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.") . | 177,082 | 251,667 | 289,022 | 677,610 | 2,760,317 | 4,155,698 |
| 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...... | 2,159,361 | 2,188,183 | 2,277,622 | 2,128,911 | 2,263,503 | 11,017,580 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 2,336,443 | 2,439,850 | 2,566,644 | 2,806,521 | 5,023,820 | 15,173,278 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | 0 | 0 | 0 | 0 | 0 |
| 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 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public support. (Subtract line 7c from line 6.) | 15,173,278 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,336,443 | 2,439,850 | 2,566,644 | 2,806,521 | 5,023,820 | 15,173,278 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | -2,248 | 6,458 | 18,193 | 23,001 | 21,767 | 67,171 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | -2,248 | 6,458 | 18,193 | 23,001 | 21,767 | 67,171 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 11,441 | 13,922 | 28,507 | 18,214 | 12,078 | 84,162 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 2,345,636 | 2,460,230 | 2,613,344 | 2,847,736 | 5,057,665 | 15,324,611 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 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) |
||||
| 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): |
|||||
| 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) |
||||
| 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 |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 1 REVENUE INCREASE | THE INCREASES IN 2014 AND 2015 IN GIFTS, GRANTS AND CONTRIBUTIONS LISTED AS OUR PUBLIC SUPPORT CAN BE ATTRIBUTED TO OUR CAPITAL CAMPAIGN. THIS MULTI-YEAR CAPITAL CAMPAIGN BEGAN IN 2014 AND WILL FUND MAJOR RENOVATIONS AND CAPITAL IMPROVEMENTS TO OUR FACILITY. WE EXPECT TO SEE THIS INCREASE CONTINUE THROUGH AT LEAST 2017. |
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - OTHER, COLUMN A - 11441.0, COLUMN B - 13922.0, COLUMN C - 28507.0, COLUMN D - 18214.0, COLUMN E - 12078.0, COLUMN F - 84162.0; |
| Software ID: | 15000238 |
| Software Version: | 2015v2.1 |
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, Line 6 Classes of members or stockholders | OUR ORGANIZATION IS A PUBLIC CHARITY OPEN TO ALL WITHOUT REGARD TO ABILITY TO PAY. WE HAVE NO STOCKHOLDERS. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | OUR MEMBERS ELECT MEMBERS OF THE GOVERNING BODY, THE BOARD OF DIRECTORS. NEITHER THE BOARD NOR THE MEMBERS RECEIVE ANY DISTRIBUTION OF INCOME OR ASSETS FROM THE ORGANIZATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | ALL BOARD MEMBERS RECEIVE AN ELECTRONIC COPY OF OUR FORM 990. BEFORE FILING, THEY ARE GIVEN AMPLE TIME TO COMMENT AND AT A BOARD MEETING THE AUDITOR REVIEWS THE HIGHLIGHTS OF THE FORM 990 WITH THE ENTIRE BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | OUR YMCA HAS A WRITTEN CONFLICT OF INTEREST POLICY, DISCLOSURE QUESTIONNAIRE, AND ENFORCEMENT PROCEDURE. ANNUALLY, EACH BOARD MEMBER AND KEY STAFF MEMBER IS GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY AND THE QUESTIONNAIRE. COMPLETED QUESTIONNAIRES ARE COMPILED BY THE ADMINISTRATION OFFICE AND A REPORT MADE THE BOARD PRESIDENT HIGHLIGHTING ANY CONFLICTS THAT WE SHOULD BE AWARE OF WHEN CONDUCTING BUSINESS. IT IS THE RESPONSIBILITY OF THE CEO AND CVO TO ENFORCE THE POLICY . |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | EXECUTIVE COMPENSATION FOR THE CEO IS DETERMINED BY THE EXECUTIVE COMMITTEE WHO OBTAINED AND RELIED ON APPROPRIATE DATA AS TO COMPARABILITY IN MAKING ITS DETERMINATION, INCLUDING PAYMENTS BY SIMILAR ORGANIZATIONS (NOT-FOR-PROFIT AND, IF APPLICABLE, FOR-PROFIT) FOR FUNCTIONALLY COMPARABLE POSITIONS. THIS EXECUTIVE COMMITTEE, COMPRISED OF THE CVO AND BOARD OFFICERS, WITHOUT ANY CONFLICT OF INTEREST, DOCUMENTS THE BASIS FOR MAKING THE COMPENSATION DECISION. THIS PROCESS WAS LAST UNDERTAKEN IN 2013. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | EXECUTIVE COMPENSATION FOR THE CEO IS DETERMINED BY THE EXECUTIVE COMMITTEE WHO OBTAINED AND RELIED ON APPROPRIATE DATA AS TO COMPARABILITY IN MAKING ITS DETERMINATION, INCLUDING PAYMENTS BY SIMILAR ORGANIZATIONS (NOT-FOR-PROFIT AND, IF APPLICABLE, FOR-PROFIT) FOR FUNCTIONALLY COMPARABLE POSITIONS. THIS EXECUTIVE COMMITTEE, COMPRISED OF THE CVO AND BOARD OFFICERS, WITHOUT ANY CONFLICT OF INTEREST, DOCUMENTS THE BASIS FOR MAKING THE COMPENSATION DECISION. THIS PROCESS WAS LAST UNDERTAKEN IN 2013, WHICH WAS THE LAST INCREASE IN COMPENSATION GIVEN TO THE CEO. |
| Form 990, Part VI, Line 19 Required documents available to the public | OUR YMCA'S FORM 990 AND ANNUAL REPORT WILL BE PROVIDED FOR PUBLIC REVIEW UPON WRITTEN REQUEST TO THE CEO. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Unrealized loss on investments - -426; |
| Part III, 4a HEALTHY LIVING | WE PROVIDED COMMUNITY PROGRAMS FREE TO THE COMMUNITY TO ENHANCE HEALTHY LIVING. THESE INCLUDE YMCA HEALTHY KIDS DAY, OFFERED AT OUR TWO LOCATIONS, WHICH ATTRACTED OVER 600 PARTICIPANTS. IN THE SUMMER WE CONDUCTED OUR ANNUAL KICK START DOUGLAS COUNTY, 100 DAYS OF HEALTHY ACTIVITIES SUCH AS ZUMBA IN THE PARK, WALKING GROUPS, TAI CHI, COMMUNITY SWIMMING, AND YOGA FOR OVER 3,000 PEOPLE OF ALL AGES AND ABILITIES FREE OR NEARLY FREE OF COST. NEARLY 100 ADULTS PARTICIPATED IN OUR FIRST ANNUAL HEALTH EXPO, A FREE SERIES OF WORKSHOPS AND SPEAKERS ON HEALTHY LIFESTYLE CHOICES IN NUTRITION AND WELLNESS. WITH GRANT FUNDING WE INCREASED OUR CAPACITY TO OFFER ENHANCE FITNESS, AN EVIDENCE BASED GROUP EXERCISE PROGRAM FOR OLDER ADULTS THAT USES SIMPLE, EASY TO LEARN MOVEMENTS THAT MOTIVATE INDIVIDUALS, PARTICULARLY THOSE WITH ARTHRITIS, TO STAY ACTIVE THROUGHOUT THEIR LIFE. YMCA STAFF REGULARLY WORK WITH COMMUNITY PARTNERS TO PROVIDE BLOOD PRESSURE SCREENINGS, PARENTING EDUCATION AND HEALTH FAIRS. WITH THE SUPPORT OF THE DOUGLAS COUNTY AGING AND DISABILITY RESOURCES NETWORK AND ARCHITRAVE HEALTH, THE YMCA HAS DEVELOPED EFFECTIVE, SUSTAINABLE STRATEGIES TO PROMOTE HEALTHY LIFESTYLES THROUGHOUT THE COUNTY FOR PEOPLE LIVING WITH CHRONIC DISEASES SUCH AS ARTHRITIS AND PARKINSON'S DISEASE AND INACTIVE INDIVIDUALS WITH LOW INCOMES ON THE OREGON HEALTH PLAN. |
| Part III, 4b YOUTH DEVELOPMENT | NEARLY 200 YOUTH RECEIVED FREE WATER SAFETY INSTRUCTIONS IN OUR FREE YMCA SPLASH PROGRAM. WE SERVED 760 YOUTH IN OUR YOUTH SPORTS AND HOME SCHOOL PE PROGRAMS. OUR HIGH QUALITY AFFORDABLE CHILDCARE AND SUMMER DAY CAMP PROVIDE A SAFE, ENRICHING AND EDUCATIONAL ENVIRONMENT FOR OVER 200 YOUTH AND PROVIDE NEEDED SUPPORT FOR WORKING FAMILIES. THROUGH OUR PARTNERSHIP WITH SMART READING AND THE UMPQUA READING COUNCIL, WE ENCOURAGE YOUTH TO READ FOR A MINIMUM OF 30 MINUTES PER DAY IN ORDER TO COMBAT SUMMER READING LOSS. |
| Part III, 4c SOCIAL RESPONSIBILITY | WE CONDUCTED OUR ANNUAL YMCA WATER SAFETY DAYS AT TWO COMMUNITY PARK LOCATIONS, GIVING AWAY 250 LIFEJACKETS, 75 SWIM LESSON GIFT CERTIFICATES, AND INSTRUCTION TO PARENTS AND GUARDIANS ABOUT HOW TO KEEP THEIR KIDS SAFE IN, ON AND AROUND THE WATER. AT SCHOOLS, CHURCHES, BUSINESSES AND OTHER ORGANIZATIONS IN THE ROSEBURG AREA, WE OFFER DARKNESS TO LIGHT CHILD SEXUAL ABUSE PREVENTION TRAINING EVENTS TO RAISE AWARENESS OF THE PREVALENCE AND CONSEQUENCES OF CHILD SEXUAL ABUSE BY EDUCATING ADULTS ABOUT THE STEPS THEY CAN TAKE TO PREVENT, RECOGNIZE AND REACT RESPONSIBLY TO THE REALITY OF CHILD SEXUAL ABUSE. IN 2015 WE PROVIDED $80,128 IN FINANCIAL ASSISTANCE TO PEOPLE WHO OTHERWISE MAY NOT HAVE BEEN ABLE TO AFFORD TO PARTICIPATE IN YMCA PROGRAMS AND SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 6 WE HAVE MEMBERS | THE YMCA IS A MEMBERSHIP ORGANIZATION AND PUBLIC CHARITY OPEN TO ALL PEOPLE. THE YMCA WELCOMES SENIORS, ADULTS AND YOUTH OF ALL AGES, ETHNICITY, RELIGIONS, ABILITIES AND FINANCIAL CIRCUMSTANCES. THE YMCA EMBRACES DIVERSITY, REFLECTING THE NEEDS AND COMPOSITION OF THE COMMUNITIES WE SERVE. WE HAVE NO STOCKHOLDERS. |
| FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT DIRECTORS | BOARD MEMBERS ARE ELECTED BY THE VOTING MEMBERS OF THE YMCA AT THE ANNUAL MEETING. UNEXPIRED TERMS ARE FILLED BY BOARD DECISION AS NEEDED. |
| FORM 990, PART VI, SECTION B, LINE 11 COPIES OF 990 TO GOVERNING BOARD | AN ELECTRONIC COPY OF THE IRS FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. REVIEW AND DISCUSSION IS UNDERTAKEN WITH THE FINANCE COMMITTEE AND FULL BOARD, FACILITATED BY THE FINANCE DIRECTOR AND/OR 990 PREPARER WHEN THE AUDIT REPORT IS DELIVERED. |
| FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY & ENFORCEMENT | WE CIRCULATE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR TO FIND OUT WHETHER ANY BOARD MEMBER OR KEY STAFF MEMBER HAS A CONFLICT OF INTEREST. THE QUESTIONNAIRE ASKS BOARD AND STAFF MEMBERS TO DISCLOSE EXISTING CONFLICTS AND REMINDS THEM TO DISCLOSE ANY THAT MAY CROP UP IN THE FUTURE. A REPORT IS COMPILED THAT IS REFERRED TO AS NEEDED. THE BOARD PRESIDENT IS APPRISED OF ANY CONFLICTS THAT EXIST. |
| FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION |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|
| FORM 990, PART VI, SECTION C, LINE 19 REPORTS & POLICIES - AVAILABILITY TO THE PUBLIC | THE IRS 990 DOCUMENTS AND THE ORGANIZATION'S ANNUAL REPORT ARE AVAILABLE FOR REVIEW UPON WRITTEN REQUEST TO THE CHIEF EXECUTIVE OFFICER. |
| Software ID: | 15000238 |
| Software Version: | 2015v2.1 |