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 SOUTH CENTRAL ILLINOIS
Employer identification number
37-1149287
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.") ....
364,080
383,746
338,424
413,296
341,239
1,840,785
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..
364,080
383,746
338,424
413,296
341,239
1,840,785
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)..
0
6
Public Support. Subtract line 5 from line 4.
1,840,785
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..
364,080
383,746
338,424
413,296
341,239
1,840,785
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
11,508
8,103
3,464
1,186
1,043
25,304
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).
1,866,089
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
98.640 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
98.200 %
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:
11000144
Software Version:
2011v1.2
-
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
2011
Open to Public Inspection
Name of the organization
UNITED WAY OF SOUTH CENTRAL ILLINOIS
Employer identification number
37-1149287
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
All documents are available upon request. Notice of their availability is posted on organizational website. Campaign balances are also posted on the website. Summary level financials are posted in annual report. Public Notice of Annual Meeting and availability of financials is posted in newspapers.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
BOARD MEMBERS, MEMBERS, AND COMMITTEE MEMBERS OF UNITED WAY OF SOUTH CENTRAL IL WILL SUBMIT ANNUAL REPORTS ON A FORM APPROVED BY THE THE BOARD, DISCLOSING ANY CONFLICT OR POTENTIAL CONFLICT BEFORE ANY ADDITIONAL BOARD OR COMMITTEE ACTION IS TAKEN. THE ANNUAL REPORTS ARE REVIEWED BY OFFICERS OF THE BOARD WHO WILL ATTEMPT TO RESOLVE ANY ACTUAL OR POTENTIAL CONFLICTS AND, IN THE ABSENCE OF RESOLUTION, REFER ALL SUCH MATTERS TO THE FULL MEMBERS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
A COPY OF THE PREPARED 990 IS GIVEN TO THE BOARD OF DIRECTORS FOR REVIEW. IT IS SIGNED BY AN OFFICER AND FILED WITH THE APPROPRIATE AGENCY.
Form 990, Part VI, Line 2
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et
BOARD MEMBERS KATIE BROWN & TYLER BROWN ARE MARRIED.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: GIRL SCOUTS OF SOUTHERN ILLINOIS - PURPOSE IS TO PROVIDE AN INFORMAL EDUCATIONAL PROGRAM WHICH WILL INSPIRE GIRLS WITH THE HIGHEST IDEALS OF CHARACTER, CONDUCT, PATRIOTISM AND SERVICE THAT THEY MAY BE HAPPY AND RESOURCEFUL OTHER PROGRAM SERVICES 5: EPILEPSY FOUNDATION - THE FOUNDATION'S MISSION IS TO PROVIDE ANY SERVICE NEEDED BY INDIVIDUALS WITH EPILEPSY INCLUDING COUNSELING, TRANSPORTATION, ADVOCACY, PUBLIC AND PROFESSIONAL EDUCATION, AND REFERRALS FOR JOB ASSISTANCE OTHER PROGRAM SERVICES 6: OTHER PROGRAM SERVICES 7: PEOPLE AGAINST VIOLENT ENVIRONMENTS - THE PROGRAM'S MISSION IS TO INCREASE THE RANGE OF OPPORTUNITIES, ACTIVITIES, SKILLS, ROLES AND RIGHTS AVAILABLE TO WOMEN BY ENCOURAGING THE FULLEST USE AND DEVELOPMENT OF WOMEN'S ABILITIES AND RESOURCES. ITS GOAL IS TO PROVIDE SAFE SPACE AND EFFECTIVE SUPPORTIVE SERVICES TO THE WOMEN AND CHILDREN WHO NEED ASSISTANCE TO BREAK THE CYCLE OF VIOLENCE THEY ARE LIVING IN OTHER PROGRAM SERVICES 8: THE AMY CENTER - THE AMY CENTER IS DEDICATED TO MINIMIZING THE TRAUMA THAT CHILD VICTIMS MUST ENDURE ONCE A CRIME OF SEXUAL ABUSE HAS BEEN REPORTED TO THE AUTHORITIES. THE CENTER IS ALSO DEDICATED TO TEACHING CHILDREN THE SKILLS THEY NEED TO INTERRUPT OR PREVENT CHILD SEXUAL ABUSE OTHER PROGRAM SERVICES 9: HABITAT FOR HUMANITY - THIS IS AN ECUMENICAL, CHRISTIAN HOUSING MINISTRY THAT SEEKS TO ELIMINATE POVERTY HOUSING FROM THE WORLD AND MAKE DECENT SHELTER A MATTER OF CONSCIENCE AND ACTION OTHER PROGRAM SERVICES 10: LAND OF LINCOLN LEGAL ASSISTANCE - THIS ORGANIZATION PURSUES CIVIL JUSTICE FOR LOW-INCOME PERSONS THROUGH EDUCATION AND REPRESENTATION. IT PROMOTES ADEQUATE SHELTER, ECONOMIC SECURITY AND HEALTH CARE, STRIVES TO ALLEVIATE DOMESTIC VIOLENCE AND IMPROVE FAMILY STABILITY AND ADVANCES THE INTERESTS OF VULNERABLE POPULATIONS OTHER PROGRAM SERVICES 11: ONE HOPE UNITED - THIS ORGANIZATION PROVIDES SERVICES TO YOUTH AND THEIR FAMILIES BY GIVING CRISIS INTERVENTION METHODS AT THE POLICE STATION. THIS IS USUALLY FOR A YOUTH IN LIMITED CUSTODY OR WHO IS REFUSING TO GO HOME. FOLLOWING THE CRISIS, THE YOUTH AND THEIR FAMILY RECEIVES FURTHER COUNSELING OTHER PROGRAM SERVICES 12: MT. VERNON LITTLE HOUSE FOUNDATION - PROVIDES AND MAINTAINS THE PHYSICAL FACILITY USED BY THE GIRL SCOUTS OF JEFFERSON COUNTY, THEREBY ENHANCING THE OVERALL PROGRAM. USED FOR TROOP MEETINGS, SERVICE UNIT MEETINGS FOR LEADERS, TRAINING CLASSES, ADVANCEMENT/RECOGNITION CEREMONIES, RECRUITING EVENTS, AND TROOP OVERNIGHTS OTHER PROGRAM SERVICES 13: JEFFERSON COUNTY SPORTS AUTHORITY - PROVIDES INSTRUCTION, PARTICIPATION, LEADERSHIP AND SPORTSMANSHIP SKILLS THROUGH STRUCTURED SUMMER SPORTS PROGRAMS FOR YOUTH AGES 16 AND UNDER OTHER PROGRAM SERVICES 14: SENIOR SERVICES OF SOUTHERN ILLINOIS - PROGRAM TO HELP MEET THE NEEDS OF PEOPLE AGE 60 AND OVER WHO MAY NEED HELP TO BE ABLE TO LIVE IN THEIR OWN HOMES. ALSO INVESTIGATES ELDER ABUSE, PROVIDES LEGAL SERVICES, HOMEMAKER SERVICES AND ADULT DAY CARE OTHER PROGRAM SERVICES 15: UNITED METHODIST CHILDREN'S HOME - PURPOSE IS TO PROVIDE SERVICES TO TROUBLED YOUTH AND ADOLESCENTS IN VARIOUS FORMS INCLUDING A RESIDENTIAL PROGRAM, A TRANSITIONAL LIVING PROGRAM, A FOSTER CARE PROGRAM AND A NON-PUBLIC SPECIAL EDUCATION SCHOOL; ALSO INCLUDES A "PARENTS TOO SOON" PROGRAM TO ASSIST YOUNG MOTHERS IN VARIOUS FACETS. OTHER PROGRAM SERVICES 16: WASHINGTON COUNTY SENIOR SERVICES- PROVIDE VITAL SERVICES THAT WILL ASSIST SENIORS IN MAINTAINING THEIR INDEPENDENCE AND REDUCE THEIR ISOLATION. OTHER PROGRAM SERVICES 17: JEFFERSON COUNTY COMPREHENSIVE SERVICES/JEFFERSON COUNTY SUNSHINE CENTER- PROVIDES ASSISTANCE TO PERSON 60 AND OLDER TO HELP THEM DEVELOP AND MAINTAIN INDEPENDENCE AND DIGNITY BY PROVIDING CONGREGATE MEALS, HOME DELIVERED MEALS, CASE MANAGEMENT, COMMUNITY CARE, TRANSPORTATION, AND OTHER RELATED SERVICES. OTHER PROGRAM SERVICES 18: COURT APPOINTED SPECIAL ADVOCATE- TO SUPPORT AND PROMOTE COURT-APPOINTED VOLUNTEER ADVOCACY FOR ABUSED AND NEGLECTED CHILDREN SO THAT THEY CAN THRIVE IN SAFE, PERMANENT HOMES. OTHER PROGRAM SERVICES 19: SSM HOME CARE-PROVIDES HOLISTIC AND FAMILY CENTERED HEALTH CARE SERVICES TO PATIENTS IN THE COMFORT OF THEIR OWN HOMES. OTHER PROGRAM SERVICES 20: SOUTHERN ILLINOIS RADIO INFORMATION SERVICE - PROVIDES CURRENT INFORMATION BY CLOSED CIRCUIT BROADCAST TO VISUALLY-IMPAIRED PERSONS AND OTHERS WHO ARE UNABLE TO READ PRINTED MATERIALS DUE TO LACK OF SIGHT OR PHYSICAL IMPAIRMENTS THAT WOULD PROHIBIT MANIPULATION OF NEWSPAPER, BOOK, OR COMPUTER
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.