TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Darla Arni Director	2.0 .................	X
(2) Nancy Blossom Director	2.0 .................	X
(3) Dr Thomas Blumhoprst Director	2.0 .................	X
(4) Chris Corkill Director	2.0 .................	X
(5) Rook Evans Director	2.0 .................	X
(6) Robbie Fuchs Director	2.0 .................	X
(7) Gary Grote Director	2.0 .................	X
(8) Donna Huston Director	2.0 .................	X
(9) Cindy Lamberson Director	2.0 .................	X
(10) Marsha Lashly Director	2.0 .................	X
(11) Steve Moles Director	2.0 .................	X
(12) John Raines Director	2.0 .................	X
(13) Dennis Sousley Director	2.0 .................	X
(14) Larry Dametz Director	2.0 .................	X
(15) Nathan Crow Officer	5.0 .................		X
(16) Shermaine Riggins Officer	5.0 .................		X
(17) Tammy Papereck Officer	5.0 .................		X

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(1) Darla Arni

Director

2.0
.................

(2) Nancy Blossom

Director

2.0
.................

(3) Dr Thomas Blumhoprst

Director

2.0
.................

(4) Chris Corkill

Director

2.0
.................

(5) Rook Evans

Director

2.0
.................

(6) Robbie Fuchs

Director

2.0
.................

(7) Gary Grote

Director

2.0
.................

(8) Donna Huston

Director

2.0
.................

(9) Cindy Lamberson

Director

2.0
.................

(10) Marsha Lashly

Director

2.0
.................

(11) Steve Moles

Director

2.0
.................

(12) John Raines

Director

2.0
.................

(13) Dennis Sousley

Director

2.0
.................

(14) Larry Dametz

Director

2.0
.................

(15) Nathan Crow

Officer

5.0
.................

(16) Shermaine Riggins

Officer

5.0
.................

(17) Tammy Papereck

Officer

5.0
.................

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(18) Dan Brandt

Officer

5.0
.......................

(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

SALT FORK YMCA

Employer identification number

43-1710180

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 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.

Section B. Total Support

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.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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 ....................... right arrow

33 1/3% support test—2014. 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 ..................... right arrow

17a

10%-facts-and-circumstances test—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

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) 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.") .	893,461	1,116,042	1,314,713	752,088	98,280	4,174,584
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......	120,435	125,631	118,354	122,379	753,405	1,240,204
3	Gross receipts from activities that are not an unrelated trade or business under section 513...	0	0	0	0	0	0
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...	0	0	0	0	0	0
5	The value of services or facilities furnished by a governmental unit to the organization without charge..	0	0	0	0	0	0
6	Total. Add lines 1 through 5.	1,013,896	1,241,673	1,433,067	874,467	851,685	5,414,788
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.)						5,414,788

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...	1,013,896	1,241,673	1,433,067	874,467	851,685	5,414,788
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	705	715	867	732	726	3,745
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.	0	0	0	0	0	0
c	Add lines 10a and 10b.	705	715	867	732	726	3,745
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.	0	0	0	0	0	0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..	23,921	17,382	20,965	8,614	12,874	83,756
13	Total support. (Add lines 9, 10c, 11, and 12.)..	1,038,522	1,259,770	1,454,899	883,813	865,285	5,502,289

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

98.41 %

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

98.35 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

0.07 %

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

0.07 %

19a

331/3% support tests—2015. 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 ....... right arrow

33 1/3% support tests—2014. 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 .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
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)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part III, Line 12	Other income includes rental of facility and sales of miscellaneous items for resale
Schedule A, Part III, Line 12 Other Income	DESCRIPTION - OTHER INCOME, COLUMN A - 23921.0, COLUMN B - 17382.0, COLUMN C - 20965.0, COLUMN D - 8614.0, COLUMN E - 12874.0, COLUMN F - 83756.0;

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v2.1


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......	1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................	2e
3	Subtract line 2e from line 1..................	3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................	4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........	1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................	2e
3	Subtract line 2e from line 1...................	3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................	4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5

Return Reference	Explanation
Schedule D, Part X, Line 2	WITHHOLDING TAXES

- 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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

SALT FORK YMCA

Employer identification number

43-1710180

Return Reference	Explanation
Form 990, Part I, Line 1 PROGRAM MISSION AND ACHIEVEMENTS	YOUTH PROGRAMS: OUR YOUTH PROGRAMS RUN YEAR ROUND AND GIVE CHILDREN THE OPPORTUNITY TO EXPERIENCE FITNESS 1 FUN, CHARACTER DEVELOPMENT, PERSONAL ACHIEVEMENT, THE FEELING OF BELONGING, EXPOSURE TO GOOD ROLE MODELS, AND IMPROVED SKILL DEVELOPMENT. YOUTH PROGRAMS INCLUDE: FLAG FOOTBALL, GYMNASTICS, BASKETBALL, BIDDY BASKETBALL, CHILDWATCH/KID'S GYM, SUMMER DAY CAMP, HOLIDAY CAMP, TEEN DANCES, TEEN TRIPS, SWIM LESSONS, KID'S/TODDLER'S EVENING OUT, LIFEGUARD TRAINING CLASSES, BIRTHDAY PARTIES, HALLOWEEN PARTY, HEALTHY KID'S DAY, AND MANY MORE. APPROXIMATELY 4,400 DIFFERENT CHILDREN WERE SERVED BY THESE PROGRAMS IN 2014. CHILDWATCH/KID'S GYM SERVES CHILDREN 6 WEEKS THROUGH AGE 10 AND IS A GREAT SERVICE PROVIDED WITH THEIR MEMBERSHIP SO THAT PARENTS CAN ATTEND A YMCA CLASS OR GET IN A WORKOUT WITHOUT WORRYING ABOUT THE SAFETY OF THEIR CHILDREN. OVER 500 DIFFERENT CHILDREN ARE SERVED THROUGH THE CHILDWATCH/KID'S GYM AREA ANNUALLY. SCHOLARSHIP ASSISTANCE IS AVAILABLE FOR ALL YOUTH PROGRAMS NOT INCLUDED WITH MEMBERSHIP. ADULT PROGRAMS: ADULT PROGRAMS AT OUR YMCA INCLUDE: LAND AND WATER AEROBICS, BOOT CAMP, YOGA, ZUMBA, AQUA ZUMBA, LES MILLS BODYPUMP, VOLLEYBALL, FLAG FOOTBALL, BASKETBALL, 5/1 OK RUN/WALK, COUCH POTATO TO 5K TRAINING PROGRAM, CYCLING, CPR/L" AID, BODY PUMP, GENERAL FACILITY USE. AND LINE DANCING. OVER 400 DIFFERENT PEOPLE ARE SERVED THROUGH THESE PROGRAMS ON AN ANNUAL BASIS, FITNESS TRAINERS PROVIDE FREE FITNESS ORIENTATIONS TO NEW MEMBERS TO INTRODUCE PEOPLE TO STRENGTH TRAINING AND CREATE A PERSONALIZED WORK OUT TO MEET THEIR GOALS AND ABILITIES. SCHOLARSHIP ASSISTANCE IS AVAILABLE TO ALL ADULT PROGRAMS NOT INCLUDED WITH MEMBERSHIP. OUR SENIOR PROGRAMS INCLUDE: ACTIVE OLDER ADULTS STRETCHING AT THE YMCA, WATER ARTHRITIS C!ASSES1 LINE DANCING, MONTHLY POTLUCKS, AND MONTHLY DAY TRIPS. ALL OF THESE SENIOR CLASSES WITH THE EXCEPTION OF THE DAY TRIPS ARE INCLUDED WITH THEIR MEMBERSHIP. MANY OF OUR SENIORS EXPRESS BENEFITS THROUGH IMPROVED FLEXIBILITY AND THE SOCIAL INTERACTION THEY RECEIVE AT THE YMCA. THE SALT FORK YMCA PROVIDES A GREAT PLACE FOR PEOPLE OF ALL AGES, FAMILY AND FRIENDS, AND PEOPLE NEW TO THE COMMUNITY TO GATHER FOR A VISIT OR TO MAKE NEW FRIENDS. OUR COMMUNITY IS OUR CAUSE AND WE FOCUS ON YOUTH DEVELOPMENT, HEALTHY LIVING, AND SOCIAL RESPONSIBILITY. ALL OF OUR PROGRAMS ARE DESIGNED TO HELP PEOPLE CREATE REALISTIC GOALS FOR SELF IMPROVEMENT AND EMPHASIZE DISEASE PREVENTION THROUGH REGULAR EXERCISE, AND PROPER NUTRITION. IN LIGHT OF THE RISING OBESITY RATES IN THE US, THE YMCA PARTICIPATES IN THE ACTIVATE AMERICA INITIATIVE AND ENGAGES IN A VARIETY OF EVENTS AND COMMUNITY ACTIVITIES DESIGNED TO HELP THE AT RISK POPULATION TO DEVELOP HABITS AND RELATIONSHIPS THAT LEAD TO MORE ACTIVE LIFESTYLES. IN 2014 OUR YMCA GAVE BACK $50,924 TO OUR COMMUNITY IN DIRECT AND INDIRECT ASSISTANCE, SERVED OVER 7,700 MEMBERS, SERVED OVER 2,800 NON-MEMBERS, AND HAD OVER 240 PEOPLE VOLUNTEER FOR THE YMCA TOTALING OVER 2,000 VOLUNTEER HOURS. OUR YMCA WORKS IN COLLABORATION WITH OVER 32 DIFFERENT AGENCIES INCLUDING OUR SCHOOLS, CITY AND COUNTY GOVERNMENT, LOCAL PUBLIC HEALTH DEPARTMENT, AND MANV SOCIAL SERVICE AGENCIES TO PROVIDE COUNTY WID-E HEALTH PLANNING AND PROGRAMMING TO HELP OUR RESIDENTS, FAMILLES, AND COMMUNITY BECOME STRONGER AND HEALTHIER.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FORM 990 IS PROVIDED TO THE YMCA'S OFFICERS, BOARD OF DIRECTORS AND EXECUTIVE DIRECTOR FOR REVIEW/APPROVAL PRIOR TO FILING
Form 990, Part VI, Line 12c Conflict of interest policy	OFFICERS, DIRECTORS AND KEY EMPLOYEES FILL OUT A CONFLICT OF INTEREST QUESTIONAIRE ANNUALLY, OR AT SUCH TIME AS THEY BECOME AN OFFICER, DIRECTOR OR EMPLOYEE. THE CONFLICT OF INTEREST QUESTIONAIRES ARE KEPT ON FILE.
Form 990, Part VI, Line 18 How forms are made available to the public	THE ORGANIZATION HAS ALL FORM 990 RETURNS, ORGANIZATION DOCUMENTS AND POLICIES AVAILABLE FOR PUBLIC INSPECTION, AT THEIR PREMISIS. THE PUBLIC IS ALSO INVITED TO THE ANNUAL BOARD MEETING HELD IN MARCH EACH YEAR.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION HAS ALL FORM 990 RETURNS, ORGANIZATION DOCUMENTS AND POLICIES AVAILABLE FOR PUBLIC INSPECTION, AT THEIR PREMISIS. THE PUBLIC IS ALSO INVITED TO THE ANNUAL BOARD MEETING HELD IN MARCH EACH YEAR.
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: ;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v2.1

1	Briefly describe the organization’s mission or most significant activities: The Salt Fork YMCA is a charitable community service organization comprised of persons of all ages, ethnic groups, and religious affiliations dedicated to putting Christian principles into practice through programs that build healthy spirit, mind, and body for all. All persons are welcome at the YMCA regardless of their ability to pay. Our YMCA is founded and led by volunteers from our community. Financial assistance is available to those unable to pay full price for membership and/or programs.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	107
6	Total number of volunteers (estimate if necessary) .............	6	250
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	752,088	98,280
9	Program service revenue (Part VIII, line 2g) .........	122,379	753,405
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	732	726
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,614	12,874
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	883,813	865,285
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	533,602	530,673
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 28,617
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	594,173	561,679
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,127,775	1,092,352
19	Revenue less expenses. Subtract line 18 from line 12.......	-243,962	-227,067
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,307,061	3,074,853
21	Total liabilities (Part X, line 26).............	52,534	47,393
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,254,527	3,027,460

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 388,517 including grants of $ ) (Revenue $ 303,441 )
	HEALTHY LIVING: PROMOTES WELLNESS, VOLUNTEERISM, COMMUNITY DEVELOPEMENT AND STRONG FAMILIES. PROGRAMS EMPHASIZE CHRISTIAN PRINCIPLES, A HEALTHY LIFESTYLE AND STRONG PERSONAL VALUES. PROGRAMS INCLUDE AEROBICS, FAMILY NIGHTS, AND FIELD TRIPS FOR SENIOR ADULTS. VOLUNTEERS FROM THIS GROUP HELP SUPPORT YOUTH PROGRAMS.

4b	(Code: ) (Expenses $ 220,241 including grants of $ ) (Revenue $ 310,365 )
	YOUTH PROGRAMS:INCLUDES GYMNASTICS, SPORTS AND FITNESS ACTIVITIES, AFTER SCHOOL PROGRAM, SPECIAL HOLIDAY EVENTS AND OTHER PROGRAMS WHICH SERVED MORE THAN 2600 YOUTH THROUGHOUT THE YEAR. PROGRAMS EMPHASIZE CHRISTIAN PRINCIPLES, A HEALTHY LIFESTYLE AND STRONG PERSONAL VALUES. PROGRAM EXPENSES INCLUDE DIRECT FINANCIAL ASSISTANCE PROVIDED.

4c	(Code: ) (Expenses $ 96,980 including grants of $ ) (Revenue $ 139,599 )
	SOCIAL RESPONSIBILITY: PROMOTES GIVING BACK TO THE COMMUNITY THROUGH PROGRAMS SUCH AS CPR TRAINING, AFTER SCHOOL PROGRAMS, MEMBERSHIP AND SCHOLARSHIP PROGRAMS AND COMMUNITY VOLUNTEER ACTIVITIES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses705,738

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	9,400
d	Related organizations		1d	0
e	Government grants (contributions)		1e	0

f	All other contributions, gifts, grants, and similar amounts not included above		1f	88,880

g	Noncash contributions included in lines 1a-1f:$ 0
h Total.Add lines 1a-1f.......		98,280

		Business Code
2a	Healthy Living	310,365	310,365
b	Youth Development	303,441	303,441
c	Social Responsibility	139,599	139,599
d
e
f	All other program service revenue.		0	0	0	0
g Total.Add lines 2a–2f.....		753,405

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			726	726	0	0
4 Income from investment of tax-exempt bond proceeds			0	0	0	0
5 Royalties...........			0	0	0	0
		(ii) Personal	(i) Real
6a	Gross rents		10,012
b	Less: rental expenses		0
c	Rental income or (loss)	0	10,012
d	Net rental income or (loss)......			10,012	10,012	0	0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	0	0
b	Less: cost or other basis and sales expenses	0	0
c	Gain or (loss)	0	0
d	Net gain or (loss).....			0	0	0	0
8a	Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0		0	0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0	0	0	0
10a	Gross sales of inventory, less returns and allowances ..
	a		1,583
b	Less: cost of goods sold ..b		205
c	Net income or (loss) from sales of inventory..			1,378	1,378	0	0
Business Code			Miscellaneous Revenue
11a	OTHER INCOME			1,484	1,484	0	0
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			1,484
12	Total revenue. See Instructions......			865,285	767,005	0	0

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0	0
4	Benefits paid to or for members	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	0	0	0	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0	0	0	0
7	Other salaries and wages	442,163	290,164	138,724	13,275
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	23,139	12,428	9,424	1,287
9	Other employee benefits .......	27,473	15,898	9,867	1,708
10	Payroll taxes ...........	37,898	24,870	11,890	1,138
11	Fees for services (non-employees):
a	Management ......	0	0	0	0
b	Legal .........	0	0	0	0
c	Accounting ...........	14,950	0	14,950	0
d	Lobbying ...........	0	0	0	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	0	0	0	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	0	0	0	0
12	Advertising and promotion ....	4,724	2,541	847	1,336
13	Office expenses .......	18,203	0	18,203	0
14	Information technology ......	0	0	0	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	130,310	87,308	43,002	0
17	Travel ............	0	0	0	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	4,029	0	4,029	0
20	Interest ...........	801	537	264
21	Payments to affiliates .......	17,830	17,830	0	0
22	Depreciation, depletion, and amortization ..	236,279	158,307	77,972	0
23	Insurance ...	37,921	25,408	12,513	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PROGRAM SUPPLIES	72,870	62,997	0	9,873
b	MAINTENANCE/ EQUIP RENT	8,355	0	8,355	0
c	TELECOMMUNICATIONS	3,125	2,094	1,031
d	POSTAGE/SHIPPING	2,562	0	2,562	0
e	All other expenses	9,720	5,356	4,364	0
25	Total functional expenses. Add lines 1 through 24e	1,092,352	705,738	357,997	28,617
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			10,389	1	13,458
2	Savings and temporary cash investments .........			69,021	2	70,023
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			0	4	0
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			377	8	377
9	Prepaid expenses and deferred charges ......			0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	5,233,053
b	Less: accumulated depreciation	10b	2,242,058	3,227,274	10c	2,990,995
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,307,061	16	3,074,853

17	Accounts payable and accrued expenses .....	16,578	17	14,393
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22
23	Secured mortgages and notes payable to unrelated third parties ..	31,997	23	32,997
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	3,959	25	3
26	Total liabilities. Add lines 17 through 25..	52,534	26	47,393

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	3,207,717	27	2,980,650
28	Temporarily restricted net assets ...........	46,810	28	46,810
29	Permanently restricted net assets		29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund ...	0	31	0
32	Retained earnings, endowment, accumulated income, or other funds	0	32	0
33	Total net assets or fund balances ...........	3,254,527	33	3,027,460
34	Total liabilities and net assets/fund balances ........	3,307,061	34	3,074,853

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

1a	Land ...	123,343	0		123,343
b	Buildings	4,325,733	0	1,696,671	2,629,062
c	Leasehold improvements	0	0	0	0
d	Equipment ...	783,977	0	545,387	238,590
e	Other ...	0	0	0	0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					2,990,995

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
WITHHOLDING PAYROLL TAXES	3
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII