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 TROY OHIO INC
Employer identification number
31-0619209
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.") ....
901,962
891,279
879,153
988,788
995,544
4,656,726
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..
901,962
891,279
879,153
988,788
995,544
4,656,726
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)..
1,047,943
6
Public Support. Subtract line 5 from line 4.
3,608,783
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..
901,962
891,279
879,153
988,788
995,544
4,656,726
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
18,892
19,656
7,748
11,096
7,908
65,300
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..
583
5,117
1,110
323
4,314
11,447
11
Total support (Add lines 7 through 10).
4,733,473
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
11,158
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
76.240 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
77.540 %
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
PART II, LINE 10: MISCELLANEOUS INCOME 4,314
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 TROY OHIO INC
Employer identification number
31-0619209
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
TO ASSESS, ON A CONTINUING BASIS, THE NEED FOR HUMAN SERVICES IN THE UNITED WAY OF TROY, OHIO, INC. SERVICE AREA, AND TO DEVELOP AS FULLY AS POSSIBLE THE FINANCIAL RESOURCES NEEDED TO MEET THE HUMAN RESOURCE NEEDS OF THE COMMUNITY.
ADDITIONAL INFORMATION
FORM 990
PAYMENTS TO AFFILIATES: MEMBERSHIP IN UNITED WAY WORLDWIDE CONSITUTES AN AFFILIATE RELATIONSHIP UNDER THE IRS DEFINITION OF FEDERATED FUNDRAISING AGENCIES AND AS SUCH DUES PAID TO UNITED WAY WORLDWIDE BY UNTIED WAY OF TROY, OHO, INC. ARE REPORTED ON PART IX, LINE 21 OF FORM 990. THE PAYMENT REPORTED HERE IS A QUOTA SUPPORT PAYMENT TO UNITED WAY WORLDWIDE FOR WHICH UNITED WAY OF TROY, OHIO, INC. RECEIVES, AMONG OTHER THINGS, THE RIGHT TO USE THE NATIONAL BRAND IN CHARITABLE ENDEAVORS, NATIONAL ADVOCACY OF ISSUES, MEMBER EDUCATION AND TRAINING, CENTRALIZED CREATION AND SUPPORT FOR MARKETING OF FUNDRAISING, CAMPAIGNS, FOSTERING OF RELATIONSHIPS WITH NATIONAL ORGANIZATIONS THAT SUPPORT MULTIPLE MEMBERS, ESTABLISHMENT AND MONITORING OF COMPLIANCE WITH STANDARDS OF ACCOUNTABILITY BY MEMBERS, ESTABLISHMENT OF POLICIES AND PROCESSES THAT IMPROVE OPERATIONAL EFFICIENCIES AMONG MEMBERS, AND PROMOTION OF THE CONCEPT OF LOCAL COMMUNITY IMPACT ON A NATIONAL SCALE. OVERHEAD RATIO CALCULATION: UNITED WAY OF TROY, OHIO, INC. OVERHEAD RATIO IS CALCULATED USING TOTALS FROM THEIR FORM 990 IN THE FOLLOWING MANNER: NUMERATOR: PART IX, LINE 25, COLUMN C & D. DENOMINATOR: PART VIII, LINE 12, COLUMN A. OVERHEAD RATIO FOR FYE 7/31/12 IS: 123,477 / 1,014,610 = 12.17% OVERHEAD RATIO FOR FYE 7/31/11 IS: 141,615 / 1,009,219 = 14.03% OVERHEAD RATIO FOR FYE 7/31/10 IS: 144,394 / 896,562 = 16.11% 3 YEAR AVERAGE OVERHEAD RATIO FOR FYE 7/31/12 14.10% ALLOWANCE FOR PLEDGE LOSS IS THE AVERAGE OF THE CURRENT YEAR WRITE-OFFS PLUS THE PRIOR TWO YEARS WRITE-OFFS: WRITE-OFFS 7/31/12 31,193 WRITE-OFFS 7/31/11 32,148 WRITE-OFFS 7/31/10 45,794 3 YEAR AVERAGE WRITE-OFFS 36,378
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
FAMILY ABUSE SHELTER 56,250 FAMILY CONNECTION OF MIAMI COUNTY 2,250 FAMILY SERVICE ASSOCIATION 3,875 FUTURE BEGINS TODAY 9,375 GIRL SCOUTS - BUCKEY TRIALS 9,375 HEALTH PARTNERS OF MIAMI COUNTY 62,500 HOSPICE OF MIAMI COUNTY 50,000 LINCOLN COMMUNITY CENTER 50,000 M.C. DENTAL CLINIC 37,500 M.C. RECOVERY COUNCIL 15,000 M.C. REHABILITATION CENTER 30,000 M.C. WELL CHILD CLINIC 17,500 NEW CREATION COUNSELING CENTER 22,500 THE NEW PATH 18,750 PARTNERS IN HOPE 31,250 ST PATRICK FOOD KITCHEN 6,250 TROY SENIOR CITIZENS CENTER 37,500 TROY MILK FUND 22,500 TROY NURSING ASSOCIATION 3,750 TROY PLAYGROUND 24,375 TROY REC 51,250 __________ 734,625 __________
OFFICERS WHO CANNOT BE REACHED
FORM 990, PAGE 6, PART VI, LINE 9
JOHN BROWN 192 COUNTRYSIDE DR. N TROY, OH 45373 RICK CARTWRIGHT 701 SOUTH RIDGE AVENUE TROY, OH 45373 RUTH JENKINS 286 SOUTH DORSET RD, 201 TROY, OH 45373 CINDY MEEKER 451 MEADOWOOD DRIVE TROY, OH 45373 GREG TAYLOR 4810 MONROE CONCORD ROAD TROY, OH 45373 JASON BENNING 3130 N. COUNTY ROAD 25A TROY, OH 45373 BRAD HOLMES 801 DYE MILL ROAD TROY, OH 45373 WILLIAM BARNEY 2222 ROCKINGHAM TROY, OH 45373 RICHARD CULP 330 GRANT STREET TROY, OH 45373 ROB DAVIS 734 OLD NEWTON PIKE TROY, OH 45373 BART DENLINGER 2841 STONEBRIDGE DRIVE TROY, OH 45373 MAURICE SADLER 260 S. RIDGE AVENUE TROY, OH 45373 ED WESTMEYER 2804 WAGON WHEEL WAY TROY, OH 45373 BONNIE DRAGOO 701 SOUTH RIDGE AVENUE TROY, OH 45374 CORY MAY PO BOX 876 TROY, OH 45380 DESSIE SZKLANY 1900 W MAIN STREET TROY, OH 45373 MARK THIBEAULT 101 TRADE SQUARE EAST TROY, OH 45373 EARL REIVES 1830 GREENBRIAR DRIVE TROY, OH 45373 MIKE BEAMISH 913 DEVON CIRCLE TROY, OH 45373
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE BOARD REVIEWED THE FORM 990 AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING THE RETURN.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
EACH BOARD MEMBER IS REQUIRED TO SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE REVIEWED AND AFFIRMED THE CONFLICT OF INTEREST POLICY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS ARE MADE AVAILABLE ON THE ORGANIZATION'S WEB SITE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.