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
CLEVELAND COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION INC
Employer identification number
73-1149824
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.") ....
73,394
94,436
103,037
90,596
88,229
449,692
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
73,394
94,436
103,037
90,596
88,229
449,692
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.
449,692
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..
73,394
94,436
103,037
90,596
88,229
449,692
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
21,729
21,398
18,977
18,311
13,381
93,796
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
14,194
14,271
12,473
4,019
2,797
47,754
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
60,060
36,559
36,990
51,931
57,628
243,168
11
Total support (Add lines 7 through 10).
834,410
12
Gross receipts from related activities, etc. (see instructions)
..................
12
17,677,125
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
53.890 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
52.610 %
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
CLEVELAND COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION INC
Employer identification number
73-1149824
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
THE MISSION OF THE YMCA IS TO PUT CHRISTIAN PRINCIPLES INTO PRACTICE THROUGH PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. YMCA PROGRAMS FOCUS ON FOUR CORE VALUES - CARING, HONESTY, RESPECT, AND RESPONSIBILITY. WE SERVE MEN, WOMEN AND CHILDREN OF ALL AGES, RACES, ABILITIES, INCOMES AND RELIGIONS.
FORM 990, PAGE 2, PART III, LINE 4A
ETHICAL BEHAVIOR, SOCIAL SKILLS, AND SELF-ESTEEM. MOST OF THESE PROGRAMS ARE MADE AVAILABLE FREE TO MEMBERS. FINANCIAL ASSISTANCE IS AVAILABLE FOR ALL YMCA PROGRAMS AND MEMBERSHIPS. IN 2013, WE PROVIDED 192,712 IN FINANCIAL ASSISTANCE TO PEOPLE WHO OTHERWISE WOULD HAVE FACED ECONOMIC BARRIERS TO PARTICIPATION. THE YMCA PROVIDES HEALTH AND WELL-BEING PROGRAMMING FOR PERSONS WITH INDIVIDUAL WORKOUTS, CORPORATE PROGRAMMING, AND SMALL GROUP ACTIVITES. PROGRAMS INCLUDE PILATES, YOGA AND ZUMBA CLASSES, CPR, AED & FIRST AID TRAINING, AS WELL AS GENERAL FITNESS PROGRAMS AND INFORMAL EDUCATION PROGRAMS IN DIET, NUTRITION, AND SELF-DEVELOPMENT. OUR AQUATIC PROGRAMS OFFER A PREVENTATIVE SOLUTION TO TRAUMATIC INCIDENTS AROUND THE WATER AND GIVE A THERAPEUTIC ALTERNATIVE TO POST-SURGERY PATIENTS SUFFERING FROM ARTHRITIS AND PERSONS WITH SPECIAL NEEDS. WE OFFER NOT ONLY SWIMMING INSTRUCTIONAL CLASSES, BUT ALSO ADULT AQUATIC EXERCISE PROGRAMS. WE OFFER A WATER WALKING PROGRAM AND ARTHRITIS AQUATIC CLASSES WHICH INCREASE JOINT FLEXIBILITY AND HELP RELIEVE PAIN; A WELCOME ALTERNATIVE FOR PEOPLE WHO ARE USUALLY SHUT OUT OF REGULAR EXERCISE CLASSES. ALSO AS A WAY TO PROMOTE THE YMCA IDEA OF A HEALTHY BODY, MIND, AND SPIRIT, WE OFFER THE USE OF THE YMCA FACILITIES FOR ALL AREA CLEVELAND COUNTY SCHOOLS AS A PLACE TO USE FOR AFTER PROM AND AFTER GRADUATION PARTIES. THE FACILITY IS USED BY MANY SCHOOLS, STUDENTS AND THEIR FAMILIES AS A HEALTHY, FUN ENVIRONMENT THAT IS SAFE AND TOTALLY DRUG FREE. THE YMCA FUNCTIONS WITH THE HELP OF DONATED TIME BY BOTH POLICY MAKING VOLUNTEERS AND PROGRAM VOLUNTEERS.
FORM 990, PAGE 2, PART III, LINE 4B
THE PRE-K PLUS AND PRIMETIME PROGRAMS IN MANY CASES ALLOW PARENTS OF THE CHILDREN TO REMAIN GAINFULLY EMPLOYED, KNOWING THAT THEIR CHILDREN ARE WELL CARED FOR IN A SAFE CLEAN, SUPPORTIVE ENVIRONMENT. TRANSPORTATION SERVICES ARE AVAILABLE FOR PRE-K PLUS CHILDREN FROM THEIR LOCAL SCHOOLS. TRANSPORTATION IS ALSO AVAILABLE FOR ELEMENTARY AGED YOUTH AFTER SCHOOL TO EASE THE PARENTAL STRAIN OF ARRANGING TRANSPORTATION AND HAVING THE CHILDREN HOME ALONE UNTIL THEY ARE ABLE TO RETURN FROM WORK. SUMMER CAMP PROGRAMS AND SCHOOL'S OUT CAMPS ARE EDUCATIONAL, PROMOTE SPIRITUAL AWARENESS AND MENTAL DEVELOPMENT, PHYSICAL WELL-BEING, SOCIAL GROWTH AND A RESPECT FOR BOTH THE ENVIRONMENT AND THE INDIVIDUAL. THROUGH A VARIETY OF ACTIVITIES AND WELL-TRAINED LEADERSHIP, THESE SPECIAL CAMPING ACTIVITIES SEEK TO HELP PARTICIPANTS ACHIEVE THEIR FULLEST POTENTIAL. FAMILY OPPORTUNITIES FOR USE OF THE YMCA FACILITIES HELP ALL INDIVIDUALS WITHIN THE FAMILY UNIT GROW AS RESPONSIBLE MEMBERS OF THEIR OWN FAMILY. ACTIVITIES AND FACILITIES PROVIDE CHILDREN AND PARENTS WITH OPPORTUNITIES TO PARTICIPATE AND FOSTER THE COMPANIONSHIP BETWEEN PARENT AND CHILD. THE YMCA OFFERS YOUTH BASKETBALL, T-BALL AND SOCCER. THIS HELPS TEACH THE IMPORTANCE OF TEAM SPIRIT IN THE FACT THAT EVERYONE ON THE TEAM MUST PLAY IN THE GAME. PARENTS OF THE CHILDREN VOLUNTEER AS COACHES TO HELP THE CHILDREN LEARN NOT ONLY THE RULES OF THE SPORTS, BUT MOST IMPORTANTLY THE LESSONS OF SHARING AND SELF-ESTEEM. YMCA ALSO OFFERS TAE KWON DO, TRACK AND SPLASH-N-DASH PROGRAMS. THREE PROGRAMS THAT ARE FREE TO THE COMMUNITY ARE MOVIE DAY, HEALTHY KIDS DAY AND HALLOWEEN FALL CARNIVAL. AS IS ALL YMCA PROGRAMS, FINANCIAL ASSISTANCE IS AVAILABLE FOR THE YOUTH AND FAMILY PROGRAMS FOR THOSE WHO CANNOT AFFORD THE PROGRAM DUES. NO ONE SHOULD BE DENIED SERVICE FOR INABILITY TO PAY.
FORM 990, PAGE 2, PART III, LINE 4C
MENTAL HOSPITAL, CLEVELAND COUNTY YOUTH & FAMILY, BIG BROTHERS/BIG SISTERS, OKLAHOMA YOUTH CENTER, ABLE AND SPECIAL OLYMPICS. THE YMCA IS ALSO AVAILABLE FOR MEMBER AND COMMUNITY BIRTHDAY PARTY GROUPS, LIFESAVING CLASSES, SCUBA TRAINING CLASSES, COMMUNITY SWIM MEETS, LOCAL AND AREA SCHOOL AFTER PROM AND GRADUATION PARTIES, AS WELL AS GENERAL POOL USE BY MEMBERS AND GUESTS. OUR AQUATIC PROGRAM ALSO OPERATES A LOCAL COMMUNITY BASED SWIMMING POOL BUILT BY A LOCAL HOUSING ADDITION AND GOLF COURSE.
FORM 990, PAGE 6, PART VI, LINE 11B
AFTER THE RETURN IS PREPARED BY INDEPENDENT ACCOUNTANTS, IT IS REVIEWED AND PROOFED BY THE ORGANIZATION'S VP OF FINANCE. A COPY IS THEN PROVIDED TO ALL BOARD MEMBERS, THE PRESIDENT/CEO, AND DIRECTOR OF OPERATIONS WHO ARE REQUESTED TO REVIEW THE RETURN AND TO PROVIDE ANY FEEDBACK, QUESTIONS OR CONCERNS THEY MAY HAVE. AFTER ALL BOARD MEMBERS HAVE HAD THE OPPORTUNITY TO REVIEW AND COMMENT ON THE RETURN, THE FINAL REVIEWED COPY OF THE FORM 990 IS THEN FILED WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C
THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUIRING EACH SIGNIFICANT PERSON TO ANNUALLY COMPLETE A QUESTIONNAIRE WHICH TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AND TO SIGN A STATEMENT ACKNOWLEDGING THAT THE PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, THE PERSON HAS READ AND UNDERSTANDS THE POLICY, THE PERSON AGREES TO COMPLY WITH THE POLICY, AND THE PERSON UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS FURTHER MONITORED AND ENFORCED BY CONDUCTING PERIODIC REVIEWS.
FORM 990, PAGE 6, PART VI, LINE 15A
EACH BOARD MEMBER IS ASKED TO COMPLETE AN ONLINE SURVEY TO EVALUATE THE PERFORMANCE OF THE PRESIDENT/CEO. EACH BOARD MEMBER IS THEN REQUESTED TO RETURN THE COMPLETED SURVEY TO THE BOARD CHAIR WHO REVIEWS THE COMPILED EVALUATION SCORES WITH THE EXECUTIVE COMMITTEE. THE BOARD CHAIR THEN CONTACTS THE ORGANIZATION'S HUMAN RESOURCES PERSONNEL TO DETERMINE CURRENT SALARY AND PREVIOUS INCREASES. THE YMCA OF THE USA PROVIDES SALARY ADMINISTRATIVE GUIDELINES BASED ON INDIVIDUAL YMCA BUDGETS AND THE HAY POINT SYSTEM. THESE GUIDELINES ARE TAKEN INTO CONSIDERATION AS INDUSTRY STANDARDS ALONG WITH THE BOARD'S EVALUATION OF THE PRESIDENT/CEO'S PERFORMANCE AND OTHER FACTORS RELEVANT TO THE ORGANIZATION'S BUDGET TO DETERMINE THE PRESIDENT/CEO'S COMPENSATION. COMPENSATION RECOMMENDATIONS ARE PRESENTED TO THE BOARD OF DIRECTORS AND APPROVED BEFORE ANY CHANGES BECOME EFFECTIVE.
FORM 990, PAGE 6, PART VI, LINE 15B
OTHER OFFICERS OF THE ORGANIZATION, INCLUDING THE VP OF FINANCE AND DIRECTOR OF OPERATIONS, ARE EVALUATED BY THE PRESIDENT/CEO ON AN ANNUAL BASIS. THE YMCA OF THE USA PROVIDES SALARY ADMINISTRATIVE GUIDELINES BASED ON INDIVIDUAL YMCA BUDGETS AND THE HAY POINT SYSTEM. THESE GUIDELINES ARE TAKEN INTO CONSIDERATION AS INDUSTRY STANDARDS ALONG WITH THE PRESIDENT/CEO'S EVALUATION OF THE OFFICERS' PERFORMANCE AND OTHER FACTORS RELEVANT TO THE ORGANIZATION'S BUDGET TO DETERMINE COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION'S FINANCIAL STATEMENTS ARE CURRENTLY MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON THE DUN & BRADSTREET WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT CURRENTLY MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G
CONTRACT LABOR 209,541 172,396 0
FORM 990, PART XI, LINE 9
COGS - INVENTORY SALES 26,111 DIRECT FUNDRAISING EXPENSES 14,150 COGS - INVENTORY SALES -26,111 DIRECT FUNDRAISING EXPENSES -14,150
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.