Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
UNITED WAY OF CASS-CLAY
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
219 7TH ST S
 
Room/suite
City or town, state or country, and ZIP + 4
FARGO, ND581031819
D Employer identification number

41-0810008
E Telephone number

G Gross receipts $ 4,993,036
F Name and address of principal officer:
Melinda Hohncke
219 7TH ST S
FARGO,ND581031819
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.unitedwaycassclay.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1958
M State of legal domicile: ND
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: United Way of Cass-Clay brings people together to create lasting change that will improve lives.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 15
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 15
6 Total number of volunteers (estimate if necessary) .... 6 3,000
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,778,362 4,491,843
9 Program service revenue (Part VIII, line 2g) ......... 1,763 1,300
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -2,395 22,484
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 23,849 14,928
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 4,801,579 4,530,555
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,564,587 3,667,292
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 550,229 486,408
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet455,748    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 336,425 399,537
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,451,241 4,553,237
19 Revenue less expenses. Subtract line 18 from line 12...... 350,338 -22,682
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 4,776,229 4,889,764
21 Total liabilities (Part X, line 26)............ 323,057 423,294
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 4,453,172 4,466,470
Part II
Signature Block
Under penalties of perjury, 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, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: United Way of Cass-Clay brings people together to create lasting change that will improve lives.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services 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.
4a (Code:   ) (Expenses $ 3,378,456 including grants of $ 3,148,618 ) (Revenue $ 1,300 )
Agency and Program Community Investments: In 2010, United Way of Cass-Clay invested in 42 non-profit agencies and 66 programs providing human needs services in the categories of Prevention and Development and Basic Needs.Prevention & Development Impact Areas: -Child & Youth Enrichment-Mentorship-Counseling & Mental Health-Life Skills-Referral & Volunteer ServicesBasic Needs Impact Areas:-Children's Needs-Emergency Services-Emergency Shelters-Independent Living-Legal & Caregiver ServicesVolunteers from Cass and Clay counties who serve on the United Way of Cass-Clay Board of Trustees, the Community Investment Committee, and the Community Investment Review Panels oversee the allocations process and recommend levels of funding for our partner agencies and programs. Over 90 Community Investment Review Panel Volunteers reviewed applications from agencies seeking funding and participated in site visits and dialogue with directors and program coordinators. Following their reviews, the recommendations were further developed by the volunteer-led Community Investment Committee and final funding recommendations were submitted to and approved by the United Way of Cass-Clay Board of Trustees. Twice per year agencies submit outcome reports to United Way of Cass-Clay staff that outline client progress and demonstrate the lasting change they are creating in the Cass-Clay community.
4b (Code:   ) (Expenses $ 309,877 including grants of $ 309,877 ) (Revenue $   )
Success By 6 Initiative:Success By 6 is a United Way of Cass-Clay initiative that invests in early childhood development and education programs that ensure children have the positive and enriching experiences to succeed in school and in life. The programs listed below are investments made through the Success By 6 initiative. -Imagination Library: United Way of Cass-Clay partners with the Dollywood Foundation to provide free age-appropriate books once per month to children ages 0-5 in Cass and Clay counties. The program is free to families because of United Way of Cass-Clay donor dollars and any family with a child between the ages of zero and five is eligible to enroll in the program. During 2010, on average, 8,078 books were mailed per month and a total of 96,963 books were mailed to the homes of children ages 0-5 throughout Cass and Clay counties. Since 2003, 22,709 local children have been enrolled in the program. -Gearing Up for Kindergarten:United Way of Cass-Clay partners with the NDSU Extension services to provide Gearing Up for Kindergarten which is a school-readiness and parent education program that includes 16 monthly sessions for parents and children to attend together to acquire skills to prepare them for a successful transition into Kindergarten. Children experience parent-child interaction and parents attend sessions on brain development and parenting styles. The program is free to families because of United Way of Cass-Clay donor dollars. In 2010, 104 families experienced educational curriculum and techniques to aid in a successful transition into Kindergarten. Children who participated in the program had an increase of three times higher on pre-academic skills and development than children who did not participate. -Children's Dental Services:Children's Dental Services started in 1919 and has been improving oral health of children ever since then. Children up to age 21 are able to receive services. They come from families whose incomes are below 200% of the federal poverty line. Children's Dental Services provides accessibility to treatment and education. In Moorhead, this is specifically carried out by bringing the dental office on-site to schools so that barriers such as transportation can be removed. Any referral work that needs to be done is in collaboration with cooperating dental offices in the metro area. United Way of Cass-Clay is proud to partner with Children's Dental Services, Delta Dental, Medica Foundation, and Dakota Medical Foundation to bring this important service to the children and families in the Moorhead Public School District. Funding began in December of 2010, and services officially began on March 10, 2011.-Preschool on Wheels:United Way of Cass-Clay partners with Moorhead Community Education to provide a portable preschool program that travels weekly to in-home child care programs. Through the program, certified teachers provide preschool curriculum to the children and consult with providers on child development strategies. -Share a Story Family Literacy Event:Each spring, United Way of Cass-Clay collaborates with Prairie Public Broadcasting and the Fargo Park District to coordinate Share a Story, a family literacy event that promotes a love for reading and encourages caregivers to take an active and early part in their children's literacy. On May 15, 2010, over 2,200 children and families attended the event and had the opportunity to meet costumed characters from PBS Kids programs, select a free book to take home, and experience many other activities centered around literacy. -North Dakota Early Childhood Rating and Improvement System (NDECRIS):United Way of Cass-Clay partners with Lakes & Prairies Community Action Partnership's Child Care Resource and Referral to coordinate the North Dakota Early Childhood Rating and Improvement System (NDECRIS). The mission of the NDECRIS is to guide and support early care and education programs to continually improve quality of care and empower families to make informed decisions. The three goals of the NDECRIS are to: 1. Recognize and improve the quality of early care and education settings in order to support children's optimal development and learning.2. Provide parents with an easy to use tool to assist them in selecting quality early care and education programs for their children.3. Align early childhood resources in North Dakota in a more effective and accountable manner. United Way of Cass-Clay led the way by being the first to implement this type of program in all of North Dakota and West Central Minnesota.-Community Conversations:In November 2010, United Way of Cass-Clay partnered with the Bush Foundation to convene and facilitate listening session events in Cass County, North Dakota. The purposes of the sessions were twofold: listen to citizens and inform elected and government officials and foundation staff about citizens' biggest concerns and ideas. As a result of the listening sessions participants learned about North Dakota data and what is coming in the future and heard how others feel about the future and issues that present challenges. The listening session provided the opportunity to increase connections to other citizens, generate ideas together about how to address tough problems, and influence decisions in their state and communities. Elected officials, government leaders and foundations learned about people's biggest concerns and ideas for changing systems to create a positive future.
4c (Code:   ) (Expenses $ 208,797 including grants of $ 208,797 ) (Revenue $   )
Community Grants-School Supply Drive:Through the United Way of Cass-Clay 12th Annual School Supply Drive over 4,500 students grades K-12 attending school throughout Cass and Clay counties were equipped with backpacks and the grade-appropriate supplies they need to succeed. Of the families served through the 2010 drive, 86% self-reported being enrolled in the free and reduced lunch program through their school district. -Long Term Flood Recovery Fund:In March of 2009, United Way of Cass-Clay quickly responded to community need and established the 2009 Long Term Flood Recovery Fund to help individuals and families reestablish safety, security and stability during and after the Flood of 09. The purpose of the fund was to fulfill unmet needs of individuals and families after FEMA and insurance claims were exhausted. Contributions totaling more than $200,000 came from individuals and businesses locally, regionally and nationally. United Way of Cass-Clay staff and volunteers worked collaboratively with area non-profit agency case managers specializing in disaster recovery and other volunteers to review cases and distribute funds as needed. The donated dollars helped buy numerous beds, bedding, water heaters, electrical repairs, appliances, septic services, furniture, building supplies, eye glasses and fulfilled many other unmet needs for individuals and families in Fargo, Moorhead and our surrounding communities. United Way of Cass-Clay contributed $25,000 to the Long Term Flood Recovery Fund and invested an additional $10,000 each into the American Red Cross Minn-Kota Chapter, Salvation Army and FirstLink for their efforts during the Flood of 09. Funds were primarily expended in 2009 with remaining funds expended in early 2010.-Galleria Apartment Fire Long Term Recovery Fund:On October 11, 2010, a massive fire heavily damaged the Galleria on 42nd apartment complex in Fargo and displaced 150 residents. United Way of Cass-Clay quickly responded to community need and established the 2010 Galleria Apartment Long Term Recovery Fund to raise funds and help individuals and families reestablish safety, security and stability after the fire. The fund was designed to address unmet needs remaining after insurance claims had been processed. United Way of Cass-Clay worked collaboratively with area non-profit agency case managers specializing in disaster recovery and other volunteers to review cases and distribute funds as needed. The donated dollars helped to purchase essential living items lost in the disaster. Contributions totaling $25,637 were donated from individuals and organizations. All funds raised were distributed only to individuals impacted by the fire; once the fund was depleted in late 2010, it ceased to exist. -Emergency Funding:United Way of Cass-Clay is dedicated to responding to the needs of the local Cass-Clay community and each year provides emergency funding to agencies in crisis-mode. The fund is designed to aid United Way of Cass-Clay-funded agencies in maintaining stability and future growth. -Fill the Dome Student-Led Food Drive:In the fall of 2010 the 4th Annual Fill the Dome event was coordinated by local high school students with a goal of filling the entire floor of the FargoDome (80,000 sq. ft) with food for local food pantries. When Fill the Dome was complete, the youth had collected over 97 tons of food and raised $75,000. United Way of Cass-Clay contributed financially to the project and also provided in-kind support through communication materials and public relations support. -FM Coalition for Homeless Persons: In 2010, the FM Coalition for Homeless Persons coordinated the Project Homeless Connect event which is designed to connect homeless and imminently homeless persons who face barriers to services including mental health services, medical services, haircuts, dental care, educational opportunities, housing assistance, employment, etc. In addition to connecting persons who are homeless to services, the event helps to better connect service providers to each other and other sectors of society to the problem of homelessness. The event has become a best practices standard around the nation and is a part of the Fargo Ten-Year Plan to End Long-Term Homelessness. United Way of Cass-Clay contributed financially to the event so that the services could be available to homeless and imminently homeless persons in the Cass-Clay community. -The Essentials of Nonprofit Administration Training:United Way of Cass-Clay collaborates with Minnesota State University Moorhead (MSUM) Continuing Studies to coordinate the Essentials of Nonprofit Administration course which is a comprehensive nine-month training program for nonprofit professionals that addresses critical issues faced by nonprofit organizations today. The goal of the program is to increase the long-term success of local non-profit agencies and provide training and capacity-building for local non-profit leaders, staff and board members. United Way of Cass-Clay also provides scholarships for non-profit leaders to attend the training.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 3,897,130
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
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..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
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 III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where 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 IClick to see attachment.......................
6
 
No
7
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 IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
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 IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
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:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
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.Click to see attachment
11b
 
No
c
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 VIII.Click to see attachment
11c
 
No
d
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.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
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 U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
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 U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
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 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
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 III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
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 I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 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................
23
 
No
24a
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 questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
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, Part I......
25a
 
No
b
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................
25b
 
No
26
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 year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
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
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
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 owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
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 I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1.....................
34
 
No
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
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...
36
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...........
36
 
No
37
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
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
4
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
15
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 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
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 or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
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?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
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?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
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?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
No
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
Yes
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
0
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
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?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
15
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
15
2
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? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
 
No
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 ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (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? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
John Machacek
219 7th Street S
Fargo,ND581031809
(701) 237-5050
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet 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.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet 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 trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Mark Deraney
Chair(Jan-Mar)
 2.00 X   X       0 0 0
(2) Sherry Senske
Chair Elect(Jan-Mar)
 2.00 X   X       0 0 0
(3) Jeff Slaby
Vice Chair(Jan-Mar)/Chair(Mar-Dec)
 2.00 X   X       0 0 0
(4) Dean Atchison
Treas.(Jan-Mar)/Chair Elect(Mar-Dec)
 2.00 X   X       0 0 0
(5) David Berg
Vice Chair(Mar-Dec)
 2.00 X   X       0 0 0
(6) Todd Olson
Treasurer(Mar-Dec)
 2.00 X   X       0 0 0
(7) Mike Unhjem
Board Member
 1.00 X           0 0 0
(8) Babs Coler
Community Investment Chair
 2.00 X           0 0 0
(9) Craig Lemieux
Human Resource Chair
 2.00 X           0 0 0
(10) Evelyn Quigley
Community Building Chair
 2.00 X           0 0 0
(11) Ann McConn
Board Member
 1.00 X           0 0 0
(12) Doug Hamilton
Marketing Chair
 2.00 X           0 0 0
(13) Judy Lee
Board Member
 1.00 X           0 0 0
(14) Ron Strand
Board Member
 1.00 X           0 0 0
(15) Mark Jensen
Community Investment Chair
 2.00 X           0 0 0
(16) Gary Wolsky
Board Member
 1.00 X           0 0 0
(17) James Boberg
Board Member
 1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Louise Dardis
Board Member
 1.00 X           0 0 0
(19) Judy Green
President(Jan-Mar)
 50.00     X       23,954 0 2,390
(20) John Machacek
VP, Finance & Operations
 50.00     X       50,733 0 8,589
(21) Melinda Hohncke
President(Jun-Dec)
 50.00     X       50,992 0 6,454


















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 125,679 0 17,433
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, 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
 
No
5
Did any person listed on line 1a 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
 
No
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.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet0
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 13,300
d Related organizations...1d  
e Government grants (contributions)1e 393
f All other contributions, gifts, grants, and
similar amounts not included above1f 		4,478,150
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 4,491,843
Program Service Revenue Business Code
2a Miscellaneous Income 624,100 1,300 1,300    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,300
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 17,322     17,322
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 437,655  
b Less: cost or other basis and sales expenses 432,493  
c Gain or (loss) 5,162  
d Net gain or (loss)..........MediumBullet 5,162     5,162
8a Gross income from fundraising events (not including
$ 13,300
of contributions reported on line 1c). See Part IV, line 18 ...
a 44,916
b Less: direct expenses ...b 29,988
c Net income or (loss) from fundraising events..MediumBullet 14,928   14,928
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 4,530,555 1,300 0 37,412
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
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).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 3,556,417 3,556,417
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 110,875 110,875
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 144,294 29,227 70,062 45,005
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 264,450 72,505 58,309 133,636
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 25,314 6,601 6,414 12,299
9 Other employee benefits ....... 22,076 6,567 3,925 11,584
10 Payroll taxes ........... 30,274 7,626 9,206 13,442
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 14,789 3,169 3,860 7,760
12 Advertising and promotion .... 141,122 1,449 1,765 137,908
13 Office expenses ....... 30,208 6,473 7,885 15,850
14 Information technology ...... 25,821 5,534 6,739 13,548
15 Royalties ..        
16 Occupancy ........... 16,733 3,585 4,368 8,780
17 Travel ............ 6,722 1,441 1,754 3,527
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 17,107 3,666 4,465 8,976
20 Interest ...........        
21 Payments to affiliates ....... 47,023 47,023    
22 Depreciation, depletion, and amortization ..... 28,868 6,186 7,535 15,147
23 Insurance .............. 6,533 1,400 1,705 3,428
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Equipment Rental & Main 21,444 4,595 5,597 11,252
b Bank Charges 15,750 3,375 4,111 8,264
c Community Assessment 15,037 15,037    
d Dues and Subscriptions 4,693 1,006 1,225 2,462
e Volunteer Recognition 3,938 844 1,028 2,066
f All other expenses 3,749 2,529 406 814
25 Total functional expenses. Add lines 1 through 24f 4,553,237 3,897,130 200,359 455,748
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 1,606,099 2 1,345,409
3 Pledges and grants receivable, net ......... 2,433,497 3 2,484,337
4 Accounts receivable, net .........   4  
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 1,878 9 2,512
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 730,936
b Less: accumulated depreciation. ..... 10b 376,022 383,173 10c 354,914
11 Investments—publicly traded securities .......... 351,582 11 702,592
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)... 4,776,229 16 4,889,764
Liabilities 17 Accounts payable and accrued expenses . 18,127 17 22,029
18 Grants payable ..........   18  
19 Deferred revenue ..........   19 6,161
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 304,930 25 395,104
26 Total liabilities. Add lines 17 through 25..... 323,057 26 423,294
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 1,220,326 27 1,438,827
28 Temporarily restricted net assets ..... 3,209,231 28 2,985,869
29 Permanently restricted net assets ..... 23,615 29 41,774
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 4,453,172 33 4,466,470
34 Total liabilities and net assets/fund balances ..... 4,776,229 34 4,889,764
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
4,530,555
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
4,553,237
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-22,682
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
4,453,172
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
35,980
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
4,466,470
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
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 accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 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............................
2c
Yes
 
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:
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? ................
3a
 
No
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 O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UNITED WAY OF CASS-CLAY
 
Employer identification number

41-0810008
Part I
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
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
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
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 3,548,602 3,492,468 3,586,617 4,478,362 4,491,843 19,597,892
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3.. 3,548,602 3,492,468 3,586,617 4,478,362 4,491,843 19,597,892
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..           309,638
6 Public Support. Subtract line 5 from line 4.           19,288,254
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4.. 3,548,602 3,492,468 3,586,617 4,478,362 4,491,843 19,597,892
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 30,636 36,281 15,623 13,889 17,322 113,751
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).           19,711,643
12
12
180,100
13
Section C. Computation of Public Support Percentage
14
14
97.850 %
15
15
98.180 %
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 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 Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or 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 Tax revenues 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 included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
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 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 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 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
UNITED WAY OF CASS-CLAY
 
Employer identification number

41-0810008
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
UNITED WAY OF CASS-CLAY
  		Employer identification number

41-0810008
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
UNITED WAY OF CASS-CLAY
  		Employer identification number

41-0810008
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
UNITED WAY OF CASS-CLAY
  		Employer identification number

41-0810008
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UNITED WAY OF CASS-CLAY
 
Employer identification number

41-0810008
Part I
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
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
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? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
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.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, 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.
b
If the organization elected, as permitted under SFAS 116, 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 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
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 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
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?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 23,615 16,620 2,531
b Contributions ........ 18,159 6,985 14,163
c Investment earnings or losses ... 65 10 20
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		65    
f Administrative expenses ....     94
g End of year balance ...... 41,774 23,615 16,620
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   20,000 20,000
b Buildings ................   513,663 197,496 316,167
c Leasehold improvements ............        
d Equipment ................   197,273 178,526 18,747
e Other .................        
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 354,914
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
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    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
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








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
Designations Payable 395,104








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 395,104
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 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 4,530,555
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 4,553,237
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -22,682
4 Net unrealized gains (losses) on investments .......................... 4 35,980
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 35,980
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 13,298
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 4,072,977
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 35,980
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d -465,330
e Add lines 2a through 2d ..................... 2e -429,350
3 Subtract line 2e from line 1..................... 3 4,502,327
4 Amounts included on Form 990, Part VIII, line 12, 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 28,228
c Add lines 4a and 4b....................... 4c 28,228
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 4,530,555
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 4,059,679
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d -28,228
e Add lines 2a through 2d...................... 2e -28,228
3 Subtract line 2e from line 1..................... 3 4,087,907
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 465,330
c Add lines 4a and 4b....................... 4c 465,330
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 4,553,237
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; 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.
Identifier Return Reference Explanation
Description of Intended Use of Endowment Funds: Part V, Line 4: Interest from the UWCC Legacy endowment fund will be used to: fund special UWCC grants or initiatives to address emerging issues, direct funds to address the root causes of the communities most serious problems, support the campaign if annual gift is endowed, endowed gift designated to a specific area of interest, support the operating costs of UWCC so that a higher percentage of the annual campaign gifts go towards community investment.
Description of Uncertain Tax Positions Under FIN 48: Part X: The Company has adopted the provisions of FASB Accounting Standards Codification Topic ASC 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes), on January 1, 2009. The implementation of this standard had no impact on the financial statements. As of both the date of adoption, and as of December 31, 2010, the unrecognized tax benefit accrual was zero. The Organization will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. The Organization is no longer subject to Federal tax examinations by tax authorities for years before 2007 and state examinations for years before 2007.
Part XII, Line 2d - Other Adjustments:   Grants reclassified with expenses -465,330.
Part XII, Line 4b - Other Adjustments:   Special events expenses included with revenues -29,988. Special events revenues included in expenses 58,216.
Part XIII, Line 2d - Other Adjustments:   Special events revenues included in expenses -58,216. Special events expenses included with revenues 29,988.
Part XIII, Line 4b - Other Adjustments:   Grants reclassified from revenues 465,330.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
UNITED WAY OF CASS-CLAY
 
Employer identification number

41-0810008
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
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?
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. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (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
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

WLC Golf
(event type) 		(b) Event #2

WLC Lunch
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 10,743 47,473   58,216
2 Less: Charitable
contributions . . . 		2,340 10,960   13,300
3 Gross income (line 1
minus line 2) . . . 		8,403 36,513   44,916
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . . 2,250 589   2,839
7 Food and beverages . . 1,508 12,237   13,745
8 Entertainment . . .   9,043   9,043
9 Other direct expenses . 1,039 3,322   4,361
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 29,988
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 14,928
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
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? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
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
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UNITED WAY OF CASS-CLAY
 
Employer identification number
41-0810008
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) American Red Cross Minn-Kota Chapter2602 12th St N
Fargo,ND58102 		45-0280066 501(c)(3) 103,142       Meet health and human service need
(2) The ARC of West Central MN810 4th Ave S 134
Moorhead,MN56560 		41-0886463 501(c)(3) 29,563       Meet health and human service need
(3) The Arc of Cass County215 N University Dr
Fargo,ND58102 		45-0280567 501(c)(3) 17,681       Meet health and human service need
(4) Barnesville Area HelpersPO Box 668
Barnesville,MN56514 		41-1979323 501(c)(3) 16,648       Meet health and human service need
(5) Boy Scouts Northern Lights Council301 7th Street S
Fargo,ND58103 		45-0226415 501(c)(3) 94,774       Meet health and human service need
(6) Caring Program for Children4510 13th Ave S
Fargo,ND58121 		36-3606394 501(c)(3) 21,507       Meet health and human service need
(7) Cass County ExtensionCountdown to KindergartenNorth Dakota State University
Fargo,ND58105 		45-6002205 Government Entity 25,000       Success By 6 Initiative
(8) Catholic Charities of North Dakota5201 Bishops Boulevard
Fargo,ND58104 		45-0226416 501(c)(3) 23,941       Meet health and human service need
(9) CHARISM3350 35th Ave S
Fargo,ND58104 		45-0435273 501(c)(3) 16,631       Meet health and human service need
(10) Children's Dental Services636 Broadway St NE
Minneapolis,MN55413 		41-0857929 501(c)(3) 10,000       Meet health and human service need
(11) Churches United for the Homeless1901 1st Ave N
Moorhead,MN56560 		41-1594892 501(c)(3) 91,792       Meet health and human service need
(12) Community of Care335 1st St
Arthur,ND58006 		26-1488596 501(c)(3) 18,767       Meet health and human service need
(13) Dilworth-Glyndon-Felton Youth ServicesPO Box 188
Dilworth,MN56529 		06-1400159 501(c)(3) 23,535       Meet health and human service need
(14) Dorothy Day House1308 Main Ave
Moorhead,MN56560 		41-1452555 501(c)(3) 56,171       Meet health and human service need
(15) Fargo Youth Commission2500 18th St S
Fargo,ND58103 		45-0316132 501(c)(3) 24,729       Meet health and human service need
(16) Fargo-Moorhead Family YMCA400 1st Ave S
Fargo,ND58103 		45-0232096 501(c)(3) 244,137       Meet health and human service need
(17) FirstLINK4357 13th Ave SW Suite 107L
Fargo,ND58103 		41-0419491 501(c)(3) 255,585       Meet health and human service need
(18) Girl Scouts Pine to Prairie Council702 28th Ave N Ste 100
Fargo,ND58102 		46-0250744 501(c)(3) 31,703       Meet health and human service need
(19) Guardian Fudiciary & Advocacy Services112 N Univ Dr Ste 260
Fargo,ND58102 		27-1359470 501(c)(3) 21,649       Meet health and human service need
(20) Hospice of the Red River Valley1701 38th St SW Ste 101
Fargo,ND58103 		45-0349152 501(c)(3) 120,031       Meet health and human service need
(21) Imagination Library-Dollywood Foundation1020 Dollywood Lane
Pigeon Forge,TN37863 		62-1348105 501(c)(3) 180,874       Success By 6 Initiative
(22) Impact Foundation4152 30th Ave S Ste 102
Fargo,ND58104 		20-0520386 501(c)(3) 25,000       Meet health and human service need
(23) Lake Agassiz Habitat For Humanity210 11th St N
Moorhead,MN56560 		41-1690131 501(c)(3) 13,783       Meet health and human service need
(24) Lakes and Prairies Community Action Partnership715 11th St N 402
Moorhead,MN56560 		41-0905871 501(c)(3) 141,830       Meet health and human service need
(25) Legal Services of North Dakota118 Broadway Suite 704
Fargo,ND58102 		45-0336235 501(c)(3) 16,859       Meet health and human service need
(26) Lutheran Social Services of Minnesota715 11th St N Ste 401
Moorhead,MN56560 		41-0872993 501(c)(3) 26,911       Meet health and human service need
(27) Lutheran Social Services of North Dakota1325 11th St S
Fargo,ND58103 		45-0226421 501(c)(3) 155,264       Meet health and human service need
(28) Mental Health Association South Valley124 8th St N
Fargo,ND58102 		45-0276836 501(c)(3) 15,952       Meet health and human service need
(29) Metro Youth Partnership810 4th Ave S Suite 147
Moorhead,MN56560 		41-1806566 501(c)(3) 21,590       Meet health and human service need
(30) MSUM - Non-profit management program1104 7th Ave S
Moorhead,MN56563 		41-1687554 Government Entity 5,967       Development skills for non-profit leaders
(31) Mujeres UnidasPO Box 1075
Moorhead,MN56560 		41-1687652 501(c)(3) 14,506       Meet health and human service need
(32) New Life Center1902 3rd Ave N
Fargo,ND58102 		45-0228056 501(c)(3) 130,127       Meet health and human service need
(33) North Dakota State University (RSVP)3001 11th St S
Fargo,ND58103 		45-6002439 Government Entity 16,686       Meet health and human service need
(34) Project HERO5012 53RD St S Ste C
Fargo,ND58104 		45-0457109 501(c)(3) 10,762       Meet health and human service need
(35) Rape and Abuse Crisis Center317 8th St N
Fargo,ND58102 		41-1310289 501(c)(3) 222,203       Meet health and human service need
(36) REACH421 5th St
Hawley,MN56549 		41-1716149 501(c)(3) 47,745       Meet health and human service need
(37) Red River Human Services Foundation2506 35th Ave S
Fargo,ND58104 		45-0353814 501(c)(3) 40,811       Meet health and human service need
(38) Salvation Army304 Roberts St
Fargo,ND58102 		41-0698597 501(c)(3) 72,221       Meet health and human service need
(39) SENDCAA3233 S University Dr
Fargo,ND58104 		45-6014870 501(c)(3) 9,768       Meet health and human service need
(40) Sexual Abuse Treatment Program2624 9th Ave SW
Fargo,ND58103 		41-1310289 501(c)(3) 14,703       Meet health and human service need
(41) South Central Adult Services Council505 Broadway Ste 208
Fargo,ND58102 		45-0457109 501(c)(3) 15,361       Meet health and human service need
(42) Village Family Service Center1201 25th St S
Fargo,ND58103 		45-0226423 501(c)(3) 501,545       Meet health and human service need
(43) Vocational Training Center424 9th Ave S
Fargo,ND58103 		45-0277254 501(c)(3) 45,522       Meet health and human service need
(44) West Fargo Youth Services500 13th Ave W
West Fargo,ND58078 		56-2520352 501(c)(3) 11,759       Meet health and human service need
(45) Youthworks317 S University Dr
Fargo,ND58103 		46-0345922 501(c)(3) 67,437       Meet health and human service need
(46) YWCA of Cass-Clay3100 12th Ave N
Fargo,ND58102 		45-0226435 501(c)(3) 276,423       Meet health and human service need
(47) Missouri Slope Areawide United WayPO Box 2111
Bismarck,ND585022111 		45-0387741 501(c)(3) 7,530       Meet health and human service need
(48) United Way of Becker CountyPO Box 348
Detroit Lakes,MN565020348 		23-7225418 501(c)(3) 9,806       Meet health and human service need
(49) United Way of The Bemidji AreaPO Box 27
Bemidji,MN566190027 		41-1567744 501(c)(3) 14,117       Meet health and human service need
(50) United Way of Otter Tail County120 E Washington Ave
Fergus Falls,MN56537 		41-0873718 501(c)(3) 6,575       Meet health and human service need
(51) United Way of Richland-Wilkin CountiesPO Box 746
Wahpeton,ND580740746 		45-0335679 501(c)(3) 11,127       Meet health and human service need
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
51
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Long Term Flood Recovery Fund 17 85,238      
(2) Galleria Fire Recovery Fund 53 25,637      











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Recipients of the United Way dollars must report Outcome Measurement Strategies twice per year as well as provide up to date audit information. Each grant generally runs for a two year time period. When the grant is complete, a full application and review must be conducted. This review evaluates program effectiveness as well as fiscal health. A temporary Long Term Flood Recovery Fund was established in 2009 to aid individuals impacted by the 2009 flood. Individuals were able to apply for funding to assist with costs associated with the flood that were not covered by insurance and/or FEMA. A volunteer panel reviewed the applications to determine any funding. Once the fund was fully depleted in early 2010, it then ceased to exist. A temporary Galleria Fire Recovery Fund was established in 2010 to aid individuals impacted by the 2010 Galleria apartments fire. Individuals were able to apply for funding to assist with their recovery from loss. A volunteer panel reviewed the applications to determine any funding. The fund was fully depleted by the end of 2010.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
UNITED WAY OF CASS-CLAY
 
Employer identification number

41-0810008
Identifier Return Reference Explanation
New Program Services Form 990, Part III, line 2 Galleria Apartment Fire Long Term Recovery Fund: On October 11, 2010, a massive fire heavily damaged the Galleria on 42nd apartment complex in Fargo and displaced 150 residents. United Way of Cass-Clay quickly responded to community need and established the 2010 Galleria Apartment Long Term Recovery Fund to raise funds and help individuals and families reestablish safety, security and stability after the fire. The fund was designed to address unmet needs remaining after insurance claims had been processed. United Way of Cass-Clay collaborated with case managers to distribute funds in a fair and equitable manner to 64 individuals impacted by the fire. United Way of Cass-Clay worked collaboratively with area non-profit agency case managers specializing in disaster recovery and other volunteers to review cases and distribute funds as needed. The donated dollars helped to purchase essential living items lost in the disaster. Contributions totaling $25,637 were donated from individuals and organizations. All funds raised were distributed only to individuals impacted by the fire; once the fund was depleted in late 2010, it ceased to exist. Children's Dental Services: Children's Dental Services started in 1919 and has been improving oral health of the children ever since then. Children up to age 21 are able to receive services. They come from families whose incomes are below 200% of the federal poverty line. Children's Dental Services provides accessibility to treatment and education. In Moorhead, this is specifically carried out by bringing the dental office on-site to schools so that barriers such as transportation can be removed. Any referral work that needs to be done is in collaboration with cooperating dental offices in the metro area. United Way of Cass-Clay is proud to partner with Children's Dental Services, Delta Dental, Medica Foundation, and Dakota Medical Foundation to bring this important service to the children's families in the Moorhead Public School District. Funding began in December of 2010, and services officially began on March 10, 2011.
Changes in Program Services Form 990, Part III, line 3 Native American Programming: United Way of Cass-Clay no longer provides funding to the Fargo, ND, West Fargo, ND, and Moorhead, MN public school districts for programming that promotes school readiness and success, on-time graduation, and career preparation for Native American Students. The three year funding agreement ended.
  Form 990, Part V, Line 7b: Due to an oversight, not all of the contributors were provided notices stating the value of the goods or services provided. This will be fixed going forward.
Form 8282 Form 990, Part V, Line 7d: A van was sold in December of 2010 which required filing of Form 8282. Form 8282 was filed 1/24/2011, but none were filed during calendar year 2010.
Form 990, Part VI, Section A, line 6   Per the Bylaws, each individual contributor to United Way of Cass-Clay shall thereby become a member of the corporation for the year for which the contribution was given and shall be entitled to attend and vote at all membership meetings during the period. Any organization with a legitimate health, welfare, character-building or educational program or other human service agency, upon expressing a wish for organizational membership and after program and budget evaluation by the United Way, and upon acceptance by the Board of Trustees, shall become an organizational member and will continue so long as it is approved by the Board.
Form 990, Part VI, Section A, line 7a   The election of the Board members occurs at the Annual Meeting, by vote of United Way of Cass-Clay members in attendance. The Board is elected from nominees by the Goverance Committee and additional nominees willing to serve may be presented by petition signed by 25 verifiable members, provided such petition is received in the office of the president not less than 14 days prior to the date of the Annual Meeting.
Form 990, Part VI, Section B, line 11   The President and VP of Finance Operations will review the Form 990 as well as the finance committee. Following their review and recommendation for approval to the board, the board of directors will vote and approve the Form 990 at a board meeting.
  Form 990, Part VI, Section B, line 12c Board members complete conflict disclosures annually and the information is shared with other committees as needed. Board members with a conflict abstain from voting on issues involving the conflict. The President and the board secretary review the disclosures. Committee members and community impact panel members also complete the forms annually.
  Form 990, Part VI, Section B, line 15 The board of directors meets to approve the president's salary and benefits. The Board uses information provided by the United Way Worldwide. United Way Worldwide has salary research and recommended guidelines for director level positions and above. They are based on the size of United Way organizations and the area of the country which they are located in. Written minutes are taken at the board meeting regarding the deliberation of the approval of the president's salary and benefits. The president is not present during these deliberations. This process takes place annually. The new president began employment in June 2010 with the board determining her salary, as part of the offer, which took place May 2010. The VP of Finance and Operation's salary review took place in March 2010 by the president (the position was Finance Director at that time). The president and board reviewed the Finance Director position and salary again in November 2010 and approved a promotion to Vice President and a salary adjustment, effective December 2010.
  Form 990, Part VI, Section C, line 19 Governing documents are available upon request. The audited financial statements are on United Way of Cass-Clay's website.
Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 35,980.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version: