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 OF PAWTUCKET INC
Employer identification number
05-0259114
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.") ....
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
201,101
177,381
752,921
329,017
237,103
1,697,523
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......
6,718,003
7,017,299
6,935,776
7,711,447
9,994,231
38,376,756
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.
6,919,104
7,194,680
7,688,697
8,040,464
10,231,334
40,074,279
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.
469,100
469,100
c
Add lines 7a and 7b..
469,100
469,100
8
Public support (Subtract line 7c from line 6.)
39,605,179
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...
6,919,104
7,194,680
7,688,697
8,040,464
10,231,334
40,074,279
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
447,079
363,599
356,346
292,725
291,358
1,751,107
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
447,079
363,599
356,346
292,725
291,358
1,751,107
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.)
..
16,502
10,926
12,754
40,182
13
Total support. (Add lines 9, 10c, 11, and 12.)..
7,382,685
7,558,279
8,045,043
8,344,115
10,535,446
41,865,568
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
94.600 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
93.780 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
4.000 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
5.000 %
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 OF PAWTUCKET INC
Employer identification number
05-0259114
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS THAT BUILD CHARACTER & PROMOTE A HEALTHY SPIRIT, MIND & BODY FOR ALL. IN CONCERT WITH OUR MISSION STATEMENT, OUR VISION IS: ENRICH THE SPIRIT: PROVIDE AN EXPERIENCE OF TRADITION & ASSOCIATION, TO ENHANCE A SENSE OF BELONGING & WELL-BEING. BUILD HEALTH & CHARACTER: PROVIDE AN ENVIRONMENT IN WHICH PEOPLE CAN ENGAGE IN COMPREHENSIVE QUALITY PROGRAMS OF HEALTH, FITNESS AND CHARACTER DEVELOPMENT THAT WILL ENHANCE HEALTHY LIFESTYLES & VALUES.DEVELOP LIFETIME SKILLS: TEACH & NURTURE SOCIAL, INTERPERSONAL & PHYSICAL SKILLS, WHICH PROVIDE ENJOYMENT AND HELP MEET THE HEALTH, SAFETY AND WELFARE NEEDS OF ALL.STRENGTHEN THE FAMILY: ENCOURAGE TOGETHERNESS & ENHANCE FAMILY PARTICIPATION & UNITY THROUGH A BROAD RANGE OF SERVICES & PROGRAMS AIMED AT TRADITIONAL & NON-TRADITIONAL FAMILY UNITS.STRENGTHEN THE COMMUNITY: PROMOTE THE DEVELOPMENT OF LEADERSHIP, VOLUNTEERISM, CULTURAL UNDERSTANDING & ELIMINATE BIAS & BE AN ADVOCATE FOR THOSE IN NEED.
FORM 990, PAGE 2, PART III, LINE 4A
TO OPEN NEW AVENUES OF UNDERSTANDING WITH THE OUTDOOR ENVIRONMENT WHILE IMMERSED TOGETHER WITH FAMILY MEMBERS OR WITH OTHERS IN COMPETITION OR PERSONAL GROWTH. CAMPS ARE AGE SPECIFIC FOR THE EDUCATIONAL BENEFIT OF THE CHILD AND GEOGRAPHICALLY POSITIONED FOR THE CONVENIENCE OF WORKING PARENTS. OUR CAMPS ARE LOCATED IN SIX LOCATIONS THROUGHOUT NORTHERN RHODE ISLAND AND COVENTRY AND COLLECTIVELY SERVE CHILDREN AND TEENS UP TO 16 YEARS OF AGE. THE PROGRAMMING OF THE CAMPS BUILDS HEALTH AND FITNESS AND TEACHES LIFETIME SKILLS. IN ADDITION THE INTERACTION WITH THE OTHER CAMPERS AND WITH THEIR OWN SELF AWARENESS ENRICHES THE SPIRIT THAT INFUSES CHARACTER INTO THE CAMPERS LIVES. PROGRAMS CONDUCTED UNDER THIS CATEGORY OF PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE: - RUNNING, TRAVEL CAMPS AND FAMILY CAMPGROUNDS - YOUTH & TEEN DAY CAMPS - LEADER DEVELOPMENT CAMPS CHILD CARE PROGRAMS OFFER HIGH QUALITY CHILD CARE ACTIVITIES FOR PRESCHOOL AND SCHOOL AGE CHILDREN FROM ALL SEGMENTS OF OVER EIGHT COMMUNITIES WE SERVE. WE OFFER A VARIETY OF STATE LICENSED CHILDCARE PROGRAMS, BOTH FULL AND PART-TIME, WHICH PROVIDE A SAFE AND NURTURING ENVIRONMENT WHERE YOUTH CAN DEVELOP SELF-ESTEEM, GOOD VALUES AND AN APPRECIATION OF CHARITABLE SERVICE. WOVEN INTO THE FABRIC OF THE YMCA MISSION IS A COMMITMENT TO STRENGTHENING FAMILIES. OUR CHILDCARE PROGRAMS INCLUDE COUNSELING OF TROUBLED YOUTH AND PARENTS, DEALING WITH RUNAWAY TEENAGERS, ASSISTING CHILD VICTIMS OF PHYSICAL AND SEXUAL ABUSE, AND PROGRAMS THAT HELP PARENTS LEARN MORE ABOUT HOW TO RAISE CHILDREN THAT ARE HAPPY AND HEALTHY IN SPIRIT, MIND AND BODY. WE PARTNER WITH OTHER COMMUNITY AGENCIES SUCH AS (UNITED WAY, DHS, DEPT OF HEALTH, GATEWAY, AND OTHER GOVERNMENTAL AGENCIES) SO THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE WHO CANNOT AFFORD TO PAY. IN 2013, WE SERVED 1,851 PARTICIPANTS AND PROVIDED FINANCIAL ASSISTANCE IN THE AMOUNT OF 210,840. PROGRAMS CONDUCTED UNDER THIS CATEGORY OF PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE: SCHOOL AGE - BEFORE AND AFTER SCHOOL CHILDCARE EARLY CHILDHOOD LEARNING AND EDUCATIONAL KINDERGARTEN PARENTING CLASSES, COUNSELING INTERVENTION AND NUTRITIONAL EDUCATION
FORM 990, PAGE 2, PART III, LINE 4B
TO THE PROPER GROWTH AND DEVELOPMENT OF CHILDREN AND THE HEALTH AND WELLBEING OF THE ADULT MEMBERS OF THE FAMILY. THE PARTICIPATION COLLECTIVELY AND INDIVIDUALLY IN ACTIVE PHYSICAL ACTIVITIES AND EDUCATIONALLY STIMULATING CLASSES BUILDS KNOWLEDGE, CONFIDENCE AND BONDS THE FAMILY MEMBER TO ONES SELF AND EACH OTHER. THE RESULT IS THE GROWTH OF POTENTIAL IN INDIVIDUALS THAT SERVES THE SPIRIT, OTHERS AND ONES PLACE IN SOCIETY. WE SERVE ALL AGES, ABILITIES, RACES, NATIONALITIES AND RELIGIONS AND PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO NEED IT. IN 2013, WE SERVED 33,010 PERSONS IN OUR COMMUNITY AND PROVIDED FINANCIAL ASSISTANCE IN THE AMOUNT OF 281,920. PROGRAMS CONDUCTED UNDER THIS CATEGORY OF PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE: - MEMBERSHIP SERVICE: FITNESS, WELLNESS, SOCIAL, EDUCATIONAL AND VOLUNTEERISM - AQUATIC SAFETY - LIFETIME SKILLS EDUCATION - YOUTH DEVELOPMENT - OUTDOOR RECREATION YOUTH AND FAMILY - FITNESS & WELLNESS
FORM 990, PAGE 6, PART VI, LINE 2
ANTONIO PIRES INS AGENT COMBINED INSURANCE AGENCIES WILLIAM HUNT INS AGENT COMBINED INSURANCE AGENCIES
FORM 990, PAGE 6, PART VI, LINE 11B
A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE GOVERNING BOARD, AFTER THE RETURN IS FILED. A DETAILED REVIEW WILL BE CONDUCTED UPON REQUEST.
FORM 990, PAGE 6, PART VI, LINE 12C
OFFICERS AND DIRECTORS COMPLETE A CONFLICT OF INTEREST POLICY ANNUALLY WHICH ACCORDING TO THE POLICY IS REVIEWED BY THE EXECUTIVE COMMITTEE.
FORM 990, PAGE 6, PART VI, LINE 15A
THE EXECUTIVE COMPENSATION COMMITTEE IS CHARGED BY THE BOARD OF DIRECTORS TO ANNUALLY REVIEW THE PERFORMANCE AND SUCCESS OF THE EXECUTIVE DIRECTOR AND THE TOP 4 EXECUTIVES OF THE ASSOCATION IN MEETING ASSOCIATION GOALS AND JOB DESCCRIPTION EXPECTATIONS, AND ALSO COMPARING THEM TO REGIONAL AND NATIONAL STANDARDS. THE RESULTS ARE REPORTED TO TEH BOARD BY THE COMMITTEE AS WELL AS RECOMMENDED CHANGES TO THE COMPENSATION PACKAGES.
FORM 990, PAGE 6, PART VI, LINE 15B
THE EXECUTIVE COMPENSATION COMMITTEE IS CHARGED BY THE BOARD OF DIRECTORS TO ANNUALLY REVIEW THE PERFORMANCE AND SUCCESS OF THE EXECUTIVE DIRECTOR AND THE TOP 4 EXECUTIVES OF THE ASSOCATION IN MEETING ASSOCIATION GOALS AND JOB DESCCRIPTION EXPECTATIONS, AND ALSO COMPARING THEM TO REGIONAL AND NATIONAL STANDARDS. THE RESULTS ARE REPORTED TO TEH BOARD BY THE COMMITTEE AS WELL AS RECOMMENDED CHANGES TO THE COMPENSATION PACKAGES.
FORM 990, PAGE 6, PART VI, LINE 18
THE FORM 1023 AND 990 ARE AVAILABLE FOR PUBLIC INSPECTION AT ITS CORPORATE OFFICE.
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS CORPORATE OFFICE.
FORM 990, PART XI, LINE 9
UNREALIZED GAIN ON INTEREST RATE SWAP AGREEMNT 38,085 INCREASE IN VALUE OF TRUSTS HELD BY THIRD PARTIES 61,579 RENTAL EXPENSES NETTED IN INCOME 139,550 RENTAL EXPENSES NETTED AGAINST GROSS REVENUE -139,550 BOOK / TAX DEPRECIATION DIFFERENCE -2,877
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.