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CISGSGJ8SL
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SCHEDU
Form 990 SWE4
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Public Charity Status and Public Support
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DO- AUMM to Fenn Goo or Form 9OO-EZ. ^ See separate iI n
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The organization is not a private foundation because it is: (For fines 1 through 11, check only one box)
1 ❑ A church. convention of churches, or association of churches described in section 1700)(VIAl(I).
2 ❑ A school described in section 170jM(1)tAX L (Attach Schedule E)
3 ❑ A hospital or a cooperative hospital service organization described in section 170(b1(1)(A)QlQ.
4 ❑ A medical research organization operated in conjunction with a hospital described In section 170
hospla?s name, city. and state:
.._^
t)(pi). Enter the
S ❑ An organimaWn operated for the benefit of a college or univensiy owned or operated bya governmental unit desctlbed In
17003)(1)(A 4 (
plete Part 1I.)
❑ A federal. state. or Weal government or governmental unit described in section 170(4)(1)(A)M.
❑ An organization that normally receives a substantial part of Its support from a Bove runenta0 unit or from the general public
described in section 179(('Ij(A)(vl). (Complete Pert II.)
Q A community trust described in section 170c(1K1y(vo. (Complete Part 11.)
2) An organization that normally ropcives (1) more than 33'/,% of Its support from conbibutions, membership fees, end gross
receipts from activities related to its exempt functions-subject to certain exceptions. and (2) no more than 33'696 of its
support from gross investment Income and urweleted business taxable income Qess sec Ian 511 two from businesses
acquired by the organbatlon after June 30,197& See section 509(aXZ (Complete Pad I11.)
6
7
8
$
10
❑ An organization organized and operated exclusively to test for public safely. See section 509(aff43.
11
❑ An organization organized and operated exclusively for the benefit of. to perform the functions of, or to carry out the
purposes of one or more publicly supported organizations described In section 509(a)(1) or section 509(p)(2). See section
508(x)(9). Check the box that describes the type of supporting organization and complete lines 11 a through 11 h.
a 0 Type I
b ❑ Type II
c ❑ Type III-Functionally integrated
d ❑ Type UI-Other
❑ By checking this box. I certify that the organisation is not conWIed directly or Indirectly by one or more disqualified persons
oMff then foundation managers and other than one or more publicly supported organizations described in section 509(a)(1)
or section 509(x)(24
If the organization received a written determination from the IRS that It Is a Type I, Type II, or Type Ill supporting
orgeniration. check ttws box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0
Since August 17, 2008, has the organization accepted any gift or contribution from any of the
following persona?
(I) A person who directly or indirectly controls, either alone or together with persons described In (1t) and
No
v
(i) below, the governing body of the supported organization? . . . . . . . . . . . . . .
11e61
Qi) A family member of a person described In (q above? . . . . . . . . . . . . . . . . .
1I
psi) A 35% controlled entity of a person described In (I) or a above? . . . . . . . . . . . . .
Provide the following Information about the supported crganizati&*l
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04 Type of owanaab
(erx acs on Im i .e
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04 is
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Yes
(A)
(B)
(C)
(D)
(E^
Total
for Papen * Reduction Act lh
Form 990 or %O.
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No
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CISGSGJ8SL
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sdmodo A form 290 or 990 €Z 2010
Support Schedule for Organizations Described I n Sections 170(b (1)(A)(v) and 170Mj1)(A,IM7
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2
(Complete only if you chocked the box on line 5. 7. or 8 of part I or if the organization failed to qualify under
Part III. if the organization f>
to qualiffr under the tests !IsW below, please complete Part HI )
Secttan A. PUbllc Snt arl
Calandatr yew (or fist I pear beginning in) ^
Gifts,
I
grarft
contributions,
{a) 2006
CO) 2007
(c) 2006
(d) 2009
(c) 201
(02009
1) 2010
Total
and
mernberslup fees received. (Do not
include any 'unusual grants.1 .
2
3
.
.
revenues
Tax
levied
for
the
organization's benefit and either paid
to or expended on its benatf
The value of services or fscilities
unit to the
furnished by a
organization without drags . . . .
4
Total. Add lines 1 through 3 .
S
The portion of total contributions by
person
(other
each
than
a
publicly
unit
or
governmental
supported organization)
.
.
included
.
- .
on
line t that exceeds 2% of the amount
shown on fine 11. column (1) . . . .
6
Public support Subtract One 5 from lIne 4.
Section B. Total SL*Mort
Calendar year (or fiscal year beginNng in) ^
7
Amounts from fife 4 . . . . . .
8
9
(W 2007
(c) 2008
(f) Total
Cross income from interest, dividends,
payments received an securities loans.
rents, royalties and Income from similar
sources . . . . . . . . . .
Net income from unrelated business
activities. whether or not the business
. . . .
is neVarty carried on
11
Other income. Do not include gain or
loss fmmn the Bale of capital assets
. . . . . .
(Explain in Pan IV.)
Total supped. Add lines 7 through 10
10
(a) 2006
12
Gross receipts from related activities, etc. (see instructions)
13
First five years. If the Form 990 Is for the organiza ion's first, second, third, fourth, or fifth tax year as a section 501(o)!3)
. . . . . . . . . . . . . . . . . . . . . . . . . ^ ❑
organ ization. aleck this box and stop here
14
15
1613
Pubic sulk perms for 2010 (line 6, column (I) divided by fine 11 . column (f)) . . . .
14
Public ajpport percentage from 2009 Schedule A. Part II. line 14 . . . . . . . . .
1S
3713% support test-2010. If the organization did not check the box on line 13. and the 14 is 33113% or
box and stop frets The organization qualifies as a publicly supported arganlarrion . . . . . . .
33'a% support test--2008 It the organization did not check a box on line 13 or 18x. and line 15 is
check this box and stop hare. The o ganization qualifies as a publicly supported organ
. . .
on
b
.
.
.
.
.
.
.
.
.
.
.
12
%
%
more, check thIs
. . . .
^
33'n% or more.
. . . .
^
17a
cumstanees test-2010. If the organization did not check a box on line 13.188, or 16b, and line 14 is
10°.6tects and
10% or more, and if the organization meets the "facts-and-circumstances' test, dtedc this box and stop here. 6cpbin in
Part IV how the organization meets the °'(acts-and-ciiuunstances' test. The organization quaffim as a publicly supported
organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
^
b
aunstances test-2008. If the wgsniration did not check a box an the 13` 16a. 16b. or 17a, and fine
10%-facts-and
15 is 10% or more. and If the organization meets the 'fact and-circa r^stances• test. check this box and stop hefa
Explain in Part IV crow the organization meets the 'facts-and-circumstances* test. The organization qualifies as a publicly
supped organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
^
Pdwato foundation. If the organization did not check a box on fine 13.16a. 16b. 17a, or 17b. check this box and sae
. .
. . . . .
. . . . . .
. . . . . .
instructions . . . . .
^
18
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Sc W&& A FaM 890 or 990.E 2010
vase 3
Support Schedule for Organizations Deavibed in Section 5ta8(a)g2]
(Complete only if you checked the box on line 9 of Part I or if the organization failed to
qualify under Pert U.
If the organ ization fails to qualify under the tests listed below, please complete Part II.)
alendar year (or fiscal year bel linnftg fn) so
, granis. Cpttbipytiprts, ,yd e WOOS* fees
I
remNed. Me not tndude any'1t UMW 0^ft.^
2
Gross receipts from admission s, merdiandise
sold or service s perfonrted L or bcftw
I related to the
bx-en
3
5
Gross receipts from aetMdas it
are not an
Tax
revenues
levied
for
the
organization's benefit an 0 either paid
to or expended on its belu an
The value of services or facilities
furnished by a govemmeni Al
organization without charge e.
6
7a
b
(c) 2008
(CO 2009
00 2010
(Q Total
nunu
none
3135.87
2624.4
void
5760.27
none
none
2`3387.9
18292.13
void
4156Q03
none
none
none
none
void
none
none
none
none
none
void
none
nwn,
nunu
now
nwn:
void
none
none
none
26523.77
2091t53
vwd
67,40.3
none
none
none
none
none
none
none
none
none
none
na^w
nonu
none
none
none
none
none
none
PwF
unrelated creole or tarsbla5s urx ler secdon 513
4
(b) 2007
(8) 2006
unit to the
.
.
Total. Add lines 1 through 5. .
Amounts included on One! 11,2,and3
.
reeelved from disqualified 1 3ersons
Amounts Included on first e 2 and 3
received
from darer ft 1
f10d
Persons that exceed the gre 3w Of $5.000
or I% of the amount on fine 13 for the year
e
8
Add tines 7a and 7b .
Pubic support (Subtract line 7c from
red
6.) . . . . . . .
47440.3
Section B. Total Support
Calendar year (or fiscal year beghtnIng tn) lo,
9
Amounts from line 6 . . . . . .
10a Grass inomne from hue e . dividends.
payments received on securities low , rem.
royalties and income from Sumter souroes .
b Unrelated business taxable home (less
section 511 taxes) from businesses
acquired after June 30, 1975 . . . .
c Add lines 10a and 10b
. . . . .
11
Not income from urvdated business
activities not included in line 10b, whether
or not the business is regularly carried on
Omer income. Do not include On or
12
loss from the sale of capital assets
(Explain in Part IV.)
. . . . . .
13
Total support. (Add lines 9. 10c, 11.
and 12.) . . . . . . . . . .
(a) 2006
(b) 2007
(
2008
26523.77
0s) 2009
20916.53
(e) 2010
Total
47440.3
none
none
none
none
none
none
.one
none
nuns
A0116
none
none
none
none
none
none
nonce
none
none
non,
none
none
none
none
nuns
none
none
nuns
none
none
none
none
none
none
none
none
14
Fust five yogis. If the Form 990 is 1 r the organtzadon 's first . second. third, fourth, or fifth tax year as a section 501(c)(3)
organization , check this box and stop here .
. .
^ O+
.
Section C. C
utation of Public Support Pocentage
15
Public support percentage; for 2010 (Una 8. coturm (I) divided byline 13. column (I))
from 2009 Schedule A. Part ID line 15
Public support
16
Section 0. Computation of Investment Income
e
.
.
.
.
15
16
96
96
17
96
17
Investment Income percentage for 2010 pine t Cc. column (f) divided by fine 13, column (y . . .
18
%
Investment income percentage from 2009 Schedule A. Part Ilk line 17 . . . . . . . . .
18
18a 33'12% sit t 1s -21110. It the orgenlzadon did not check the box on fine 14, and line 15 is more than 33'n%. and One
b
20
17 is not more than 331x% , check this box and stop hem The organlaatlon quattfies as a publicly mlpported organization . * ^ ❑
33'n% support tars-2009. It the organization did not check a box on line 14 or line 19a, and fine 16 Is more than 33bn96, and
une 18 Is not more than 331n%. check this box and stop hens. The organization qua6Nee as a publicly supported organaaaon ^ ❑
Private founda8or. If the organization did not check a box on line 14. 1 9a, or 18b. check this box and see instructions b- 0
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60/90
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CISGSGJ8SL
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l Mdonnation. Corner this part to provide the expIanaL uns required by Pmt U.
Bne 10
Pan 11, fine 17a or 17b; and Part III, fine 12. Also complete this part for any adds onal infaffnaticn. (Sea
instruC60n8).
Sir A tF
60/LS
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CISGSGJ8SL
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0425876265
Apr. 07 , 2011
LTR 2695C
0 R
26-3012683
201006 67
00019856
'CAPROCK ELEMENTARY PTA
12301 GREY TWIG DR
KELLER
TX
76244
DECLARATION
1980
Under penalties of perjury, I declare that I have
examined the return identified in this letter , including
any accompanying schedules and statements, and to the
best of my knowledge and belief, it is true, correct and
complete . I understand that this declaration will become
a permanent part of that return.
Signature of officer or trustee
Date
Title
60/60
39Vd
83AIVM 3M.S71V
69Z8ST6ZL6
8Z :Di
c.Af) 'AV()
1182/01/96
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