UNITED WAY OF JAY COUNTY INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
UNITED WAY OF JAY COUNTY INC (EIN 35-1020932)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-08-10
IRS object ID
202332229349300543
Schema version
2022v5.0
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)
Return2023-08-10T12:48:53-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

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 Begin2022-01-01TaxPeriodBeginDt

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
Signature2023-07-18SignatureDt
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
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKALLA J CAFFEE EAPreparerPersonNm
PTINP00765483PTIN
Phone2607264207PhoneNum
Preparation2023-07-18PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
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$184,691GrossReceiptsAmt
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$196,963PYContributionsGrantsAmt
CY Contributions Grants$182,432CYContributionsGrantsAmt
PY Program Service Revenue$489PYProgramServiceRevenueAmt
CY Program Service Revenue$1,452CYProgramServiceRevenueAmt
PY Investment Income$1,298PYInvestmentIncomeAmt
CY Investment Income$802CYInvestmentIncomeAmt
PY Other Revenue$9,706PYOtherRevenueAmt
CY Other Revenue$5CYOtherRevenueAmt
PY Total Revenue$208,456PYTotalRevenueAmt
CY Total Revenue$184,691CYTotalRevenueAmt
PY Grants And Similar Paid$61,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$52,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,025PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$39,888CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$16,634CYTotalFundraisingExpenseAmt
PY Other Expenses$216,894PYOtherExpensesAmt
CY Other Expenses$61,348CYOtherExpensesAmt
PY Total Expenses$318,219PYTotalExpensesAmt
CY Total Expenses$153,236CYTotalExpensesAmt
PY Revenues Less Expenses-$109,763PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$31,455CYRevenuesLessExpensesAmt
Total Assets BOY$488,904TotalAssetsBOYAmt
Total Assets EOY$477,085TotalAssetsEOYAmt
Total Liabilities BOY$36,491TotalLiabilitiesBOYAmt
Total Liabilities EOY$27,897TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$452,413NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$449,188NetAssetsOrFundBalancesEOYAmt
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$102,402ExpenseAmt
Grant$52,000GrantAmt
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$1,457RevenueAmt
DescPROVIDING PROGRAM SERVICES IN THE JAY COUNTY AREA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$102,402TotalProgramServiceExpensesAmt
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$36,850$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$36,850TotalReportableCompFromOrgAmt
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$182,432AllOtherContributionsAmt
Noncash Contributions$350NoncashContributionsAmt
Total Contributions$182,432TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSERVICE FEES ON DESIGNDesc
Business900099BusinessCd
Total Revenue Column$1,452TotalRevenueColumnAmt
Related Or Exempt Func Income$1,452RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,452TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$802TotalRevenueColumnAmt
Exclusion$802ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
Desc6999 MISCELLANEOUS INCDesc
Business900099BusinessCd
Total Revenue Column$5TotalRevenueColumnAmt
Related Or Exempt Func Income$5RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$5OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$184,691TotalRevenueColumnAmt
Related Or Exempt Func Income$1,457RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$802ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$52,000TotalAmt
Program Services$52,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$36,850TotalAmt
Program Services$23,175ProgramServicesAmt
Management And General$6,564ManagementAndGeneralAmt
Fundraising$7,111FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,038TotalAmt
Program Services$1,519ProgramServicesAmt
Management And General$729ManagementAndGeneralAmt
Fundraising$790FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,003TotalAmt
Management And General$24,003ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,421TotalAmt
Program Services$35ProgramServicesAmt
Management And General$17ManagementAndGeneralAmt
Fundraising$6,369FundraisingAmt

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$1,875TotalAmt
Program Services$1,875ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$167TotalAmt
Program Services$84ProgramServicesAmt
Management And General$40ManagementAndGeneralAmt
Fundraising$43FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$530TotalAmt
Program Services$265ProgramServicesAmt
Management And General$127ManagementAndGeneralAmt
Fundraising$138FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SPECIAL GRANT$19,251$19,251
TELEPHONE$1,270$610$343$317
MISCELLANEOUS$1,025$336$514$175
POSTAGE$620$310$149$161

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$516TotalAmt
Program Services$107ProgramServicesAmt
Management And General$353ManagementAndGeneralAmt
Fundraising$56FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$153,236TotalAmt
Program Services$102,402ProgramServicesAmt
Management And General$34,200ManagementAndGeneralAmt
Fundraising$16,634FundraisingAmt
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$79,560BOYAmt
EOY$88,197EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,340BOYAmt
EOY$25,403EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,003BOYAmt
EOY$9,382EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,755LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,673LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,249BOYAmt
EOY$1,082EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$374,652BOYAmt
EOY$352,921EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$488,904BOYAmt
EOY$477,085EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,979BOYAmt
EOY$1,213EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$32,512BOYAmt
EOY$26,684EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,491BOYAmt
EOY$27,897EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$145,974BOYAmt
EOY$175,629EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$306,439BOYAmt
EOY$273,559EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$452,413BOYAmt
EOY$449,188EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$488,904BOYAmt
EOY$477,085EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$31,455ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$21,790NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$12,890OtherChangesInNetAssetsAmt
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$140,723CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$202,584CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$225,966CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$196,963CurrentTaxYearMinus1YearAmt
Current Tax Year$182,432CurrentTaxYearAmt
Total$948,668TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$140,723CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$202,584CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$225,966CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$196,963CurrentTaxYearMinus1YearAmt
Current Tax Year$182,432CurrentTaxYearAmt
Total$948,668TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$948,668PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,305CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,551CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,298CurrentTaxYearMinus1YearAmt
Current Tax Year$802CurrentTaxYearAmt
Total$6,621TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,554CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,756CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,706CurrentTaxYearMinus1YearAmt
Current Tax Year$5CurrentTaxYearAmt
Total$46,479TotalAmt
FieldValueIRS element (for citing)
Total Support$1,001,768TotalSupportAmt
Gross Receipts Rltd Activities$3,121GrossReceiptsRltdActivitiesAmt
Public Support CY1700.94700PublicSupportCY170Pct
Public Support PY1700.93920PublicSupportPY170Pct
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$4,673DepreciationAmt
Book Value$1,082BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,082TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ENDOWMENT INVESTMENT$294,774
RAYMOND JAMES CORE BOND$31,025
EDWARD JONES INVESTMENT$27,122
FieldValueIRS element (for citing)
Total Book Value Other Assets$352,921TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$121,331TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$21,790NetUnrealizedGainsInvstAmt
Other Revenue-$41,570OtherRevenueAmt
Revenue Not Reported-$63,360RevenueNotReportedAmt
Revenue Subtotal$184,691RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$184,691TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$124,556TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$28,680OtherExpensesIncludedAmt
Expenses Not Reported-$28,680ExpensesNotReportedAmt
Expenses Subtotal$153,236ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$153,236TotalExpensesPerForm990Amt

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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
JAY COUNTY CANCER SOCIETY
PO BOX 614PORTLANDIN47371501(C)(3)$0$7,500SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY COMMUNITY CENTER
115 E WATER STREETPORTLANDIN47371501(C)(3)$0$5,500SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
YOUTH SERVICE BUREAU OF JAY COUNTY
603 W ARCH STPORTLANDIN47371501(C)(3)$0$5,500SUPPORT 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 -12,890.

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