UNITED WAY OF JAY COUNTY INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
UNITED WAY OF JAY COUNTY INC (EIN 35-1020932)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-12
IRS object ID
202242559349301754
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-09-12T14:08:38-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201695613PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BOLLENBACHER AND ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1915 N MERIDIAN STREETAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351020932EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED WAY OF JAY COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNITBusinessNameControlTxt
Phone2607267010PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 S MERIDIAN STREET PO BOX 204AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANE ANN RUNYONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2607267010PhoneNum
Signature2022-08-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJANEPersonFirstNm
Person LastANN RUNYONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKALLA J CAFFEEPreparerPersonNm
PTINP00765483PTIN
Phone2607264207PhoneNum
Preparation2022-08-31PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANE ANN RUNYONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 S MERIDIAN STREET PO BOX 204AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$208,456GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNITEDWAYJAYCOUNTY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE JAY COUNTY UNITED WAY IT TO IMPROVE LIVES BY INVESTING IN LASTING CHANGES IN OUR COMMUNITYActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$244,813PYContributionsGrantsAmt
CY Contributions Grants$196,963CYContributionsGrantsAmt
PY Program Service Revenue$218PYProgramServiceRevenueAmt
CY Program Service Revenue$489CYProgramServiceRevenueAmt
PY Investment Income$1,551PYInvestmentIncomeAmt
CY Investment Income$1,298CYInvestmentIncomeAmt
PY Other Revenue$17,756PYOtherRevenueAmt
CY Other Revenue$9,706CYOtherRevenueAmt
PY Total Revenue$264,338PYTotalRevenueAmt
CY Total Revenue$208,456CYTotalRevenueAmt
PY Grants And Similar Paid$64,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$61,300CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,152PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,025CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,077CYTotalFundraisingExpenseAmt
PY Other Expenses$107,877PYOtherExpensesAmt
CY Other Expenses$216,894CYOtherExpensesAmt
PY Total Expenses$212,029PYTotalExpensesAmt
CY Total Expenses$318,219CYTotalExpensesAmt
PY Revenues Less Expenses$52,309PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$109,763CYRevenuesLessExpensesAmt
Total Assets BOY$569,878TotalAssetsBOYAmt
Total Assets EOY$488,904TotalAssetsEOYAmt
Total Liabilities BOY$19,527TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,491TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$550,351NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$452,413NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE JAY COUNTY UNITED WAY IT TO IMPROVE LIVES BY INVESTING IN LASTING CHANGES IN OUR COMMUNITYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$263,480ExpenseAmt
Grant$61,300GrantAmt
DescPROVIDING FUNDING TO 25 PARTNER AGENCIES IN THE JAY COUNTY AREA AFTER ASSESSING COMMUNITY NEEDS TO DETERMINE ANNUAL ALLOCATIONS. DISTRIBUTED ADDITIONAL FUNDING TO NON-PROFIT ORGANIZATIONS AS DESIGNATED BY DONORS DURING THEIR ANNUAL WORKPLACE CAMPAIGNS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Revenue$10,195RevenueAmt
DescPROVIDING PROGRAM SERVICES IN THE JAY COUNTY AREA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$263,480TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JANE ANN RUNYONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2607267010PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 S MERIDIAN STREET PO BOX 204AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
TAMARA KAUFMAN
DIRECTOR1.00Yes (X)$0$0$0
DREW HOUCK
DIRECTOR1.00Yes (X)$0$0$0
MONICA GOBLE
DIRECTOR1.00Yes (X)$0$0$0
JANE ANN RUNYON
EXECUTIVE DIRECTOR40.00$36,992$0$0Yes (X)
KRISTEN GIBSON
SECRETARY1.00$0$0$0Yes (X)
BRENDA FUNK
PRESIDENT ELECT1.00$0$0$0Yes (X)
MIKE WEITZEL
PRESIDENT1.00$0$0$0Yes (X)
EMILY RICHARDS
TREASURER1.00$0$0$0Yes (X)
TRACI GROSS
PRESIDENT1.00$0$0$0Yes (X)
TAMI VORMOHR
VICE PRESIDENT1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$36,992TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$196,963AllOtherContributionsAmt
Total Contributions$196,963TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSERVICE FEES ON DESIGNDesc
Business900099BusinessCd
Total Revenue Column$489TotalRevenueColumnAmt
Related Or Exempt Func Income$489RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$489TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,298TotalRevenueColumnAmt
Exclusion$1,298ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCOME FROM BENEFICIAL900099$9,700$9,700
6999 MISCELLANEOUS INC900099$6$6
FieldValueIRS element (for citing)
Other Revenue Total$9,706OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$208,456TotalRevenueColumnAmt
Related Or Exempt Func Income$10,195RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,298ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$61,300TotalAmt
Program Services$61,300ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$36,992TotalAmt
Program Services$18,496ProgramServicesAmt
Management And General$8,878ManagementAndGeneralAmt
Fundraising$9,618FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,033TotalAmt
Program Services$1,516ProgramServicesAmt
Management And General$728ManagementAndGeneralAmt
Fundraising$789FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,503TotalAmt
Management And General$23,503ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,445TotalAmt
Program Services$95ProgramServicesAmt
Management And General$45ManagementAndGeneralAmt
Fundraising$5,305FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,670TotalAmt
Program Services$2,835ProgramServicesAmt
Management And General$1,361ManagementAndGeneralAmt
Fundraising$1,474FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,142TotalAmt
Program Services$2,142ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$166TotalAmt
Program Services$83ProgramServicesAmt
Management And General$40ManagementAndGeneralAmt
Fundraising$43FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$529TotalAmt
Program Services$264ProgramServicesAmt
Management And General$127ManagementAndGeneralAmt
Fundraising$138FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SPECIAL GRANT$175,388$175,388
TELEPHONE$1,295$647$311$337
MISCELLANEOUS$1,207$308$737$162
9010.6 LOCAL ORGANIZATI$737$737

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$812TotalAmt
Program Services$406ProgramServicesAmt
Management And General$195ManagementAndGeneralAmt
Fundraising$211FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$318,219TotalAmt
Program Services$263,480ProgramServicesAmt
Management And General$36,662ManagementAndGeneralAmt
Fundraising$18,077FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt
EOY$100EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$185,913BOYAmt
EOY$79,560EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,410BOYAmt
EOY$24,340EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,488BOYAmt
EOY$9,003EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,755LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,506LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,568BOYAmt
EOY$1,249EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$339,399BOYAmt
EOY$374,652EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$569,878BOYAmt
EOY$488,904EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,448BOYAmt
EOY$3,979EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$17,079BOYAmt
EOY$32,512EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,527BOYAmt
EOY$36,491EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$260,372BOYAmt
EOY$145,974EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$289,979BOYAmt
EOY$306,439EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$550,351BOYAmt
EOY$452,413EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$569,878BOYAmt
EOY$488,904EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$109,763ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$44,451NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$32,626OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212,847CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$202,584CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$225,966CurrentTaxYearMinus1YearAmt
Current Tax Year$196,963CurrentTaxYearAmt
Total$979,083TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212,847CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$202,584CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$225,966CurrentTaxYearMinus1YearAmt
Current Tax Year$196,963CurrentTaxYearAmt
Total$979,083TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$979,083PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,168CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,305CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,665CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,551CurrentTaxYearMinus1YearAmt
Current Tax Year$1,298CurrentTaxYearAmt
Total$6,987TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,943CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,554CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,756CurrentTaxYearMinus1YearAmt
Current Tax Year$9,706CurrentTaxYearAmt
Total$56,417TotalAmt
FieldValueIRS element (for citing)
Total Support$1,042,487TotalSupportAmt
Gross Receipts Rltd Activities$2,586GrossReceiptsRltdActivitiesAmt
Public Support CY1700.93920PublicSupportCY170Pct
Public Support PY1700.94100PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,755OtherCostOrOtherBasisAmt
Depreciation$4,506DepreciationAmt
Book Value$1,249BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,249TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ENDOWMENT INVESTMENT$302,647
RAYMOND JAMES CORE BOND$36,302
EDWARD JONES INVESTMENT$35,703
FieldValueIRS element (for citing)
Total Book Value Other Assets$374,652TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$211,956TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$44,451NetUnrealizedGainsInvstAmt
Other Revenue-$40,951OtherRevenueAmt
Revenue Not Reported$3,500RevenueNotReportedAmt
Revenue Subtotal$208,456RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$208,456TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$309,894TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$8,325OtherExpensesIncludedAmt
Expenses Not Reported-$8,325ExpensesNotReportedAmt
Expenses Subtotal$318,219ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$318,219TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:DONOR DESIGNATIONS INCLUDED IN TOTAL REVENUE
PART XII, LINE 2D - OTHER ADJUSTMENTS:DONOR DESIGNATIONS INCLUDED IN TOTAL EXPENSES
PART XII, LINE 2D - OTHER ADJUSTMENTS:DONOR DESIGNATIONS INCLUDED IN TOTAL REVENUE AND TOTAL EXPENSE ON THE FINANCIAL STATEMENTS, HOWEVER NOT INCLUDED ON THE TAX RETURN

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
PENNVILLE COMMUNITY CENTER
PO BOX 54PENNVILLEIN47369501(C)(3)$6,300$0SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY CANCER SOCIETY
PO BOX 614PORTLANDIN47371501(C)(3)$10,000$0SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
YOUTH SERVICE BUREAU OF JAY COUNTY
603 W ARCH STPORTLANDIN47371501(C)(3)$7,500$0SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
OTIS BOWEN CENTER INC
PO BOX 1207PORTLANDIN47371501(C)(3)$6,000$0SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationA GRANT APPLICATION MUST BE COMPLETED TO REQUEST FUNDS FROM THE ORGANIZATION. A FINAL GRANT REPORT IS SUBMITTED TO THE ORGANIZATION FROM THE GRANTEES OUTLINING HOW THE FUNDS WERE DISBURSED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 WAS PROVIDED TO AND REVIEWED BY THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE REVIEWED ANNUALLY BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD REVIEWS THE SALARY OF THE EXECUTIVE DIRECTOR ANNUALLY, COMPARING THE COMPENSATION WITH SIMILAR LOCAL ORGANIZATIONS AS WELL AS OTHER UNITED WAYS IN THE AREA.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:DONOR DESIGNATION -32,626.

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