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.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
YOUNG MENS CHRISTIAN ASSOCIATION OF LAFAYETTE
Employer identification number
35-0868213
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
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(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
Provide the following information about the supported organization(s).
(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.") ....
235,876
209,876
265,524
454,511
206,058
1,371,845
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3..
235,876
209,876
265,524
454,511
206,058
1,371,845
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)..
293,512
6
Public Support. Subtract line 5 from line 4.
1,078,333
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..
235,876
209,876
265,524
454,511
206,058
1,371,845
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
31,569
36,545
29,032
19,694
8,129
124,969
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
0
11
Total support (Add lines 7 through 10).
1,496,814
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
7,769,841
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
72.040 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
72.400 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 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
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
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:
10000105
Software Version:
2010v3.2
-
TIN:
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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
YOUNG MENS CHRISTIAN ASSOCIATION OF LAFAYETTE
Employer identification number
35-0868213
Identifier
Return Reference
Explanation
FORM 990, PART III, LINE 4D
SOCIAL RESPONSIBILITY-Our YMCA provides a variety of programs to develop personal educational/leadership skills and we collaborate with other community organizations to identify and respond to community needs. YMCA programs, such as Strong Kids Campaign and Golf-Fore-Youth are examples of how our YMCA develops social responsibility that strengthens our community and builds the foundation for future generations to thrive. We have engaged YMCA members, participants and volunteers in activities that build social responsibility.
FORM 990, PART III, LINE 4C
HEALTHY LIVING-YMCA's focus on healthy living by advocating health and well-being from the inside out - the spirit, mind and body. The YMCA provides people with the supportive relationships and environments they need for their successful pursuit of health and well-being. This is particularly important as our nation struggles with an obesity crisis, families struggle with work/life balance and individuals search for personal fulfillment. We bring families together, and offer sport, recreational and social networks that build relationships and strengthen bonds. Our programs are accessible, affordable and open to all faiths, backgrounds, abilities and income levels. In 2010, we provided $200,000 in financial assistance through United Way and our Strong Kids campaign to overcome economic barriers to participation.
FORM 990, PART III, LINE 4A-4B, 4D
YOUTH DEVELOPMENT- The YMCA is a leader in nurturing the potential of every child and teen. Every day, the YMCA helps young people deepen positive values, their commitment to service, and their motivation to learn. Our YMCA programs, such as Kids Construction Company, Camp Straight Arrow, and Aquatic programs offer a range of experiences that enrich cognitive, social, physical and emotional growth. Expenses include subsidies and direct financial assistance that enables 24% of young people to participate. For additional details regarding these critical programs and their impact, see their descriptions on Schedule O.
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
LAFAYETTE FAMILY YMCA MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THE YMCA OF THE USA DEVELOPS A HUMAN RESOURCES TASK FORCE, MADE UP OF YMCA CEOS, VOLUNTEERS, AND HUMAN RESOURCE OFFICERS. THEY BRING UNIQUE EXPERIENCES AND EXPERTISE; PROVIDING INSIGHT AND DIRECTION IN ORDER TO MAKE THOUGHTFUL RECOMMENDATIONS TO BEST SERVE THE MOVEMENT IN THE AREA OF COMPENSATION. THE TASK FORCE IS TO IDENTIFY METHODS FOR VOLUNTEERS AND STAFF TO CONSIDER IN THE DEVELOPMENT AND MAINTENANCE OF EFFECTIVE SALARY ADMINISTRATION PROGRAMS IN THEIR RESPECTIVE ASSOCIATIONS. THEY REVIEW CURRENT SALARY ADMINISTRATION TRENDS IN YMCAS AND IN OTHER ORGANIZATIONS THROUGHOUT THE COUNTRY BOTH THE FOR-PROFIT AND NON-PROFIT SECTORS. THOSE TRENDS WERE THEN APPLIED TO ESTABLISH RECOMMENDED GUIDELINES FOR YMCAS TO USE IN THE COMING YEAR'S BUDGET PLANNING. THESE GUIDELINES HELP OUR LAFAYATTE FAMILY YMCA DEVELOP AND ESTABLISH COMPENSATION GOALS THAT REFLECT CURRENT SALARY ADMINISTRATION TRENDS IN THE LOCAL MARKET. PERFORMANCE REVIEWS ARE CONDUCTED ANNUALLY.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
THE LAFAYETTE FAMILY YMCA HAS A CONFLICT OF INTEREST/STATEMENT OF DISCLOSURE THAT BOARD MEMBERS ARE REQUIRED TO FILL OUT. THIS QUESTIONNAIRE DETERMINES IF THERE ARE ANY CONFLICTS OF INTEREST.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
990 WILL BE REVIEWED AT THE FINANCE COMMITTEE MEETING.
Form 990, Part VI, Line 7a
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body
Our members have the right to elect members of the board, but do not receive any distributions of income or assets from the organization.
Form 990, Part VI, Line 6
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder
Our organization is a public charity open to all without regard to the ability to pay.
Form 990, Part VI, Line 2
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et
Board member Martha Pfleeger is employed by a corporation owned by board member Jim Gothard.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: Youth/Teen Programs - YMCA Youth and Teen programs help kids develop self-esteem and good values, including cooperation, respect for the body, good citizenship, and a strong work ethic. Youth sports focus on the full and equal participation of all. Young people participating in sports build lifelong positive attitudes and habits of healthy exercise. Scholarship opportunities make the YMCA youth/teen programs available for all of those in financial need. OTHER PROGRAM SERVICES 5: CAMP STRAIGHT ARROW - For over 100 years, YMCA's have provided camping experiences for millions of children. Since 1978, Straight Arrow Day Camp has offered children the opportunity to enjoy nature and the out-of-doors. The goal of camp is to help participants grow personally, clarify values, develop specific skills, improve personal and family relationships, become better leaders and supporters, appreciate diversity and have fun. In summer of 2010 over 802 children participated in summer day camp. With support from the United Way and our Strong Kids' Campaign, we were able to provide financial assistance to help them have "an experience that lasts a lifetime."
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.