UNITED WAY OF JAY COUNTY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNITED WAY OF JAY COUNTY INC (EIN 35-1020932)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-24
IRS object ID
201312059349300721
Schema version
2012v2.1
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)
Timestamp2013-07-24T11:00:59-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN201695613EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOLLENBACHER & ASSOCIATES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1215 E PEARL ST PO BOX 702AddressLine1
CityPORTLANDCity
StateINState
ZIP Code47371ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351020932EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED WAY OF JAY COUNTY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone2607267010Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 SOUTH MERIDIAN STREETAddressLine1
CityPORTLANDCity
StateINState
ZIP Code47371ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANE ANN RUNYONName
TitleEXECUTIVE DIRECTORTitle
Phone2607267010Phone
Date Signed2013-07-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT A BOLLENBACHER CPAName
PTINP00401897PTIN
Phone2607264207Phone
Date Prepared2013-07-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANE ANN RUNYONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1101 SOUTH MERIDIAN STREETAddressLine1
CityPORTLANDCity
StateINState
ZIP Code47371ZIPCode
FieldValueIRS element (for citing)
Gross Receipts304456GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UNITEDWAYJAYCOUNTY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1959YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE JAY COUNTY UNITED WAY IT TO IMPROVE LIVES BY INVESTING IN LASTING CHANGES IN OUR COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year183589ContributionsGrantsPriorYear
Contributions Grants Current Year300944ContributionsGrantsCurrentYear
Program Service Revenue Prior Year52559ProgramServiceRevenuePriorYear
Program Service Revenue CY493ProgramServiceRevenueCY
Investment Income Prior Year506InvestmentIncomePriorYear
Investment Income Current Year95InvestmentIncomeCurrentYear
Other Revenue Prior Year2470OtherRevenuePriorYear
Other Revenue Current Year2579OtherRevenueCurrentYear
Total Revenue Prior Year239124TotalRevenuePriorYear
Total Revenue Current Year304111TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year113950GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY95190GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year35838SalariesEtcPriorYear
Salaries Etc Current Year35981SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year14301TotalFundrsngExpCurrentYear
Other Expense Prior Year91372OtherExpensePriorYear
Other Expenses Current Year37449OtherExpensesCurrentYear
Total Expenses Prior Year241160TotalExpensesPriorYear
Total Expenses Current Year168620TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2036RevenuesLessExpensesPriorYear
Revenues Less Expenses CY135491RevenuesLessExpensesCY
Total Assets BOY334352TotalAssetsBOY
Total Assets EOY466229TotalAssetsEOY
Total Liabilities BOY23728TotalLiabilitiesBOY
Total Liabilities EOY28670TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY310624NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY437559NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE JAY COUNTY UNITED WAY IT TO IMPROVE LIVES BY INVESTING IN LASTING CHANGES IN OUR COMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense95190Expense
Grants95190Grants
DescriptionPROVIDING 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense32569Expense
Revenue2727Revenue
DescriptionPROVIDING PROGRAM SERVICES IN THE JAY COUNTY AREA.Description
FieldValueIRS element (for citing)
Total Program Service Expense127759TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JANE ANN RUNYONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2607267010TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 S MERIDIAN STREET PO BOX 204AddressLine1
CityPORTLANDCity
StateINState
ZIP Code47371ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JENNIFER INMAN
DIRECTOR1.00X000
WES SCHEMENAUR
DIRECTOR1.00X000
EMILY ROBERTS
DIRECTOR1.00X000
JOSH GIBSON
DIRECTOR1.00X000
DEBBIE GASKILL
DIRECTOR1.00X000
AMY HUDSON
DIRECTOR1.00X000
PHIL SUMAN
DIRECTOR1.00X000
RITA LUTES
PRESIDENT1.00000X
KEN FREDRICKSON
TREASURER1.00000X
EMILY PETERSON
PRESIDENT ELECT1.00000X
JANICE DURHAM
SECRETARY1.00000X
JANE ANN RUNYON
EXECUTIVE DIRECTOR40.003312700X
JEANNIE HOUCHINS
VICE PRESIDENT1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org33127TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions300944AllOtherContributions
Noncash Contributions300NoncashContributions
Total Contributions300944TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE FEES ON DESIGNDescription
Business Code900099BusinessCode
Total Revenue Column493TotalRevenueColumn
Related Or Exempt Function Income493RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue493TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column440TotalRevenueColumn
Exclusion$440ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other345Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-345Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-345TotalRevenueColumn
Related Or Exempt Function Income-345RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INCOME FROM BENEFICIAL90009924392439
MEMORIAL INCOME900099140140
FieldValueIRS element (for citing)
Total Other Revenue2579TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column304111TotalRevenueColumn
Related Or Exempt Function Income2727RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$440ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total95190Total
Program Services95190ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total33127Total
Program Services20870ProgramServices
Management And General5632ManagementAndGeneral
Fundraising6625Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total330Total
Program Services208ProgramServices
Management And General56ManagementAndGeneral
Fundraising66Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2524Total
Program Services1590ProgramServices
Management And General429ManagementAndGeneral
Fundraising505Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18400Total
Management And General18400ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4813Total
Program Services262ProgramServices
Management And General71ManagementAndGeneral
Fundraising4480Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5400Total
Program Services3402ProgramServices
Management And General918ManagementAndGeneral
Fundraising1080Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30Total
Program Services19ProgramServices
Management And General5ManagementAndGeneral
Fundraising6Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1937Total
Program Services1937ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total86Total
Program Services54ProgramServices
Management And General15ManagementAndGeneral
Fundraising17Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total831Total
Program Services524ProgramServices
Management And General141ManagementAndGeneral
Fundraising166Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS34132108462843
TELEPHONE1045658178209
POSTAGE635400108127
9010.6 LOCAL ORGANIZATI4052556981

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total454Total
Program Services282ProgramServices
Management And General76ManagementAndGeneral
Fundraising96Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total168620Total
Program Services127759ProgramServices
Management And General26560ManagementAndGeneral
Fundraising14301Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY188291BOY
EOY184592EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY81088BOY
EOY74585EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1285BOY
EOY1187EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4205LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4205LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY431BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY63124BOY
EOY205765EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY334352BOY
EOY466229EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY682BOY
EOY1454EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY23046BOY
EOY27216EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23728BOY
EOY28670EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY96113BOY
EOY117205EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY153001BOY
EOY150844EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY61510BOY
EOY169510EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY310624BOY
EOY437559EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY334352BOY
EOY466229EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses135491ReconcilationRevenueExpenses
Reconciliation Unrealized Invest11305ReconciliationUnrealizedInvest
Reconcilation Other Changes-19861ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years192252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years189969CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year183589CurrentTaxYearMinus1Year
Current Tax Year300944CurrentTaxYear
Total1041200Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years192252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years189969CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year183589CurrentTaxYearMinus1Year
Current Tax Year300944CurrentTaxYear
Total1041200Total
FieldValueIRS element (for citing)
Public Support Total1701041200PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1599CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1842CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1492CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year473CurrentTaxYearMinus1Year
Current Tax Year440CurrentTaxYear
Total5846Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5921CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1479CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2470CurrentTaxYearMinus1Year
Current Tax Year2579CurrentTaxYear
Total13692Total
FieldValueIRS element (for citing)
Total Support1060738TotalSupport
Gross Receipts From Admissions Etc54276GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98160PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97930PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4205OtherCostOrOtherBasis
Depreciation4205Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ENDOWMENT INVESTMENT179948
RAYMOND JAMES CORE BOND25817
FieldValueIRS element (for citing)
Total Book Value Other Assets205765TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt277078TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments11305NetUnrealizedGainsInvestments
Other Revenues-38338OtherRevenues
Revenue Not Rptd F990-27033RevenueNotRptdF990
Revenue Subtotal304111RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990304111TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt150141TotExpensesEtcAuditedFinclStmt
Other Expenses Included-18479OtherExpensesIncluded
Expenses Not Rptd F990-18479ExpensesNotRptdF990
Expenses Subtotal168620ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990168620TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:DONOR DESIGNATIONS INCLUDED IN TOTAL REVENUE
PART XII, LINE 2D - OTHER ADJUSTMENTS:DONOR DESIGNATIONS INCLUDED IN TOTAL EXPENSES
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)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
JAY COUNTY SCOUT FACILITIES
PO BOX 1223PORTLANDIN47371501(C)(3)2500SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
COMMUNITY & FAMILY SERVICES
PO BOX 1087PORTLANDIN47371501(C)(3)1000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
PENNVILLE COMMUNITY CENTER
PO BOX 54PENNVILLEIN47369501(C)(3)2000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
AMERICAN RED CROSS
15325 HERRIMAN BLVDNOBLESVILLEIN46060501(C)(3)6000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
WEST JAY COMMUNITY CENTER
PO BOX 101DUNKIRKIN47336501(C)(3)6000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY CANCER SOCIETY
PO BOX 614PORTLANDIN47371501(C)(3)10000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY RANDOLPH DEVELOPMENTAL SERVICES
901 E WATER STPORTLANDIN47371501(C)(3)9000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
BRYANT COMMUNITY CENTER
107 S MAIN STBRYANTIN47326501(C)(3)7000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY ASSOCIATION FOR CRIPPLED CHILD AND ADULTS
1085 E SR 26PORTLANDIN47371501(C)(3)250SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY SALVATION ARMY
210 W MAIN STPORTLANDIN47371501(C)(3)3000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAYLAND ASSOCIATION FOR RETARDED CITIZENS
1187 W ARCH STPORTLANDIN47371501(C)(3)1500SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY COMMUNITY CENTER
115 E WATER STREETPORTLANDIN47371501(C)(3)8500SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
GIRL SCOUTS OF CENTRAL INDIANA
2611 WTRFRNT PW E DRINDIANAPOLISIN46214501(C)(3)3000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
YOUTH SERVICE BUREAU OF JAY COUNTY
603 W ARCH STPORTLANDIN47371501(C)(3)7040SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
SECOND HARVEST FOOD BANK OF CENTRAL INDIANA
6621 N OLD SR 3MUNCIEIN47303501(C)(3)5000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
ANTHONY WAYNE BOY SCOUTS
8315 W JEFFERSON BLVDFORT WAYNEIN46804501(C)(3)5000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAYLAND HOME SHELTER
PO BOX 111PORTLANDIN47371501(C)(3)7900SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
LIFE STREAM SERVICES INC
PO BOX 308YORKTOWNIN47396501(C)(3)1000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY HEALTH COALITION
PO BOX 1087PORTLANDIN47371501(C)(3)1000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY GIRLS CLUB
115 E WATER STREETPORTLANDIN47371501(C)(3)8500SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants20TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: A 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 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 -19,861.CHANGES IN NET ASSETS OR FUND BALANCES:

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