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.") . | 2,256,897 | 908,162 | 633,622 | 1,370,035 | 1,616,463 | 6,785,179 |
| 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 | 1,565,215 | 1,846,152 | 1,585,076 | 1,679,585 | 1,881,430 | 8,557,458 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 70,714 | 52,699 | 37,157 | 7,151 | 50,275 | 217,996 |
| 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 | 3,892,826 | 2,807,013 | 2,255,855 | 3,056,771 | 3,548,168 | 15,560,633 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | 15,560,633 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 3,892,826 | 2,807,013 | 2,255,855 | 3,056,771 | 3,548,168 | 15,560,633 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 4,798 | 9,052 | 9,286 | 2,782 | 11,615 | 37,533 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 4,798 | 9,052 | 9,286 | 2,782 | 11,615 | 37,533 |
| 11 | Net income from unrelated business activities not included on 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.).. | 3,897,624 | 2,816,065 | 2,265,141 | 3,059,553 | 3,559,783 | 15,598,166 |
| 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 |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | YOUTH DEVELOPMENT - THE MATTOON AREA FAMILY YMCA HAS DEVELOPED A WIDE VARIETY OF PROGRAMS COMMITTED TO NURTURING THE POTENTIAL OF EVERY YOUTH AND TEEN. PROGRAMS SUCH AS OUR YOUTH SPORTS, HOME SCHOOL, ESPORTS, YOUTH FREE WEIGHT TRAINING, SUMMER CAMP, BEFORE AND AFTER SCHOOL, AND SWIM LESSONS HELP OUR YOUTH CULTIVATE THE VALUES, SKILLS, AND RELATIONSHIPS THAT LEAD TO POSITIVE BEHAVIORS, BETTER HEALTH, AND EDUCATIONAL ACHIEVEMENT. LAST YEAR OVER 2,215 INDIVIDUAL YOUTH PARTICIPATED IN THESE PROGRAMS. EXPENSES INCLUDE SUBSIDIES AND DIRECT FINANCIAL ASSISTANCE THAT MAKE PARTICIPATION POSSIBLE FOR 40% OF THESE YOUNG PEOPLE THAT WE ENGAGE. 1,286 YOUTH PARTICIPATED IN OUR YOUTH SPORTS PROGRAMS THAT WORK TO PROMOTE TEAMWORK AND SPORTSMANSHIP. OUR YOUTH FREE WEIGHT TRAINING PROGRAM IS DESIGNED TO STRENGTHEN FAMILIES BY PROVIDING OPPORTUNITIES TO EXERCISE TOGETHER IN A SAFE AND FUN ENVIRONMENT. YOUTH SWIM LESSONS PROVIDE OUR AREA YOUTH WITH ONE OF THE MOST IMPORTANT LIFE SKILLS-HOW TO BE SAFE AROUND WATER. |
| FORM 990, PAGE 2, PART III, LINE 4B | HEALTHY LIVING - THE Y IS A LEADING VOICE ON HEALTH AND WELL-BEING IN OUR COMMUNITY. WE HELP BRING FAMILIES CLOSER TOGETHER, ENCOURAGE GOOD HEALTH, AND FOSTER CONNECTIONS THROUGH FITNESS, SPORTS, FUN, AND SHARED INTERESTS. AS A RESULT, PEOPLE IN OUR COMMUNITY ARE RECEIVING THE SUPPORT, GUIDANCE, AND RESOURCES THEY NEED TO ACHIEVE THEIR PHYSICAL, SPIRITUAL, AND EMOTIONAL GOALS. THIS IS PARTICULARLY IMPORTANT AS OUR COUNTRY STRUGGLES WITH OBESITY AND CHRONIC ILLNESS CRISIS AS WELL AS A NATIONWIDE PANDEMIC AS FAMILIES STRUGGLE WITH WORK/LIFE BALANCE, AND INDIVIDUALS SEARCH FOR PERSONAL FULFILLMENT, OUR HEALTHY LIVING PROGRAMS ARE ACCESSIBLE, AFFORDABLE, AND OPEN TO ALL FAITHS, BACKGROUNDS, ABILITIES, AND INCOME LEVELS. IN THE LAST YEAR WE PROVIDED 266,629 IN FINANCIAL ASSISTANCE TO THOSE WHO OTHERWISE WOULD HAVE FACED ECONOMIC BARRIERS TO PARTICIPATION. WE HAD OVER 150,590 VISITS TO OUR FACILITY THIS PAST YEAR WITH INDIVIDUALS PARTICIPATING IN OUR HEALTHY LIVING PROGRAMS THAT INCLUDE CYCLING, BODYPUMP, DANCE CLASSES, TAI CHI, ACTIVE OLDER ADULT CLASSES, OR OTHER WELLNESS CLASSES, SWIM LESSONS, LAP SWIMMING, AQUATIC CLASSES, WELLNESS CENTER, YOUTH SPORTS, WALKING TRACK. OUR PROGRAMS ARE OFFERED FOR INFANTS THROUGH SENIORS. THE YMCA'S DIABETES PREVENTION PROGRAM WE OFFER HELPS ADULTS AT HIGH RISK OF DEVELOPING TYPE 2 DIABETES REDUCE THEIR RISK FOR DEVELOPING THE DISEASE BY TAKING STEPS THAT WILL IMPROVE THEIR OVERALL HEALTH AND WELL-BEING. RESEARCH BY THE NATIONAL INSTITUTES OF HEALTH HAS SHOWN THAT PROGRAMS LIKE THE YMCA'S DIABETES PREVENTION PROGRAM CAN REDUCE THE NUMBER OF NEW CASES OF TYPE 2 DIABETES BY 58%, AND 71% IN ADULTS OVER THE AGE OF 60. WE CONTINUE TO EXPAND ON OUR EVIDENCE BASED HEALTH INTERVENTION PROGRAMS WITH THE RECENT ADDITION OF OUR BLOOD PRESSURE SELF- MONITORING AND HEALTHY HEARTS PROGRAMS. |
| FORM 990, PAGE 2, PART III, LINE 4C | SOCIAL RESPONSIBILITY - OUR Y BELIEVES IN GIVING BACK AND SUPPORTING OUR NEIGHBORS. WE HAVE BEEN LISTENING AND RESPONDING TO OUR COMMUNITY'S MOST CRITICAL SOCIAL NEEDS FOR MORE THAN 30 YEARS. UTILIZING WHAT WE HEAR HELPS US IN DEVELOPING OUR LIST OF PROGRAM OFFERINGS AND COMMUNITY PARTNERSHIPS, FINANCIAL ASSISTANCE PROGRAM. MEMBERSHIP FOR ALL IS AN EXAMPLE OF HOW WE DELIVER TRAINING, RESOURCES, AND SUPPORT THAT EMPOWER OUR NEIGHBORS TO EFFECT CHANGE, BRIDGE GAPS, AND OVERCOME OBSTACLES. LAST YEAR WE SERVED AT OUR HIGHEST 6,211 MEMBERS AND HAD OVER 422 VOLUNTEERS VOLUNTEER OVER 5,947 HOURS TOWARDS PROGRAMS THAT STRENGTHEN OUR COMMUNITY AND PAVE THE WAY FOR FUTURE GENERATIONS TO THRIVE. OUR COLLABORATION WITH THE COMMUNITY HAS GROWN TREMENDOUSLY THROUGH OUR PARTICIPATION WITH AREA BUSINESSES ON COMMUNITY EVENTS. OUR YOUTH PROGRAMS WORK WITH THE COMMUNITY GARDEN, AREA NURSING HOMES AND SENDS CARDS TO ACTIVE MILITARY. OUR SENIOR STAFF IS ENGAGED WITH COMMUNITY SERVICE CLUBS INCLUDING ROTARY CLUB, CHURCH YOUTH GROUPS, ONE STOP COMMUNITY CHRISTMAS AND PEACE MEALS. WE COLLABORATE WITH THE LOCAL HOSPITAL OFFERING MEMBERS THE OPPORTUNITY TO COMPLETE THEIR WORKOUTS EITHER AT THE HOSPITAL HEALTHY LIVING CENTER OR THE YMCA FACILITY. WE ALLOW OTHER GROUPS TO COME IN AND USE THE Y FOR MEETINGS, CLASSES AND SEMINARS. ALL YMCA STAFF IS CERTIFIED IN CPR AND THIS IS ALSO A SERVICE WE OFFER TO OUR COMMUNITIES. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION HAS MEMBERS, WHO ARE ELIGIBLE TO USE THE SERVICES OF THE ORGANIZATION, BUT ARE NOT ABLE TO ELECT PERSONS SERVING ON THE GOVERNING BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE. FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO FILING FOR THEIR REVIEW AND CONSIDERATION. AFTER THE EXECUTIVE COMMITTEE APPROVES THE FORM 990, MANAGEMENT IS AUTHORIZED TO FILE THE FORM 990 |
| FORM 990, PAGE 6, PART VI, LINE 12C | NEW BOARD MEMBERS ARE FURNISHED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND REQUIRED TO COMPLETE A QUESTIONNAIRE REQUESTING CURRENT OR POTENTIAL CONFLICTS OF INTEREST. THE POLICY REQUIRES BOARD MEMBERS TO IMMEDIATELY NOTIFY MANAGEMENT OF ANY POTENTIAL CONFLICTS. ANNUALLY, BOARD MEMBERS ARE REMINDED OF THE POLICY AND ASKED TO UPDATE THEIR DISCLOSURE IF APPLICABLE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OR DESIGNATED COMMITTEE IS RESPONSIBLE FOR ANNUAL REVIEW OF THE COMPENSATION OF THE EXECUTIVE DIRECTOR AT THE TIME THE BUDGET IS ADOPTED FOR THE FISCAL YEAR. THIS DETERMINATION IS MADE BY INDEPENDENT MEMBERS OF THE BOARD AND IS APPROVED BASED ON AVAILABLE RESOURCES OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Software ID: | |
| Software Version: |