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
PENINSULA METROPOLITAN YMCA
Employer identification number
54-0524905
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.") ....
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..
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)..
6
Public Support. Subtract line 5 from line 4.
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..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
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
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
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.") .
2,933,118
3,306,055
3,919,874
2,412,823
5,174,228
17,746,098
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......
11,496,964
13,633,268
14,704,510
15,579,526
14,860,062
70,274,330
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
237,638
314,744
217,539
313,368
1,083,289
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.
14,430,082
17,176,961
18,939,128
18,209,888
20,347,658
89,103,717
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
482,493
3,000
299,712
2,003,000
2,788,205
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.
0
c
Add lines 7a and 7b..
482,493
3,000
299,712
2,003,000
2,788,205
8
Public Support (Subtract line 7c from line 6.)
86,315,512
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...
14,430,082
17,176,961
18,939,128
18,209,888
20,347,658
89,103,717
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
520,761
457,468
279,852
485,458
488,031
2,231,570
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
520,761
457,468
279,852
485,458
488,031
2,231,570
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.)
108,671
99,460
74,064
79,252
133,082
494,529
13
Total support (Add lines 9, 10c, 11 and 12.).
15,059,514
17,733,889
19,293,044
18,774,598
20,968,771
91,829,816
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
94.000 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
96.030 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
2.430 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
2.240 %
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:
Software Version:
-
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
PENINSULA METROPOLITAN YMCA
Employer identification number
54-0524905
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 2
OUR BOARD OF DIRECTORS CONSISTS OF LOCAL BUSINESS PROFESSIONALS. THE INDUSTRY MIX CONSISTS OF BANKING, INVESTMENT, LAW, CONSTRUCTION, AND LOCAL GOVERNMENT TO NAME A FEW. IT IS PROBABLE THAT A MAJORITY OF THE MEMBERS PATRONIZE THE BUSINESSES REPRESENTED ON THE BOARD. HOWEVER, WE ARE NOT AWARE OF ANY RELATIONSHIP WHERE ONE INDIVIDUAL WOULD BE ABLE TO EXERCISE INFLUENCE OVER ANOTHER WHEN DEALING WITH THE BUSINESS OF OUR YMCA. TO ADD, INDEPENDENT COMMITTEES ARE UTILIZED TO DETERMINE RECOMMENDATIONS TO THE BOARD REGARDING FINANCIAL AND LEGAL MATTERS.
FORM 990, PART VI, SECTION B, LINE 11
THE AUDIT & FINANCE COMMITTEE IS CHARGED WITH MONITORING AND GUIDING THE FINANCIAL ACTIVITY OF THE PENINSULA METROPOLITAN YMCA. THE COMMITTEE REVIEWS THE BALANCE SHEET AND INCOME STATEMENT OF THE ORGANIZATION ON A MONTHLY BASIS, AND REPORTS TO THE FULL BOARD REGULARLY. THIS COMMITTEE IS RESPONSIBLE FOR ENGAGING AN ACCOUNTING FIRM TO AUDIT EACH FISCAL YEAR'S FINANCIAL STATEMENT AND PREPARE THE RELATED TAX RETURNS. EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES A COPY OF THE AUDITED FINANCIAL STATEMENTS AND A DRAFT COPY OF THE FORM 990 AND AN AUDIT & FINANCE COMMITTEE MEETING IS SCHEDULED AND HELD TO REVIEW THESE ITEMS. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE INVITED TO THIS MEETING TO ASK QUESTIONS REGARDING THE TAX RETURNS. DURING A PORTION OF THE MEETING, REPRESENTATIVES FROM THE ACCOUNTING FIRM AS WELL AS STAFF OF THE PENINSULA METROPOLITAN YMCA ANSWER QUESTION ON THE PREVIOUSLY RECEIVED DRAFT TAX RETURNS. THE TAX RETURNS ARE FILED ONCE THE AUDIT & FINANCE COMMITTEE IS SATISFIED AND ACCEPTS THE DRAFT.
FORM 990, PART VI, SECTION B, LINE 12C
OUR CONFLICT OF INTEREST POLICY AND WHISTLEBLOWER POLICY ARE DISSEMINATED TO THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. A FOLLOW UP SURVEY DOCUMENTING POLICY RECEIPT AS WELL AS ANY CONFLICT OF INTEREST DISCLOSURES WILL BE USED TO TRACK THE SPECIFICS OF MEMBER ACKNOWLEDGEMENT. THE EXECUTIVE COMMITTEE OF THE PENINSULA METROPOLITAN YMCA WILL REVIEW THE COMPILED OUTPUT OF THIS SURVEY ON AN ANNUAL BASIS. DURING BOARD OF DIRECTORS MEETINGS, THE QUESTION OF CONFLICT OF INTEREST WILL ALSO BE ASKED BEFORE A VOTE IS CALLED.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD OF DIRECTORS REVIEWS AND DETERMINES THE SALARY OF THE KEY EMPLOYEES OF THE YMCA
FORM 990, PART VI, SECTION C, LINE 19
OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. REQUESTS ARE ACCEPTED VIA TELEPHONE, EMAIL, AND OUR WEBSITE. REQUESTS MADE AT THE BRANCH LEVEL ARE FORWARDED TO THE CORPORATE OFFICE, WHERE THEY ARE FULFILLED. OUR YMCA ALSO PROVIDES THIS INFORMATION TO GRANTING ORGANIZATIONS, GOVERNMENT ENTITIES, AND FINANCIAL INSTITUTIONS ON A REGULAR BASIS.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 199,233. UNREALIZED GAIN ON HEDGED INTEREST RATE SWAP -65,890. TOTAL TO FORM 990, PART XI, LINE 5: 133,343.
FORM 990 PART XI LINE 2C
ONE OF THE DUTIES OF THE AUDIT & FINANCE COMMITTEE IS TO ENGAGE AN ACCOUNTING FIRM TO AUDIT EACH FISCAL YEAR'S FINANCIAL STATEMENT AND PREPARE THE RELATED TAX RETURNS
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.