Form 990 - Foundation Center

Transcrição

Form 990 - Foundation Center
t
)
/n
.3,
Return of Organization Exempt From Income Tax
Form 9 9 0
Under section 501 (c), 527, or 4947 (a)(1) of the Internal Revenue Code (except black lung
benefit trust or private foundation)
Department of the Treasury
Internal Revenue Service
• .-
^ The organization may have to use a copy of this return to satisfy state reporting requirements
09/01, 2011, and ending
A For the 2011 calendar year , or tax year beginning
08/31, 20 12
D
C Name of organization
B
OMB No '
Employer identification number
Chock f1pprsde
STUDIOS OF
BORHOOD
FAIRFIELD COUNTY, INC.
06-0993269
Doin g Business As
A
e
change
N.,,,, char,,
Number and street (or P O box If mail is not delivered to street address)
naw.etmn
391 E.
E
Room/ suite
WASHINGTON AVE
Telephone number
(203)
366-3300
City or town, state or country, and ZIP + 4
T„m,n,tad
BRIDGEPORT,
An1nrn0ed
retu
G Gross receipts $
CT 06608
F Name and address of principal officer
Appl'coten
Pawing
391
E.
WASHINGTON AVENUE
I
Tax-exempt status
J
Website: ^ WWW. NSTUDIOS . ORG
K
Form of oroamzation
X
501(c) (
501(c)(3)
X
FRANK
Corooratlon
DERI CO
BRIDGEPORT,
(insert no)
)
CT
06608
4947(a)(1) or
Yes
affiliates'
H(b) Are all affiliates induded'
Yes
Association
Other ^
X
No
No
If 'No,' attach a list ( see instructions)
527
H(c) Group exemption number
Trust
1, 278, 899.
H(a ) Is this a group return for
L Year of formation
^
19 7 9 M State of legal domicile
CT
Summary
Briefly describe the organization's mission or most significant activities
-------------- --------------- -------------TO PROVIDE A MEASURABLE PLATFORM FOR LIFELONG SUCCESS THROUGH THE
------------------------------------------------------------------------- -------------___
DELIVERY
_____
_ _ S_ _ E_ D_ UCAT
_ _ I__
ON
___
TO
___
C_
H I L _D _RE _N_ _A_T __R_I_S_K_ _A_N_D__T_H_O_S_E_ _WI_T_H__S_P_E_C_I_A_L____ ______________
O _F _ ART
I
.
E
C
t o
2
NEEDS THROUGHOUT FAIRFIELD COUNTY.
--------------------------------------------------------- ---------------- -------------Check this box ^
if the organization discontinued its operations or disposed of more tha n 25% of its net assets
3
Number of voting members of the governing body (Part VI, line 1a ) , , , , , , , , , , , , , , , , ,
3
20.
4
Number of independent voting members of the governing body ( Part VI, line 1b ) , , , , , , , , , , , , , , ,
4
20.
>
5'
Total number of individuals employed in calendar year 2011 (Part V, line 2a ), , , , , , , , , , , , , ,
5
88 .
.
6
Total number of volunteers ( estimate if necessary )
6
13
ap
, , , , , , , , , , , , , , , , , , , , , , , , ,
7a Total unrelated business revenue from Part VIII , column ( C), line 12 , , , , , , , , , , , , , , , ,
b Net unrelated business taxable income from Form 990-T, line 34
N
............. ..........
Prior Year
Contributions and grants (Part VIII, line 1h), , , , , , , , , , , , , , , , , , , , , , ,
Program service revenue (Part VIII, line 2g ) .. . . . .. .. . . . . . .. . . .. .. .
8
9
7a
10
Investment Income (Part VIII, column ( A), lines 3, 4, and 7d)
11
Other revenue ( Part VIII , column ( A), lines 5, 6d, 8c, 9c, 1Oc, and 1le)
12
Total revenue - add lines 8 throw h 11 must a ual Part Vlll, column A , line 12
13
Grants and similar amounts paid (Part IX, column ( A), lines 1-3 )
14
Benefits paid to or for members ( Part IX , column ( A), line 4 )
15
Salaries , other compensation , employee benefits ( Part IX , column ( A),lines5-10 )
7b
1,218, 175.
. 545,214 .
Current Year
631, 969.
617 , 7 8 4
1, 022.
834
89, 688.
22, 107
854 , 099.
1, 272, 694
767,035.
892,677
16a Professional fundraising fees (Part IX , column (A), line Ile )
-0
831
b Total fundraising expenses ( Part IX , column (D), line 25 )
Other expenses ( Part IX , column ( A), lines 1a-11d , 11f-24e )
549, 234.
553, 949.
18
Total expenses Add lines 13 - 17 (must equal Part IX , column (A), line 25 )
316, 2 69 .
1, 446, 626.
19
Revenue less expenses Subtract line 18 from line 12 .
W 17
537,830.
Beginning of Current Year
00
Nr 20
21
Total assets ( Part X , line 16 ) , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
Total liabilities ( Part X, line 26 ), , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
i,J3` 22
Net assets or fund balances Subtract line 21 from line 20.
JZ.M
791, 629.
291, 840.
499 , 789.
-173, 932.
End of Year
707, 512.
385,530.
321, 982.
Signature Block
Under penalties of per jury, I declare that I have examined this return. Including accompanying schedules and statements, and to the best of my knowledge and belief, it is true.
prep
than officer ) is based on all information of which preparer has any knowledge
correct , and complete Declaratl
ltd
Sign
natu
ffice
Here
^),_ Xe
k & iii (4-_
f
Type or print name and title
Prep
Print/Type preparers name
bes Sig
ur
Paid
ERIC
N.
HENDLIN,
CPA
Preparer
Use Only
Firm's name
^
DWORKEN
HILLMAN
Firm' saddress ^ FOUR CORPORATE DRIVE
LAMORTE
&
STE
SUITE 488 SHELTON
C
May the IRS discuss this return with the preparer shown abo ve ' (see In struc t,
For Paperwork Reduction Act Notice , see the separate Instructions.
JSA
1E10101000
36825U K276
V 11
I
NEIGHBORHOOD
OF
STUDIOS
FAIRFIELD COUNTY, INC.
06-0993269
Page 2
Form 990 (2011)
Statement of Program Service Accomplishments
Check if Schedule 0 contains a response to any question in this Part III ... . . .. .. .. . . .. . . . . . . . .. ❑
I
Briefly describe the organization ' s mission
STATEMENT
SEE
2
3
1
Did the organization undertake any significant program services
prior Form 990 or 990- EZ'? . . . . . . . . . . . . . . . . . . . .
If "Yes," describe these new services on Schedule 0
Did the organization cease conducting , or make significant
services .. .. .. ..
.. ..
..
..
.. ..
during the year which were not listed on the
.. . . .. .
. . .. . . . . . . . .. .. . ❑ Yes
❑ No
changes in how it conducts, any program
❑ Yes F No
.. ..
.. ...
If "Yes," describe these changes on Schedule O.
4 Describe the organization ' s program service accomplishments for each of its three largest program services , as measured by
expenses . Section 501 ( c)(3) and 501 ( c)(4) organizations and section 4947( a)(1) trusts are required to report the amount of
grants and allocations to others , the total expenses, and revenue , if any, for each program service reported.
) ( Expenses $
4a (Code .
51, 097
.. ..
including grants of $
) (Revenue $
LIGHTHOUSE:
NSFC WORKS
ARTS
IN COLLABORATION WITH THE
ENRICHMENT CLASSES
STEEL
DRUMMING
4b (Code*
AILEY CAMP
DANCE,
&
CHORUS
IN
LIGHTHOUSE
DANCE/CREATIVE
INSTRUCTION
FOR
PROGRAM TO
MOVEMENT,
300
TO RESPECT
THE
DISCIPLINE OF
) (Revenue $
"TURNED ON"
DANCE
DEMANDED BY ANY SPORT.
DISCIPLINES AS WELL AS CLASSES
PERSONAL
) ( Expenses $
PRIVATE
MUSIC SCHOOL OFFERS
WOODWIND,
CHAMBER MUSIC,
LESSONS ARE
BASIS
TAKE
COMPARABLE
PART
IN
TO
FOUR
IN CREATIVE COMMUNICATION AND
DEVELOPMENT.
4c (Code *
BRASS,
PARTICIPANTS
TO
DANCE AS A PHYSICAL
ACTIVITY WHICH REQUIRES ATHLETIC ABILITIES THAT ARE
SKILLS
PROVIDE
THEATER,
YOUTHS.
) (Expenses $
75, 248 including grants of $
IS A SUMMER DAY CAMP WHERE PRETEENS ARE
AND COME
ART,
57, 578 including grants of $
GROUP INSTRUCTION IN
IMPROVISATION,
150
FOR CHILDREN,
) (Revenue $
PIANO,
STRINGS,
THERE ARE ALSO CLASSES
GUITAR AND PERCUSSION.
JAZZ
PROVIDED
FOR OVER
&
THEORY AND CULTURAL
TEENS
& ADULTS
IN
DRUMMING.
ON A YEAR ROUND
STUDENTS.
ATTACHMENT 1
4d Other program services ( Describe in Schedule O )
) (Revenue $
(Expenses $
806, 430 including grants of $
990,353.
4e Total program service expenses ^
7sA
1E1020 1 000
Form 990 (2011)
36825U K276
V 11-6.5
I
NEIGHBORHOOD STUDIOS
OF
FAIRFIELD COUNTY, INC.
06-0993269
Page 3
Form 990 ( 2011)
Checklist of Re q uired Schedules
Yes
e
Is the organization described in section 501 ( c)(3) or 4947 ( a)(1) (other than a private foundation)? If 'Yes,"
complete Schedule A . . . . . . . . . .. .. .. .. .. . . .. . . . . ... .. . . .. .. . . . .. .. . . .
Is the organization required to complete Schedule B, Schedule of Contributors ( see instructions )? ........
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C, Part I .. . . . .. . . . . .. .. . .. .. .. . . .
Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities , or have a section 501(h)
election in effect during the tax year? if "Yes," complete Schedule C, Part ll . . . . . . .. .. . . . .. .. . . .
Is the organization a section 501 ( c)(4), 501 ( c)(5), or 501(c)(6) organization that receives membership dues,
assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part lll ........................................................
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors
have the right to provide advice on the distribution or investment of amounts in such funds or accounts' If
"Yes,"complete Schedule D, Part I .. . . . . . . . . . ... .. . .. . ... .. .. . . .. . ... . .. . . .
Did the organization receive or hold a conservation easement , including easements to preserve open space,
the environment , historic land areas , or historic structures? If "Yes," complete Schedule D, Part 11. . . .. . . .
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part Ill . . . .. .. .. . . .. .. . . .. .. . .. . . .. .. . . .. . .. . . .. . ..
Did the organization report an amount in Part X , line 21, serve as a custodian for amounts not listed in Part
X, or provide credit counseling , debt management , credit repair, or debt negotiation services ' If "Yes,"
complete Schedule D, Part IV .. . . . . . .. . . .. .. .. ... .. . . . . . . . . .. .. ... . . .. . ...
Did the organization , directly or through a related organization , hold assets in temporarily restricted
endowments , permanent endowments , or quasi - endowments ? If "Yes," complete Schedule D, Part V .. . ..
If the organization ' s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,
VII, VIII, IX, or X as applicable
Did the organization report an amount for land, buildings, and equipment in Part X , line 10' If "Yes," complete
Schedule D, Part VI . .. .. .. . . . .. .. . . .. .. .. . .... .... .. .... .. ... . . .. . .. .
Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more
of its total assets reported in Part X , line 16 ? If "Yes," complete Schedule D, Part VII . . . .. . .. . . . . ... .
Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more
of its total assets reported in Part X, line 16? If "Yes,"complete Schedule D, Part Vlll . . . .. . .. .. .. .. . .
Did the organization report an amount for other assets in Part X , line 15 that is 5% or more of its total assets
reported in Part X , line 16? If "Yes," complete Schedule D, Part IX .. . . . . . . .. . ... . .. . . .. . . . .
Did the organization report an amount for other liabilities in Part X, line 25' If "Yes,"complete Schedule D, Part X
f
Did the organization ' s separate or consolidated financial statements for the tax year include a footnote that addresses
1
2
3
4
5
6
7
8
9
10
11
a
b
c
d
1
2
No
X
X
3
X
4
X
5
6
X
7
X
8
X
9
X
10
X
11a
X
11b
X
11c
X
11 d
110
X
X
X
11 f
the organization ' s liability for uncertain tax positions under FIN 48 ( ASC 740 ) ? If "Yes,"complete Schedule D, PartX . . . . .
12a Did the organization obtain separate , independent audited financial statements for the tax year's If "Yes,"
complete Schedule D, Parts Xl, Xll, and X/ll .. . ... . . . . ... .. .... .. .. .. .. ... . . . . . . . . .
12a
X
b Was the organization included in consolidated , independent audited financial statements for the tax year? If 'Yes," and if
12b
X
.
13
14a
X
X
.
14b
X
15
X
16
X
17
X
the organization answered "No" to line 12a, then completing Schedule D, Parts Xl, XII, and XIII is optional . . . . . . . . . . . .
13
Is the organization a school described in section 170(b)(1)(A)(u)? If "Yes," complete Schedule E . . . . . ...
14a Did the organization maintain an office , employees, or agents outside of the United States?. ... . . . . ... .
b Did the organization have aggregate revenues or expenses of more than $ 10,000 from grantmaking,
fundraising , business, investment , and program service activities outside the United States , or aggregate
foreign investments valued at $100 , 000 or more? If "Yes," complete Schedule F, Parts I and IV. . . .. . . . . .
15 Did the organization report on Part IX , column (A), line 3 , more than $5 , 000 of grants or assistance to any
organization or entity located outside the United States? If "Yes,"complete Schedule F, Parts ll and IV .. .. .
16
Did the organization report on Part IX , column (A), line 3 , more than $5 , 000 of aggregate grants or assistance
to individuals located outside the United States ' If "Yes," complete Schedule F, Parts 111 and IV .. . . .. . . .
17
Did the organization report a total of more than $15 , 000 of expenses for professional fundraising services
on Part IX , column (A), lines 6 and 1 le? If "Yes,"complete Schedule G, Part I (see instructions) ... .. . .. .
18
Did the organization report more than $15 , 000 total of fundraising event gross income and contributions on
Part VIII, lines 1 c and 8a? If "Yes,"complete Schedule G, Part ll . . .. .... . . .. . ... ... . . . . .. .
19
Did the organization report more than $15 , 000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part 111 . . . .. . . .. .. . . . . . .. ... . .. . . . ... ... .. . . .. .
20 a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H . ... .. . . .. . .
b If "Yes" to line 20a, did the org anization attach a co py of its audited financial statements to this return? .
18
.
.
19
20a
20b
X
X
X
Form 990 (2011)
JSA
1 E1021 1 000
36825U K276
V 11-6.5
i
NEIGHBORHOOD STUDIOS OF
FAIRFIELD COUNTY, INC.
06-0993269
Form 990 (2011)
Page 4
Checklist of Req uired Schedules (continued)
Yes
21
22
23
24a
b
c
d
25a
b
26
27
28
a
b
c
29
30
31
32
33
34
35a
b
36
37
38
Did the organization report more than $5,000 of grants and other assistance to any government or organization
in the United States on Part IX, column (A), line 1? If "Yes,"complete Schedule 1, Parts I and ll. . . . .. .. . .. .
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States
on Part IX, column (A), line 2? If "Yes," complete Schedule 1, Parts I and 111 . ... . . . . . . . . . . .. . . . .. .
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the
organization's current and former officers, directors, trustees, key employees, and highest compensated
employees? If "Yes," complete Schedule J . . . . . . . . . ... . .. ... ... . ... .. . . . . .. . . . . .
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than
$100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b
through 24d and complete Schedule K If'No,"go to line 25 ... . .. .. . . .. . ... .. .. . . .. . . . .. .
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception ? .. . . .. .
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ................. ........ .................
Did the organization act as an "on behalf of issuer for bonds outstanding at any time during the year? . . . . .. .
Section 501(c)(3) and 501(c)(4) organizations . Did the organization engage in an excess benefit transaction
with a disqualified person during the year? If "Yes," complete Schedule L, Part1 . .... .. .. . . . . . . . .. .
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior
year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ'
If "Yes,"complete Schedule L, Part I . . .. .. . . . . ... . . . . . . . . .. .. .... .. ... . . .. . . ..
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or
disqualified person outstanding as of the end of the organization's tax yeah If "Yes," complete Schedule L, Part 11 .
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,
substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled
entity or family member of any of these persons? If "Yes,"complete Schedule L, Part Ill . . . ... . . .. . . .. .
Was the organization a party to a business transaction with one of the following parties (see Schedule L,
Part IV instructions for applicable filing thresholds, conditions, and exceptions):
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV. ... . .. .
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete
Schedule L, Part IV . . . . .. . . . . . .. .. .. . . .. . . ... .. ... . .. . . . . . . ... . . .. . . ..
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)
was an officer, director, trustee, or direct or indirect owner? If "Yes,"complete Schedule L, Part IV . . .. . ... .
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
conservation contributions? If "Yes,"complete Schedule M . .. . . . . . . ... . ... . .... . . .. . ... .
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part l ..........................................................
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"
complete Schedule N, Part ll . . . . . . .. . . . . . . ... . .. . .. . . .. .. . ... .. . .. . ... ...
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301 7701-2 and 301.7701-3? If "Yes,"complete Schedule R, Part 1 . .. .. .. .. . .. . . .. ...
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts 11, lll,
IV, and V, line 1 . . . .. . . .. . . . .. .. .. . . .. . . .. . ... ... . . . . .. .. . .. .. .. .. .
Did the organization have a controlled entity within the meaning of section 512(b)(13)? , , , , , , , , , , , ,
Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)' If "Yes,"complete Schedule R, Part V, line 2 , , , , , , , , , , , , , , , , , ,
Section 501(c )( 3) organizations . Did the organization make any transfers to an exempt non-charitable
related organization? If "Yes,"complete Schedule R, Part V, line 2 .. .. .. . . . . ... . . ... . .. .. .. .
Did the organization conduct more than 5% of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R
Part VI .........................................................
Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and
19' Note. All Form 990 filers are re q uired to com p lete Schedule 0
.
No
21
X
22
X
23
X
24a
24b
X
24c
24d
25a
X
25b
X
26
X
27
X
28a
X
28b
X
28c
29
X
X
30
X
31
X
32
X
33
X
34
35a
X
X
35b
X
36
X
37
X
38
Form 990 (2011)
JSA
1 E 1030 1 000
36825U K276
V 11-6.5
i
V
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Form 990 (2011)
Page 5
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule 0 contains a response to any question in this Part V . . . . . . . . . . . . . . . . . . . . . . . n
Yes
1a
b
c
2a
32
la
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable.
0
1b
Enter the number of Forms W-2G included in line 1 a Enter -0- if not applicable. . . . . . . .
Did the organization comply with backup withholding rules for reportable payments to vendors and
reportable gaming (gambling) winnings to prize winners'. .. . .. .. . . .. . . . . . . . . .. . .. . . .. . . .
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax
88
Statements, filed for the calendar year ending with or within the year covered by this return . 2a
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note . If the sum of lines 1 a and 2a is greater than 250, you may be required to a-file (see instructions). . .. . .
3a Did the organization have unrelated business gross income of $1,000 or more during the year? , , , , , , , , ,
b If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Schedule 0 . .. . . . . . .
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority
over, a financial account in a foreign country (such as a bank account, securities account, or other financial
account)? .......................................................
b If "Yes," enter the name of the foreign country: ^ ____________________
__
See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts.
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? , , , . , , ,
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? .. . . .. . . . . . . . . . . ... . . . . . . .. .
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the
organization solicit any contributions that were not tax deductible? . . .. . . . . .. .. . . .. . . . . . .. . .
b If "Yes," did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible? .. ... ....................................... .
7 Organizations that may receive deductible contributions under section 170(c).
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods
and services provided to the payor? , , ,, , , , , , , ,, , , , , , ,
b If "Yes," did the organization notify the donor of the value of the goods or services provided' ... .. .. .. .. .
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
. .. . .. ... . .. . ... . . . . . . . .. . .. . . . . . ..
required to file Form 8282
.. .. .. .
d If "Yes," indicate the number of Forms 8282 filed during the year . . . .. . . . .. . . .... ^ 7d
No
1c
3a
3b
X
4a
X
Sa
56
X
X
6a
X
6b
7c
X
e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? .. .
X
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
X
f
g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required' , , ,
h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C'
8
9
a
b
10
a
b
11
a
b
12a
b
13
a
b
c
14a
b
Sponsoring organizations maintaining donor advised funds and section 509(a )( 3) supporting
organizations . Did the supporting organization, or a donor advised fund maintained by a sponsoring
organization, have excess business holdings at any time during the year? , , , , , , , , , , , , , , , , , , , , , , ,
Sponsoring organizations maintaining donor advised funds.
Did the organization make any taxable distributions under section 4966 . . . . . .. .. . . .. . . . . . .. .. .
Did the organization make a distribution to a donor, donor advisor, or related person? , , , , , , , , , , , , , , , ,
Section 501(c )( 7) organizations. Enter
10a
Initiation fees and capital contributions included on Part V I I I , line 12 . .. . .. . . . . . .
10b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities , , ,
Section 501(c )( 12) organizations . Enter:
11 a
Gross income from members or shareholders .. . . .. .. . ... . .. . . . . . . . ..
Gross income from other sources (Do not net amounts due or paid to other sources
11 b
against amounts due or received from them ) . .. . ... .. . .. . ... . . . . .. . ...
Section 4947( a)(1) non -exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041?
If "Yes," enter the amount of tax-exempt interest received or accrued during the year , , , , , 1 12b
Section 501(c )( 29) qualified nonprofit health insurance issuers.
Is the organization licensed to issue qualified health plans in more than one state? .. .. .. .. . . . .. .. .. .
Note . See the instructions for additional information the organization must report on Schedule 0
Enter the amount of reserves the organization is required to maintain by the states in which
the organization is licensed to issue qualified health plans , , , , , , , , , , , , , , , , ,
13b
13c
Enter the amount of reserves on hand . . .. . .. . . .. .. . .. . . .. . .. . . . . . ..
Did the organization receive any payments for indoor tanning services during the tax year? . ... .. .. .. .. .
If "Yes," has it filed a Form 720 to report these payments' If No."vrowde an explanation in Schedule 0 .... . .
1D 1 000
i E1040
9a
X
Form 990 (2011)
36825U K276
V 11-6.5
Form 990 (2011)
NEIGHBORHOOD STUDIOS OF
FAIRFIELD COUNTY,INC.
06-0993269
Page 6
Governance , Management , and Disclosure For each "Yes" response to lines 2 through 7b below, and for a
"No" response to line 8a, 8b, or 1Ob below, describe the circumstances , processes, or changes in Schedule
0. See instructions.
Check if Schedule 0 contains a response to any question in this Part VI ... .. ... . ... .. .... ... . .. ..
Section A. Governing body and management
No
1a
Enter the number of voting members of the governing body at the end of the tax year If there are . . . . . .
1a
2
material differences in voting rights among members of the governing body, or if the governing body
delegated broad authority to an executive committee or similar committee, explain in Schedule 0
b
2
3
2
1b
Enter the number of voting members included in line 1a, above, who are independent .. . ..
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with
any other officer, director, trustee, or key employee? .. . . . . . . ... .... .. . .. . .. . .. . . .. ..
Did the organization delegate control over management duties customarily performed by or under the direct
2
X
supervision of officers, directors, or trustees, or key employees to a management company or other person? . .
3
X
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?. . . . .
4
X
5
Did the organization become aware during the year of a significant diversion of the organization's assets?.. .
5
X
6
Did the organization have members or stockholders? . . . . .. . . ... .... . . . ... .. . . . .. .. . .
6
X
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint
one or more members of the governing body? .. .... ......... ............. ........
7a
b Are any governance decisions of the organization reserved to (or subject to approval by) members,
7b
stockholders, or persons other than the governing body? . . .. .. ... .... . . . . . . . . . . . .. ....
8
Did the organization contemporaneously document the meetings held or written actions undertaken during
the year by the following
a The governing body? . .. ................. ......... .... .................
8a
8b
b Each committee with authority to act on behalf of the governing body? . . ... . . . . . . ... .. .. . . ..
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at
the org anization's mailin g address? If 'Yes," provide the names and addresses in Schedule 0
9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
X
X
X
Yes
Did the organization have local chapters, branches, or affiliates? . . . .. . ... . .. . . . ... .. . ... .. .
If "Yes," did the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes ? . ...
10a
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . .
11a
X
12a
X
12b
X
12c
13
X
14
X
15a
15b
X
b
12a
b
Describe in Schedule 0 the process, if any, used by the organization to review this Form 990.
Did the organization have a written conflict of interest policy? If "No,"go to line 13 . . . . . ... .. . ... ...
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give
rise to conflicts? .. . .. . . .. . . . ... . .. . . .. ... .... .. .... . . . . . . ... .. . . .. ..
c Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,"
descnbe in Schedule 0 how this was done . . . . . ... .. . .... . . .... .. . . . . ... ... . .. ..
13
Did the organization have a written whistleblower policy? .. . ... . .. .... . . . . . . ... ... ... ..
14
Did the organization have a written document retention and destruction policy? . .. . . . . ... .. . . .. ..
15
Did the process for determining compensation of the following persons include a review and approval by
independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization's CEO, Executive Director, or top management official . . . .. .. . . . . ... .. . . .. ...
b Other officers or key employees of the organization . . . . . .... . .. . . .. .. . . . . ... .. . . .. ...
If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions )
16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement
with a taxable entity during the year? .........................................
b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its
participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the
organization's exempt status with respect to such arrangements?
No
X
10a
b
10b
16a
X
X
X
16b
Section C . Disclosure
17
18
------------------ ------------List the states with which a copy of this Form 990 is required to be filed
Section 6104 requires an organization to make its Forms 1023 ( or 1024 if applicable ), 990, and 990-T (Section 501(c)(3)s only)
available for public ins ection Indicate how you made these available Check all that apply
Own website
Another' s website
j Upon request
F-J
19
20
Describe in Schedule 0 whether ( and if so , how), the organization made its governing documents , conflict of interest policy,
and financial statements available to the public during the tax year.
State the name , physical address, and telephone number of the person who possesses the books and records of the
organization
^ GEORGE COMER
391
E.
WASHINGTON AVENUE BRIDGEPORT,
JSA
1E1042 1 000 36825U
CT
06608
203-366-3300
Form 990 (2011)
K276
V
11-6.5
Pagel
06-0993269
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
Form 990 (2011)
ORM
Compensation of Officers, Directors , Trustees , Key Employees , Highest Compensated Employees, and
Independent Contractors
Check if Schedu l e 0 co nta i ns a response to any question in this Part VII .................... ❑
Officers, Directors , Trustees , Key Employees , and Highest Compensated Employees
Report compensation for the calendar year ending with or within the
Section A.
1a Complete this table for all persons required to be listed
organization's tax year.
• List all of the organization 's current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation Enter -0- in columns (D), (E), and (F) if no compensation was paid
• List all of the organization' s current key employees, if any. See instructions for definition of "key employee "
• List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations
• List all of the organization' s former officers, key employees, and highest compensated employees who received more than
$100,000 of reportable compensation from the organization and any related organizations
• List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order individual
compensated employees; and former such persons
or
trustees
directors;
institutional
trustees,
officers,
key
employees,
highest
❑ Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee
(A)
(B)
(C)
(D )
( E)
(F)
Name and Title
Average
hours per
Position
( do not check more than one
Reportable
compensation
Reportable
compensation from
Estimated
amount of
box, unless person is both an
from
related
other
the
organization
(W - 2/1099-MISC)
organizations
(W-2/1099-MISC)
compensation
from the
organization
and related
organizations
week
(describe
hours for
related
or g anizations
in Schedule
0)
officer and adirector/tn,stee )
o s s 0
cD =
o
3 0
5
a o N
n
C ?
m
C
D
y
3
y
CD
ID
n
FREEDMAN
DOROTHY N.
SECRETARY
_ _ C31 - LAURIE
X
X
0
X
X
0
X
X
0
0
0
0
GROSS
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
CHAIRMAN
0
X
0
0
ROSENBAUM
-----------------------DIRECTOR
0
X
0
0
0
X
0
X
0
X
0
X
VICE
4
0
-----------
---
-
-
--w-ROBER - -PRESIDENT
CHAIRMAN
ANDREW
HART
DIRECTOR
_ _ C51- DAVID HART
DIRECTOR
_6
PATRICIA HART
DIRECTOR
1
_ _ C71- ROBERT A JACOBS
DIRECTOR
-8
MADDY LAP IDES
-9
HAROLD LEVINE
DIRECTOR
X
-j10)-JOAN
11
DAVID ROSS
DIRECTOR
12
PEGEEN
VICE
13
0
RUBINSTEIN
CHAIRMAN
GINA LEVON
DIRECTOR
-114J-JACQUELINE
X
0
0
0
0
SIMPSON
WOODS--------------
DIRECTOR
0
Form 990 (2011)
JSA
1 E 1041 1 000
36825U K276
V 11-6.5
f
%
t
I
NEIGHBORHOOD STUDIOS OF
FAIRFIELD COUNTY, INC.
06-0993269
Form 990 (2011)
Page 8
Section A. Officers . Directors . Trustees . Kev Emolovees . and Highest Compensated Emolovees icnnnnrued)
FWffM
(A)
Name and title
(B)
(C)
(D )
( E)
Average
Position
Reportable
Reportable
(F)
Estimated
hours per
( do not check more than one
box , unless person is both an
compensation
compensation from
amount of
week
from
related
other
(describe
officer and a director / trustee
the
or g anizations
compensation
organization
( W-2/1099-MISC)
( W-2/1099-MISC)
71
hours for
° Q
>
related
= Q
-
organizations
i n Schedule
a
g 2
o
m
'0
m
m
2
m
0)
m 6
m
' D M.
o m
CD
-n
o
I
CD
and related
organizations
a 8
N
from the
organization
y
CD
N
d
15) CATHY COLGAN
--------------------------------BOARD MEMBER
0
X
0
0
16) BRUCE COOPER
--------------------------------BOARD MEMBER
0
X
0
0
17) VIDA FLORIAN
--------------------------------BOARD MEMBER
0
X
0
0
0
0
18) JIM KEMPNER
---------------------------------
EXEC.
COMM.
AT LARGE
0
X
19) ERIKA MILLER
--------------------------------BOARD MEMBER
X
0
X
0
0
20) ANN PAPPAS PHILLIPS
--------------------------------BOARD MEMBER
0
X
0
0
21) DR. DONALD RAINONE
--- -----------------------------EXECUTIVE DIRECTOR/CEO
0
X
127,750.
0
---------------------------------------------------------------------------------------------------------------------------------
1b
c
d
2
0
^
Sub -total
127, 750.
Total from continuation sheets to Part VII , Section A
^
Total ( add lines lb and 1c
127, 750.
. ^
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of
reportable compensation from the organization ^
1
3
Did the organization list any former officer, director, or trustee, key employee, or highest compensated
employee on line la? If "Yes,"complete Schedule J for such individual . .. . .. . .. ... . .. .... . . . .. ..
0
0
0
Yes
No
_
3
For any individual listed on line la, is the sum of reportable compensation and other compensation from the
organization and related organizations greater than $150,000
If "Yes," complete Schedule J for such
individual ...........................................................
4
5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individual
for services rendered to the organization? If 'Yes,"complete Schedule J for such person
5 Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization Report compensation for the calendar year ending with or within the organization's tax
year.
X
4
(A)
Name and business address
2
(B)
Description of services
X
X
(C)
Compensation
Total number of independent contractors (including but not limited to those listed above) who received
more than $100,000 in compensation from the organization ^
0
Form 990 (2011)
ieioss2000
36825U
K276
V
11-6.5
Form 990 ( 2011 )
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC .
Statement of Revenue
Page9
06-0993269
,.x
Related or
exempt
function
revenue
Total revenue
f•
'`
, ^ ;,
^
^^ ,
Unrelated
business
revenue
Revenue
excluded from tax
under sections
512, 513, or 514
In,
Federated campaigns
1a
1a
^
b
Membership dues
. . . . . . .
1b
c
Fundraisin g events . . . . . . .
IC
(32
d
Related or g anizations . . . . . .
1d
c jn
e
Government grants (contributions ) .
1 e
45 029
f
All other contributions , gifts, grants ,
^f
586 940
o
and similar amounts not included above
o
g
Noncash contributions included in lines la-1 1'
h
Total . Add lines la-1f
-`-
a
w
",
.4
^
631 , 969
.
°'
Business Code
>
2a
b
TUITION AND
FEES
CONTRACTED SERVICES
127 , 167
127 , 167
490 , 617
490 , 617
c
in
d
2
e
o
f
9
3
All other program service revenue . . . . .
Total . Add lines 2a-2f
^
617 784
Investment income ( including dividends , interest, and
other similar amounts ). . ATTACHMENT 2
^
834
Income from investment of tax-exempt bond proceeds . . . ^
" " • • • • ^
Royalties . . . . . . . .
(s) Personal
(1) Real
4
5
6a
,
-
Less rental expenses .
c
d
R en t a l income or ( loss )
Net rental income or (loss) . ............... . ^
( ii) Other
(i) Seconties
Gross amount from sales of
assets other than inventory
b
0
0
Gross rents . . . . . . .
b
7a
834
-
-
Y_ =
0
Less cost or other basis
and sales expenses . . .
c
d
d
8a
G ain or ( l oss) . . . . . . .
Net gain or (loss) . . . . . . . . . . . . .
^
0
Gross income from fundraising
events ( not including $
-
of contributions reported on line 1c)
IX
24 , 047
a
6 , 205
L ess d irec t expenses . . . . . . . . . . b
Net income or (loss ) from fundraising events . AT CH .3 . ^
See Part IV , line 18 . . . . . . . . . . .
b
c
9a
b
c
10a
b
c
11a
Gross income from gaming activities
See Part IV, line 19 . . . . . . . . . . .
a
Less direct ex p enses . . . . . . . . . . b
Net income or (loss ) from gaming activities .
less
sales
of
inventory,
Gross
returns and allowances . . . . . . . . .
. ^
0
. ^
Business Code
0
a
L ess cos t o f g oods sold . . . . . . . . . b
Net income or ( loss ) from sales of invento ry
Miscellaneous Revenue
MISCELLANEOUS
17 842
& ART SALES
4 , 265
4 , 265
4 265
1 27z 694
622883
b
c
d
All other revenue . . . . . . . . . . . . .
e
Total . Add lines 1la -11d . . . . . . . . . . . . . . . . . ^
• ^
Total revenue . See instructions
12
Form 990 (2011)
JSA
1E10511000
36825U K276
V 11-6.5
Page 10
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY,INC.
Form 990 (2011)
06-0993269
FORR. Statement of Functional Expenses
Section 501 (c)(3) and 501 (c)(4) organizations must complete all columns All other organizations must complete column (A) but are not
required to complete columns (B), (C), and (D)
Check if Schedule 0 contains a response to any question in this Part IX . ,
Grants
1
2
and
other assistance to
(B)
Program service
expenses
( A)
Total expenses
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 106 of Part Vlll.
(C)
Management and
general expenses
(D)
Fundraising
expenses
governments and
organizations in the United States See Part IV, line 21
0
Grants and other assistance to individuals in
the United States See Part IV, line 22. . . .
0
Grants and other assistance to governments,
organizations , and individuals outside the
3
United States See Part IV, lines 15 and 16
0
4
Benefits paid to or for members , , , , , , ,
0
5
Compensation of current officers, directors,
trustees, and key employees . . . . . . ..
Compensation
6
not
included
above,
to
127,750.
127, 750.
disqualified
persons (as defined under section 4958 ( f)(1)) and
persons described in section 4958 ( c)(3)(B) , , , ,
0
687, 372.
7
Other salaries and wages . . ... .. . ..
8
Pension plan accruals and contributions (include section
Other employee benefits . . . . . . . . . .
10
Payroll taxes . . . .... .. .. . . ...
11
Fees for services ( non-employees)
a Management
b Legal
. . . . . . . . . . . . . . .
0
. . . . . . . . . . . . . . . . . . .
0
Professional fundraising services See Part IV , line 17
18, 411.
0
0
0
.. .. ...
798.
g Other . . . . . . . . . . . . . . . . . . .
0
f Investment management fees
59, 144.
0
77,555.
c Accounting . . . . . . . . . . . . . . . . . .
d Lobbying . . . . . . . . . . . . . . . . .
e
82, 049.
0
401(k ) and 403 ( b) employer contributions ) . . . .
9
605, 323.
798.
1, 041.
16, 564.
12
13
Advertising and promotion . ... .. . . .
Office expenses . . . .. . ... .. . ..
14
Information technology . . . . . . . . . . .
15
Royalties . . . . . . . . . . . . . . . . . .
16
17
Occupancy . . .. .. . .. .. . . .. . ..
Travel .. .. .. .... . . .. .. . ..
18
Payments of travel or entertainment expenses
for any federal , state, or local public officials
19
20
Conferences , conventions , and meetings . . .
Interest . .. .. .... .. .. . . . ..
21
Payments to affiliates
22
23
Depreciation , depletion , and amortization . . .
Insuranc e .. . . . . .. . . . . .. . . .
24
Other
1, 041.
16, 564.
0
0
125, 978.
7, 726.
100, 782.
4, 631.
0
1, 860.
17, 978.
. . . . . . . . . . . . .
1, 860.
17, 978.
0
7 7, 847.
27, 489.
21,991.
aCONTRACTED_SERVICES__________
67, 980.
67, 980.
bPROFESSIONAL-FEES ____________
cPRINTING_____________________
57, 366.
14, 680.
1,229.
expenses
Itemize
expenses
not
25, 196.
3, 095.
77, 847 .
5, 498.
covered
above ( List miscellaneous expenses in line 24e
If
line 24e amount exceeds 10% of line 25, column
(A) amount, list line 24e expenses on Schedule 0)
51,366.
6,620.
dTELEPHONE ____________________
7,595.
6,076.
1,519.
e All other expenses _________________
129, 047.
1, 446, 626.
123, 197.
990, 353.
5, 850.
443, 442.
25
Total functional ex p enses . Add lines 1 throu g h 24e
26
Joint costs . Complete this line only if the
organization reported in column ( B) joint costs
from a combined educational campaign and
fundraising solicitation Check here ^ ED if
following SOP 98-2 (ASC 958-720) ,
12, 831.
Q
JSA
1 E 1052 1 000
36825U K276
6,000.
6,831.
Form 990 (2011)
V 11-6.5
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Page 1 1
Form 990 (2011)
FOM
Balance Sheet
(A)
Beginning of year
(B)
End of year
34, 272. 1
Cash - non-interest- bearing , , , , , , , , , , , , , , , , , , , , , , , , , , ,
2
Savings and temporary cash investments
C 3
Pledges and grants receivable, net,,,,,,,,,,,,,,,,,,,,,
43, 870. 4
Accounts receivable , net
Receivables from current and former officers , directors , trustees, key
employees , and highest compensated employees . Complete Part II of
5
Schedule L .................................
as' defined under section
6 Receivables from other disqualified persons (as
4958 ( f)(1)), persons described in section 4958 ( c)(3)(B), and contributing
employers and sponsoring organizations of section 501(c)(9) voluntary
6
employees ' beneficiary organizations ( see instructions ) , , , , , , , , , ,
y
7
Notes and loans receivable, net
0
7
8
Inventories for sale or use
Q
8
35,378. 9
Prepaid expenses and deferred charges . ..
9
. . ATCH. .4. .
cost or
10a Land , buildings , and equipment
811, 641.
other basis Complete Part VI of Schedule D 1 Oa
232, 417.
623, 405. 10c
1 Ob
b Less : accumulated depreciation .. . . .. ..
11
11
Investments - publicly traded securities . .. . . . . . . . . . . .. .. .
12
12
Investments - other securities See Part IV, line 11 , , , , , , , , , , , , ,
13
13
Investments - program-related See Part IV, line 11 , , , , , , , , , , , ,
14
14
Intangible assets . . . . . . . . .. . .. .. . ... . . .. . . . . . . . .
,
. 54, 704. 15
15 Other assets See Part IV, line 11 , , , , ,
91, 629. 16
16
Total assets . Add lines 1 throw h 15 must a ual line 34
27, 470. 17
,,,
17 Accounts payable and accrued expenses
18
. . . . . . . . .. . .. ... . ...
18
Grants payable
1, 550. 19
,
19
Deferred revenue
20
20
Tax-exempt bond liabilities
21
21
Escrow or custodial account liability Complete Part IV of Schedule D
Payables to current and former officers , directors , trustees, key
22
employees , highest compensated employees , and disqualified persons.
39, 250. 22
Complete Part II of Schedule L
23, 570. 23
23
Secured mortgages and notes payable to unrelated third partiesCH ,
24
24
Unsecured notes and loans payable to unrelated third parties , , , , , ,
Other liabilities ( including federal income tax , payables to related third
25
parties , and other liabilities not included on lines 17 - 24) Complete Part X
25
of Schedule D . . . .. .. . .. . .. . . . . ... .. . . .. ... . ..
291, 840. 26
Total liabilities . Add lines 17 through 25 .. . . . . . . . . . . . . . . . . . .
26
Organizations that follow SFAS 117 , check here ^ X and complete
lines 27 through 29, and lines 33 and 34.
.
1
2
3
4
5
U
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets . . . .. .. ... . .. . .
Organizations that do not follow SFAS 117, check here
complete lines 30 through 34.
30
31
32
33
34
Capital stock or trust principal, or current funds
Paid-in or capital surplus , or land , budding , or equipment fund
Retained earnings , endowment , accumulated income, or other funds
Total net assets or fund balances
Total liabilities and net assets /fund balances .
424, 05 3 . 27
. 5, 938. 28
9, 798. 29
.
27
28
29
. ..
and
9, 789.
1, 629.
33
34
38,087.
0
0
12,042.
0
0
0
0
27,294.
579,224.
0
0
0
0
50, 865.
707, 512 .
159, 605.
0
41, 550.
0
0
36, 250 .
148, 125.
0
0
385, 530.
-314,190.
566,374.
69, 798.
321, 982.
707, 512.
Form 990 (2011)
JSA
1E1053 1 000
36825U K276
V 11-6.5
NEIGHBORHOOD STUDIOS OF
FAIRFIELD COUNTY, INC.
06-0993269
Page 12
Form 990 (2011)
FO NM,
Reconciliation of Net Assets
Check if Schedule 0 contains a response to any question in this Part XI .. .. .. .. .. . . ... .. .. . . ..
1
2
3
4
5
6
Total revenue (must e q ual Part VIII , column (A) , line 12) . . . . . . .. .. . . . . . . . . . . . . . .. .
Total ex p enses (must equal Part IX , column (A) , line 25) . . .. .. .. . . .. . . .. . .. . . . . . . .
Revenue less expenses . Subtract line 2 from line 1 . . . .. .. ... . . .. . . .. .. .. .... .
Net assets or fund balances at beginning of year (must equal Part X , line 33 , column (A)) .. .... ..
Other chan g es in net assets or fund balances (explain in Schedule 0) . .. . . . . . . . .. ... . ..
Net assets or fund balances at end of year Combine lines 3, 4, and 5 (must equal Part X, line 33,
column (B)) ..................................................
1
2
3
4
5
1,272,694*
1,446, 626.
-173, 932.
499, 789.
-3, 875.
6
321, 982.
[jM M
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII . .. .. . ... ... . . .. .. . . .
Yes
❑ Accrual
❑ Other
❑ Cash
Accounting method used to prepare the Form 990•
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a Were the organization's financial statements compiled or reviewed by an independent accountants
b Were the organization's financial statements audited by an independent accountant?
c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight
of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in
Schedule O.
d If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were
issued on a separate basis, consolidated basis, or both*
❑ Both consolidated and separate basis
Separate basis
❑ Consolidated basis
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in
the Single Audit Act and OMB Circular A-133
..
..
.......
.
...
..
.
b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the
required audit or audits, explain why in Schedule 0 and describe any steps tak en to undergo such audits
No
I
L
2a
X
x
2c
X
-
3a
X
3b
Form 99 0 (2011)
JSA
1E1054 1 000
36825U K276
V 11-6.5
SCHEDULE A
(Form 990 or 990-EZ)
O MB No 1545-0047
Public Charity Status and Public Support
2011
Complete if the organization is a section 501(c )( 3) organization or a section
4947( a)(1) nonexempt charitable trust.
Department of the Treasury
Interna l R eve nue Service
^ Attach to Form 990 or Form 990 - EZ.
^ See separate instructions.
Employer identification number
Name of the organization
06-0993269
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is (For lines 1 through 11, check only one box)
1 HA church, convention of churches, or association of churches described in section 170 (b)(1)(A)(i).
A school described in section 170 (b)(1)(A)(ii). (Attach Schedule E.)
2
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
3
A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(A)(iii). Enter the
4
hospital's name, city, and state:
5 ❑ An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170 ( b)(1)(A)(iv ). (Complete Part II )
6
A federal, state, or local government or governmental unit described in section 170 ( b)(1)(A)(v).
An organization that normally receives a substantial part of its support from a governmental unit or from the general public
7
X
described in section 170 (b)(1)(A)(vi). (Complete Part II )
8 ❑ A community trust described in section 170 (b)(1)(A)(vi). (Complete Part II )
An organization that normally receives (1) more than 331/3%of Its support from contributions, membership fees , and gross
9
receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 331/3% of Its
support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a )(2). (Complete Part III )
10 ❑ An organization organized and operated exclusively to test for public safety See section 509(a)(4).
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the
11
purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)( 2) See section
509(a )(3). Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
d ❑ Type III - Other
c ❑ Type III - Functionally integrated
b ❑ Type II
a ❑ Type I
e ❑ By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified
persons other than foundation managers and other than one or more publicly supported organizations described in section
509(a)(1) or section 509(a)(2)
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting
.. . ... . ...
..
..
, , , , , , , , , , , , , , , , ❑
organization, check this box
Since August 17, 2006, has the organization accepted any gift or contribution from any of the
g
following persons?
Yes No
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
11g(i)
and (ul) below, the governing body of the supported organization? . . . . ... . . ... . ... . .. . .
.. .. . ... .. ... . ... . . . . .
119U4
(ii) A family member of a person described in (I) above? .. .
(iii) A 35% controlled entity of a person described in (I) or (a) above'? . . .. ... . . . . . . . . . . . . . . . 1tg(iii)
Provide the following information about the supported organization(s).
h
NEIGHBORHOOD STUDIOS
(i) Name of supported
organization
OF FAIRFIELD COUNTY, INC.
(ii) EIN
(iii) Type of organization
(described on lines 1-9
above or IRC section
see instructions ))
(iv) is use
organization in
` a (i) i'sted in
your governing
Yes
No
(v) D i d you notify
(vi) Is the
the organization
in col (i) of
your support?
organization in
col (i) organized
i n the U S ?
Yes
No
Yes
(vii) Amount of
support
No
(A)
(B)
(C)
(D)
(E)
Total
Schedule A (Form 990 or 990-EZ) 2011
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
JSA
1E12101000
36825U K276
V 11-6.5
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Page 2
Schedule A (Form 990 or 990-EZ) 2011
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 Ill. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A- Public Suooort
Calendar year ( or fiscal year beginning in)
I
Gifts ,
grants,
contributions ,
(a) 2007
^
( c) 2009
2
revenues
levied
for
the
Tax
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
than
a
each
person
( other
governmental
unit
or
publicly
supported organization ) included on
line 1 that exceeds 2 % of the amount
shown on line 11, column (f).
Public su pp ort. Subtract line 5 from line
(d) 2010
( e) 2011
(f) Total
ATCH 1
and
membership fees received
(Do not
include any " unusual grants " ) . . . .
6
( b) 2008
937 , 704
976 , 982
455 , 023
1 , 218 , 174
631 , 969
4 , 219 , 852
937 704
MTV
976 , 982
455 , 023
1 , 218 , 174 ,
631 , 969
9 219 , 852
573 , 154
3 646 , 698
Section B . Total Suaoort
Calendar year ( or fiscal year beginning in)
7
8
(a) 2007
^
Amounts from line 4 . . . . . . . . .
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) . . . . . . . . . .
( b) 2008
937 , 704
976 , 982
1 , 124
1 , 530
40 176
-+.- '
( c) 2009
455 , 023
( d) 2010
( e) 2011
1 , 218 , 174.
( f) Total
631 , 969.
834
1 , 022
41 514
__ '
_Fa..
4 , 219 , 852
9 510
81 690
_:-i
4 306 052
11
Total support. Add lines 7 through 10 .
12
Gross receipts from related activities, etc (see instructions ) . .. .. . . . .. . ... .. .... .. . ..
13
First five years . If the Form 990 is for the organization ' s first , second , third, fourth, or fifth tax year as a section 501(c)(3)
10.
organization , check this box and stop here
``
--^_ -
`^`^^•
-
"
12
Section C . Com p utation of Public Su pp ort Percenta g e
84.69%
14
14 Public support percentage for 2011 ( line 6, column (f) divided by line 11, column (f)) . ... .. .
91.79%
15
Public support percentage from 2010 Schedule A, Part II, line 14 .. . . . . . . . .. . . .. ...
15
16a 331/3 % support test - 2011 . If the organization did not check the box on line 13, and line 14 is 331/3% or more, check
this box and stop here . The organization qualifies as a publicly supported organization . .. ... . . .. .. . . . . . . . . ^ D]
b 331/3% support test - 2010 . If the organization did not check a box on line 13 or 16a , and line 15 is 331/3 % or more,
check this box and stop here . The organization qualifies as a publicly supported organization ... . . .. .. .. . . . . . . No. 1:1
17a
10 %- facts - and-circumstances test - 2011 . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bo- 1:1
b 10%-facts - and-circumstances test - 2010 . 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 organzatlon meets the "facts-and-circumstances " test The organization qualifies as a publicly
supported organization . . ....
. .. ... . . .. .. .. . . . . . . I- El
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) 2011
JSA
1E1220 1 000
36825U K276
V 11-6.5
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Suonort
Calendar year (or fiscal year beginning in) ^
1
(a) 2007
(b) 2008
(c) 2009
(d) 20 10
(e) 2011
(f) Total
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
Gifts, grants, contributions, and membership fees
received (Do not include any "unusual grants ")
2
Gross receipts from admissions, merchandise
sold
services
or
or
performed,
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
revenues
Tax
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
received
included
on
from
other
lines
than
2 and 3
disqualified
persons that exceed the greater of $5,000
or 1 % of the amount on line 13 for the year
8
c Add lines 7a and 7b. . . . . . . . . .
Public support (Subtract line 7c from
line 6
Section B. Total Su pport
Calendar year (or fiscal year beginning in ) ^
Amounts from line 6. . . . . . . . . .
9
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 lob
11
12
Net income from unrelated business
activities not included in line 10b,
whether or not the business is regularly
carried on . . . . . . . . . . . . .
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,
14
First five years . If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here .
and 12)
Section C . Com p utation of Public Su pp ort Percenta g e
15
Public support percentage for 2011 (line 8, column (f) divided by line 13, column (f))
16
Public support percentage from 2010 Schedule A. Part III, line 15.
. ^ ❑
15
%
16
%
Section D. Com p utation of Investment Income Percenta g e
17
Investment income percentage for 2011 (line 1Oc, column (f) divided by line 13, column (f)) • • • . . , .
17
%
18
Investment income percentage from 2010 Schedule A, Part III, line 17 , • , , • , , • • • • • • • . • . , , ,
18
%
19a 331/3% support tests - 2011 . If the organization did not check the box on line 14. and line 15 is more than 331/3%, and line
17 is not more than 331/3%, check this box and stop here
The organization qualifies as a publicly supported organization
^ ❑
b 331 / 3% support tests - 2010 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%. and
line 18 is not more than 331/3%, check this box and stop here
20
Private foundation .
If
the
organization did
not check a
box on
The organization qualifies as a publicly supported organization
line
1 EA
1 E1221 1 000
14,
19a,
or 19b,
check
this box and
see
^
instructions ^
Schedule A (Form 990 or 990-EZ) 2011
36825U K276
V 11-6.5
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Schedule A ( Form 990 or 990-EZ) 2011
Page 4
Supplemental Information . Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b ; and Part III , line 12. Also complete this part for any additional information. (See
Instructions).
ATTACHMENT
SCHEDULE A,
PART
II
NAME OF CONTRIBUTOR
- ORGANIZATIONS
RECEIVING ANY
DATE
UNUSUAL GRANTS
AMOUNT
HUD
623,305.
TOTAL
623,305.
FOR
1
2010
EXPLANATION
Schedule A (Form 990 or 990 -EZ) 2011
SSA
1 E1225 2 000
36825U K276
V 11-6.5
SCHEDULED
(Form 990)
Internal Revenue Service
Name of the organization
JiM
STUDIOS
2011
if the organization answered " Yes," to Form 990,
Part IV , line 6, 7 , 8, 9, 10 , 11a, 11b , 11c, 11d, 11e, 11f , 12a, or 12b.
^ Attach to Form 990 . ^ See separate instructions.
Department of the Treasury
NEIGHBORHOOD
OMB No 1545-0047
Supplemental Financial Statements
Employer identification number
OF
FAIRFIELD
COUNTY, INC.
06-0993269
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if the
organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds
(b) Funds and other accounts
I
Total number at end of year . .. . . . . . . . .
Aggregate contributions to (during year) . . . .
Aggregate grants from (during year) . . . . . . .
Aggregate value at end of year.. . . . . . . . .
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? . ... . . . . . . . ❑ Yes ❑ No
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used
only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose
conferrin g im p ermissible p rivate benefit?
. ❑ Yes ❑ No
Conservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
Pur ose(s) of conservation easements held by the organization (check all that apply).
I
2
3
4
5
6
1
H
Preservation of land for public use (e g., recreation or education)
Preservation of an historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation
easement on the last day of the tax year
2
Held at the End of the Tax Year
a
Total number of conservation easements . .. ... . .. .. .. . . . . . . . .. .. ..
b
c
d
Total acreage restricted by conservation easements . .. . . .. .. . . . .. .. .. ..
2b
Number of conservation easements on a certified historic structure included in (a) .. ..
2c
Number of conservation easements included in (c) acquired after 8/17/06, and not on a
historic structure listed in the National Register ... . .. .. .. . . . . . .. .. .. .. .
2d
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year ^ ----------------Number of states where property subject to conservation easement is located ^ _________________
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
violations, and enforcement of the conservation easements it holds? . .. . . .. . . . . . . .... .. . ... ❑ Yes ❑ No
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
ON- ----------------Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
3
4
5
6
7
8
2a
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)
(1) and section 170(h)(4)(B)(II)? .. .. .. .. .. . . ... .. .. .. .. . . . . . . . . . .. .. .. .. .
.. ❑ Yes ❑ No
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the
organization's accounting for conservation easements.
9
EMEF
1a
b
2
a
b
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet
works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of
public service, provide, in Part XIV, the text of the footnote to its financial statements that describes these items
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet
works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of
public service, provide the following amounts relating to these items
(i) Revenues included in Form 990, Part VIII, line 1 . .. .. .. . .. .. . . .. .... .. . .. . . . . ^ $ _ _ _ _ _ _ _ _ _ _ _ _ _
(ii) Assets included in Form 990, Part X . . . .. . . .. . . .. . . . .. . . .. .... .. .. . . . . . ^ $ _ _ _ _ _ _ _ _ _ _ _ _ _
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items
Revenues included in Form 990, Part VIII, line 1 . . ... . . .. ... .. .. .. .... .. ... . . . . ^ $ _ _ _ _ _ _ _ _ _ _ _ _ _
Assets included in Form 990, Part X
^ $
For Paperwork Reduction Act Notice , see the Instructions for Form 990.
JSA
1E1268 1 000
36825U K276
V 11-6.5
Schedule D (Form 990) 2011
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Page 2
Schedule D (Form 990) 2011
Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)
Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its
collection items (check all that apply)
Loan or exchange programs
Public exhibition
d e
a
Scholarly
research
Other
a
b
---------------------------------Preservation for future generations
c
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part
XIV
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization's collection? . . . ..
Yes
No
Escrow and Custodial Arrangements . Complete if the organization answered "Yes" to Form 990, Part IV,
ji^
3
line 9, or reported an amount on Form 990, Part X, line 21.
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? .. . . . . . .... .. . . .. . . . . . . . .. .. .. . . . ... . .. . .. .. El Yes
b If "Yes," explain the arrangement in Part XIV and complete the following table
Amount
c Beginning balance . . .. . . .. . . . .. . . .. . . .. .. ... .. . . .. .. 1 c
d Additions during the year . . .. . . . .. . . .. . . . . .. ... ... . . . .. 1 d
e Distributions during the year . .. . . . .. . . .. .. . . . . ... .. . . . . .. le
f Ending balance .. .. .. . . .. . . . . . . . .. .. . . . . ... ... . .. .. if
2a Did the organization include an amount on Form 990, Part X, line 21? . . ... . . . .. .. .. ... .. . ..
Yes
b If "Yes," explain the arrangement in Part XIV.
Ia
No
No
Endowment Funds . Com p lete if the org anization answered "Yes" to Form 990, Part IV, line 10
(a) Current year
(b ) Prior year
( c) Two years back
( d) Three years back
54,704.
57,393.
64,996.
75,736.
I a Beginning of year balance . . . .
b Contributions . .. . . .. . . . .
c Net investment earnings, gains,
and losses . .. .. .. . . . . .
10,976.
-1,424.
-5,940.
12,800.
3,087.
d Grants or scholarships .. . . .
1,900.
e Other expenditures for facilities .
and programs ......... .
1,713.
f Administrative expenses . . . . .
515.
865.
g End of year balance.. .. . . .
54,704.
64,996.
50,865.
64,996.
2 Provide the estimated percentage of the current year end balance (line 1 g, column (a)) held as.
a Board designated or quasi-endowment ^
%
b Permanent endowment ^
__ %
c Temporarily restricted endowment ^
%
The percentages in lines 2a, 2b, and 2c should equal 100%
3a Are there endowment funds not in the possession of the organization that are held and administered for the
organization by
(i) unrelated organizations ...............................................
(ii) related organizations . . . .. . . . . . . ... . .. . ..
... .. .. ... .. .. .. .. ...
.. ...
b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? . .. .. . . .. .. . . . . ...
4 Describe in Part XIV the intended uses of the organization's endowment funds.
Land . Buildings . and Eauioment . See Form 990. Part X. line 10.
MMM
Description of property
la Land .. .. ... .. . .. . . .. .
b Buildings . .. . . . . .. . . .. .
c Leasehold Improvements . . . .. .
d Equipment . . .. .. .. . . .. .
e Other . . . . . . . .. .. . . ...
Total . Add lines 1a through 1e (Column
( a) Cost or other basis
(investment)
(b) Cost or other basis
(other )
. . .
. .
657,
..
. .
136,
. ..
18,
(d) must equal Form 990, Part X, column (B),
( c) Accumulated
depreciation
158.
85, 927.
194.
128, 602..
289.
17,888
line 10(c)).
. ^
(e) Four years back
Yes
3a(i) X
3a(ii)
3b
No
X
( d) Book value
571,231.
7,592.
401.
579,224 .
Schedule D (Form 990) 2011
JSA
1E1269 1 000
36825U K276
V 11-6.5
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Schedule D ( Form 990) 2011
FEMIM
Page 3
Investments - Other Securities . See Form 990 , Part X , line 12.
(a) Description of security or category
(including name of security )
( b) Book value
( c) Method of valuation
Cost or end-of-year market value
(1) Financial derivatives .. . . .. ... .. . . .. .
(2) Closely- held equity interests .. ... .. . . .. ,
(3) Other
(A)
------------------------------------(B)
------------------------------------(C)
------------------------------------( D)
------------------------------------(E)------------------------------- -(F)
------------------------------------(G)
------------------------------------( H)
------------------------------------(I)
Total (Column (b) must equal Form 990, Part X, col (B) line 12)
0'. 1
1
MUMF Investments - Program Related _ See Form 990. Part X line 13
(a) Description of investment type
(b ) Book value
( c) Method of valuation
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total (Column (b) must equal Form 990, Part X, col (B) line 13)
92M^I
^
Other Assets . See Form 990. Part X. line 15.
(a) Description
(1)BENEFICIAL
(2)TRUST AT
(3)ASSETS
(4)TERM
INT
IN
( b) Book value
PERPETUAL
FCCF
6,002.
RESTRICTED
INVEST.
AT
FOR LONG
FCCF
44,863.
(5)
(6)
(7)
(8)
(9)
(10)
Total . (Column (b) must equal Form 990, Part X, col (B) line 15) ,
,
^
50,865,
Other Liabilities . bee Form 99U, Part X, line 25.
I
1.
(a) Description of li
(1) Federal income taxes
4
5
6
7
10
Total . (Column (b) must equal Form 990, Part X, col (B) line 25 )
^
2. FIN 48 (ASC 740) Footnote In Part XIV, provide the text of the footnote to the organization's financial statements that reports the
organization's liability for uncertain tax positions under FIN 48 (ASC 740)
SSA
1 E 7270 7 000
Schedule D (Form 990) 2011
36825U
K276
V
11-6.5
NEIGHBORHOOD
STUDIOS
OF
FAIRFIELD
COUNTY, INC.
06-0993269
Page 4
Schedule D (Form 990) 2011
Olin M
Reconciliation of Chan g e in Net Assets from Form 990 to Audited Financial Statements
Total revenue (Form 990, Part VIII, column (A), line 12) . .. .. . . . . . . . . .. . ... ..
I
1
Total expenses (Form 990, Part IX, column (A), line 25) . .. .. . . . . . . . . .. . ... .. .
2
2
..
3
3
Excess or (deficit) for the year. Subtract line 2 from line 1 .. .. . . .. ... . ..
4
Net unrealized gains (losses) on investments . . .. . . ... .. .. . . . . . . . . ....
4
Donated services and use of facilities ...................... ......... ...
5
5
Investment expenses .. . . .. . .. .. .. .. . . .. . . . .. . . .. .. . . .. ... . .. .
6
6
Prior period adjustments
7
. . . .. . . .. . . . . .. . . . .. . . .. .. . . .. . . . .
7
. .. . . .. . . . .. . ... .. . . .. . . . .
8
8
Other (Describe in Part XIV )
Total adjustments (net). Add lines 4 through 8
.. . . .
9
, , , ,
9
10
Excess or (deficit) for the year per audited financial statements Combine lines 3 and 9
10
1,272, 694.
1,446, 626.
-173,932.
-3, 876.
-3, 876.
-177,808.
Reconciliation of Revenue p er Audited Financial Statements With Revenue per Return
I
2
a
b
c
d
e
3
4
a
b
c
Total revenue, gains, and other support per audited financial statements , , , . . , . . . . , .
Amounts included on line 1 but not on Form 990, Part VIII, line 12
Net unrealized gains on investments
, , , , , , .
-3, 876.
2a
Donated services and use of facilities ...................... 2b
Recoveries of prior year grants
2c
Other (Describe in Part XIV) .. . .. .. .. .. . . . . . . . .. . . .. .. . 2d
5, 408.
Add lines 2a through 2d .. . . . . . .. .. . . . . .. . . . .. . . .. ... . .. .... ..
Subtract line 2e from line 1 .. . .. . . .. ... . .. . . . .. . . .. .
... .. . . .
Amounts included on Form 990, Part VIII, line 12, but not on line 1
Investment expenses not included on Form 990, Part VIII, line 7b . . , ,
4a
Other (Describe in Part XIV) .. . .. . .. . ... .. . . . . . . . . .. .. . 4b
Add lines 4a and 4b ............................... .........
....
Total revenue Add lines 3 and 4c. (This must equal Form 990, Part 1, line 12)
5
fORST.W Reconciliation of Expenses per Audited Financial Statements With Ex penses
Total expenses and losses per audited financial statements .......... .........
1
Amounts included on line 1 but not on Form 990, Part IX, line 25
2
a Donated services and use of facilities ...................... 2a
b Prior year adjustments ..............................
2b
c Other losses
2c
.................................
d Other (Describe in Part XIV) ........................... 2d
e Add lines 2a through 2d ............................. .........
Subtract line 2e from line 1 .. . ... .. . ... .. . . . . .. . . .. .
... ..
3
4
Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b
4a
b Other (Describe in Part XIV) ........................... 4b
c Add lines 4a and 4b
Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part 1, line 18.) .
5
. . . . . . .
1
1, 274, 226.
2e
3
1,532.
1, 272, 694.
c
5
1,272, 694.
per Return
1
1,452,034.
.....
...
2e
3
5,408.
1,446, 626.
.....
c
5
1,446, 626.
.....
5,408.
SuDDlemental information
Complete this part to provide the descriptions required for Part Il, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines 1 b and 2b,
Part V, line 4, Part X, line 2, Part XI, line 8, Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b. Also complete this part to provide
any additional information
----------------------------------------------------------------------------------------SEE PAGE 5
--------------------------------------------------------------------------------------------
Schedule D (Form 990) 2011
JSA
1 E1271 1 000
36825U K276
V 11-6.5
'-f
)
I
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
Schedule D ( Form 990 ) 2011
INSTISupplemental Information (continued)
RECONCILIATION OF REVENUE/EXPENSE
PAGE
4,
PART XII,
INVESTMENT
FEES
#2D &
OF $834
PART XIII
ARE
THE
FINANCIAL
FUNDRAISING
STATEMENTS.
DIFFERENCE OF $5,408
EXPENSE ON
PAGE
4,
FINANCIAL
(MISC.
$1
990
FINANCIAL
EXPENSES
RETURN,
BUT
EFFECT OF THESE TWO
DIFFERENCE
STATEMENTS,
OF $6,205 ARE
BUT
SHOWN
STATED SEPARATELY ON
ITEMS
IS A
DUE TO ROUNDING).
RETURN NOT ON BOOKS
PART XIII,
ADJUSTMENT
FUNDRAISING
INCOME ON THE
THE NET
Page 5
#2D
SHOWN NET ON THE
STATED SEPARATELY ON THE RETURN.
NETTED AGAINST
PER FINANCIALS WITH
06-0993269
#4B
TO MISCELLANEOUS
STATEMENTS
AFTER
EXPENSE
FOR-AMOUNTS-ADJUSTED ON
FILING OF TAX
PRIOR YEAR-
RETURN
Schedule D (Form 990) 2011
JSA
1E1226 2 000
36825U K276
V 11-6.5
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
OMB No 1545-0047
Supplemental Information Regarding
Fundraising or Gaming Activities
SCHEDULE G
I
Name of the organization
NEIGHBORHOOD STUDIOS
^11
Complete if the organization answered 'Yes' to Form 990, Part IV, lines 17 , 18, or 19 , or if the
organization entered more than $15,000 on Form 990 -EZ, line 6a
^ Attach to Form 990 or Form 990-EL ^ See separate instructions
Employer identification number
OF FAIRFIELD COUNTY, INC.
06-0993269
Fundraising Activities . Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
a
b
c
d
Indicate whether the organization raised funds throughe an of the following activities. Check all that apply
Solicitation of non-government grants
H Mall solicitations
f
Internet and email solicitations
Solicitation of government grants
Phone solicitations
g
Special fundraising events
In-person solicitations
2a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
❑ Yes
❑ No
b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be
compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(d) Activity
(ii) Did fundraiser have
custody or control of
contributions?
Yes
(iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col (I)
(vi) Amount paid to
(or retained by)
organization
No
1
2
3
4
5
6
7
8
9
10
Total
^
3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from
registration or licensing
Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990-EZ
JSA
1E1281 1 000
36825U K276
V 11-6
Schedule G (Form 990 or 990-EZ) 2011
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Page 2
Schedule G ( Form 990 or 990 -EZ) 2011
Fundraising Events . Complete if the organization answered " Yes" to Form 990, Part IV , line 18, or reported more
than $15 , 000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b List events with
gross receipts greater than $5,000
(a) Event #1
(c) Other Events
( b) Event #2
(event type)
(event type)
I
I
( d) Total events
(add col (a) through
col (c))
(total number)
u)
of
1 Gross receipts , , , , , , , , , ,
2 Less Charitable
contributions
3 Gross income ( line 1 minus
line 2) .. . . . . . . .. . . . . . . .
24, 047.
24, 047.
24, 047 .
24, 047.
6,205.
6, 205.
4 Cash prizes , , , , , , , , , , , ,
5 Noncash prizes
, , , , , , , , , , ,
6 Rent /facility costs
a)
O.
X
p`-
7
Food and beverages , , , , , ,
8
Entertainment
9 Other direct expenses , , , , , , , ,
10 Direct expense summary . Add lines 4 through 9 in column (d) , ,, , , ,, ,, , , , , , , , , , , , , ^ (
. ^
11 Net income summar y Combine line 3, column ( d ) , and line 10 .
Gaming . Complete if the organization answered "Yes" to Form 990, Part IV, line 19 , or reported more
6,205.)
17, 842.
than $15 , 000 on Form 990-EZ , line 6a.
( b) Pull tabs/ instant
(a) Bingo
°t
C
C
bingo/ progressive bingo
( d) Total gaming (add
( c) Other gaming
col ( a) through col (c))
CD
a,
1 Gross revenue .
2 Cash prizes
C
a)
X
w
3 Noncash prizes
. ... . . .. . .
4 Rent/facility costs , , , . , , , ,
0
5 Other direct expenses . .. . . . . .
Yes
6 Volunteer labor . . . . , . . ..
o/
LJ Yes
No
No
%
LJ Yes
%
No
7 Direct expense summary Add lines 2 through 5 in column (d) , , , , , , , , , , , , , , , , , , , , ,
^
8 Net gaming income summary . Combine line 1, column d , and line 7 ..
^
.
(
)
_
_
_
____
Enter the state(s ) in which the organization operates gaming activities
a Is the organization licensed to operate gaming activities in each of these states? . .. . ... . ... . . . .
Yes U No
b If "No ," explain
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------10 a Were any of the organization ' s gaming licenses revoked, suspended or terminated during the tax year 's . .
Yes Q No
b If "Yes ," explain:
--------------------------------------------------------------------------------------------------------------------------------------------------------------------9
Schedule G (Form 990 or 990-EZ) 2011
JSA
1E1282 1 000
36825U K276
V 11-6.5
NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC.
06-0993269
Page 3
Schedule G (Form 990 or 990 -EZ) 2011
11
Does the organization operate gaming activities with nonmembers?
12
Is the organization a grantor , beneficiary or trustee of a trust or a member of a partnership or other entity
13
a
b
14
formed to administer charitable gaming? , , , , , , , , , , , , , , , , , , , ,
Indicate the percentage of gaming activity operated in
The organization ' s facility . . . . . . . .. . .. . . . .. . . ... .. . . . .
An outside facility .. . . .. . . . . . .. . .. . . . .. . . ...
Enter the name and address of the person who prepares the organization ' s
records
Name ^
b
c
, , ,, , ,,, , , , ,
,
No
❑ Yes El No
.. . . .. ... .. .
1 3a
13b
..
.. ... .. ..
gaming /special events books and
%
%
----------------------------------------------------------------------------------
Address ^
15a
Yes
--------------------------------------------------------------------------------
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? .. . .. . . . . .. . . . . . . . . . . . . . . . . . .. . . . ... . ... . . . .. . . . . . .. . . . . ❑ Yes [-I No
If "Yes," enter the amount of gaming revenue received by the organization ^ $ --------------- and the
amount of gaming revenue retained by the third party ^ $
---------------If "Yes," enter name and address of the third parryName ^
----------------------------------------------------------------------------------
Address ^
16
--------------------------------------------------------------------------------
Gaming manager information.
Name ^
----------------------------------------------------------------------------------
Gaming manager compensation ^ $
Description of services provided ^
❑ Director/officer
17
-----------------------------------------------------------------------------
❑ Employee
❑ Independent contractor
Mandatory distributions.
a
b
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? , , , , , , , , , , , , , , , , , ,, , , ,, , ,,, , , , , , , , , , , , , , ,, ,, ❑ Yes ❑ No
Enter the amount of distributions required under state law to be distributed to other exempt organizations
or spent in the organization's own exempt activities during the tax year ^ $
Supplemental Information . Complete this part to provide the explanation required by Part I, line 2b,
columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this
part to provide any additional information (see instructions).
Schedule G (Form 990 or 990-EZ) 2011
JSA
1E1503 2 000
36825U K276
V 11-6.5
I
k 1L
1
SCHEDULE L
Department of the Treasury
Internal Revenue Service
OMB No 1545-0047
Transactions With Interested Persons
(Form 990 or 990-EZ)
Name of the organization
NEIGHBORHOOD
X011
if the organization answered
"Yes" on Form 990, Part IV, line 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
to Form 990 or Form 990-EZ. ^ See separate instructions.
Employer identification number
STUDIOS
OF
FAIRFIELD
COUNTY, INC.
06-0993269
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only)
Complete if the organization answered "Yes" on Form 990. Part IV, line 25a or 25b, or Form 990-EZ. Part V. line 40b.
(a) Name of disqualified person
1
(1)
( 2)
(3)
(4)
(5)
(6)
2
3
(b) Description of transaction
Enter the amount of tax imposed on the organization managers or disqualified persons during the year
under section 4958 . ................. ............................ . ^ $
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization .. . . . . .. .. . . . . ^ $
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a
ji^
(a) Name of interested person and purpose
tbl' ."eo.^."mod
To
(1)
I`I
'7
Yes No
HAROLD LEVINE WORKING CAPITAL
( 2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total
JjEM
(c) Original
principal amount
(d) Balance due
From
X
(e) In default'? (f) Approved (g) Written
Yes
39,250.
36,250.
36,250. 1
by board or
committee?
agreement?
No
Yes
Yes
X
X
No
No
X
1
Grants or Assistance Benefi ting Interested Persons.
Complete if the organization answered "Yes" on Form 990. Part IV. line 27.
(a) Name of interested person
(b) Relationship between interested person and the
organization
(c) Amount and type of assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ
JSA
1 E1297 1 000
36825U K276
V 11-6.5
Schedule L (Form 990 or 990-EZ) 2011
NEIGHBORHOOD STUDIOS
OF
FAIRFIELD COUNTY, INC.
06-0993269
Schedule L (Form 990 or 990 -EZ) 2011
Page 2
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a , 28b, or 28c
(a) Name of interested person
(b) Relationship between
interested person and the
organization
(c) Amount of
transaction
(d) Description of transaction
( e) Shanng of
organization's
re,enues9
Yes
No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Li^
suppiementat tntormation
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
J SA
1 E1507
07 2 000
Schedule L ( Form 990 or 990-EZ) 2011
36825U
K276
V
11-6.5
• -' •
,
'-
SCHEDULE 0
Supplemental Information to Form 990 or 990-EZ
(Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
'Attach to Form 990 or 990-EZ.
Department of the Treasury
Internal Revenue Ser ce
Name of the organization
NEIGHBORHO OD
THE
2011
Employer identification number
STUDIOS
CONFLICT OF
PART VI
OMB No 1 5 45-0047
OF
FAIRFIELD
COUNTY, INC.
06-0993269
INTEREST
SECTION
B
#12
BOARD OF DIRECTORS
BOARD MEMBER DISCLOSE
INTEREST AND
(2)
RESPECTING THE
ALL
CONFLICT
OF
TO THE BOARD
FACTS
INTEREST
(1)
THE
POLICY REQUIRES
EACH
EXISTENCE AND NATURE OF THE
KNOWN TO THE MEMBER OF THE
SUBJECT MATTER OF THE
THAT
PROPOSED
BOARD OF
TRANSACTION.
DIRECTORS
THIS
IS
MONITORED AND UPDATED BY THE BOARD ON AN ANNUAL BASIS.
EXECUTIVE
PART VI
DIRECTOR COMPENSATION
SECTION
B #15
FOR THE EXECUTIVE
COMPENSATION
RESOURCES COMMITTEE
DIRECTOR
OF THE BOARD OF
IS
NEGOTIATED BY THE
DIRECTORS
HUMAN
AND APPROVED BY THE OVERALL
BOARD.
RELATED
DIRECTORS
PART VI
SECTION A #2
THREE MEMBERS OF THE
SERVES
BOARD OF
ONLY AS A BOARD MEMBER,
DIRECTORS
ARE
AND NOT AS AN
RELATED TO EACH OTHER.
EACH
EMPLOYEE OF THE
ORGANIZATION.
TO GOVERNING BODY
COPY OF
990
PART VI
SECTION A
A COPY OF THE
IRS
FORWARDED TO THE
#10
FORM
990
IS
DISTRIBUTED TO THE
EXECUTIVE
EXECUTIVE COMMITTEE OF THE BOARD OF
DIRECTOR AND
DIRECTORS
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990- EZ.
JSA
1 E1227 2 000
36825U K276
V 11-6.5
FOR
Schedule 0 (Form 990 or 990-EZ) (2011)
Schedule 0 (Form 990 or 990-EZ) 2011
Page 2
Name of the organization
NEIGHBORHOOD
Employer identification number
STUDIOS
OF
FAIRFIELD
COUNTY, INC.
06-0993269
REVIEW.
ATTACHMENT
FORM
990,
PART
III,
LINE
4D - OTHER
PROGRAM
DESCRIPTION
GRANTS
OTHER NEIGHBORHOOD
STUDIOS
EXPENSES
PROGRAMS
REVENUE
806,430.
TOTALS
806,430.
ATTACHMENT
FORM
990,
PART
VIII
-
INVESTMENT
DESCRIPTION
INCOME
-
FCCF
(B)
(C)
TOTAL
RELATED OR
REVENUE
EXEMPT REVENUE
INVESTMENTS
TOTALS
(D)
UNRELATED
834.
834.
834.
834.
- BUSINESS
990,
PART VIII
-
GROSS
PLAYHOUSE/GALA
TOTALS
REVENUE
3
FUNDRAISING EVENTS
DESCRIPTION
WESTPORT
EXCLUDED
REV.
ATTACHMENT
FORM
2
INCOME
(A)
INVESTMENT
1
SERVICES
INCOME
DIRECT
NET
EXPENSES
INCOME
24,047.
6,205.
17,842.
24,047.
6,205.
17,842.
ATTACHMENT
4
Schedule 0 (Form 990 or 990-EZ) 2011
JSA
1E12282000
36825U K276
V 11-6.5
Yy •' '
Y_
Schedule 0 (Form 990 or 990-EZ) 2011
2
Employer identification number
Name of the organization
NEIGHBORHOOD STUDIOS OF
FAIRFIELD COUNTY, INC.
06-0993269
ATTACHMENT
FORM
990,
PART X
-
4
(CONT'D)
PREPAID EXPENSES AND DEFERRED CHARGES
ENDING
DESCRIPTION
BOOK VALUE
27,294.
PREPAID EXPENSES
TOTALS
27,294 .
ATTACHMENT
FORM
990,
PART X
-
5
DEFERRED REVENUE
c' A1 Tl T A7(_
DESCRIPTION
ADVANCES ON
GRANTS
Y I, J J U
41,550.
TOTALS
ATTACHMENT
FORM
990,
LENDER:
PART X
-
PEOPLES
SECURED MORTGAGES AND NOTES
BANK LOC
ORIGINAL AMOUNT:
INTEREST
REPAYMENT
SECURITY
50,000.
RATE:
15.000000
DUE ON
TERMS:
PROVIDED:
BEGINNING BALANCE
BALANCE
LENDER:
DUE
WORKING CAPITAL
42, 992.
48, 125.
DUE
..
GROW BRIDGEPORT
ORIGINAL AMOUNT:
INTEREST
DEMAND
UNSECURED
PURPOSE OF LOAN:
ENDING
6
PAYABLE
FUND,
LLC
85,000.
RATE:
5.000000
DATE OF NOTE:
08/15/2008
REPAYMENT TERMS:
DUE ON
SECURITY
UNSECURED
PROVIDED:
PURPOSE OF LOAN:
BEGINNING BALANCE
ENDING BALANCE
DUE
DEMAND
WORKING CAPITAL
DUE
........................................
80,578.
... ........................................
100,000.
Schedule 0 ( Form 990 or 990-EZ) 2011
JSA
1 E 1228 2 000
36825U K276
V 11-6.5
I
A
2
Schedule 0 (Form 990 or 990-EZ) 2011
Employer identification number
Name of the organization
NEIGHBORHOOD STUDIOS
OF
FAIRFIELD COUNTY, INC.
TOTAL BEGINNING MORTGAGES AND OTHER NOTES
TOTAL ENDING MORTGAGES AND OTHER NOTES
PAYABLE
PAYABLE
06-0993269
ATTACHMENT 6 (CONT'D)
123,570.
148,125.
Schedule 0 (Form 990 or 990-EZ) 2011
JSA
1 E1228 2 000
36825U K276
V 11-6.5
NFTf:NRf1RNC0f1
STI7f1T0q
( 1F
FATRFTF.I.n
2011
(77((NTY. INC
06-0993269
Description of Property
DEPRECIATION
Asset descri ption
2 AIR CONDITIONERS
Date
placed in
service
07/03/2002
Unadjusted
Cost
or basis
Bus
%
179 exp
reduction
in basis
Basis
Reduction
Basis for
de p reciation
Life
1 , 398
100 000
1 , 398
1 , 398
1 , 398
SL
5 000
5 , 250
5 , 250
5 , 250
SL
7 000
7 , 279
7
458
SL
7
000
9
4
740
SL
5
000
MIRRORS d INSTALL
06 / 26 / 2003
5 , 250
100 000
CUBICLE
&
10/28 / 2004
7
458
100
000
7
TELEPHONE SYSTEM
09/06/2004
4,740
100
000
4 , 740
DANCE MIRRORS
PANELS
Beginning
Ending
Accumulated Accumulated Mede p reciation de p reciation thod Conv
458
740
MA Current-year
179
ACR E CRS
class class
e xp ense
Current-year
de p reciation
179.
06/29/2006
3 450
100 000
3 450
3 450
3 , 450
SL
3 000
(3)
48-INCH TRANS
06/27/2007
2 463
100 000
2 463
2 054
2 463
SL
5 000
409
3
MOBILE STORAGE
06/27/2007
1 , 161
100 000
1 181
983
1 181
SL
5 000
198
2
MOBILE STORAGE
06/27/2007
787
000
787
654
787
SL
5
133
10 CANON POWERSHOT
07/07/ 2007
100 000
1 , 500
1 , 500
1 , 500
SL
3 000
BRAILLE BLAZER EMB
07 /08/2002
1,955
100
000
1,955
1,955
1,955
SL
5
DELL LATITUDE 0600
11/06/2003
2,202
100 000
2,202
2,202.
2,202
SL
3 000
DUAL. ANALOG ROUTER
06/15/2000
549
100
000
549
540
540
SL
5
IBM 545 DESKTOP
09/30/1999
880
100 000
880
865
865
SL
5 000
G4 MACINTOSH
02/21/2002
1 , 200
100 000
1 , 200
1 , 200
1 , 200
SL
5 000
TWO IBM A-30 2GHZ
06/24/2003
1,028
100 000
1 , 028.
1,028
1,028
SL
3 000
8
(3)
APPLE
IMAC
DELL VOSTRO
1 , 500.
100
000
000
000
08/09 /2007
8
000
8 , 740
7
138
8 , 740
SL
5
08/09/2007
2 884
100 000
2 884
2 356
2 , 884
SL
5 000
528
603
708
SL
5.000
105
SL
5 000
740
100
DEL DIMENSION 1501
06/12/2007
708
100 000
DELL LATITUDE D520
06/12/2007
1 , 237
100 000
708.
1 , 237
Less Retired Assets
Subtotals . .
1 , 050
000
1
602
5 187
51000
811 641
159 679
232 , 417
72 , 738
811 , 641
159 , 679
232 , 417
72 738
Listed Pro p erty
Retired Assets .
Subtotals . ..............
TOTALS .
. . . . . . . . . . . . . . . .
811 641
AMORTIZATION
Asset descri p tion
Date
placed in
service
Cost
or
basis
Ending
Accumulated Accumulated
amortization amortization Code
'Assets Retired
JSA
1X9024 1 000
36825U K276
V 11-6 5
Life
Current-year
amortization
oFIELD COUNTY
2011
1NC
06-0993269
Description of Property
DEPRECIATION
Asset descri ption
Date
placed in
service
Unadjusted
Cost
or basis
Bus
%
179 exp
reduction
in basis
Basis
Reduction
Basis for
de p reciation
Ending
Beginning
Accumulated Accumulated Mede p reciation de p reciation thod Conv
Life
MA Current-year
179
ACRE CRS
class class
e xp ense
Current-year
de p reciation
2
DELL OPTI 320
06/12/2007
2 , 078
100 000
2 , 078
1 , 768
2 078
SL
5 000
310
4
MAC MINI 1 6
05/17/2007
2 , 588
100 000
2 588
2 , 201
2 588
SL
5.000
387
06/04/2007
1 , 910
100 000
1 910
1 624
1 910
SL
5 000
286
2,415
SL
3 000
DIGIT AUDIO WORKST
4
ADOBE PHOTOSH
08/09/2007
2 415
100 000
2 415
2 , 415
4
ADOBE ILLUSTRA
08/09/2007
2 , 28 5
100 000
2 285
2 , 285
2 285
SL
3 000
4
ADOBE
DREAMWEA
08/09/2007
1 , 556
100.000
1 , 556
1 , 556
1 , 556
SL
3
DIGIDESIGN CONSOLE
08/09/2007
2 , 230
100 000
2 , 230
2 , 230
2 , 230
SL
3 000
900
100 000
900
SL
3 000
440
100
440
SL
3
900
900
000
ADOBE PSHP
07/07/2007
VLA CREATIVE
06/19/2007
2
06/27/1998
1,000
100 000
1,000
1,000
1,000
SL
8 000
ORGAN
05/31/1998
2,500
100 000
2,500
2,500
2,500
SL
8 000
KEYBOARD
08/13/1999
1 , 059
100 000
1,059
1 , 059
1,059
SL
8.000
STEINWAY GRAND PIA
12/13/1999
20,000
000
20,000
15,554
16,887
SL
5
UPRIGHT PIANO
12/17/1999
3 , 000
100 000
3,000
2 334
2 534
SL
5 000
STEEL DRUM SET
02/28/2001
4 000
100 000
9 000
4 000
9 000
SL
8 000
CUSTOM DRUM SET
07/31/2001
3,950
100 000
3 950
3 , 950
SL
8 000
08/09/2007
1 , 215
100 000
1 , 215.
HANDICAPPED BUS
01/12/2001
45 , 876
3 AIR CONDITIONERS
1 07 / 02/2009
1 051
10
4
KEYBOARDS
(9)
YAMAHA PIANO
100
2
000
440
2
440
2
000
000
992
1 , 215
SL
5 000
000
45 , 876
45 , 876
45 , 876
SL
7
100 000
1 , 051
455
665
SL
5 000
100
1,333.
200
223
000
210
Less Retired Assets .
Subtotals .
Listed Pro pe rty
Less Retired Assets .
Subtotals . ................
TOTALS. .................
AMORTIZATION
Asset descri ption
Date
placed in
service
Cost
or
basis
Ending
Accumulated Accumulated
amortization amortization Code
O
'Assets Retired
JSA
1X9024 1 000
36825U K276
V 11-6 5
Life
Current-year
amortization
2011
06-0993269
Description of Property
DEPRECIATION
Asset descri ption
Date
placed in
service
Unadjusted
Cost
or basis
Bus
%
179 exp
reduction
in basis
Basis
Reduction
Basis for
de p reciation
Beginning
Ending
Accumulated Accumulated Mede p reciation de p reciation thod Conv
Life
MA Current-year
179
ACR CRS
class class
e xp ense
Current-year
de p reciation
128
DESKTOP COMPUTER
07/20/2009
639
100 000
639
267
395
SL
5 000
TABLE 5 CHAIRS
07/08/2009
733
100 000
733
227.
332
SL
7 000
105
COMPUTER
07/27/2009
1 434
100 000
1 434
598
885
SL
5 000
287
COMPUTER
01/02/2009
950
100 000
950
507
697
SL
5 000
190
DRUM SET
07/28/2009
1 , 017
100 000
1 , 017
265
392
SL
8.000
127
E Q UIPMENT
02/01/2010
586
100 000
586
185
302
SL
5 000
117
E Q UIPMENT
04/30/2011
450
100 000
450
30
120
SL
5 000
90
981
3 , 925
SL
0 000
2 944
1 , 000
C03 DEMOLITION
04/30/2011
29 , 443
100 000
29 , 443.
HANDICAP RAMP
04/30/2011
10,000
100.000
10 , 000
333
1 333
SL
0 000
FEES 6 PERMITS
04/30/2011
68,841
100 000
68,841
2,295
9,179
SL
0 000
6,884
BATHRM RENOVATIONS
04/30/2011
135,391
100 000
135,391
4,513
18,052
SL
0 000
13,539
DANCE FLOOR
04/30/2011
18 , 000
100 000
18,000
600
2,400. SL
0 000
1,800
BOILER
04/30/2011
45 , 000
100 000
45,000
1,500
6,000
SL
0 000
4,500
1
SL
0
000
1 , 064
2 , 533. SL
0 000
1 900
OFFICE CNSTRUCTION
04/30/2011
10,639
100
000
10 , 639
355
419.
C01 OFFICE
04/30/2011
19 , 000
100.000
19,000
633
CO2 MASONRY
04/30/2011
9 000
100 000
4 000
133
533
SL
0 000
400
C04 ELECTRICAL SVC
04/30/2011
17 , 279
100 000
17 , 279
576
2 304
SL
0 000
1 , 728
PAINTING
04/30/2011
17 , 000
100 000
17 , 000
567
2 267
SL
0 000
1 , 700
ELECTRICAL
04/30/2011
25 , 920
100 000
25,920
864
3 , 456
SL
0 000
2 , 592
Less Retired Assets .
Subtotals .
Listed Pro p erty
Retired Assets .
Subtotals . ................
TOTALS. .................
AMORTIZATION
Asset descri p tion
Date
placed in
service
Cost
or
basis
Ending
Accumulated Accumulated
amortization amortization Code
Life
Current-year
amortization
I.
'Assets Retired
JSA
1X9024 1 000
36825U K276
V 11-6 5
EIGHBORHOOD
STUDIOS
OF
FAIRFIELD
COUNTY
2011
!!IC
06-0993269
Description of Property
•
DEPRECIATION
Asset descri ption
HVAC L PLUMBING
STRUCTURAL ENG
Date
placed in
service
Unadjusted
Cost
or basis
Bus
%
04/30/2011
115 , 869
100 000
04 /30/2011
32 , 000
179 exp
reduction
in basis
Basis
Reduction
Basis for
de p reciation
115 , 869
Ending
Beginning
Accumulated Accumulated Mede p reciation de p reciation thod Conv
3 862
100 000
32 , 000
1 , 067
100
2
497
Life
MA Current-year
179
ACR CRS
class class
e xp ense
Current-year
de p reciation
11 , 587
15 , 449
SL
0 000
4 , 267
SL
0 000
3 , 200
989
SL
0
000
7 , 492
440
04/30/2011
74 , 923
000
74 , 923
2 MACBOOK COMPUTER
05/31/2010
2,198
100 000
2,198
880
SL
5 000
GAS LINES & PLUMB
12/06/2011
6 , 825
100 000
6 , 825
569
SL
9 000
569
WHEELCHAIR LIFT
01/30/2012
27 , 028
100 000
27 , 028
2 , 252
SL
7 000
2 , 252
ELEVATOR
SHAFT
440
9
5 187
Less Retired Assets .
811 , 641
Subtotals .
Listed Pro p e rty
Less Retired Assets .
Subtotals . ..............
TOTALS. .................
AMORTIZATION
Asset descri p tion
Date
placed in
service
Cost
or
basis
Ending
Accumulated Accumulated
amortization amortization Code
Life
Current-year
amortization
f
ti
*Assets Retired
JSA
1X9024 1 000
36825U K276
V 11-6 5

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