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
2012
Open to Public Inspection
Name of the organization
Young Men Christian Association of Middletown NY
Employer identification number
14-1340134
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,376,340
4,140,057
4,624,333
5,401,300
5,394,438
20,936,468
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
1,376,340
4,140,057
4,624,333
5,401,300
5,394,438
20,936,468
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.
20,936,468
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
1,376,340
4,140,057
4,624,333
5,401,300
5,394,438
20,936,468
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
26,625
49,314
23,326
19,518
19,102
137,885
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
337,743
492,573
188,640
67,496
183,381
1,269,833
11
Total support (Add lines 7 through 10).
22,344,186
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
93.700 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
91.410 %
16a
33 1/3% support test—2012.
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—2011.
If the organization did not check a 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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012
Additional Data
Software ID:
12000229
Software Version:
2012v2.0
-
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
2012
Open to Public Inspection
Name of the organization
Young Men Christian Association of Middletown NY
Employer identification number
14-1340134
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
ALL SOLICITATION CONTAINS " A COPY OF THE LATEST ANNUAL REPORT MAY BE OBTAINED, UPON REQUEST, FROM THE ORGANIZATION OR FROM THE OFFICE OF THE ATTORNEY GENERAL, CHARITIES BUREAU, 120 BROADWAY, NY 1027."IN ADDITION, GUIDESTAR HAS ALL PRIOR YEAR 99OS
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
YMCA OF THE USA CONDUCTS A SURVEY OF SALARIES OF YMCA'S OF SIMILAR BUDGETS. MIDDLETOWN YMCA USES THIS SURVEY TO DETERMINE SALARIES. BOARD APPROVES SALARY AND DOCUMENTS IN BOARD MINUTES.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
BOARD MEMBERS SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY.
Form 990, Part VI, Line 11b
Form 990, Part VI, Line 11b: Form 990 Review Process
EXECUTIVE BOARD MEMBERS AND EXECUTIVE DIRECTOR REVIEW AND APPROVE 990 BEFORE IT IS FILED.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: Social Responsibility:This YMCA has a long standing tradition of supporting other community initiatives and peer not for profits in the region. We actively seek partnerships to work with others, provide them space, training, and technical and marketing support that empowers our neighbors to effect change. We also take an active role in developing future community leaders through a variety of volunteer opportunities.Military Outreach-We continue to provide dozens of family memberships to those families who have a parent in active military-free of charge.Partnerships with area not for profits- We partner with Jewish Family Services, Big Brothers/Big Sisters, BOCES (ESL program) a number of group homes, twenty schools, Red Cross, Girl Scouts, YWCA, Temple Sinai, Orange Regional Medical Center, Middletown Cares and a number of area churches. We provide hundreds of gift certificates for area not for profits, churches and schools, who in turn use for fundraising purposes. We participate in dozens of regional festivals in Middletown, Monroe and Monticello. In early spring, we created the Hispanic/Latino Initiative, bringing together dozens of area not for profits and businesses focused on improving our collective ability to provide services to this growing population.Annual Support Campaigns-We conduct an annual fundraising drive which generates over $150,000 to fund our Membership Assistance Program (MAP)-provides membership and program financial assistance to hundreds of families who may have an inability to pay for services. We have worked hard to become more sensitive to the growing Hispanic population in Middletown-signage in Spanish, reaching out to the community, attending Hispanic community events, and as a result, are providing assistance to more families who can benefit from YMCA services, but may not have the financial ability to do so.ESL and GED Classes-In collaboration with BOCES, the YMCA houses both ESL and GED programs at our both our Middletown and Monroe locations. Community Events- The YMCA conducts a Fall Family Festival (Halloween time) at both the Middletown and Monticello locations, providing hours of family fun/interaction for over 2,000 people at little to no cost. Over 75 volunteers are involved in these events. In Monticello, over 20 students volunteer in this amazing event. In Middletown, police officers and community volunteers supplement the efforts of Y staff. Ruthie Run- This annual 5K race and fun run, raises funds for the Middletown School District and involves (750) seven hundred fifty runners and an additional (80) eighty volunteers in this wonderful event that brings together the entire community. A substance abuse recovery program (Day Top Village) provides dozens of volunteers, who work side by side with area Firemen, the local Elks Club and volunteers from numerous area businesses. Community Service- The Middletown YMCA annually serves between (70-85) young people who need a positive environment to complete their community restitution obligations or educationally required community service.Membership Assistance Program-The YMCA donates a large number of memberships to area not for profits, churches and schools, who in turn use them to raise funds for their organizations. In 2012, we provided over 110 memberships to organizations with a value of over $21,000. Free guest passes are provided to Big Brother/Big Sister and numerous group homes in the Middletown area. Hundreds of individuals and families receive financial assistance allowing them to actively participate in all the Y has to offer. Our MAP program utilizes a simple-non invasive form and then calculates assistance based on a sliding fee scale working off of the poverty level incomes. In 2012, we provided over $300,000 of financial assistance to youth, teens, adults and families for membership services, child care, summer camp, Youth and Government, Leaders School and Diabetes Prevention.People with Disabilities- through a variety of collaborations with local not for profits, we offer these groups unique opportunities to swim, exercise and enjoy our warm social environment.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.