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.") . | 851,681 | 638,691 | 1,011,758 | 1,916,742 | 1,726,917 | 6,145,789 |
| 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 | 2,742,888 | 2,504,065 | 2,207,634 | 1,955,971 | 1,964,471 | 11,375,029 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 18,841 | 0 | 0 | 0 | 0 | 18,841 |
| 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 | 3,613,410 | 3,142,756 | 3,219,392 | 3,872,713 | 3,691,388 | 17,539,659 |
| 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.) | 17,539,659 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 3,613,410 | 3,142,756 | 3,219,392 | 3,872,713 | 3,691,388 | 17,539,659 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 0 | 0 | 13,331 | 142,905 | 83,001 | 239,237 |
| 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. | 0 | 0 | 13,331 | 142,905 | 83,001 | 239,237 |
| 11 | Net income from unrelated business activities not included on 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.) .. | 0 | 0 | 0 | 0 | 0 | 0 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 3,613,410 | 3,142,756 | 3,232,723 | 4,015,618 | 3,774,389 | 17,778,896 |
| 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 INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 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 4a Program Service Accomplishments | THE DUBUQUE COMMUNITY Y SERVES OVER 15,000 INDIVIDUALS ANNUALLY, OR ABOUT 1 IN 4 IN THE CITY OF DUBUQUE, IOWA. THE Y IMPACTS THE COMMUNITY THROUGH EARLY CHILDHOOD CHILD CARE, BEFORE AND AFTER SCHOOL CHILD CARE, MEMBERSHIP, ONE ON ONE AND GROUP MENTORING, YOUTH, ADULT AND FAMILY PROGRAMMING, SUMMER DAY CAMP, ZIP LINING, AND THE CRISIS SERVICES SHELTER. IN ADDITION, THE Y EMPLOYS OVER 150 PEOPLE AND OFFERS VOLUNTEER OPPORTUNITIES TO OVER 250 OF OUR NEIGHBORS. SERVING AS ONE OF THE AREA'S LARGEST PROVIDER OF LICENSED CHILDCARE, THE DUBUQUE COMMUNITY Y PROVIDES HIGH-QUALITY CHILDCARE TO OVER 250 PRESCHOOL AND SCHOOL-AGE CHILDREN. WE PROVIDE PRESCHOOL CURRICULUM, FULL-DAY CHILDCARE, INFANT/TODDLER CARE AND SCHOOL AGE BEFORE AND AFTER SCHOOL CARE. WITH A COMMITMENT TO STRENGTHEN FAMILY, WE MAKE IT POSSIBLE FOR PARENTS OF CHILDREN IN OUR CARE TO REMAIN GAINFULLY EMPLOYED, KNOWING THAT THEIR CHILDREN ARE THRIVING IN A SAFE AND DEVELOPMENTALLY SOUND ENVIRONMENT. TUITION ASSISTANCE IS ALSO AVAILABLE FOR CHILDCARE SERVICES AS WELL AS ASSISTANCE TO FAMILIES WORKING WITH OTHER SOCIAL SERVICE AGENCIES. THE DUBUQUE COMMUNITY Y CRISIS SERVICES SHELTER PROVIDES OVER 4,000 NIGHTS OF SAFE AND CONFIDENTIAL SERVICES ANNUALLY TO VICTIMS AND THEIR CHILDREN OF DOMESTIC ASSAULT, SEXUAL ABUSE AND SEX TRAFFICKING. ALL SERVICES ARE PROVIDED AT NO CHARGE TO THE VICTIM IF SOMEONE IS LEAVING AN ABUSIVE RELATIONSHIP AND IS IN NEED OF A SAFE AND CONFIDENTIAL PLACE TO STAY. THE SHELTER STAFFS A 24-HOUR, 7 DAY A WEEK CRISIS AND INFORMATION LINE. FOR YOUNGER CHILDREN, THE SHELTER WILL PROVIDE REFERRALS TO APPROPRIATE COMMUNITY AGENCIES. THE SHELTER WILL HELP VICTIMS GET CONNECTED WITH OTHER COMMUNITY AGENCIES TO MEET ADDITIONAL NEEDS THEY MAY HAVE. PRESERVING NEARLY 100 ACRES OF EDUCATIONAL AND RECREATIONAL SPACE AT OUR UNION PARK CAMP, THE DUBUQUE COMMUNITY Y CAMPING PROGRAMS PROVIDES A LASTING EXPERIENCE OF PERSONAL ENRICHMENT FOR OUR YOUTH. OUR DAY CAMPS OFFER ADVENTURE AND LEARNING ACTIVITIES THAT PROVIDE CHALLENGE AND PROMOTE SPIRITUAL AWARENESS, MENTAL DEVELOPMENT, PHYSICAL WELL-BEING, SOCIAL GROWTH AND SELF-RESPECT. CAMPERS DEVELOP SELF-CONFIDENCE, INDEPENDENCE, AND RESPECT FOR OTHER'S UNIQUE DIFFERENCES. THE DUBUQUE COMMUNITY Y PROVIDES LIFESAVING SWIMMING LESSONS, SAFETY AROUND WATER SKILLS, AND INSTRUCTION TO OVER 1,000 CHILDREN AND ADULTS IN THE TRI-STATE AREA. ADDITIONALLY, THE Y OFFERS BOTH COMPETITIVE AND SKILL DEVELOPING YOUTH SPORTS PROGRAMS AND LEAGUES TO OVER 3,000 CHILDREN OF ALL AGES. TO DATE, WE HAVE PROVIDED $250,000 IN SCHOLARSHIPS AND COMMUNITY SERVICES TO OTHER AREA NON-PROFITS THROUGH OUR ANNUAL CAMPAIGNS, BECAUSE AT THE DUBUQUE Y, NO CHILD, FAMILY OR ADULTS IS TURNED AWAY DUE TO INABILITY TO PAY. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The Executive Committee shall be a standing committee and consist of the elected Officers of the Board, the Chair of any other standing committees, the President/CEO, and if he or she is still a Director the most immediate past Chair/CVO. The Executive Committee may exercise, when the Board of Directors is not meeting, the powers of the Board of Directors in the direction of the affairs of the Corporation, except with actions with respect to election to positions of the Board of Directors, removal of Directors, employment or discharge of the President and such limitations of power as may be provided in the Bylaws. Members of the Board of Directors shall be notified in writing of all actions of the Committee at the next Board of Directors meeting after such Committee actions are taken. Duties of the Executive Committee shall be: 1. To conduct the affairs of the Corporation within powers conferred by the bylaws. 2. To coordinate the effective work of the Corporation through the Committees in an organized corporate planning system. 3. To appraise the job performance of the President/CEO in the context of the job description approved by the Board of Directors, and the current performance goals and objectives. 4. To clarify the Corporation's program, membership, and current financial objectives to assure that current operations are meeting the Corporation's stated goals and objectives. At all meetings of the Executive Committee, a majority of its Members shall constitute a quorum for the transaction of business, and the act of the majority shall be the act of the committee. Minutes of each meeting shall be kept by the President, or such other person as the Chair/CVO may designate; and the minutes shall be made available to all members of the Board of Directors by its next regular meeting. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The Form 990 is reviewed by the President/CEO and CFO. The return is provided to the Board for approval before it is filed with the IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | A conflict of interest transaction is a transaction with the Corporation in which a Director of the Corporation has a direct or indirect interest. Directors shall attempt to inform the Board of Directors of any possible conflict of interest of which they become aware. When any such interest becomes a matter of Board Action, such Directors shall not vote or use personal influence on the matter, and shall not be counted in the quorum for a meeting which Board action is to be taken on the interest. The Director may, however, briefly state a position on the matter, and answer pertinent questions of Board members. A transaction in which a Director has a conflict of interest may be approved if the material facts of the transaction are disclosed to the Board of Directors members, who authorized, approved or ratified that transaction. A conflict of interest transaction may be authorized, approved, or ratified if it receives the affirmative vote of the majority of the Directors on the Board or on the committee that have no direct or indirect interest in the transaction, but a transaction may not be authorized by a single Director. The minutes of all actions taken on such matters shall clearly reflect that these. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The President/CEO's compensation is determined by the board of directors with an annual evaluation. Comparability data was used to determine the initial compensation and adjustments are made annually based on goals met. the deliberation and decision is documented in the board minutes and personnel file. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | PRESIDENT/CEO DETERMINES SALARY |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization's governing documents and financial statements are available upon request. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | Other Program Revenue - Total Revenue: 228029, Related or Exempt Function Revenue: 228029, 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: ; |
| Software ID: | 21014044 |
| Software Version: | 2021v4.2 |