UNITED WAY OF JAY COUNTY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNITED WAY OF JAY COUNTY INC (EIN 35-1020932)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-09
IRS object ID
201202839349300900
Schema version
2011v1.2
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)
Timestamp2012-10-09T15:05:36-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-09-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT A BOLLENBACHER CPAName
PTINP00401897PTIN
Phone2607264207Phone
Date Prepared2012-09-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts239124GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year174446ContributionsGrantsPriorYear
Contributions Grants Current Year183589ContributionsGrantsCurrentYear
Program Service Revenue Prior Year328ProgramServiceRevenuePriorYear
Program Service Revenue CY52559ProgramServiceRevenueCY
Investment Income Prior Year1491InvestmentIncomePriorYear
Investment Income Current Year506InvestmentIncomeCurrentYear
Other Revenue Prior Year3835OtherRevenuePriorYear
Other Revenue Current Year2470OtherRevenueCurrentYear
Total Revenue Prior Year180100TotalRevenuePriorYear
Total Revenue Current Year239124TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year86350GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY113950GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year33763SalariesEtcPriorYear
Salaries Etc Current Year35838SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year19666TotalFundrsngExpCurrentYear
Other Expense Prior Year46515OtherExpensePriorYear
Other Expenses Current Year91372OtherExpensesCurrentYear
Total Expenses Prior Year166628TotalExpensesPriorYear
Total Expenses Current Year241160TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13472RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2036RevenuesLessExpensesCY
Total Assets BOY358794TotalAssetsBOY
Total Assets EOY334352TotalAssetsEOY
Total Liabilities BOY32320TotalLiabilitiesBOY
Total Liabilities EOY23728TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY326474NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY310624NetAssetsOrFundBalancesEOY
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
Expense113950Expense
Grants113950Grants
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)
Expense80243Expense
Revenue55029Revenue
DescriptionPROVIDING PROGRAM SERVICES IN THE JAY COUNTY AREA.Description
FieldValueIRS element (for citing)
Total Program Service Expense194193TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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
Transaction Related Entity0TransactionRelatedEntity
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JENNIFER INMAN
DIRECTOR1.00X000
WES SCHEMENAUR
PRESIDENT1.00X000
RITA LUTES
DIRECTOR1.00X000
KEN FREDRICKSON
TREASURER1.00X000
EMILY PETERSON
PRESIDENT ELECT1.00X000
DEBBIE GASKILL
DIRECTOR1.00X000
JANICE DURHAM
DIRECTOR1.00X000
EMILY ROBERTS
DIRECTOR1.00X000
JOSH GIBSON
DIRECTOR1.00X000
JEANNIE HOUCHINS
VICE PRESIDENT1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
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 Contributions183589AllOtherContributions
Noncash Contributions1005NoncashContributions
Total Contributions183589TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SPECIAL EVENTS INCOME9000995206152061
SERVICE FEES ON DESIGN900099498498
FieldValueIRS element (for citing)
Total Program Service Revenue52559TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column506TotalRevenueColumn
Exclusion$506ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INCOME FROM BENEFICIAL90009924652465
6999 MISCELLANEOUS INC90009955
FieldValueIRS element (for citing)
Total Other Revenue2470TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column239124TotalRevenueColumn
Related Or Exempt Function Income55029RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$506ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total113950Total
Program Services113950ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total33000Total
Program Services17490ProgramServices
Management And General5940ManagementAndGeneral
Fundraising9570Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total317Total
Program Services168ProgramServices
Management And General57ManagementAndGeneral
Fundraising92Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2521Total
Program Services1336ProgramServices
Management And General454ManagementAndGeneral
Fundraising731Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18340Total
Management And General18340ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5890Total
Program Services405ProgramServices
Management And General138ManagementAndGeneral
Fundraising5347Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5400Total
Program Services2862ProgramServices
Management And General972ManagementAndGeneral
Fundraising1566Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1742Total
Program Services1742ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total819Total
Program Services446ProgramServices
Management And General135ManagementAndGeneral
Fundraising238Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total939Total
Program Services498ProgramServices
Management And General169ManagementAndGeneral
Fundraising272Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SPECIAL PROJECT GRANTS5206152061
MISCELLANEOUS26871423485779
TELEPHONE1070567193310
9010.6 LOCAL ORGANIZATI783415141227

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1641Total
Program Services830ProgramServices
Management And General277ManagementAndGeneral
Fundraising534Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total241160Total
Program Services194193ProgramServices
Management And General27301ManagementAndGeneral
Fundraising19666Fundraising
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)
BOY214875BOY
EOY188291EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY74369BOY
EOY81088EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33BOY
EOY33EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1455BOY
EOY1285EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14176LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13745LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY718BOY
EOY431EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY67244BOY
EOY63124EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY358794BOY
EOY334352EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY825BOY
EOY682EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY31495BOY
EOY23046EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32320BOY
EOY23728EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY110360BOY
EOY96113EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY154604BOY
EOY153001EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY61510BOY
EOY61510EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY326474BOY
EOY310624EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY358794BOY
EOY334352EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2036ReconcilationRevenueExpenses
Reconcilation Other Changes-13814ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years180491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years192252CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years189969CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year174446CurrentTaxYearMinus1Year
Current Tax Year183589CurrentTaxYear
Total920747Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years180491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years192252CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years189969CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year174446CurrentTaxYearMinus1Year
Current Tax Year183589CurrentTaxYear
Total920747Total
FieldValueIRS element (for citing)
Public Support Total170920747PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2938CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1599CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1842CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1492CurrentTaxYearMinus1Year
Current Tax Year473CurrentTaxYear
Total8344Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5921CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1479CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1243CurrentTaxYearMinus1Year
Current Tax Year2470CurrentTaxYear
Total11138Total
FieldValueIRS element (for citing)
Total Support940229TotalSupport
Gross Receipts From Admissions Etc54211GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97930PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98150PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14176OtherCostOrOtherBasis
Depreciation13745Depreciation
Book Value431BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings431TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN COMMUNITY FUND61510
INVESTMENTS AT MARKET ABOVE CORPUS1614
FieldValueIRS element (for citing)
Total Book Value Other Assets63124TotalBookValueOtherAssets
Total Revenue239124TotalRevenue
Total Expenses241160TotalExpenses
Excess Or Deficit For Year-2036ExcessOrDeficitForYear
Net Unrealized GL On Investments-1655NetUnrealizedGLOnInvestments
Other-$12,159OtherAmount
Total Adjustments-13814TotalAdjustments
Excess Or Deficit Per FS-15850ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt202481TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1655NetUnrealizedGainsInvestments
Other Revenues-34988OtherRevenues
Revenue Not Rptd F990-36643RevenueNotRptdF990
Revenue Subtotal239124RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990239124TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt218333TotExpensesEtcAuditedFinclStmt
Other Expenses Included-22827OtherExpensesIncluded
Expenses Not Rptd F990-22827ExpensesNotRptdF990
Expenses Subtotal241160ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990241160TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:DONOR DESIGNATION -12,159.
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 (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
JAY COUNTY SCOUT FACILITIES
PO BOX 1223PORTLANDIN47371501(C)(3)6000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
COMMUNITY & FAMILY SERVICES
PO BOX 1087PORTLANDIN47371501(C)(3)4000SUPPORT 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)6250SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
WEST JAY COMMUNITY CENTER
PO BOX 101DUNKIRKIN47336501(C)(3)7000SUPPORT 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)9300SUPPORT 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)5000SUPPORT 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)7500SUPPORT 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)7000SUPPORT 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
REDKEY COMMUNITY CENTER
PO BOX 254REDKEYIN47373501(C)(3)3000SUPPORT 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)7200SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
LIFE STREAM SERVICES INC
PO BOX 308YORKTOWNIN47396501(C)(3)2010SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
DUNKIRK LIONS CLUB
335 LINCOLN AVEDUNKIRKIN47336501(C)(3)2000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY HEALTH COALITION
PO BOX 1087PORTLANDIN47371501(C)(3)4000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
CASA DE PORTLAND
827 E MAIN STPORTLANDIN47371501(C)(3)840SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
TRINITY UNITED METHODIST CHURCH FOOD PANTRY
323 S MERIDIAN STPORTLANDIN47371501(C)(3)600SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
DUNKIRK COMMUNITY CONCERNS FOOD
1029 S MAIN STDUNKIRKIN47336501(C)(3)1000SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS
JAY COUNTY GIRLS CLUB
115 E WATER STREETPORTLANDIN47371501(C)(3)7500SUPPORT FOR ORGANIZATION'S PROGRAMS AND PROJECTS

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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,655. DONOR DESIGNATION -12,159. TOTAL TO FORM 990, PART XI, LINE 5: -13,814.CHANGES IN NET ASSETS OR FUND BALANCES:

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