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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
YOUNG MEN'S CHRISTIAN ASSOCIATION-LIMA
Employer identification number
34-4431173
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,675,775
1,607,083
2,342,686
2,638,357
2,624,534
10,888,435
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
1,675,775
1,607,083
2,342,686
2,638,357
2,624,534
10,888,435
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.
10,888,435
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
1,675,775
1,607,083
2,342,686
2,638,357
2,624,534
10,888,435
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
77,212
43,915
44,509
13,564
6,164
185,364
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
669
646
642
654
663
3,274
11
Total support (Add lines 7 through 10).
11,077,073
12
Gross receipts from related activities, etc. (see instructions)
..................
12
5,674,452
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
98.300 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
96.910 %
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
YOUNG MEN'S CHRISTIAN ASSOCIATION-LIMA
Employer identification number
34-4431173
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
THE FINAL FORM 990 IS EMAILED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. NO REVIEW IS DONE BY THE BOARD MEMBERS PRIOR TO FILING OF THE RETURN; HOWEVER, THE ORGANIZATION'S CONTROLLER CONDUCTS A REVEIW OF THE RETURN PRIOR TO FILING. THE RETURN IS SUBSEQUENTLY REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE AND THEN THE FULL BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED MEETING OF EACH BODY.
FORM 990, PART VI, SECTION B, LINE 12C
EACH MEMBER OF THE BOARD OF DIRECTORS AND THE BOARD OF TRUSTEES IS SUBJECT TO THE WRITTEN CONFLICT OF INTEREST POLICY. BUSINESS TRANSACTIONS OF THE YMCA IN WHICH A BOARD MEMBER HAS AN INTEREST ARE NOT PROHIBITED, BUT SUCH TRANSACTIONS RECEIVE CLOSE SCRUTINY TO DETERMINE THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION AND WILL NOT LEAD TO A CONFLICT OF INTEREST. BEFORE ANY NEGOTIATIONS OR CONSIDERATIONS OF A GRANT REQUEST BY ANOTHER ORGANIZATION TO THE YMCA, A BOARD MEMBER IS TO SUBMIT A REPORT TO THE PRESIDENT/CEO GIVING FULL DISCLOSURE OF ANY DUAL INTEREST HE/SHE MAY HAVE IN A PROPOSED TRANSACTION AND ANY REASONS WHY THE TRANSACTION MIGHT NOT BE IN THE BEST INTEREST OF THE YMCA. IF THE MATTER REQUIRES A BOARD VOTE, THE PRESIDENT/CEO WILL FORWARD COPIES OF THE DISCLOSURE REPORT TO EACH BOARD MEMBER BEFORE THE VOTE. A BOARD MEMBER WITH A DUAL INTEREST SHALL NOT BE PERMITTED TO VOTE ON THE MATTER, AND MAY BE EXCLUDED FROM ANY DISCUSSION OF THE MATTER. EACH BOARD MEMBER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15
THE EXECUTIVE COMMITTEE APPOINTS A CEO PERFORMANCE/REVIEW COMMITTEE ("REVIEW COMMITTEE") TO REVIEW THE COMPENSATION OF THE YMCA'S PRESIDENT/CEO ON AN ANNUAL BASIS. THIS COMMITTEE USES GUIDELINES FOR SALARY ADMINISTRATION PROVIDED BY THE YMCA OF THE USA. THE YMCA OF THE USA'S REGIONAL CONSULTANT PROVIDES THE REVIEW COMMITTEE WITH COMPENSATION INFORMATION FOR CEO'S OF SIMILAR SIZED YMCA'S IN NORTHWEST OHIO FOR THE GROUP TO CONSIDER. THE REVEIW COMMITTEE MAKES A RECOMMENDATION TO THE EXECUTIVE COMMITTEE FOR FINAL APPROVAL. MINUTES OF COMMITTEE MEETINGS ARE RECORDED. THE HR COMMITTEE ESTABLISHED A HAY ADMINISTRATION PLAN FOR ALL POSITIONS IN THE YMCA USING A REGIONAL CONSULTANT BASED IN THE PITTSBURGH YMCA. THE PROCESS INCLUDED GATHERING DATA FOR SALARIES OF SIMILAR POSITIONS IN SIMILAR-SIZED YMCA'S IN THE AREA.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION'S FORM 990 IS POSTED ON THE INTERNET SITE OF GUIDESTAR.ORG. COPIES OF ALL DOCUMENTS, INCLUDING THE ORGANIZATION'S FORM 990, AUDITED FINANCIAL STATEMENTS AND CONSTITUTION, WHICH CONTAINS THE CONFLICT OF INTEREST POLICY, ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE KEPT IN THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION.
FORM 990, PART VII
HAROLD JACKSON - 119 S ROSEWOOD DR, LIMA, OH 45805. CLYDE RAUCH - 2977 PINE GROVE WAY, LIMA, OH 45805. ERIC WIECHART - 826 ATALAN TRAIL, LIMA, OH 45805. TIM CARDER - PO BOX 1152, LIMA, OH 45802-1152. JIM DOWNHOWER - 125 WYNWOOD CT, LIMA, OH 45801. ROBERT MEREDITH - 2760 ALEXANDRIA, LIMA, OH 45805. STEVE ROMEY - 4787 SYCAMORE, ELIDA, OH 45807. JOHN RUDOLPH - 4963 SLABTOWN RD, LIMA, OH 45801. CRAIG SULLIVAN - PO BOX 328, LIMA, OH 45802-0328. MICHAEL SWICK - 4654 ABNAKI TRAIL, LIMA, OH 45805. BILL TIMMERMEISTER - 1638 SPRINGHILL DR, LIMA, OH 45805. GRACE ALLEN - 3875 RESERVOIR ROAD, LIMA, OH 45804. LINDSEY CHAPMAN - 864 N PHILLIPS RD, HARROD, OH 45850. BARRY CLARK - 550 TONKAWA TRAIL, LIMA, OH 45805. SUSIE CORNELL - 1557 FAIRWAY DR, LIMA, OH 45805. KAREN GROTHOUSE - 1310 CHRISTINA ST, DELPHOS, OH 45833. SHARON GUICE - 1008 LELAND AVE, LIMA, OH 45805. SCOTT JENSEN - 2907 STONEYBROOK DR, LIMA, OH 45805. STEVE JOHNSON - 3000 LAKESHORE DR, LIMA, OH 45806. BUTCH KIRK - 4718 KITAMAT TRAIL, LIMA, OH 45805. TEMPLE PATTON - 2972 W BREESE RD, LIMA, OH 45806. JEANNIE STAHL - 6401 COUPLES LANE, LIMA, OH 45801. JIM UNVERFERTH - BOX 304, ROAD 17N, KALIDA, OH 45853. JARED WALSH - 711 DEAN AVE, LIMA, OH 45804. RICHARD WARREN - 2241 OAKLAND PKWY, LIMA, OH 45805. TIM WEITZ - 215 S FRAUNFELTER RD, ELIDA, OH 45807. GRETA WOLERY - 3020 LAKE SHORE DR, LIMA, OH 45806. TRICIA YAHL - 345 S ELIZABETH ST, LIMA, OH 45801. DAN BEST - 4864 HUMMINGBIRD LANE, ELIDA, OH 45807. BOB MCPHERON - 105 HIGHLAND LAKES DR, LIMA, OH 45801.
FORM 990, PART XII, LINE 2C:
THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.
FORM 990, PART VI, SECTION B, LINE 13:
THE WHISTLEBLOWER POLICY IS LOCATED IN THE EMPLOYEE HANDBOOK WHICH IS SUPPLIED TO EACH EMPLOYEE AT THE TIME OF HIRING. THE EMPLOYEE SIGNS A WRITTEN ACKNOWLEDGEMENT OF RECEIVING THE BOOK. IF THERE ARE ANY SUBSEQUENT CHANGES TO THE HANDBOOK, A NEW BOOK IS DISTRIBUTED TO ALL EMPLOYEES AND ANOTHER WRITTEN RECEIPT IS OBTAINED.
FORM 990, PART VI, SECTION B, LINE 14:
THE LIMA FAMILY YMCA USES THE DOCUMENT RETENTION POLICY OUTLINED BY THE NATIONAL YMCA. A HARD COPY IS MAINTAINED AND ELECTRONIC COPIES ARE KEPT ON THE COMPUTER HARD DRIVES OF THE CONTROLLER AND HUMAN RESOURCES DIRECTOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.