Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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. | 0 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 569,469 | 283,672 | 388,060 | 609,281 | 873,729 | 2,724,211 |
| 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...... | 568,230 | 1,222,265 | 1,071,566 | 808,253 | 1,407,151 | 5,077,465 |
| 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. | 1,137,699 | 1,505,937 | 1,459,626 | 1,417,534 | 2,280,880 | 7,801,676 |
| 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.) | 7,801,676 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 1,137,699 | 1,505,937 | 1,459,626 | 1,417,534 | 2,280,880 | 7,801,676 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,011 | 1,242 | 1,225 | 22,234 | 7,495 | 34,207 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 2,011 | 1,242 | 1,225 | 22,234 | 7,495 | 34,207 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 5,084 | 2,511 | 12,263 | 19,116 | 23,883 | 62,857 |
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 1,144,794 | 1,509,690 | 1,473,114 | 1,458,884 | 2,312,258 | 7,898,740 |




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 204,219, Grants and allocations 0, Revenue 0 Our Silver Sneakers and aquatic exervice programs keep senior avtive and flexible Our instructional aquatics program at the YMCA and City of Washington Court House City Pool helps develop physical and water safety skills in toddlers and youth our family swim programs gives adults and children shared time in the pool to appreciate one another and promote intergenerational relationships. There were 378 participants in aquatics programs swim lessons and water aerobics in 2011. YMCA youth and teen programs such as strength and conditioning, teen nights, fun nights, day camp, and leaders club give kids good role models to help them develop self-esteem and good values, including cooperation, respect, citizenship, and a strong work ethic. Our family strengthening programs, such as free family nights, family martial arts, daddy-daughter dance, and movie nights at the Y provide an outlet for families to build stronger bonds while interacting with families of various socioeconomic backgrounds. Our services are offered at affordable fees for the community at-large, with reasonable |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 0, Grants and allocations 0, Revenue 0 accomodations for those with special needs. Financial assistance in available for those who cannot afford the full fee. |
| Form 990, Part III, Line 4d Program Service Expenses 204,219, Grants and allocations 0, Revenue 0 Our Silver Sneakers and aquatic exervice programs keep senior avtive and flexible Our instructional aquatics program at the YMCA and City of Washington Court House City Pool helps develop physical and water safety skills in toddlers and youth our family swim programs gives adults and children shared time in the pool to appreciate one another and promote intergenerational relationships. There were 378 participants in aquatics programs swim lessons and water aerobics in 2011. YMCA youth and teen programs such as strength and conditioning, teen nights, fun nights, day camp, and leaders club give kids good role models to help them develop self-esteem and good values, including cooperation, respect, citizenship, and a strong work ethic. Our family strengthening programs, such as free family nights, family martial arts, daddy-daughter dance, and movie nights at the Y provide an outlet for families to build stronger bonds while interacting with families of various socioeconomic backgrounds. Our services are offered at affordable fees for the community at-large, with reasonable Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 accomodations for those with special needs. Financial assistance in available for those who cannot afford the full fee. |
| Software ID: | 11000218 |
| Software Version: | 2011.0.0 |