990 (2010)

3 Form 990 (2010) BLUFFTON SELF HELP INC Pag 2 Part III Statmnt of Program Srvic Accomplishmnts Chck if Schdul O contains a rspons to any qustion in this Part III... 1 Brifly dscri th organization's mission: BLUFFTON SELF HELP, INC.'S MISSION IS TO ASSIST INDIVIDUALS IN THE LOCAL AREA IN FINANCIAL HARDSHIP. THIS INCLUDES ASSISTANCE IN THE FORM OF FOOD, CLOTHING, UTILITIES AND RENT a Did th organization undrtak any significant program srvics during th yar which wr not listd on th prior Form 990 or 990-EZ?... Ys No If "Ys," dscri ths nw srvics on Schdul O. Did th organization cas conducting, or mak significant changs in how it conducts, any program srvics?... Ys No If "Ys," dscri ths changs on Schdul O. Dscri th xmpt purpos achivmnts for ach of th organization's thr largst program srvics y xpnss. Sction 501(c)(3) and 501(c)(4) organizations and sction 4947(a)(1) trusts ar rquird to rport th amount of grants and allocations to othrs, th total xpnss, and rvnu, if any, for ach program srvic rportd. (Cod: ) (Expnss $ 253,761 including grants of $ ) (Rvnu $ ) CASH ASSISTANCE IN THE FORM OF FOOD, UTILITIES, RENT, HOME REPAIR AND OTHER FINANCIAL ASSISTANCE. 4 (Cod: ) (Expnss $ including grants of $ ) (Rvnu $ ) 4c (Cod: ) (Expnss $ including grants of $ ) (Rvnu $ ) 4d 4 Othr program srvics. (Dscri in Schdul O.) (Expnss $ including grants of $ ) (Rvnu $ ) Total program srvic xpnss 253,761 Form 990 (2010)

4 Form 990 (2010) BLUFFTON SELF HELP INC Pag 3 Part IV Chcklist of Rquird Schduls 1 Is th organization dscrid in sction 501(c)(3) or 4947(a)(1) (othr than a privat foundation)? If "Ys," complt Schdul A Is th organization rquird to complt Schdul B, Schdul of Contriutors? (s instructions) Did th organization ngag in dirct or indirct political campaign activitis on half of or in opposition to candidats for pulic offic? If "Ys," complt Schdul C, Part I Sction 501(c)(3) organizations. Did th organization ngag in loying activitis, or hav a sction 501(h) lction in ffct during th tax yar? If "Ys," complt Schdul C, Part II Is th organization a sction 501(c)(4), 501(c)(5), or 501(c)(6) organization that rcivs mmrship dus, assssmnts, or similar amounts as dfind in Rvnu Procdur 98-19? If "Ys," complt Schdul C, Part III Did th organization maintain any donor advisd funds or any similar funds or accounts whr donors hav th right to provid advic on th distriution or invstmnt of amounts in such funds or accounts? If "Ys," complt Schdul D, Part I... Did th organization rciv or hold a consrvation asmnt, including asmnts to prsrv opn spac, th nvironmnt, historic land aras, or historic structurs? If "Ys," complt Schdul D, Part II... Did th organization maintain collctions of works of art, historical trasurs, or othr similar assts? If "Ys," complt Schdul D, Part III... Did th organization rport an amount in Part, lin 21; srv as a custodian for amounts not listd in Part ; or provid crdit counsling, dt managmnt, crdit rpair, or dt ngotiation srvics? If "Ys," complt Schdul D, Part IV... Did th organization, dirctly or through a rlatd organization, hold assts in trm, prmannt, or quasi-ndowmnts? If "Ys," complt Schdul D, Part V... If th organization's answr to any of th following qustions is "Ys," thn complt Schdul D, Parts VI, VII, VIII, I, or as applical. a Did th organization rport an amount for land, uildings, and quipmnt in Part, lin 10? If "Ys," complt Schdul D, Part VI... 11a Did th organization rport an amount for invstmnts - othr scuritis in Part, lin 12 that is 5% or mor of its total assts rportd in Part, lin 16? If "Ys," complt Schdul D, Part VII c Did th organization rport an amount for invstmnts - program rlatd in Part, lin 13 that is 5% or mor of its total assts rportd in Part, lin 16? If "Ys," complt Schdul D, Part VIII... 11c d Did th organization rport an amount for othr assts in Part, lin 15 that is 5% or mor of its total assts rportd in Part, lin 16? If "Ys," complt Schdul D, Part I... 11d Did th organization rport an amount for othr liailitis in Part, lin 25? If "Ys," complt Schdul D, Part f Did th organization's sparat or consolidatd financial statmnts for th tax yar includ a footnot that addrsss th organization's liaility for uncrtain tax positions undr FIN 48 (ASC 740)? If "Ys," complt Schdul D, Part... 11f 12a Did th organization otain sparat, indpndnt auditd financial statmnts for th tax yar? If "Ys," complt Schdul D, Parts I, II, and III... 12a Was th organization includd in consolidatd, indpndnt auditd financial statmnts for th tax yar? If "Ys," and if th organization answrd "No" to lin 12a, thn complting Schdul D, Parts I, II, and III is optional Is th organization a school dscrid in sction 170()(1)(A)(ii)? If "Ys," complt Schdul E a Did th organization maintain an offic, mploys, or agnts outsid of th Unitd Stats?... 14a Did th organization hav aggrgat rvnus or xpnss of mor than $10,000 from grantmaking, fundraising, usinss, and program srvic activitis outsid th Unitd Stats? If "Ys," complt Schdul F, Parts I and IV Did th organization rport on Part I, column (A), lin 3, mor than $5,000 of grants or assistanc to any organization or ntity locatd outsid th Unitd Stats? If "Ys," complt Schdul F, Parts II and IV Did th organization rport on Part I, column (A), lin 3, mor than $5,000 of aggrgat grants or assistanc to individuals locatd outsid th Unitd Stats? If "Ys," complt Schdul F, Parts III and IV Did th organization rport a total of mor than $15,000 of xpnss for profssional fundraising srvics on Part I, column (A), lins 6 and 11? If "Ys," complt Schdul G, Part I (s instructions) Did th organization rport mor than $15,000 total of fundraising vnt gross incom and contriutions on Part VIII, lins 1c and 8a? If "Ys," complt Schdul G, Part II Did th organization rport mor than $15,000 of gross incom from gaming activitis on Part VIII, lin 9a? If "Ys," complt Schdul G, Part III a Did th organization oprat on or mor hospitals? If "Ys," complt Schdul H... 20a If "Ys" to lin 20a, did th organization attach its auditd financial statmnts to this rturn? Not. Som Form 990 filrs that oprat on or mor hospitals must attach auditd financial statmnts (s instructions) Form 990 (2010) Ys No

5 Form 990 (2010) BLUFFTON SELF HELP INC Pag 4 Part IV Chcklist of Rquird Schduls (continud) a c d 25a Part IV instructions for applical filing thrsholds, conditions, and xcptions): a A currnt or formr officr, dirctor, trust, or ky mploy? If "Ys," complt Schdul L, Part IV... 28a A family mmr of a currnt or formr officr, dirctor, trust, or ky mploy? If "Ys," complt Schdul L, Part IV c An ntity of which a currnt or formr officr, dirctor, trust, or ky mploy (or a family mmr throf) was an officr, dirctor, trust, or dirct or indirct ownr? If "Ys," complt Schdul L, Part IV... 28c 29 Did th organization rciv mor than $25,000 in non-cash contriutions? If "Ys," complt Schdul M Did th organization rciv contriutions of art, historical trasurs, or othr similar assts, or qualifid consrvation contriutions? If "Ys," complt Schdul M Did th organization liquidat, trminat, or dissolv and cas oprations? If "Ys," complt Schdul N, Part I Did th organization sll, xchang, dispos of, or transfr mor than 25% of its nt assts? If "Ys," complt Schdul N, Part II Did th organization own 100% of an ntity disrgardd as sparat from th organization undr Rgulations sctions and ? If "Ys," complt Schdul R, Part I Was th organization rlatd to any tax-xmpt or taxal ntity? If "Ys," complt Schdul R, Parts II, III, IV, and V, lin Is any rlatd organization a controlld ntity within th maning of sction 512()(13)? a Did th organization rport mor than $5,000 of grants and othr assistanc to govrnmnts and organizations in th Unitd Stats on Part I, column (A), lin 1? If "Ys," complt Schdul I, Parts I and II... Did th organization rport mor than $5,000 of grants and othr assistanc to individuals in th Unitd Stats on Part I, column (A), lin 2? If "Ys," complt Schdul I, Parts I and III... Did th organization answr "Ys" to Part VII, Sction A, lin 3, 4, or 5 aout compnsation of th organization's currnt and formr officrs, dirctors, trusts, ky mploys, and highst compnsatd mploys? If "Ys," complt Schdul J... Did th organization hav a tax-xmpt ond issu with an outstanding principal amount of mor than $100,000 as of th last day of th yar, that was issud aftr Dcmr 31, 2002? If "Ys," answr lins 24 through 24d and complt Schdul K. If "No," go to lin Did th organization invst any procds of tax-xmpt onds yond a tmporary priod xcption?... Did th organization maintain an scrow account othr than a rfunding scrow at any tim during th yar to dfas any tax-xmpt onds?... Did th organization act as an "on half of" issur for onds outstanding at any tim during th yar?... Sction 501(c)(3) and 501(c)(4) organizations. Did th organization ngag in an xcss nfit transaction with a disqualifid prson during th yar? If "Ys," complt Schdul L, Part I... Is th organization awar that it ngagd in an xcss nfit transaction with a disqualifid prson in a prior yar, and that th transaction has not n rportd on any of th organization's prior Forms 990 or 990-EZ? If "Ys," complt Schdul L, Part I... Was a loan to or y a currnt or formr officr, dirctor, trust, ky mploy, highly compnsatd mploy, or disqualifid prson outstanding as of th nd of th organization's tax yar? If "Ys," complt Schdul L, Part II... Did th organization provid a grant or othr assistanc to an officr, dirctor, trust, ky mploy, sustantial contriutor, or a grant slction committ mmr, or to a prson rlatd to such an individual? If "Ys," complt Schdul L, Part III... Was th organization a party to a usinss transaction with on of th following partis (s Schdul L, Did th organization rciv any paymnt from or ngag in any transaction with a controlld ntity within th maning of sction 512()(13)? If "Ys," complt Schdul R, Part V, lin 2... Ys No Sction 501(c)(3) organizations. Did th organization mak any transfrs to an xmpt non-charital rlatd organization? If "Ys," complt Schdul R, Part V, lin 2... Did th organization conduct mor than 5% of its activitis through an ntity that is not a rlatd organization and that is tratd as a partnrship for fdral incom tax purposs? If "Ys," complt Schdul R, Part VI Did th organization complt Schdul O and provid xplanations in Schdul O for Part VI, lins 11 and 19? Not. All Form 990 filrs ar rquird to complt Schdul O Form 990 (2010) a 24 24c 24d 25a Ys No

6 Form 990 (2010) BLUFFTON SELF HELP INC Pag 5 Part V Statmnts Rgarding Othr IRS Filings and Tax Complianc Chck if Schdul O contains a rspons to any qustion in this Part V... 1a c 2a 3a 4a 5a c 6a 7 a Did th organization rciv a paymnt in xcss of $75 mad partly as a contriution and partly for goods and srvics providd to th payor?... If "Ys," did th organization notify th donor of th valu of th goods or srvics providd?... c Did th organization sll, xchang, or othrwis dispos of tangil prsonal proprty for which it was rquird to fil Form 8282?... d If "Ys," indicat th numr of Forms 8282 fild during th yar... 7d Did th organization rciv any funds, dirctly or indirctly, to pay prmiums on a prsonal nfit contract?... f Did th organization, during th yar, pay prmiums, dirctly or indirctly, on a prsonal nfit contract?... g If th organization rcivd a contriution of qualifid intllctual proprty, did th organization fil Form 8899 as rquird?.. h If th organization rcivd a contriution of cars, oats, airplans, and othr vhicls, did th organization fil a Form 1098-C?... 8 Sponsoring organizations maintaining donor advisd funds and sction 509(a)(3) supporting organizations. Did th supporting organization, or a donor advisd fund maintaind y a sponsoring organization, hav xcss usinss holdings at any tim during th yar? Sponsoring organizations maintaining donor advisd funds. a Did th organization mak any taxal distriutions undr sction 4966?... 9a Did th organization mak a distriution to a donor, donor advisor, or rlatd prson? Sction 501(c)(7) organizations. Entr: a Initiation fs and capital contriutions includd on Part VIII, lin a Gross rcipts, includd on Form 990, Part VIII, lin 12, for pulic us of clu facilitis Sction 501(c)(12) organizations. Entr: a Gross incom from mmrs or sharholdrs... 11a Gross incom from othr sourcs (Do not nt amounts du or paid to othr sourcs against amounts du or rcivd from thm.) a Sction 4947(a)(1) non-xmpt charital trusts. Is th organization filing Form 990 in liu of Form 1041?... 12a If "Ys," ntr th amount of tax-xmpt intrst rcivd or accrud during th yar Sction 501(c)(29) qualifid nonprofit halth insuranc issurs. a Is th organization licnsd to issu qualifid halth plans in mor than on stat?... 13a Not. S th instructions for additional information th organization must rport on Schdul O. c 14a Entr th numr rportd in Box 3 of Form Entr -0- if not applical... 1a 0 Entr th numr of Forms W-2G includd in lin 1a. Entr -0- if not applical Did th organization comply with ackup withholding ruls for rportal paymnts to vndors and rportal gaming (gamling) winnings to priz winnrs?... Entr th numr of mploys rportd on Form W-3, Transmittal of Wag and Tax Statmnts, fild for th calndar yar nding with or within th yar covrd y this rturn... 2a 3 If at last on is rportd on lin 2a, did th organization fil all rquird fdral mploymnt tax rturns?... Not. If th sum of lins 1a and 2a is gratr than 250, you may rquird to -fil. (s instructions) Did th organization hav unrlatd usinss gross incom of $1,000 or mor during th yar?... If "Ys," has it fild a Form 990-T for this yar? If "No," provid an xplanation in Schdul O... At any tim during th calndar yar, did th organization hav an intrst in, or a signatur or othr authority ovr, a financial account in a forign country (such as a ank account, scuritis account, or othr financial account)?... If "Ys," ntr th nam of th forign country: S instructions for filing rquirmnts for Form TD F , Rport of Forign Bank and Financial Accounts. Was th organization a party to a prohiitd tax shltr transaction at any tim during th tax yar?... Did any taxal party notify th organization that it was or is a party to a prohiitd tax shltr transaction?... If "Ys," to lin 5a or 5, did th organization fil Form 8886-T?... Dos th organization hav annual gross rcipts that ar normally gratr than $100,000, and did th organization solicit any contriutions that wr not tax dductil?... If "Ys," did th organization includ with vry solicitation an xprss statmnt that such contriutions or gifts wr not tax dductil?... Organizations that may rciv dductil contriutions undr sction 170(c). Entr th amount of rsrvs th organization is rquird to maintain y th stats in which th organization is licnsd to issu qualifid halth plans Entr th amount of rsrvs on hand... 13c Did th organization rciv any paymnts for indoor tanning srvics during th tax yar?... 14a If "Ys," has it fild a Form 720 to rport ths paymnts? If "No," provid an xplanation in Schdul O Form 990 (2010) 1c 2 3a 3 4a 5a 5 5c 6a 6 7a 7 7c 7 7f 7g 7h Ys No

7 Form 990 (2010) BLUFFTON SELF HELP INC Pag 6 Part VI Govrnanc, Managmnt, and Disclosur For ach "Ys" rspons to lins 2 through 7 low, and for a "No" rspons to lin 8a, 8, or 10 low, dscri th circumstancs, procsss, or changs in Chck if Schdul O contains a rspons to any qustion in this Part VI Sction A. Govrning Body and Managmnt 1a Entr th numr of voting mmrs of th govrning ody at th nd of th tax yar... 1a 14 Entr th numr of voting mmrs includd in lin 1a, aov, who ar indpndnt Did any officr, dirctor, trust, or ky mploy hav a family rlationship or a usinss rlationship with any othr officr, dirctor, trust, or ky mploy? Did th organization dlgat control ovr managmnt dutis customarily prformd y or undr th dirct suprvision of officrs, dirctors or trusts, or ky mploys to a managmnt company or othr prson? Did th organization mak any significant changs to its govrning documnts sinc th prior Form 990 was fild? Did th organization com awar during th yar of a significant divrsion of th organization's assts? Dos th organization hav mmrs or stockholdrs? a Dos th organization hav mmrs, stockholdrs, or othr prsons who may lct on or mor mmrs of th govrning ody?... 7a Ar any dcisions of th govrning ody sujct to approval y mmrs, stockholdrs, or othr prsons? Did th organization contmporanously documnt th mtings hld or writtn actions undrtakn during th yar y th following: a Th govrning ody?... Each committ with authority to act on half of th govrning ody?... 9 Is thr any officr, dirctor, trust, or ky mploy listd in Part VII, Sction A, who cannot rachd at th organization's mailing addrss? If "Ys," provid th nams and addrsss in Schdul O... Sction B. Policis (This Sction B rqusts information aout policis not rquird y th Intrnal Rvnu Cod.) 10a Dos th organization hav local chaptrs, ranchs, or affiliats?... 10a If "Ys," dos th organization hav writtn policis and procdurs govrning th activitis of such chaptrs, affiliats, and ranchs to nsur thir oprations ar consistnt with thos of th organization? a Has th organization providd a copy of this Form 990 to all mmrs of its govrning ody for filing th form?... 11a Dscri in Schdul O th procss, if any, usd y th organization to rviw this Form a Dos th organization hav a writtn conflict of intrst policy? If "No," go to lin a Ar officrs, dirctors or trusts, and ky mploys rquird to disclos annually intrsts that could giv ris to conflicts? c Dos th organization rgularly and consistntly monitor and nforc complianc with th policy? If "Ys," dscri in Schdul O how this is don... 12c 13 Dos th organization hav a writtn whistllowr policy? Dos th organization hav a writtn documnt rtntion and dstruction policy? Did th procss for dtrmining compnsation of th following prsons includ a rviw and approval y a 16a Schdul O. S instructions. indpndnt prsons, comparaility data, and contmporanous sustantiation of th dliration and dcision? Th organization's CEO, Excutiv Dirctor, or top managmnt official... Othr officrs or ky mploys of th organization... If "Ys" to lin 15a or 15, dscri th procss in Schdul O. (S instructions.)... Did th organization invst in, contriut assts to, or participat in a joint vntur or similar arrangmnt with a taxal ntity during th yar?... If "Ys," has th organization adoptd a writtn policy or procdur rquiring th organization to valuat its participation in joint vntur arrangmnts undr applical fdral tax law, and takn stps to safguard th organization's xmpt status with rspct to such arrangmnts?... Sction C. Disclosur 17 List th stats with which a copy of this Form 990 is rquird to fild SC Sction 6104 rquirs an organization to mak its Forms 1023 (or 1024 if applical), 990, and 990-T (501(c)(3)s only) availal for pulic inspction. Indicat how you mak ths availal. Chck all that apply. Own wsit Anothr's wsit Upon rqust Dscri in Schdul O whthr (and if so, how), th organization maks its govrning documnts, conflict of intrst policy, and financial statmnts availal to th pulic. Stat th nam, physical addrss, and tlphon numr of th prson who posssss th ooks and rcords of th organization: GENE BROWN (843) PO BO 2420 BLUFFTON, SC a a 15 16a 16 Ys Ys No No Form 990 (2010)

8 Form 990 (2010) BLUFFTON SELF HELP INC Pag 7 Part VII Compnsation of Officrs, Dirctors, Trusts, Ky Employs, Highst Compnsatd Employs, and Indpndnt Contractors Chck if Schdul O contains a rspons to any qustion in this Part VII... Sction A. Officrs, Dirctors, Trusts, Ky Employs, and Highst Compnsatd Employs 1a Complt this tal for all prsons rquird to listd. Rport compnsation for th calndar yar nding with or within th organization's tax yar. List all of th organization's currnt officrs, dirctors, trusts (whthr individuals or organizations), rgardlss of amount of compnsation. Entr -0- in columns (D), (E), and (F) if no compnsation was paid. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) JOHN ORTH VP (11) LORRAINE FOLEY SECRETARY (12) PETER BROMLEY PRESIDENT (13) JENNY HANEY EECUTIVE DIRECTOR , ,600 (14) List all of th organization's currnt ky mploys, if any. S instructions for dfinition of "ky mploy." List th organization's fiv currnt highst compnsatd mploys (othr than an officr, dirctor, trust, or ky mploy) who rcivd rportal compnsation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of mor than $100,000 from th organization and any rlatd organizations. List all of th organization's formr officrs, ky mploys, and highst compnsatd mploys who rcivd mor than $100,000 of rportal compnsation from th organization and any rlatd organizations. List all of th organization's formr dirctors or trusts that rcivd, in th capacity as a formr dirctor or trust of th organization, mor than $10,000 of rportal compnsation from th organization and any rlatd organizations. List prsons in th following ordr: individual trusts or dirctors; institutional trusts; officrs; ky mploys; highst compnsatd mploys; and formr such prsons. Chck this ox if nithr th organization nor any rlatd organizations compnsatd any currnt officr, dirctor, or trust. CHRISTINE LOEFFLER IDA MARTIN JAYME LOPKO KATHY MCGRATH LINDA KAUFMAN TONY CIERVO TRAY HUNTER WALT HOLLIS GENE BROWN (A) (B) (C) (D) (E) (F) Nam and Titl Avrag Position (chck all that apply) Rportal Rportal Estimatd hours pr I t d I t O K H c F compnsation compnsation amount of wk n r i n r f i o m o from from rlatd othr d u r s u f y g m p r (dscri i s t s i h p l m th organizations compnsation v t c i t c hours for o organization (W-2/1099-MISC) from th i t t m s n y r rlatd p (W-2/1099-MISC) organization d o u r t s organizations u r t l a and rlatd a o i o in Schdul t y organizations l r o O) n d a l TREASURER (15) (16) Form 990 (2010)

9 Form 990 (2010) BLUFFTON SELF HELP INC Pag 8 Part VII Sction A. Officrs, Dirctors, Trusts, Ky Employs, and Highst Compnsatd Employs (continud) (17) (A) (B) (C) (D) (E) (F) Nam and Titl Avrag Position (chck all that apply) Rportal Rportal Estimatd hours pr I t d I t O K H c F compnsation compnsation amount of wk n r i n r f i o m o from from rlatd othr d u r s u f y g m p r (dscri i s t s i h p l m th organizations compnsation v t c i t c hours for o organization (W-2/1099-MISC) from th i t t m s n y r rlatd p (W-2/1099-MISC) organization d o u r t s organizations u r t l a and rlatd a o i o in Schdul t y organizations l r o O) n d a l (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28) 1 Su-total... c Total from continuation shts to Part VII, Sction A... d Total (add lins 1 and 1c)... 38, ,600 2 Total numr of individuals (including ut not limitd to thos listd aov) who rcivd mor than $100,000 in rportal compnsation from th organization 0 Ys No 3 Did th organization list any formr officr, dirctor or trust, ky mploy, or highst compnsatd mploy on lin 1a? If "Ys," complt Schdul J for such individual For any individual listd on lin 1a, is th sum of rportal compnsation and othr compnsation from th organization and rlatd organizations gratr than $150,000? If "Ys," complt Schdul J for such individual Did any prson listd on lin 1a rciv or accru compnsation from any unrlatd organization or individual for srvics rndrd to th organization? If "Ys," complt Schdul J for such prson... 5 Sction B. Indpndnt Contractors 1 Complt this tal for your fiv highst compnsatd indpndnt contractors that rcivd mor than $100,000 of compnsation from th organization. (A) (B) (C) Nam and usinss addrss Dscription of srvics Compnsation 2 Total numr of indpndnt contractors (including ut not limitd to thos listd aov) who rcivd mor than $100,000 in compnsation from th organization Form 990 (2010)

10 Form 990 (2010) BLUFFTON SELF HELP INC Pag 9 Part VIII Statmnt of Rvnu Contriutions, gifts, grants and othr similar amounts Program Srvic Rvnu 1a c d f g h 2a c d (i) Ral (ii) Prsonal 6a Gross Rnts... c Lss: rntal xpnss Rntal incom or (loss) d Nt rntal incom or (loss)... 7a Lss: cost or othr asis and sals xpnss... O t c Gain or (loss)... h d Nt gain or (loss)... r 8a Gross incom from fundraising vnts (not including $ R of contriutions rportd on lin 1c). v S Part IV, lin a 26,943 Lss: dirct xpnss... 6,791 n u c Nt incom or (loss) from fundraising vnts... 9a Gross incom from gaming activitis. S Part IV, lin a Lss: dirct xpnss... c Nt incom or (loss) from gaming activitis... 10a Gross sals of invntory, lss rturns and allowancs... a Lss: cost of goods sold... c Nt incom or (loss) from sals of invntory... 11a Fdratd campaigns... Mmrship dus Fundraising vnts Rlatd organizations... Govrnmnt grants (contriutions).. All othr contriutions, gifts, grants, and similar amounts not includd aov Noncash contriutions includd in lins 1a-1f: $ Total. Add lins 1a-1f... f All othr program srvic rvnu... g Total. Add lins 2a-2f... Invstmnt incom (including dividnds, intrst, and othr similar amounts)... Incom from invstmnt of tax-xmpt ond procds... Royaltis... Gross amount from sals of assts othr than invntory Miscllanous Rvnu (i) Scuritis c d All othr rvnu... Total. Add lins 11a-11d Total rvnu. S instructions... 1a 1 1c 1d 1 1f Businss Cod (ii) Othr Businss Cod 7, ,719 (A) (B) (C) (D) Total rvnu Rlatd or Unrlatd Rvnu xmpt usinss xcludd from tax function rvnu undr sctions rvnu 512, 513, or ,719 3,534 3,534 20,152 20, , ,686 Form 990 (2010)

11 Form 990 (2010) BLUFFTON SELF HELP INC Pag 10 Part I Statmnt of Functional Expnss Sction 501(c)(3) and 501(c)(4) organizations must complt all columns Do not includ amounts rportd on lins 6, 7, 8, 9, and 10 of Part VIII. a c d f g a c d f All othr organizations must complt column (A) ut ar not rquird to complt columns (B), (C), and (D). Grants and othr assistanc to govrnmnts and organizations in th U.S. S Part IV, lin Grants and othr assistanc to individuals in th U.S. S Part IV, lin Grants and othr assistanc to govrnmnts, organizations, and individuals outsid th U.S. S Part IV, lins 15 and Bnfits paid to or for mmrs... Compnsation of currnt officrs, dirctors, trusts, and ky mploys... Compnsation not includd aov, to disqualifid prsons (as dfind undr sction 4958(f)(1)) and prsons dscrid in sction 4958(c)(3)(B)... Othr salaris and wags... Pnsion plan contriutions (includ sction 401(k) and sction 403() mployr contriutions)... Othr mploy nfits... Payroll taxs... Fs for srvics (non-mploys): Managmnt... Lgal... Accounting... Loying... Profssional fundraising srvics. S Part IV, lin 17. Invstmnt managmnt fs... Othr... Advrtising and promotion... Offic xpnss... Information tchnology... Royaltis... Occupancy... Travl... Paymnts of travl or ntrtainmnt xpnss for any fdral, stat, or local pulic officials... Confrncs, convntions, and mtings... Intrst... Paymnts to affiliats... Dprciation, dpltion, and amortization... Insuranc... Othr xpnss. Itmiz xpnss not covrd aov (List miscllanous xpnss in lin 24f. If lin 24f amount xcds 10% of lin 25, column (A) amount, list lin 24f xpnss on Schdul O.) REPAIRS MAINTENANCE 2,063 2,063 All othr xpnss... Total functional xpnss. Add lins 1 through 24f.. Joint Costs. Chck hr if following SOP 98-2 (ASC ). Complt this lin only if th organization rportd in column (B) joint costs from a comind ducational campaign and fundraising solicitation... (A) (B) (C) (D) Total xpnss Program srvic Managmnt and Fundraising xpnss gnral xpnss xpnss 172, ,180 53,569 46,604 6,965 15,600 13,572 2,028 3,954 2,593 1,361 7,160 7,160 6,191 6, ,240 2,909 3,331 22,278 14,436 7, ,467 1,467 1,640 1,640 CASUAL LABOR 1,515 1,515 POSTAGE 1,419 1,419 4,260 4, , ,761 45,945 0 Form 990 (2010)

12 Form 990 (2010) BLUFFTON SELF HELP INC Pag 11 Part Balanc Sht (A) (B) Bginning of yar End of yar 1 Cash - non-intrst-aring , ,494 2 Savings and tmporary cash invstmnts , ,463 3 Pldgs and grants rcival, nt Accounts rcival, nt... 12, Rcivals from currnt and formr officrs, dirctors, trusts, ky 6 mploys, and highst compnsatd mploys. Complt Part II of Schdul L... Rcivals from othr disqualifid prsons (as dfind undr sction 4958(f)(1)), prsons dscrid in sction 4958(c)(3)(B), and contriuting A s mployrs and sponsoring organizations of sction 501(c)(9) voluntary s mploys' nficiary organizations (s instructions)... 6 t 7 Nots and loans rcival, nt... 7 s 8 Invntoris for sal or us Prpaid xpnss and dfrrd chargs a Land, uildings, and quipmnt: cost or othr asis. Complt Part VI of Schdul D... 10a 13,241 Lss: accumulatd dprciation ,522 5,378 10c 8, Invstmnts - pulicly tradd scuritis Invstmnts - othr scuritis. S Part IV, lin Invstmnts - program-rlatd. S Part IV, lin Intangil assts Othr assts. S Part IV, lin Total assts. Add lins 1 through 15 (must qual lin 34) , , Accounts payal and accrud xpnss... 1, , Grants payal L 19 Dfrrd rvnu i 20 Tax-xmpt ond liailitis a 21 Escrow or custodial account liaility. Complt Part IV of Schdul D i 22 Payals to currnt and formr officrs, dirctors, trusts, ky l mploys, highst compnsatd mploys, and disqualifid i t prsons. Complt Part II of Schdul L i 23 Scurd mortgags and nots payal to unrlatd third partis s 24 Unscurd nots and loans payal to unrlatd third partis Othr liailitis. Complt Part of Schdul D Total liailitis. Add lins 17 through , ,699 Organizations that follow SFAS 117, chck hr and N F complt lins 27 through 29, and lins 33 and 34. u t n 27 Unrstrictd nt assts , ,867 d 28 Tmporarily rstrictd nt assts ,610 A 29 Prmanntly rstrictd nt assts s B s a Organizations that do not follow SFAS 117, chck hr l and complt lins 30 through 34. t a s n 30 Capital stock or trust principal, or currnt funds c 31 Paid-in or capital surplus, or land, uilding, or quipmnt fund o r s 32 Rtaind arnings, ndowmnt, accumulatd incom, or othr funds Total nt assts or fund alancs , , Total liailitis and nt assts/fund alancs , ,176 Form 990 (2010) 5

13 Form 990 (2010) BLUFFTON SELF HELP INC Pag 12 Part I Rconciliation of Nt Assts Chck if Schdul O contains a rspons to any qustion in this Part I... 1 Total rvnu (must qual Part VIII, column (A), lin 12) ,405 2 Total xpnss (must qual Part I, column (A), lin 25) ,706 3 Rvnu lss xpnss. Sutract lin 2 from lin ,699 4 Nt assts or fund alancs at ginning of yar (must qual Part, lin 33, column (A)) ,778 5 Othr changs in nt assts or fund alancs (xplain in Schdul O) Nt assts or fund alancs at nd of yar. Comin lins 3, 4, and 5 (must qual Part, lin 33, column (B)) ,477 Part II Financial Statmnts and Rporting Chck if Schdul O contains a rspons to any qustion in this Part II... Ys No 1 Accounting mthod usd to prpar th Form 990: Cash Accrual Othr HYBRID If th organization changd its mthod of accounting from a prior yar or chckd "Othr," xplain in Schdul O. 2a Wr th organization's financial statmnts compild or rviwd y an indpndnt accountant?... 2a Wr th organization's financial statmnts auditd y an indpndnt accountant?... 2 c If "Ys" to lin 2a or 2, dos th organization hav a committ that assums rsponsiility for ovrsight of th audit, rviw, or compilation of its financial statmnts and slction of an indpndnt accountant?... 2c If th organization changd ithr its ovrsight procss or slction procss during th tax yar, xplain in Schdul O. d If "Ys" to lin 2a or 2, chck a ox low to indicat whthr th financial statmnts for th yar wr issud on a sparat asis, consolidatd asis, or oth: Sparat asis Consolidatd asis Both consolidatd and sparat asis 3a As a rsult of a fdral award, was th organization rquird to undrgo an audit or audits as st forth in th Singl Audit Act and OMB Circular A-133?... 3a If "Ys," did th organization undrgo th rquird audit or audits? If th organization did not undrgo th rquird audit or audits, xplain why in Schdul O and dscri any stps takn to undrgo such audits... 3 Form 990 (2010)

14 Form 4562 Dpartmnt of th Trasury Intrnal Rvnu Srvic (99) Nam(s) shown on rturn Dprciation and Amortization (Including Information on Listd Proprty) S sparat instructions. Attach to your tax rturn. Businss or activity to which this form rlats OMB No Attachmnt Squnc No. Idntifying numr BLUFFTON SELF HELP INC FORM Part I Elction To Expns Crtain Proprty Undr Sction 179 Not: If you hav any listd proprty, complt Part V for you complt Part I. 1 Maximum amount (s th instructions) Total cost of sction 179 proprty placd in srvic (s instructions) Thrshold cost of sction 179 proprty for rduction in limitation (s instructions) Rduction in limitation. Sutract lin 3 from lin 2. If zro or lss, ntr Dollar limitation for tax yar. Sutract lin 4 from lin 1. If zro or lss, ntr -0-. If marrid filing sparatly, s instructions (a) Dscription of proprty () Cost (usinss us only) (c) Elctd cost 67 7 Listd proprty. Entr th amount from lin Total lctd cost of sction 179 proprty. Add amounts in column (c), lins 6 and Tntativ dduction. Entr th smallr of lin 5 or lin Carryovr of disallowd dduction from lin 13 of your 2009 Form Businss incom limitation. Entr th smallr of usinss incom (not lss than zro) or lin 5 (s instructions) Sction 179 xpns dduction. Add lins 9 and 10, ut do not ntr mor than lin Carryovr of disallowd dduction to Add lins 9 and 10, lss lin Not: Do not us Part II or Part III low for listd proprty. Instad, us Part V. Part II Spcial Dprciation Allowanc and Othr Dprciation (Do not includ listd proprty.) (S instructions.) 14 Spcial dprciation allowanc for qualifid proprty (othr than listd proprty) placd in srvic during th tax yar (s instructions) Proprty sujct to sction 168(f)(1) lction Othr dprciation (including ACRS) Part III MACRS Dprciation (Do not includ listd proprty.) (S instructions.) Sction A 17 MACRS dductions for assts placd in srvic in tax yars ginning for If you ar lcting to group any assts placd in srvic during th tax yar into on or mor gnral asst accounts, chck hr... Sction B - Assts Placd in Srvic During 2010 Tax Yar Using th Gnral Dprciation Systm 19 a c d f g h i 20 a () Month and (c) Basis for dprciation (d) Rcovry (a) Classification of proprty yar placd in (usinss/invstmnt us () Convntion (f) Mthod (g) Dprciation dduction srvic only-s instructions) priod 3-yar proprty 5-yar proprty STM yar proprty 10-yar proprty 15-yar proprty 20-yar proprty 25-yar proprty 25 yrs. S/L Rsidntial rntal 27.5 yrs. MM S/L proprty 27.5 yrs. MM S/L Nonrsidntial ral 39 yrs. MM S/L proprty MM S/L Sction C - Assts Placd in Srvic During 2010 Tax Yar Using th Altrnativ Dprciation Systm Class lif S/L 12-yar 12 yrs. S/L c 40-yar 40 yrs. MM S/L Part IV Summary (S instructions.) 21 Listd proprty. Entr amount from lin Total. Add amounts from lin 12, lins 14 through 17, lins 19 and 20 in column (g), and lin 21. Entr hr and on th appropriat lins of your rturn. Partnrships and S corporations - s instructions For assts shown aov and placd in srvic during th currnt yar, ntr th portion of th asis attriutal to sction 263A costs For Paprwork Rduction Act Notic, s sparat instructions. 1,467 Form 4562 (2010)

15 SCHEDULE A (Form 990 or 990-EZ) Dpartmnt of th Trasury Intrnal Rvnu Srvic Nam of th organization Pulic Charity Status and Pulic Support Complt if th organization is a sction 501(c)(3) organization or a sction 4947(a)(1) nonxmpt charital trust. Attach to Form 990 or Form 990-EZ. S sparat instructions. BLUFFTON SELF HELP INC Part I Rason for Pulic Charity Status (All organizations must complt this part.) S instructions. Th organization is not a privat foundation caus it is: (For lins 1 through 11, chck only on ox.) f g h (A) A church, convntion of churchs, or association of churchs dscrid in sction 170()(1)(A)(i). A school dscrid in sction 170()(1)(A)(ii). (Attach Schdul E.) A hospital or a cooprativ hospital srvic organization dscrid in sction 170()(1)(A)(iii). a Typ I Typ II c Typ III-Functionally intgratd d Typ III-Othr Ys No Ys No Ys No 2010 Opn to Pulic Inspction A mdical rsarch organization opratd in conjunction with a hospital dscrid in sction 170()(1)(A)(iii). Entr th hospital's nam, city, and stat: An organization opratd for th nfit of a collg or univrsity ownd or opratd y a govrnmntal unit dscrid in sction 170()(1)(A)(iv). (Complt Part II.) A fdral, stat, or local govrnmnt or govrnmntal unit dscrid in sction 170()(1)(A)(v). An organization that normally rcivs a sustantial part of its support from a govrnmntal unit or from th gnral pulic dscrid in sction 170()(1)(A)(vi). (Complt Part II.) A community trust dscrid in sction 170()(1)(A)(vi). (Complt Part II.) An organization that normally rcivs: (1) mor than 33 1/3% of its support from contriutions, mmrship fs, and gross rcipts from activitis rlatd to its xmpt functions - sujct to crtain xcptions, and (2) no mor than 33 1/3% of its support from gross invstmnt incom and unrlatd usinss taxal incom (lss sction 511 tax) from usinsss acquird y th organization aftr Jun 30, S sction 509(a)(2). (Complt Part III.) An organization organizd and opratd xclusivly to tst for pulic safty. S sction 509(a)(4). An organization organizd and opratd xclusivly for th nfit of, to prform th functions of, or to carry out th purposs of on or mor pulicly supportd organizations dscrid in sction 509(a)(1) or sction 509(a)(2). S sction 509(a)(3). Chck th ox that dscris th typ of supporting organization and complt lins 11 through 11h. By chcking this ox, I crtify that th organization is not controlld dirctly or indirctly y on or mor disqualifid prsons othr than foundation managrs and othr than on or mor pulicly supportd organizations dscrid in sction 509(a)(1) or sction 509(a)(2). If th organization rcivd a writtn dtrmination from th IRS that it is a Typ I, Typ II, or Typ III supporting organization, chck this ox... Sinc August 17, 2006, has th organization accptd any gift or contriution from any of th following prsons? Employr idntification numr (i) A prson who dirctly or indirctly controls, ithr alon or togthr with prsons dscrid in (ii) and (iii) low, th govrning ody of th supportd organization?... (ii) A family mmr of a prson dscrid in (i) aov?... (iii) A 35% controlld ntity of a prson dscrid in (i) or (ii) aov?... Provid th following information aout th supportd organization(s). OMB No (i) Nam of supportd (ii) EIN (iii) Typ of organization (iv) Is th organization (v) Did you notify (vi) Is th (vii) Amount of organization (dscrid on lins 1-9 in col. (i) listd in your th organization in organization in col. support aov or IRC sction govrning documnt? col. (i) of your (i) organizd in th (s instructions) ) support? U.S.? 11g(i) 11g(ii) 11g(iii) Ys No (B) (C) (D) (E) Total For Paprwork Rduction Act Notic, s th Instructions for Form 990 or 990-EZ. Schdul A (Form 990 or 990-EZ) 2010

16 Part II BLUFFTON SELF HELP INC Support Schdul for Organizations Dscrid in Sctions 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complt only if you chckd th ox on lin 5, 7, or 8 of Part I or if th organization faild to qualify undr Schdul A (Form 990 or 990-EZ) 2010 Part III. If th organization fails to qualify undr th tsts listd low, plas complt Part III.) Sction A. Pulic Support Calndar yar (or fiscal yar ginning in) (a) 2006 () 2007 (c) 2008 (d) 2009 () 2010 (f) Total Pag Gifts, grants, contriutions, and mmrship fs rcivd. (Do not includ any "unusual grants.")... Tax rvnus lvid for th organization's nfit and ithr paid to or xpndd on its half Th valu of srvics or facilitis furnishd y a govrnmntal unit to th organization without charg... Total. Add lins 1 through 3... Th portion of total contriutions y ach prson (othr than a govrnmntal unit or pulicly supportd organization) includd on lin 1 that xcds 2% of th amount shown on lin 11, column (f)... 6 Pulic support. Sutract lin 5 from ln 4 Sction B. Total Support Calndar yar (or fiscal yar ginning in) 7 Amounts from lin Gross incom from intrst, dividnds, paymnts rcivd on scuritis loans, rnts, royaltis and incom from similar sourcs... (a) 2006 () 2007 (c) 2008 (d) 2009 () 2010 (f) Total 9 Nt incom from unrlatd usinss activitis, whthr or not th usinss is rgularly carrid on Othr incom. Do not includ gain or loss from th sal of capital assts (Explain in Part IV.) Total support. Add lins 7 through Gross rcipts from rlatd activitis, tc. (s instructions) First fiv yars. If th Form 990 is for th organization's first, scond, third, fourth, or fifth tax yar as a sction 501(c)(3) organization, chck this ox and stop hr... Sction C. Computation of Pulic Support Prcntag 14 Pulic support prcntag for 2010 (lin 6, column (f) dividd y lin 11, column (f)) % 15 Pulic support prcntag from 2009 Schdul A, Part II, lin % 16a 33 1/3% support tst If th organization did not chck th ox on lin 13, and lin 14 is 33 1/3% or mor, chck this ox and stop hr. Th organization qualifis as a pulicly supportd organization /3% support tst If th organization did not chck a ox on lin 13 or 16a, and lin 15 is 33 1/3% or mor, chck this ox and stop hr. Th organization qualifis as a pulicly supportd organization... 17a 10%-facts-and-circumstancs tst If th organization did not chck a ox on lin 13, 16a, or 16, and lin 14 is 10% or 18 mor, and if th organization mts th "facts-and-circumstancs" tst, chck this ox and stop hr. Explain in Part IV how th organization mts th "facts-and-circumstancs" tst. Th organization qualifis as a pulicly supportd organization... 10%-facts-and-circumstancs tst If th organization did not chck a ox on lin 13, 16a, 16, or 17a, and lin 15 is 10% or mor, and if th organization mts th "facts-and-circumstancs" tst, chck this ox and stop hr. Explain in Part IV how th organization mts th "facts-and-circumstancs" tst. Th organization qualifis as a pulicly supportd organization... Privat foundation. If th organization did not chck a ox on lin 13, 16a, 16, 17a, or 17, chck this ox and s instructions... Schdul A (Form 990 or 990-EZ) 2010

17 Part III BLUFFTON SELF HELP INC Support Schdul for Organizations Dscrid in Sction 509(a)(2) (Complt only if you chckd th ox on lin 9 of Part I or if th organization faild to qualify undr Part II. Schdul A (Form 990 or 990-EZ) 2010 If th organization fails to qualify undr th tsts listd low, plas complt Part II.) Sction A. Pulic Support Calndar yar (or fiscal yar ginning in) (a) 2006 () 2007 (c) 2008 (d) 2009 () 2010 (f) Total Pag a Gifts, grants, contriutions, and mmrship fs rcivd. (Do not includ any "unusual grants.")... Gross rcipts from admissions, mrchandis sold or srvics prformd, or facilitis furnishd in any activity that is rlatd to th organization's tax-xmpt purpos Gross rcipts from activitis that ar not an unrlatd trad or us. undr sc 513 Tax rvnus lvid for th organization's nfit and ithr paid to or xpndd on its half... Th valu of srvics or facilitis furnishd y a govrnmntal unit to th organization without charg... Total. Add lins 1 through 5... Amounts includd on lins 1, 2, and 3 rcivd from disqualifid prsons , , , , ,719 1,563,249 18,334 26,943 45, , , , , ,662 1,608,526 c 8 Pulic support (Sutract lin 7c from lin 6.)... 1,608,526 Sction B. Total Support Calndar yar (or fiscal yar ginning in) (a) 2006 () 2007 (c) 2008 (d) 2009 () 2010 (f) Total 9 Amounts from lin , , , , ,662 1,608,526 10a Gross incom from intrst, dividnds, paymnts rcivd on scuritis loans, rnts, royaltis and incom from similar sourcs First fiv yars. If th Form 990 is for th organization's first, scond, third, fourth, or fifth tax yar as a sction 501(c)(3) organization, chck this ox and stop hr... Sction C. Computation of Pulic Support Prcntag 15 Pulic support prcntag for 2010 (lin 8, column (f) dividd y lin 13, column (f)) % 16 Pulic support prcntag from 2009 Schdul A, Part III, lin % Sction D. Computation of Invstmnt Incom Prcntag 17 Invstmnt incom prcntag for 2010 (lin 10c, column (f) dividd y lin 13, column (f)) % 18 Invstmnt incom prcntag from 2009 Schdul A, Part III, lin % 19a 20 Amounts includd on lins 2 and 3 rcivd from othr than disqualifid prsons that xcd th gratr of $5,000 or 1% of th amount on lin 13 for th yar... Add lins 7a and 7... Unrlatd usinss taxal incom (lss sction 511 taxs) from usinsss acquird aftr Jun 30, c Add lins 10a and Nt incom from unrlatd usinss activitis not includd in lin 10, whthr or not th usinss is rgularly carrid on... Othr incom. Do not includ gain or loss from th sal of capital assts (Explain in Part IV.)... Total support. (Add lins 9, 10c, 11, and 12.)... 1,867 1,063 3,534 6, , , , , ,196 1,614, /3% support tsts If th organization did not chck th ox on lin 14, and lin 15 is mor than 33 1/3%, and lin 17 is not mor than 33 1/3%, chck this ox and stop hr. Th organization qualifis as a pulicly supportd organization /3% support tsts If th organization did not chck a ox on lin 14 or lin 19a, and lin 16 is mor than 33 1/3%, and lin 18 is not mor than 33 1/3%, chck this ox and stop hr. Th organization qualifis as a pulicly supportd organization... Privat Foundation: If th organization did not chck a ox on lin 14, 19a, or 19, chck this ox and s instructions... Schdul A (Form 990 or 990-EZ) 2010