Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 685,178 | 1,594,924 | 1,037,543 | 664,231 | 938,403 | 4,920,279 |
| 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...... | 3,901,485 | 3,878,736 | 3,943,093 | 4,002,133 | 4,137,471 | 19,862,918 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | 19,003 | 15,994 | 6,202 | 15,459 | 16,024 | 72,682 |
| 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. | 4,605,666 | 5,489,654 | 4,986,838 | 4,681,823 | 5,091,898 | 24,855,879 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 132,750 | 749,283 | 152,327 | 110,052 | 119,672 | 1,264,084 |
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 132,750 | 749,283 | 152,327 | 110,052 | 119,672 | 1,264,084 |
| 8 | Public support. (Subtract line 7c from line 6.) | 23,591,795 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 4,605,666 | 5,489,654 | 4,986,838 | 4,681,823 | 5,091,898 | 24,855,879 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 182,841 | 171,397 | 287,649 | 105,955 | 121,421 | 869,263 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 182,841 | 171,397 | 287,649 | 105,955 | 121,421 | 869,263 |
| 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 4,788,507 | 5,661,051 | 5,274,487 | 4,787,778 | 5,213,319 | 25,725,142 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS ARE DESCRIBED IN THE LINE 7A NOTE BELOW. |
| FORM 990, PART VI, SECTION A, LINE 7A | THROUGHOUT 2014, THE YMCA SERVED 14,497 MEMBERS, OF WHICH 10,609 WERE 18 OR OLDER AND CLASSIFIED AS VOTING MEMBERS UNDER THE ORGANIZATION'S BYLAWS. VOTING IN THE ANNUAL ELECTION IS THE ONLY GOVERNANCE ROLE OF THE YMCA MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO SUBMISSION OF THE IRS FORM 990 TO THE INTERNAL REVENUE SERVICE, THE SEWICKLEY VALLEY YMCA FINANCE COMMITTEE MEETS WITH AN INDEPENDENT AUDITOR TO RECEIVE A FORMAL PRESENTATION OF THE FINANCIAL AUDIT, THE COMPLETED IRS FORM 990, AND THE MANAGEMENT LETTER FOR THE PREVIOUS FISCAL YEAR. FOLLOWING THE PRESENTATION, AND AFTER ALL QUESTIONS HAVE BEEN ANSWERED, THE FINANCE COMMITTEE FORMALLY VOTES TO ACCEPT OR REJECT THE AUDIT AND THE COMPLETED IRS FORM 990. FOLLOWING A FAVORABLE VOTE, THE AUDIT, MANAGEMENT LETTER, AND COMPLETED IRS FORM 990 ARE SUBMITTED TO THE FULL BOARD OF DIRECTORS FOR A PERIOD OF REVIEW. FOLLOWING FULL BOARD REVIEW, THE IRS FORM 990 IS SIGNED AND SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FOLLOWING CONFLICT OF INTEREST POLICY AND PROCEDURE WAS ADOPTED AND IMPLEMENTED BY THE SEWICKLEY VALLEY YMCA BOARD OF DIRECTORS IN SEPTEMBER, 2008: SEWICKLEY VALLEY YMCA CONFLICT OF INTEREST POLICY AND PROCEDURES I. PURPOSE OF THE CONFLICT OF INTEREST POLICY THE PURPOSE OF THE CONFLICT OF INTEREST POLICY OF THE SEWICKLEY VALLEY YMCA IS TO PROTECT THE YMCA WHEN IT IS CONTEMPLATING ENTERING INTO A CONTRACT, TRANSACTION OR ARRANGEMENT THAT HAS THE POTENTIAL FOR BENEFITING THE PRIVATE INTEREST OF A "SIGNIFICANT PERSON" AS DEFINED BELOW. THIS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE AND FEDERAL LAWS GOVERNING CONFLICT OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. II. STATEMENT OF POLICY THE YMCA WILL NOT ENGAGE IN ANY CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST WITHOUT ESTABLISHING APPROPRIATE SAFEGUARDS TO PROTECT THE INTERESTS OF THE YMCA. TO THAT END: A. EACH SIGNIFICANT PERSON MUST PROMPTLY, FULLY AND TIMELY COMPLY WITH THE DISCLOSURE REQUIREMENTS SET FORTH IN THIS POLICY, OR AS OTHERWISE ADOPTED BY THE BOARD IN ACCORDANCE WITH THIS POLICY. B. ALL TRANSACTIONS, CONTRACTS OR ARRANGEMENTS INVOLVING A CONFLICT OF INTEREST MUST BE REVIEWED BY THE BOARD OR BY A DESIGNATED BODY OF DISINTERESTED PERSONS. C. THE BOARD, OR DESIGNATED BODY, MUST DETERMINE BY A MAJORITY VOTE OF DISINTERESTED PERSONS, THAT APPROPRIATE SAFEGUARDS ARE IN PLACE TO PROTECT THE INTERESTS OF THE YMCA AND ARE CONSISTENT WITH THE PURPOSES OF THIS POLICY. D. WHERE APPROPRIATE, THE BOARD OR DESIGNATED BODY SHALL SEEK ADVICE OF LEGAL COUNSEL. THIS POLICY APPLIES TO (A) SIGNIFICANT PERSONS, AND (B) ANY CONTRACT, TRANSACTION OR ARRANGEMENTS INVOLVING THE Y. III. DEFINITIONS APPLICABLE TO THE POLICY SIGNIFICANT PERSON - ANY DIRECTOR, OFFICER, KEY EMPLOYEE OR COMMITTEE MEMBER WITH BOARD DELEGATED POWERS IS A SIGNIFICANT PERSON. NOTE: THIS REFLECTS AN INTENTIONAL SHIFT (FROM "INTERESTED PERSON') TO FOCUS ON A BROADER CLASS OF INDIVIDUALS; IT IS INTENDED TO APPLY TO ALL DECISION MAKERS, NOT JUST THOSE SIGNIFICANT BY THE INTERMEDIATE SANCTIONS REGULATIONS. CONFLICT OF INTEREST - A "CONFLICT OF INTEREST" EXISTS WHENEVER A SIGNIFICANT PERSON HAS A SIGNIFICANT PERSONAL INTEREST IN A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT TO WHICH THE Y MAY BE A PARTY, NOTE: ATTENTION SHOULD ALSO BE PLACED ON THE ORGANIZATIONAL COSTS ASSOCIATED WITH THE "APPEARANCE" OF IMPROPRIETY CREATED BY A PERSONAL INTEREST EVEN IF IT DOES NOT CONSTITUTE AN ACTUAL CONFLICT OF INTEREST. SIGNIFICANT PERSONAL INTEREST - A SIGNIFICANT PERSONAL INTEREST EXISTS IF THE SIGNIFICANT PERSON, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT, OR FAMILY MEMBER, HAS A(N): A. OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE YMCA HAS A CONTRACT, TRANSACTION OR ARRANGEMENT; B, COMPENSATION ARRANGEMENT WITH THE YMCA; C. COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE YMCA HAS A CONTRACT, A TRANSACTION OR ARRANGEMENT; D. POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE YMCA IS NEGOTIATING (OR IS PROPOSING TO NEGOTIATE) A CONTRACT, A TRANSACTION OR ARRANGEMENT; OR E. FIDUCIARY POSITION (E.G., MEMBER, OFFICER, DIRECTOR, COMMITTEE MEMBER), WHETHER COMPENSATED OR UNCOMPENSATED, WITH ANOTHER, UNAFFILIATED ORGANIZATION (I) WHICH DIRECTLY COMPETES WITH THE YMCA IN TERMS OF SERVICE OR FOR CHARITABLE CONTRIBUTIONS; OR (II) WITH WHICH THE YMCA HAS (OR IS PROPOSING TO ENTER INTO) A CONTRACT, TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION, CONSULTING FEES, BOARD OR ADVISORY COMMITTEE FEES, HONORARIA, AS WELL AS GIFTS OR FAVORS THAT ARE NOT INSUBSTANTIAL. A SIGNIFICANT INTEREST IS NOT NECESSARILY A CONFLICT OF INTEREST. ARTICLE IV, SECTION 4 DESCRIBES THE PROCEDURE THAT WILL BE USED TO DECIDE WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. FAMILY MEMBER - WITH RESPECT TO A SIGNIFICANT PERSON, A "FAMILY MEMBER" MEANS: A. THE PERSON'S SPOUSE; B, A BROTHER, SISTER, PARENT, GRANDPARENT, CHILD, GRANDCHILD, GREAT GRANDCHILD (BY WHOLE OR HALF BLOOD) OF THE PERSON OR THE PERSON'S SPOUSE, OR C. THE SPOUSE OF AN INDIVIDUAL LISTED IN PARAGRAPH (B), HOWEVER, A FAMILY MEMBER INCLUDES INDIVIDUALS LISTED IN PARAGRAPHS (A) AND (B) (OTHER THAN A CHILD) ONLY IF THE INDIVIDUAL LIVES IN THE PERSON'S HOUSEHOLD, THE PERSON MANAGES THE INDIVIDUAL'S FINANCIAL AFFAIRS, OR THE PERSON IS AWARE WITHOUT SPECIAL INQUIRY THAT THE FAMILY MEMBER HOLDS A PARTICULAR INTEREST. IV. PROCEDURES FOR IDENTIFICATION OF POTENTIAL CONFLICTS OF INTEREST ANNUAL QUESTIONNAIRE - EACH SIGNIFICANT PERSON SHALL COMPLETELY, ACCURATELY AND TIMELY SUBMIT THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE (THE "ANNUAL QUESTIONNAIRE") AS PREPARED AND DISTRIBUTED BY THE BOARD [OR COMMITTEE]. DUTY TO DISCLOSE - A SIGNIFICANT PERSON MUST DISCLOSE THE EXISTENCE OF ANY INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE PERSONS THE BOARD HAS DESIGNATED TO CONSIDER THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. SUCH INFORMATION MUST BE PROVIDED SO THAT DECISIONS ARE MADE WITH FULL KNOWLEDGE AND UNDERSTANDING OF THE SIGNIFICANT PERSON'S INTEREST. CONTINUING DISCLOSURES - IF, AFTER COMPLETION OF THE ANNUAL QUESTIONNAIRE, ANY SIGNIFICANT PERSON BECOMES AWARE OF ANYTHING THAT COULD GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING THE YMCA, THE SIGNIFICANT PERSON SHALL PROMPTLY DISCLOSE THAT INTEREST TO THE BOARD OR ITS DESIGNEE. V. PROCEDURE FOR DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS THE BOARD [OR COMMITTEE] SHALL DETERMINE BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS WHETHER THE DISCLOSED INTEREST MAY RESULT IN A CONFLICT OF INTEREST AFTER MEETING, DISCUSSING AND VOTING ON THE MATTER. THE BOARD [OR COMMITTEE] SHALL: A. REVIEW RESPONSES TO THE ANNUAL QUESTIONNAIRE AND ANY CONTINUING DISCLOSURES THAT ARE MADE DURING THE YEAR; B. TAKE SUCH STEPS AS ARE NECESSARY TO IDENTIFY AND REVIEW ANY SO IDENTIFIED; C. TAKE SUCH FURTHER INVESTIGATION AS IT DEEMS APPROPRIATE WITH REGARD TO INTERESTS DISCLOSED OR IDENTIFIED; AND D. DETERMINE WHETHER ANY SUCH INTEREST GIVES RISE TO A CONFLICT OFINTEREST. THE BOARD [OR COMMITTEE] MAY REQUEST ADDITIONAL INFORMATION CONCERNING THE RELEVANT INTEREST FROM ALL REASONABLE SOURCES BEFORE REACHING A DETERMINATION. A SIGNIFICANT PERSON MAY MAKE A PRESENTATION AT THE BOARD [OR COMMITTEE] MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE OF, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. VI. PROCEDURE WHEN A CONFLICT OF INTEREST EXISTS WHERE A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE YMCA SHALL NOT ENTER INTO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT UNLESS THE BOARD [OR COMMITTEE THEREOF] HAS COMPLIED WITH THE FOLLOWING: A. THE CHAIRPERSON OF THE BOARD [OR COMMITTEE] SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. B. AFTER EXERCISING DUE DILIGENCE, THE BOARD [OR COMMITTEE] SHALL DETERMINE WHETHER THE YMCA CAN, WITH REASONABLE EFFORTS, GET A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY WITHOUT A CONFLICT OF INTEREST. C. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE, THE BOARD [OR COMMITTEE] SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE Y'S 'BEST INTEREST", FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE BOARD SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE CONTRACT, TRANSACTION OR ARRANGEMENT. VII. PROCEDURE FOR VIOLATIONS OF THE POLICY A. IF THE BOARD [OR COMMITTEE] HAS REASONABLE CAUSE TO BELIEVE A SIGNIFICANT PERSON HAS FAILED TO COMPLY WITH THE DISCLOSURE REQUIREMENTS IN THIS POLICY, IT SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B. IF, AFTER HEARING THE SIGNIFICANT PERSON'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD [OR COMMITTEE] DETERMINES THE SIGNIFICANT PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE FOLLOWING EXECUTIVE COMPENSATION REVIEW PROCESS WAS ADOPTED AND IMPLEMENTED BY THE SEWICKLEY VALLEY YMCA BOARD OF DIRECTORS IN SEPTEMBER, 2008: SEWICKLEY VALLEY YMCA IRS INTERMEDIATE SANCTIONS REBUTTABLE PRESUMPTION STATEMENT YEAR ____ TOTAL REWARDS DATA EXECUTIVE DIRECTOR: (DATE OF EMPLOYMENT AT THE SEWICKLEY VALLEY YMCA: ANNUAL COMPENSATION: BASE ANNUAL SALARY: ANNUAL INCENTIVE: (BASED ON MEAN SALARY INCREASE OVER PAST FIVE YEARS) LONG TERM INCENTIVE: TOTAL CASH: BASIC & SUPPLEMENTAL INSURANCE BENEFITS: MEDICARE INSURANCE: HEALTH INSURANCE: DENTAL INSURANCE: AD&D INSURANCE: LIFE INSURANCE: SHORT-TERM DISABILITY INSURANCE: LONG-TERM DISABILITY INSURANCE: WORKERS' COMPENSATION INSURANCE: TOTAL INSURANCE BENEFITS: BASIC & SUPPLEMENTAL RETIREMENT BENEFITS: SOCIAL SECURITY: QUALIFIED PENSION FUND: (12% OF GROSS SALARY PAID TO THE YMCA RETIREMENT FUND) TOTAL RETIREMENT BENEFITS: FLEXIBLE PERQUISITES PLAN: PERCENT OF ANNUAL SALARY OR DOLLAR AMOUNT ALLOCATED FOR PERQUISITES: ALTERNATIVE PERQUISITES: CAR/CAR ALLOWANCE: CELLULAR TELEPHONE: PROFESSIONAL DUES: LEGAL SERVICES: FINANCIAL COUNSELING: YMCA MEMBERSHIP: EXECUTIVE PHYSICAL EXAM: CONTINUING PROFESSIONAL EDUCATION: $ HOME COMPUTER LAPTOP: OTHER: TOTAL ALTERNATIVE PERQUISITES: $ TOTAL REWARDS COMPARISON SOURCE OF COMPARABILITY: 2009 YMCA OF THE USA SALARY ADMINISTRATION GUIDELINE RECOMMENDATION COMPETITIVE PERCENTILE COMPETITIVE VALUE YEAR 2008 ANNUAL COMPENSATION BASIC & SUPPLEMENTAL INSURANCE BENEFITS BASIC & SUPPLEMENTAL RETIREMENT BENEFITS FLEXIBLE PERQUISITES PLAN ALTERNATIVE PERQUISITES PLAN TOTAL REWARDS OPPORTUNITY OFFICE OR FILE WHERE COMPARABILITY DATA KEPT: DECISION-MAKING BODY COMPENSATION APPROVAL MEMBER NAME APPROVED / NOT APPROVED/ DATE APPROVED COMPARABILITY DATA RELIED UPON BY AUTHORIZED BODY AND HOW DATA WAS OBTAINED NAMES AND ACTIONS (IF ANY) BY MEMBERS OF AUTHORIZED BODY HAVING CONFLICT OF INTEREST DATE OF PREPARATION OF THIS DOCUMENT (MUST BE PREPARED BY THE LATTER OF THE NEXT MEETING OF AUTHORIZED BODY, OR SIXTY DAYS AFTER AUTHORIZED BODY APPROVED COMPENSATION) DATE OF APPROVAL OF THIS DOCUMENT BY THE BOARD OF DIRECTORS (MUST BE WITHIN REASONABLE TIME AFTER PREPARATIONS OF DOCUMENT ABOVE) BOARD OF DIRECTORS APPROVAL: SEPTEMBER 23, 2008 LEGAL REVIEW COMPLETED: SEPTEMBER 8, 2008 |
| FORM 990, PART VI, SECTION C, LINE 19 | THE SEWICKLEY VALLEY YMCA PRESENTS THE FOLLOWING GOVERNING DOCUMENTS FOR PUBLIC VIEW UPON REQUEST DURING NORMAL BUSINESS HOURS IN A VIEW NOTEBOOK HELD IN THE EXECUTIVE DIRECTORS' OFFICE: SEWICKLEY VALLEY YMCA MISSION, THEME AND BRIEF HISTORY SEWICKLEY VALLEY YMCA FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX GOVERNANCE POLICIES: CODE OF ETHICS CONFLICT OF INTEREST POLICY RECORD RETENTION AND DOCUMENT DESTRUCTION POLICY WHISTLEBLOWER POLICY, EXECUTIVE COMPENSATION POLICY STAFF AND VOLUNTEER EXPENSES AND ALLOWANCES POLICY COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF STATE BUREAU OF CHARITABLE ORGANIZATIONS - CERTIFICATE OF REGISTRATION SEWICKLEY VALLEY YMCA AUDITED FINANCIAL STATEMENTS SEWICKLEY VALLEY YMCA AMENDED AND RESTATED ARTICLES OF INCORPORATION SEWICKLEY VALLEY YMCA BY-LAWS AND COMMITTEE COMMISSIONS SEWICKLEY VALLEY YMCA INCOME AND SALES TAX EXEMPTION INFORMATION SEWICKLEY VALLEY YMCA STRATEGIC PLAN SEWICKLEY VALLEY YMCA ANNUAL REPORT |
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