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
WATERTOWN FAMILY YMCA
Employer identification number
15-0559207
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.") ....
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) 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).
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—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.") .
729,027
614,604
718,449
1,816,983
952,737
4,831,800
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......
2,665,591
2,753,344
2,800,693
2,986,677
3,388,036
14,594,341
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
3,266
7,154
5,138
7,065
6,346
28,969
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.
3,397,884
3,375,102
3,524,280
4,810,725
4,347,119
19,455,110
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.
697,910
738,374
717,578
754,047
1,103,352
4,011,261
c
Add lines 7a and 7b..
697,910
738,374
717,578
754,047
1,103,352
4,011,261
8
Public Support (Subtract line 7c from line 6.)
15,443,849
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...
3,397,884
3,375,102
3,524,280
4,810,725
4,347,119
19,455,110
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
142,523
130,562
126,942
122,230
117,807
640,064
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
142,523
130,562
126,942
122,230
117,807
640,064
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.).
3,540,407
3,505,664
3,651,222
4,932,955
4,464,926
20,095,174
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
76.850 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
77.390 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
3.000 %
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
3.000 %
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
WATERTOWN FAMILY YMCA
Employer identification number
15-0559207
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
THE WATERTOWN FAMILY YMCA PROVIDES RECREATIONAL, EDUCATIONAL AND CHILDCARE PROGRAMS WHICH SUPPORT THE STRENGTHENING OF FAMILIES AND HEALTHY DEVELOPMENT OF CHILDREN. THE WATERTOWN FAMILY YMCA STRIVES TO CREATE A SENSE OF COMMUNITY THROUGH THE INVOLVEMENT OF INDIVIDUALS AND FAMILIES OF ALL AGES, ABILITIES, INCOMES AND RACES. YMCA PROGRAMS AND MEMBERSHIPS ARE SUPPORTED BY A SCHOLARSHIP PROGRAM WHICH ALLOWS EVERY MEMBER OF OUR COMMUNITY TO PARTICIPATE REGARDLESS OF THEIR ABILITY TO PAY.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
THE YMCA RECEIVES OVER 750 HOURS OF POLICY AND COMMITTEE SUPPORT FROM 21 VOLUNTEERS, 1200 HOURS OF ASSISTANCE WITH SPECIAL EVENTS FROM 141 VOLUNTEERS, 9,000 HOURS OF SUPPORT FROM OVER 225 SPORTS TEAM COACHES AND OVER 400 HOURS OF QUILTING FROM OVER 252 VOLUNTEER QUILTERS FOR OUR KID COMFORT PROGRAM IN SUPPORT OF DEPLOYED SOLDIERS AND THEIR FAMILIES.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
OUTREACH YMCA - OVER 1,200 MEMBERS AND PARTICIPANTS INVOLVED IN HEALTHY LIFESTYLE ACTIVITIES AND SUPERVISED RECREATION FROM THE GREATER CARTHAGE AREA. ACTIVITIES INCLUDE SPORTS LEAGUES, FITNESS, AND GYMNASTICS. THIS BRANCH WORKS CLOSELY WITH THE CARTHAGE SCHOOL DISTRICT AND OFFERS YOUTH PROGRAMMING DESIGNED TO GET KIDS ACTIVE AND TEACH HEALTHY HABITS THROUGH PROGRAMS CALLED CASE AND SNEAKS AND TREATS. OUTREACH YMCA WITH THE SUPPORT OF THE WATERTOWN CITY SCHOOL DISTRICT, CARTHAGE SCHOOL DISTRICT AND THE DEPARTMENT OF DEFENSE OFFERS AFTER SCHOOL EXTENDED DAY PROGRAMS MIDDLE SCHOOL YOUTH. WE HAVE 25-40 YOUTH IN YEP AT CASE JUNIOR AND 50-60 YOUTH IN MAP IN CARTHAGE. PROGRAM GOALS INCLUDE GETTING KIDS ACTIVE, VIOLENCE PREVENTION, SELF ESTEEM BUILDING AND ACADEMIC UPGRADING. OUTREACH YMCA ALSO ADMINISTERS A PROGRAM KNOWN AS PROJECT STRONG COMMUNITIES. THIS PROGRAM RECEIVES FUNDING SUPPORT FROM FORT DRUM AND ARMED SERVICES YMCA OF THE USA. ITS GOAL IS TO IMPROVE THE QUALITY OF LIFE FOR MILITARY FAMILIES BY RAISING THEIR AWARENESS OF PROGRAMS AND SERVICES AVAILABLE IN THEIR HOST COMMUNITIES. TWO MAJOR PROGRAMS OFFERED BY PROJECT STRONG INCLUDE OPERATION HERO WHICH SUPPORTS MILITARY YOUTH COPING WITH ADJUSTMENT ISSUES AND KID COMFORT WHICH IS A QUILTING PROGRAM THAT SUPPORTS FAMILIES OF DEPLOYED SOLDIERS. GATEWAY ASSISTANCE PROGRAM - THE GOAL OF THIS PROGRAM IS TO REMOVE FINANCIAL BARRIERS IMPACTING ACCESSIBILITY TO YMCA MEMBERSHIP PROGRAMS AND YMCA SACC SERVICES. THE PROGRAM WAS ABLE TO ASSIST WITH THE PAYMENT OF CHILDCARE FEES FOR 164 CHILDREN. THE PROGRAM WAS ALSO USED TO ASSIST 1,598 INDIVIDUALS, WHICH INCLUDES 362 FAMILIES INVOLVING 703 CHILDREN TO BECOME PART OF THE YMCA MEMBERSHIP AND FOR 164 CHILDREN TO PARTICIPATE IN PROGRAMS LIKE SOCCER LEAGUES AND GYMNASTICS. THE VALUE OF THE YMCA ASSISTANCE FOR CHILDCARE IS 171,039, FOR MEMBERSHIP IT IS 196,365 AND FOR PROGRAM IT IS 26,647, FOR A TOTAL OF 394,051. THE YMCA COULD NOT OPERATE WITHOUT THE SUPPORT AND GUIDANCE OF ITS VOLUNTEERS. THE YMCA RECEIVES OVER 750 HOURS OF POLICY AND COMMITTEE SUPPORT FROM 21 VOLUNTEERS, 1,200 HOURS OF ASSISTANCE WITH SPECIAL EVENTS FROM 141 VOLUNTEERS, 9,000 HOURS OF SUPPORT FROM OVER 235 SPORTS TEAM COACHES AND OVER 5,000 HOURS OF QUILTING FROM OVER 252 VOLUNTEER QUILTERS FOR OUR KID COMFORT PROGRAM IN SUPPORT OF DEPLOYED SOLDIERS AND THEIR FAMILIES.
ELECTION OF MEMBERS AND THEIR RIGHTS
FORM 990, PAGE 6, PART VI, LINE 7A
THE ORGANIZATION'S POLICIES ARE SUCH THAT THE MEMBERS ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY
POLICIES AND PROCEDURES GOVERNING CHAPTERS
FORM 990, PAGE 6, PART VI, LINE 10B
SAME POLICIES AND PROCEDURES APPLY TO THE LOCAL BRANCH.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE BOARD OF DIRECTORS HAS AN AUDIT REVIEW COMMITTEE CHAIRED BY THE VP OF THE BOARD AND INCLUDES THE CEO, CHAIRPERSON OF FINANCE, AND TWO OTHER BOARD MEMBERS. THE AUDIT AND 990 ARE MADE AVAILABLE TO THIS GROUP FOR REVIEW. THE AUDITORS PRESENT FINDINGS TO THIS GROUP AND MEETS TO ANSWER ANY QUESTIONS THAT MAY ARISE FROM THE REVIEW OF THE AUDIT AND THE 990. THIS INFORMATION IS SHARED WITH THE FULL BOARD AND IF IT IS FELT NECESSARY, THE AUDITOR WILL BE ASKED TO ATTEND THE BOARD MEETING TO RELATE FINDINGS AND ANSWER ANY QUESTIONS. THE AUDIT IS MADE AVAILABLE TO ALL BOARD MEMBERS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
EACH DIRECTOR, OFFICER, OTHER VOLUNTEER AND SELECTED EMPLOYEE IS REQUIRED TO PROVIDE THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE WITH A FULL AND COMPLETE WRITTEN DISCLOSURE OF ALL FACTS CONCERNING ANY TRANSACTION OR SITUATION WHICH MAY INVOLVE THE POSSIBLE EXISTENCE OF A CONFLICT OF INTEREST. A COPY OF THE CONFLICT OF INTEREST POLICY IS SENT TO ALL DIRECTORS, OFFICERS AND SELECTED VOLUNTEERS AND EMPLOYEES ANNUALLY. EACH NEW DIRECTOR, OFFICER, OR EMPLOYEE IS REQUIRED TO FILE A COMPLETED DISCLOSURE STATEMENT IMMEDIATELY UPON ASSUMPTION OF THEIR RESPONSIBILITIES. ALL TRANSACTIONS INVOLVING BOARD MEMBERS ARE CAREFULLY SCRUTINIZED AND REQUIRE A DECLARATION OF CONFLICT AND THEREFORE NO INVOLVEMENT IN DISCUSSION OR DECISION MAKING OR IF NECESSARY WITHDRAWAL FROM THE BOARD.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE BOARD OF DIRECTORS MUST APPROVE ANNUALLY THE COMPENSATION OR ANY CHANGE TO THE COMPENSATION OF THE EACH OF THE YMCA'S SENIOR OFFICERS. THE BOARD DELEGATES ITS POWER TO DETERMINE OFFICERS' COMPENSATION TO ITS EXECUTIVE COMMITTEE. THIS COMMITTEE MUST DETERMINE BEFORE THE COMPENSATION OF ANY SENIOR OFFICER IS CHANGED, THAT THE COMPENSATION TO BE PAID TO THE OFFICER IS REASONABLE BY COMPARING THE COMPENSATION PAID TO THE EQUIVALENT OF SENIOR OFFICERS FROM CHARITABLE, SERVICE ORGANIZATIONS OPERATING IN METROPOLITAN AREAS THAT HAVE COMPARABLE REVENUES, EMPLOYEES AND SERVICE POPULATIONS. ONCE THE COMPENSATION IS DETERMED, THE EXECUTIVE COMMITTEE PREPARES A WRITTEN REPORT TO THE BOARD.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
SEE ABOVE
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
INFORMATION IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.