Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 1,320,529 | 534,683 | 606,861 | 436,500 | 2,396,528 | 5,295,101 |
| 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 | 15,941,719 | 17,488,062 | 18,365,670 | 12,145,874 | 14,347,670 | 78,288,995 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 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 | |
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | 0 | 0 | 0 | 0 | |
| 6 | Total. Add lines 1 through 5 | 17,262,248 | 18,022,745 | 18,972,531 | 12,582,374 | 16,744,198 | 83,584,096 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 23,495 | 18,353 | 26,561 | 20,855 | 21,970 | 111,234 |
| 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.. | 23,495 | 18,353 | 26,561 | 20,855 | 21,970 | 111,234 |
| 8 | Public support. (Subtract line 7c from line 6.) | 83,472,862 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 17,262,248 | 18,022,745 | 18,972,531 | 12,582,374 | 16,744,198 | 83,584,096 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,427 | 4,165 | 5,615 | 5,859 | 832 | 18,898 |
| 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. | 2,427 | 4,165 | 5,615 | 5,859 | 832 | 18,898 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 0 | 0 | 7,202 | 195,352 | 183,421 | 385,975 |
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 44,075 | 62,065 | 40,737 | 23,832 | 6,296 | 177,005 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 17,308,750 | 18,088,975 | 19,026,085 | 12,807,417 | 16,934,747 | 84,165,974 |
| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - OTHER, COLUMN A - 44075.0, COLUMN B - 62065.0, COLUMN C - 40737.0, COLUMN D - 23832.0, COLUMN E - 6296.0, COLUMN F - 177005.0; |
| Software ID: | 21014044 |
| Software Version: | 2021v4.2 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION | OPEN TO ALL FAITHS, BACKGROUNDS, ABILITIES AND INCOME LEVELS. WE PROVIDE FINANCIAL ASSISTANCE TO PEOPLE WHO OTHERWISE MAY NOT HAVE BEEN ABLE TO AFFORD TO PARTICIPATE. IN 2021, OVER 500 SERVICE MEN, WOMEN AND THEIR FAMILIES PARTICIPATED IN THIS PROGRAM. |
| Form 990, Part VI, Line 12c CONFLICT OF INTEREST POLICY | A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT OUT ANNUALLY TO EACH OFFICER AND DIRECTOR OF THE ORGANIZATION. THE QUESTIONNAIRE REQUIRES EACH PERSON TO ANSWER A SERIES OF QUESTIONS RELATED TO VARIOUS POTENTIAL CONFLICTS OF INTEREST THAT ARE SPECIFICALLY ASKED ON FORM 990. THE ORGANIZATIONS COMPLIANCE OFFICER MONITORS THE REPONSES FOR ANY POTENTIAL CONFLICTS OF INTEREST AND THEN DETERMINES WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. ANYONE WHO IS DETERMINED TO HAVE A CONFLICT OF INTEREST IS NOT ALLOWED TO VOTE ON ANY MATTERS INVOLVING THE RELATED CONFLICT OF INTEREST. A SUMMARY OF THE QUESTIONNAIRE RESULTS IN REVIEWED ANNUALLY WITH THE AUDIT COMMITTEE OF THE BOARD. |
| Form 990, Part VI, Line 11b REVIEW OF FORM 990 BY GOVERNING BODY | DIRECTOR OF FINANCE PRESENTS A DRAFT OF THE FORM 990 TO THE AUDIT COMMITTEE OF THE BOARD FOR APPROVAL TO RECOMMEND TO THE BOARD FOR APPROVAL. THE DRAFT IS SENT TO THE BOARD IN ADVANCE OF THE PRESENTATION FOR THEIR REVIEW; THE BOARD APPROVES PRIOR TO FILING. |
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICAL | A BOARD DESIGNATED COMMITTEE COMPLETES A FULL ANALYSIS OF THE CEO'S COMPENSATION PACKAGE. COMMITTEE INCLUDES THREE MEMBERS OF THE OBARD AND AN INDEPENDENT VOLUNTEER CONSULTANT. THE COMMITTEE REVIEWS THE COMPENSATION PACKAGES OF THE CEO'S FOR SIMILAR SIZED YMCA'S WHICH IS PROVIDED DIRECTLY TO THE COMMITTEE BY THE YMCA OF THE USA. THE COMMITTEE THEN RECOMMENDS A COMPENSATION PACKAGE FOR THE CEO TO THE BOARD FOR APPROVAL. |
| Form 990, Part VI, Line 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC | THE ORGANIZATION'S GIVERING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, FORM 990T AND FINANCIAL STAEMENTS ARE AVAILABLE UPON REQUEST. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | CFO PRESENTS A DRAFT OF THE FORM 990 TO THE AUDIT COMMITTEE OF THE BOARD FOR APPROVAL TO RECOMMEND TO THE BOARD FOR APPROVAL. THE DRAFT IS SENT TO THE BOARD IN ADVANCE OF THE PRESENTATION FOR THEIR REVIEW; THE BOARD APPROVES PRIOR TO FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | A conflict of interest questionnaire is sent out annually to each officer and director of the organization. The questionnaire requires each person to answer a series of questions related to various potential conflicts of interest that are specifically asked on the Form 990. The organization's compliance officer monitors the responses for any potential conflicts of interest and then determines whether or not an actual conflict of interest exists. Anyone who is determined to have a conflict of interest is not allowed to vote on any matters involving the related conflict of interest. A summary of the questionnaire results is reviewed annually with the Audit Committee of the Board. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | A BOARD DESIGNATED COMMITTEE COMPLETES A FULL ANALYSIS OF THE CEO'S COMPENSATION PACKAGE. COMMITTEE INCLUDES THREE MEMBERS OF THE BOARD AND AN INDEPENDENT VOLUNTEER CONSULTANT. THE COMMITTEE REVIEWES COMPENSATION PACKAGES OF CEO'S FOR SIMILAR SIZED YMCA'S WHICH IS PROVIDED DIRECTLY TO THE COMMITTEE BY THE YMCA OF THE USA. THE COMMITTEE THEN RECOMMENDS A COMPENSATION PACKAGE FOR THE CEO TO THE BOARD FOR APPROVAL. |
| Form 990, Part VI, Line 19 Required documents available to the public | HE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, FORM 990T AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | Other Program Revenue - Total Revenue: 3128540, Related or Exempt Function Revenue: 3128540, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Residence Revenue - Total Revenue: 0, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XII, Line 2c EXPLANATION | THE ORGANIZATION'S OVERSIGHT AND ELECTION PROCESSES HAVE NOT CHANGED FROM PRIOR YEARS. |
| Software ID: | 21014044 |
| Software Version: | 2021v4.2 |