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
2011
Open to Public Inspection
Name of the organization
UNITED WAY OF ISLAND COUNTY
Employer identification number
91-0860836
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 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.") ....
601,293
568,291
650,258
610,526
581,202
3,011,570
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..
601,293
568,291
650,258
610,526
581,202
3,011,570
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)..
107,317
6
Public Support. Subtract line 5 from line 4.
2,904,253
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
601,293
568,291
650,258
610,526
581,202
3,011,570
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
7,209
6,081
2,693
1,753
185
17,921
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..
64,315
61,705
63,432
63,649
69,612
322,713
11
Total support (Add lines 7 through 10).
3,352,204
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
69,612
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
86.640 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
84.350 %
16a
33 1/3% support test—2011.
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—2010.
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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 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
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011
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
2011
Open to Public Inspection
Name of the organization
UNITED WAY OF ISLAND COUNTY
Employer identification number
91-0860836
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
THE ORGANIZATION CONDUCTS AN ANNUAL FUNDRAISING CAMPAIGN ON BEHALF OF CHARITABLE 501 (C)(3) ORGANIZATIONS IN ISLAND COUNTY, WASHINGTON. IT ALSO CONTRACTS WITH THE COMBINED FEDERAL CAMPAIGN TO CUNDUCT ITS ANNUAL FUNDRAISING CAMPAIGN ON A MAJOR NAVY BASE LOCATED IN OAK HARBOR, WA. THE PRIMARY ACTIVITIES INCLUDED ASSESSING COMMUNITY STRENGTHS AND CHALLENGES AND MOBILIZING COMMUNITY RESOURCES TO MEASURABLY IMPROVE PEOPLE'S LIVES. THIS IS DONE THROUGH OUR ANNUAL FUND RAISING CAMPAIGN, PARTNERSHIPS AND COLLABORATIONS.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
QUALITIES SENSE OF EMPOWERMENT, CRITICAL THINKING AND SELF-WORTH. "276 CHILDREN, AGES 0-3 PROGRESSED IN MOTOR, COMMUNICATIONS, COGNITIVE SOCIAL-EMOTIONAL AND SELF- HELP SKILLS. INCOME PROMOTING FINANCIAL STABILITY AND INDEPENDENCE "7,000 RESIDENTS OF ISLAND COUNTY INCREASED THEIR CAPACITY TO SUCCEED THROUGH EMERGENCY FUNDS, FAMILY BUDGETING, PARENTING CLASSES, STABLE HOUSING, DENTAL CLINIC, JOB TRAINING. "625 LOW INCOME RESIDENTS RECEIVED LEGAL AID. "1,900 LOW INCOME PERSONS RECEIVED SUPPORT SERVICES THAT INCLUDED EMERGENCY SHELTER, TRANSITION HOUSING, RESOURCES SUCH AS BACKPACKS, GAS VOUCHERS, CLOTHING FOOD CARDS OR CAR REPAIR AND PERSONAL VALUES INVENTORY. HEALTH IMPROVE PEOPLE'S HEALTH "7,820 FAMILIES RECEIVED FOOD BASKETS. "1,975 SENIORS RECEIVED NUTRITIONAL MEALS THAT IMPROVED LIFE EXPECTANCY AND HEALTH. MISSION: MOBILIZE COMMUNITY RESOURCES TO MEASURABLY IMPROVE PEOPLE'S LIVES. COMMUNITY IMPACT "FOUNDATION FOR EARLY LEARNING GRANT-PHASE IV 25,000 ADMINISTRATOR: CONTRACT WITH BESS WINDECKER-NELSON FOR PROFESSIONAL DEVELOPMENT ON EARLY LITERACY, PROFESSIONAL LEARNING COMMUNITIES WITH ELEMENTARY AND EARLY LEARNING EDUCATORS EVENTS SUPPORTING EARLY LITERACY, PILOT PREPARATION FOR SUMMER PROGRAM FOR KINDERGARTNERS, SUPPORT INFRASTRUCTURE FOR EARLY LEARNING COALITION. "CHILDREN'S DAY, SEPTEMBER 24, SOUTH WHIDBEY PARK, LANGLEY: PLANNING COMMITTEE. "KINDERGARTEN READINESS CALENDAR: DEVELOPMENT OF LOCAL INFORMATION, BOEING GRANT WRITTEN TO SUPPORT 30,000 STATE-WIDE DISTRIBUTION, 1,200 FOR ISLAND COUNTY. "PARTNERS FOR YOUNG CHILDREN (PYC): TO SUPPORT FAMILIES AND YOUNG CHILDREN IN ISLAND COUNTY. PARTNERS ARE: CHILD CARE RESOURCE AND REFERRAL, ISLAND COUNTY SCHOOL DISTRICTS, ISLAND COUNTY HEALTH DEPARTMENT, NWESD & NW EARLY LEARNING, TODDLER LEARNING CENTER, SNO-ISLE LIBRARY, ECEAP, HEAD START & EARLY HEAD START, SOUTH WHIDBEY CHILDREN'S CENTER. "NAVY LEAGUE MEMBER AND PLANNING COMMITTEE: VETERAN'S DAY CELEBRATION (NOVEMBER), MARINE/SAILOR OF THE YEAR (DECEMBER) AND PARTICIPATED IN MILITARY APPRECIATION DAY (SEPTEMBER). "COMMUNITY ADVISORY BOARD (CAB) MEMBER FOR THE OAK HARBOR POLICE DEPARTMENT AND CITY OF OAK HARBOR. "NATIONAL NIGHT OUT (FIRST TUESDAY IN AUGUST) PLANNING COMMITTEE "OAK HARBOR YOUTH COMMISSION MEMBER: ADVISES THE MAYOR AND HE CITY COUNCIL CONCERNING THE WELFARE, EDUCATION, RECREATION, JOB NEEDS AND DELINQUENCY MATTERS RELATED TO YOU IN OAK HARBOR; ASSIST WITH COORDINATION EFFORTS, ON BEHALF OF YOUTH, BETWEEN THE CITY, COUNTY AND YOUTH SERVICES PROVIDERS; ADVOCATE FOR YOU AND YOUTH RELATED ISSUES TO THE CITY AND COMMUNITY. "OAK HARBOR CHAMBER OF COMMERCE MEMBER "UNITED WAYS OF WASHINGTON MEMBER: QUARTERLY MEETINGS WITH 24 UNITED WAYS ACROSS THE STATE. UNITED WAYS DAY ON THE HILL (FEBRUARY) PRIORITIES FOR EARLY LEARNING: EARLY CHILDHOOD EDUCATION AND ASSISTANCE PROGRAM (ECEAP), WORKING CONNECTIONS CHILD CARE; HOME VISITATION AND 2-1-1. "COMBINED FEDERAL CAMPAIGN OF ISLAND COUNTY: PRINCIPAL COMBINED FUND ORGANIZATION (PCFO) FOR THE FEDERAL WORKPLACE GIVING CAMPAIGN 291,938. "FAMILYWIZE PRESCRIPTION DRUG SAVINGS CARD PROGRAM ADMINISTRATOR: SAVINGS OF 13,740 FOR 2011, 30,788 YEAR TO DATE SAVINGS TO ISLAND COUNTY RESIDENTS. "FEDERAL EMERGENCY FOOD AND SHELTER PROGRAM- ADMINISTRATOR FOR ISLAND COUNTY. "FAMILY RESOURCE GUIDE: DISTRIBUTION OF 15,000 AND DATA COLLECTION. PARTNER WITH WHIDBEY NEWS TIMES FOR PRINTING. "DAY OF CARING WITH TODDLER LEARNING CENTER, OCTOBER 1: PLAYGROUND REFURBISHING PROJECT COMPLETED WITH THE HELP OF UNITED WAY STAFF, BOARD MEMBERS AND US NAVY PERSONNEL. "UNITED WAY WORLDWIDE MEMBERSHIP CERTIFICATION JUNE 30, 2011. "2,500 EVEN SPONSORSHIP GRANT FROM BOEING CORPORATION "15,000 EQUIPMENT GRANT FROM ISLAND THRIFT. "KISS THE PIG CONTEST BETWEEN THE OAK HARBOR POLICE DEPARTMENT AND ISLAND COUNTY SHERIFF'S DEPARTMENT. "PEER-TO-PEER CONSULTING PARTICIPANT WITH FOUR UNITED WAY CEOS, WITH GRANT FROM THE GATES FOUNDATION. "NON-PROFIT BOARD TRAINING SPONSORED WITH IN-KIND TRAINING FACILITATED BY REX PORTER. ATTENDED BY TWENTY LOCAL NON-PROFITS AND BOARD MEMBERS : MARCH 31, 2011. "STUFF THE BUS PROJECT WITH OPPORTUNITY COUNCIL, AUGUST 2011. "ISLAND COUNTY HOUSING ADVISORY BOARD: GRANT REVIEWER. "VOLUNTEER SOLUTIONS - ADMINISTRATOR: ON-LINE VOLUNTEER MATCHING PROGRAM CONNECTS INDIVIDUALS TO VOLUNTEER OPPORTUNITIES IN THE COMMUNITIES. "YOUTH UNITED IN DEVELOPMENT: LAUNCH DATE APRIL 2012. MATCHING YOUTH WITH VOLUNTEER OPPORTUNITIES WHEN THEY GIVE 145 SERVICE HOURS AND "LETTER" IN COMMUNITY SERVICE AT THEIR SCHOOL.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
CHILDREN'S PROGRAMS DESIGNED TO ASSIST CHILDREN IN BEING PREPARED TO ENTER SCHOOL AND BE READY TO LEARN. ALSO INCLUDES OTHER PROGRAMS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
YES, THE BOARD AND FINANCE COMMITTEE REVIEWS THE FORM 990 PRIOR TO FILING; A COPY IS PROVIDED TO ALL BOARD MEMBERS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
YES, THE BOARD SIGNS OFF ON THE POLICY ANNUALLY.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
UNITED WAY OF ISLAND COUNTY OBTAINED AND RELIED ON COMPARABILITY DATA PRIOR TO APPROVING CEO AND STAFF COMPENSATION. SALARY DATA WAS USED FROM TWENTY LOCAL NON-PROFITS AND UNITED WAY WORLDWIDE SALARY DATA FOR UNITED WAYS THE SAME METRO SIZE/REGION. THE TOTAL COMPENSATION PACKAGE WAS APPROVED IN ADVANCE BY UNITED WAY OF ISLAND COUNTY'S BOARD, AND NO INDIVIDUALS WHO HAD AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT PARTICIPATED IN THE DELIBERATIONS. THE UNITED WAY OF ISLAND COUNTY BOARD ADEQUATELY AND CONTEMPORANEOUSLY DOCUMENTED THE BASIS FOR ITS DETERMINATION IN THE BOARD MINUTES. UNITED WAY OF ISLAND COUNTY EXECUTIVE DIRECTOR PROVIDED THE CURRENT YEAR'S LIST OF ACCOMPLISHMENTS AND PERFORMANCE. COMPENSATION IS BASED ON FUNDS AVAILABLE.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
SAME TO PART VI LINE 15A
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC ONLY UPON WRITTEN REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.