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Sunshine House

Sunshine House

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.; 990-EZ

Department oftheTreasury Intemal Revenueervice S

. Short Form Return of Organization Exempt From Income Tax
Undersection 501 (e),527, or 4947(8)(1) of the InternalRevenueCode (except black lung benefit trust or private foundation) ~ Sponsoring orgamzabonsf donoradvISed funds,organlzallonshatoperateoneor morehOSpital facilities, o t andcertaincontrolling organizationss definedInsection512(b)(13) a mustfile Form990 (see mstrucnons), All otherorgamzal1ons Withgrossreceiptslessthan $200,000 total assets less than$500,000 and at the endof theyearmayusethis form. ~ The organization ay have fo use a copy of thIS retum to satisfystatereporting reqUIrements. m ,2010, and ending

OMSNo.1545-1150

~@10
Open to Public Inspection
,20

o o o Initial o o
Address

A For the 2010 calendar year, or tax year beginning C Nameof organization B Check If approcable
change

SUNSHINE.

Name change return
ralum pendIng

Numberandstreet(orP.O.box, If manrsnot delivered ta'streetaddress) Cityor town,stateor country,andZIP + 4

J1Dif S' s /l'JC

Tennlnated Amended Apphcabon

P.O. BDX

LfO~8 CJG'fLt3

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Room/suite

E Telephone number

o EmployerIdentificationnumber t)I:;,-I<l6't. 't d CJ

d63 -lf36'-~(p 70
F Group Exemption Number ~

0.

t1ADi&ON

Accrual Other (specify) ~ G Accounting Method: rgcash I Website:~ WWW. 7Ht ~UN.sHINJEHcJUSG .O~GS01(c)( J Tax-exempt status (checkonlyone)- ~ S01(c)(3) ) .....Onsert o.l 0 4947(a)(1) n or

o

cT

K Check ~ 0 if the organization is not a section S09(a)(3)supporting organization and rts gross receipts are nonnally not more than $50,000. A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return. L Add lines Sb, 6c, and 7b, to line 9 to determinegross receipts. If gross receiptsare $200,000or more, or If total assets (PartII, line 25, column (8) below)are $500,000or more, file Form990 Insteadof Form990-EZ . . . . . . . ~$ ~I

o

OS27

H Check ~ ~ if the organization is not required to attach Schedule 8 (Form 990, 990-EZ, or 990-PF).

'@I'
1 2 3 4 5a

a 80

Revenue, Expenses, and Changes in Net Assets Check if the organization used Schedule 0 to respond

or Fund Balances (see the instructions for Part L) to any question in this Part I . . . . . . . . . 1 2 3 4

.

R

Contributions, gifts, grants, and sirmlar amounts received . Program service revenue including government fees and contracts Membership dues and assessments . Investment income . . . . . . . . . . t~1 . Gross amount from sale of assets other than invent ry Less: cost or other basis and sales expenses. . Gain or (loss) from sale of assets other than invento Gaming and fundraising events Gross income from gaming (attach ~c~ed.ule. $15,000) .
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Gross income from fundraising events (not including $ from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceeds $15,000)..

of contributions

I 6b I
I

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d 7a b
N

Less: direct expenses from gaming and fund raising events 6c Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) Gross Less: Gross Other sales of inventory, less returns and allowances 7a , 7b cost of goods sold profit or (loss) from sales of inventory (Subtract line 7b from line 7a) revenue (describe in Schedule 0) . Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ~ Grants and similar amounts paid (list in Schedule 0) Benefits paid to or for members Salaries, other compensation, and employee benefits Professional fees and other payments to independent contractors Occupancy, rent, utilities, and maintenance Printing, publications, postage, and shipping Other expenses (describe in Schedule 0) ~ Total expenses. Add lines 10 through 16 Excess or (deficit) for the year (Subtract line 17 from line 9) Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year figure reported on prior year's return)

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21 For Paperwork Reduction Act Notice, see the separate Instructions.

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Other changes in net assets or fund balances (explain in Schedule 0) . Net assets or fund balances at end of year. Combine lines 18 through 20 Cat.No.106421

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Form 990-EZ (2010)

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22 23 24

Fonn 990-EZ (2010)

Page

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Balance Sheets. (see the instructions for Part II.)
Check if the organization used Schedule 0 to respond to

25 26

28

$
29

If this amount includes

If this amount includes 30

check here .

_

check here 31

30a

(a) Name and address

_____ !§Ll:_~§.N Q_~_I:_I:.~~________________________________

(b) Title and average hours per week devoted to position

(e) Compensation (If not paid, enter -0-.)

employee benefit plans & deferred compensatIOn

(d) Contnbullons

to

account and other allowances

(e) Expense

_____ E_J1_¥.. __ ~!:!~':!_~_f#__~______________________________________
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33 34
35
a b

Fo1Tl'\990·EZ (2010)

0 ,- }'IS ~ '1~ Cf
... .. .

Page

3

Other Information (Note the statement requirements in the instructions for Part V.) Check if the organization used Schedule 0 to respond to any question in this Part V. . reported

Yes No
Did the organization engage in any activity not previously description of each activity in Schedule 0 to the IRS? If "Yes," provide a detailed
t--""---t--+-~

·0

33

"'5t' ',"

Were any Significant changes made to the organizing or governing documents? copy of the amended documents if they reflect a change to the organization's change on Schedule 0 (see instructions)

If "Yes," attach a conformed name. Otherwise, explain the

34

If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990- T, explain in Schedule 0 why the organization did not report the Income on Form 990- T. Did the organization have unrelated business gross income of $1,000 or more or was it a section 501 (c)(4), 501 (c)(5), or 501 (c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements? If "Yes," has it filed a tax return on Fonn 990- T for this year (see instructions)? . Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes," complete applicable parts of Schedule N ......... Enter amount of political expenditures, direct or indirect, as descnbed in the instructions. ~ l37a '---''-------1 Did the organization file Fonn 1120-POL for this year? . Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made In a prior year and still outstanding at the end of the tax year covered by this return? If "Yes," complete Schedule L, Part" and enter the total amount involved r:38=.:;b+--I Section 501 (c)(7) organizations. Enter: Initiation fees and capital contributions included on line 9 39a t-=-::-"'-i-------i Gross receipts, included on line 9, for public use of club facilities L..:3:_;9:..;:b'-'--I Section 501 (c)(3) organizations. Enter amount of tax imposed on the organization during the year under. section 4911 ~ ; section 4912 ~ ; section 4955 ~ _ Section 501 (c)(3) and 501 (c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of Its prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . Section 501 (c)(3) and 501 (c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 . ~ Section 501(c)(3) and 501 (c)(4) organizations. reimbursed by the organization Enter amount of tax on line 40c ~ a party to a prohibited tax shelter 40e Telephone no. ~ _ dd

x
x

36 37a
b

35a 35b
36 37b 38a

I

38a b 39 a
b 40a

b

40b

c

x

d
e 41 42a b

All organizations. At any time during the tax year, was the organization transaction? If "Yes," complete Form 8886-T. List the states With which a copy of this return IS filed. ~ The organization's books are in car~ of~

~

Located at ~ •.•. fJ...~II __.. IJ...t?_~ ZIP + 4 ~ •••{!!,j_.lf.'J.~. . 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 Yes No account)? ................................ 42b If "Yes," enter the name of the foreign country: ~ See the instructions for exceptions and filing requirements and Financial Accounts.

K;r_~':!.-~..f).gk#.-4'J!':!" . -- - -.l~_'l.t:: l:1/1(J_!.£t!!!~.~r....~.~.':t..'!-2... ..

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X

for Fonn TO F 90-22.1, Report

of Foreign

Bank

c 43

At any time during the calendar year, did the organization maintain an office outside of the U.S.? . If "Yes," enter the name of the foreign country: ~ Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in heu of Fonn 1041-Check here and enter the amount of tax-exempt interest received or accrued during the tax year. ....~

--

42c . . . ~

X
0
_

L..I

....;,.43"'---'1

Yes No
44a Did the organization maintain any donor completed instead of Form 990-EZ advised funds during the year? If "Yes," Form 990 must be

44a
during the year? If "Yes," Form 990 must be

)(

b
c d

Did the organization operate one or more hospital facilities completed instead of Form 990-EZ

44b
44c If "No," provide an
Fonn

Did the organization receive any payments for indoor tanning services during the year? If "Yes" to hne 44c, has the organization filed a Form 720 to report these payments?

X "><
-(2010)

explanation in Schedule 0

44d

--

990-EZ

Fonn 990-EZ (2010)

Page

4

Yes 45 Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? 45

No

)(

a

Did the organization receive any payment from or engage in any transaction with a controlled entity within the mean!ng of section 512(b)(13)? If "Yes," Form 990 and Schedule A may need to be completed instead of Form 990-EZ (see instructions) . Did the organization engage, directly or indirectly, in 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) ~rganization~ and section 4947(a)(1) 501 (c)(3) orqanizatlons and section 4947(a)(1) nonexempt and 52, and complete the tables for lines 50 and 51. Check if the organization used Schedule non~xempt charitable charitable trusts trusts must answer in this Part VI . .

--

45a

~

46

-

l:mia.'n

46

X
0
No

only. ('II section questions 47-49b . . . . . . Yes .

0 to respond to any question

47
48

49a
b 50

y, Did the organization engage in lobbying activities? If "Yes," complete Schedule C, Part II 47 Is the organization a school as described in section 170(b)(1)(A)(iij? If "Yes," complete Schedule E 48 Old the organization make any transfers to an exempt non-charitable related organization? 49a If "Yes, n was the related organization a section 527 organization? 49b Complete this table for the orqanization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None. n

.X

x

(a) Name and address of each employee than $100,000

p3Jd more

(b) Title and average hours per week devoted to position

Ic) Compensation

Id) ContnbutJons to employee benefit plans & deferred compensation

Ie) Expense account and other allowances

------------------N.().I\J£---------------------------------------

f

Total number of other employees paid over $100,000

.

.

.

. ..

...::0=-

_
contractors who each received more than
Ic) Compensation (b) Type of service

51

Complete trus table for the organization's five highest compensated independent $100,000 of compensation from the organization. If there is none, enter "None."
la) Name and address of each Independent contractor paid more than $100,000

_______________________________ Nf2_N!f_

_

d Total number of other independent
52

contractors

each receiving over $100,000

... . . ..

_

Did the organization complete Schedule A? Note: All section 501 (c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A . . . . . . . . . . .

C!!Yes 0 No
and belief, It IS

Under penalties of pel)ury, I declare that I have exarmned this return, including accompanymg schedules and statements, and to the best of my knowledge true, correct, and complete. D tion of preparer (other t officer) IS based on all mformatlon of which preparer has any knowledge.

Sign Here

~

Signature

~
, PrintIType

'\1 DHIJ
Type or pnnl name and bile preparer's name

F.

S I~II

/.}-rA
Preparer's Signature Date

PTlN

Rnn's address

~

May the lAS discuss this return with the preparer shown above? See instructions

.. 0 Yes 0 No
Fonn

990-EZ

(2010)

SCHEDULE A (Form 990 or 99O-Ez)
Department of the Treasury Internal Revenue SelVice

Public Charity Status and Public Support
Complete If the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. ~ Attach to Fonn 990 or Fonn 99O-EZ. ~ See separate instructions.

OMB No. 1545-0047

~(Q)10
Open to Public Inspection

\

The organization is not a private foundation because it IS: (For lines 1 through 11, check only one box.) 1 0 A church, convention of churches, or association of churches described in section 170(b}(1 )(A)(I). 2 0 A school descnbed in section 170(b)(1)(A)(ii). (Attach Schedule E.) 3 0 A hospital or a cooperative hospital service organization described in section 170(b)(1 )(A)(iii). 4 0 A medical research organization operated in conjunction with a hospital described in section 170(b)(1 )(A)(iii). Enter the hospital's name, city, and state: 5 0 An organization operated for the -ben-efitor;i-coliege-or-liriiVersiiY-own-ed-or-operatecrby--;i-govemmeritarij-nit-desc-ribed-in section 170(b)(1)(A)(iv). (Complete Part 11.) 6 0 A federal, state, or local government or governmental unit descnbed in section 170(b){1){A)(v). 7 \'blAn organization that normally receives a substantial part of its support from a govemmental unit or from the general public ~described in section 170(b)(1}(A}(vi}. (Complete Part 11.)

8
9

0 A community trust described 0 An organization that normally

in section

170(b)(1)(A)(vi}. (Complete Part II.)

receives: (1) more than 33113% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 33'13% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 3D, 1975. See section 509(a)(2). (Complete Part III.)

10 11

0 An organization 0 An organization
a

organized and operated exclusively to test for public safety. See section 509(a}(4). 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(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11 h.

e

D By

0 Type I b 0 Type II c 0 Type III-Functionally integrated d 0 Type IIl-Other checking this box, I certify that the organization is not controlled directly or mdirectly 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).
a written determination from the IRS that it is a Type I, Type II, or Type III supporting ............................... accepted any gift or contribution from any of the in (ii) and
11g(i) 11g(i1) 11g(lil)

f 9

If the organization received organization, check this box

0
No

Since August 17, 2006, has the organization following persons? (iii) below, the goveming

(i) A person who directly or indirectly controls, either alone or together With persons described
body of the supported organization? . (ii) A family member of a person described in (i) above? .... (iii) A 35% controlled entity of a person described in (i) or (iQabove? . Provide the following information about the supported organization(s).
(ii)EIN

Yes

h

(i) Name of supported

orqamzatlon

(iii) Type of orgamzatlon (described on lines 1-9 above or IRC section (see instructions))

flY) Is the organlZEltlon in col. (i) listed In your governing document?

(vi Old you notify the organizabon In col. (i) of your support?

(vi) Is the organization In col. (i) orqamzed In the U.S.?

(vii) Amount support

of

Yes (A) (8) (e) (D) (E)

No

Yes

No

Yes

No

I

Total For Paperwork Reduction Act Notice, see the Instructions for Fonn 990 or 99O-EZ.
Cat. No. 11285F Schedule A (Fonn 990 or 99O-EZ) 2010

.:thill.
Calendar 1

Schedule A (Form 990 or 990-EZ) 2010

Page

2

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)

Section A Public Support
year (or fiscal year beginning in) .. contributions, and grants, Gifts. membership fees received. (Do not include any "unusual grants. a) (a) 2006

.

(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) (b) 2007
(c) 2008

(d) 2009

(e) 2010

(1) Total

JLt 3 ){,(J

JD77t

J

iu»

37J'J'

:>1080

L.J ;)313_

2

levied for the revenues Tax benefit and either paid organization's to or expended on its behalf or facilities The value of services fumished by a govemmental unit to the organization without charge . Total. Add lines 1 through 3 . by The portion of total contributions (other than a person each unit or publicly governmental included on organization) supported line 1 that exceeds 2% of the amount shown on line 11 , column (f) . Public support. Subtract line 5 from line 4.

3

4

~t..J '3J60

tart»

5

in.s» .

3;' ~(, __;)_I

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LfJ "39")

6

Section B Total Support
Calendar year (or fiscal year beginning Amounts from line 4 7 8 In) .. (a) 2006 (b) 2007 (c) 2008

.

Lt 1 '-i"7~
(d) 2009

ari o
1

3'13.2'0

1lJ773__ lJfJ.!i

Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources Net income from unrelated business activrtles, 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.) .

3'7

J~"

(e) 2010

(1) Total

~Cltlo

'H4i~

~J3 .:2

'i3C, :1

7l>:2

5'6'

(.)

1303

9

10

11 12 13

Total support. Add lines 7 through 10 Gross receipts from related activities, etc. (see instructions) First five years. If the Form 990 IS for the organization's organization, check this box and stop here ....

12 I first, second, third, fourth, or fifth tax year as a section 501(c)(3) ......... ..

lf~'-tO(9. "

0
% %

Section C. Computation of Public Support Percentage
14 15 16a b 17a Public support percentage for 2010 (line 6, column (f) divided by line 11, column (f» Public support percentage from 2009 Schedule A, Part II, line 14 ...... 331/3% supporttest-2010.lf 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 ........... ..

g_
0

33113%

support test-2009. If the organization did not check a box on line 13 or 16a, and line 15 is check this box and stop here. The organization qualifies as a publicly supported organization

33113%

or more, ..

10%-facts-and-circumstances test-2010. 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. .................................. .. 10%-facts-and-circumstances test-2009. 15 is 10% or more, and if the organization Explain in Part IV how the organization meets supported organization ....... Private foundation. instructions .. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line meets the "facts-and-circumstances" test, check this box and stop here. the "facts-and-circumstances" test. The organization qualifies as a publicly . . . . . . . . . . . . . . . . . . . . . . .. .. ..

0

b

0 0

18

If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Schedule

A (Fonn 990 or 99O-EZ) 2010

SCHEDULE 0 (Form 990 or 99O-EZ)
Department of the Treasury Intemal Revenue Service Name 01 the organizatIon

Supplemental Information to Form 990 or 990-EZ
Complete to provide Infonnation for responses to specific questions on Form 990 or 99O-EZ or to provide any additional information. ~ Attach to Form 990 or 99O-EZ.
Employer Identification

OMB No. 1545..()()47

Open to Public Inspection

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_________________________________________________________~J __ __'! I__ ~§._y__@_~_~_~_~ U:~_~_~~!_~!.jJ ~~ __

_________________________________________________ «eas« £cl_t:!:?~_!_f...£ ~ ___1.._~ ~ _
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For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 99O-EZ.

Cat. No. 51056K

Schedule

0 (Form 990 or 99O-EZ) (2010)

SCHEDULE 0 (Form 990 or 990-EZ)
Department of the Treasury Intemal Revenue SeMCe Name of the organJZ8tlon

Supplemental

Information to Form 990 or 990-EZ

OMB No. 1545-0047

Complete to provide Information for responses to specific questions on Form 990 or 99O-EZ or to provide any additional information. • Attach to Form 990 or 99O-EZ.

Open to Public Inspection

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Cat. No. 51056K

Schedule 0 (Form 990 or 99O-EZ) (2010)

- Schedule

0 (Form 990 or ggQ-EZ) (2010)

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Schedule

0 (Form 990 or 99O-EZ) (2010)

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