JACKSON COUNTY UNITED WAY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
JACKSON COUNTY UNITED WAY INC (EIN 35-1068832)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-24
IRS object ID
201202989349300645
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)
Timestamp2012-10-24T13:21:40-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN351178661EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1106 COMMUNITY DRAddressLine1
CitySEYMOURCity
StateINState
ZIP Code47274ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351068832EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE JACKSON COUNTY UNITED WAY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJACKNameControl
Phone8125225450Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 94AddressLine1
CitySEYMOURCity
StateINState
ZIP Code472740094ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTONJA COUCHName
TitleEXECUTIVE DIRECTORTitle
Phone8125225450Phone
Date Signed2012-10-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKANDY L WISCHMEIER CPAName
PTINP00118327PTIN
Phone8125228416Phone
Date Prepared2012-10-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTONJA COUCHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 94AddressLine1
CitySEYMOURCity
StateINState
ZIP Code472740094ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1132125GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.JACSY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE FINANCIAL ASSISTANCE TO LOCALLY OPERATED NOT-FOR-PROFIT AGENCIES IN JACKSON COUNTY, IN.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees49TotalNbrEmployees
Total Nbr Volunteers600TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year840184ContributionsGrantsPriorYear
Contributions Grants Current Year1106213ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year10399InvestmentIncomePriorYear
Investment Income Current Year19680InvestmentIncomeCurrentYear
Other Revenue Prior Year5639OtherRevenuePriorYear
Other Revenue Current Year6229OtherRevenueCurrentYear
Total Revenue Prior Year856222TotalRevenuePriorYear
Total Revenue Current Year1132122TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year637653GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY683503GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year174321SalariesEtcPriorYear
Salaries Etc Current Year344450SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year75272TotalFundrsngExpCurrentYear
Other Expense Prior Year139306OtherExpensePriorYear
Other Expenses Current Year102364OtherExpensesCurrentYear
Total Expenses Prior Year951280TotalExpensesPriorYear
Total Expenses Current Year1130317TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-95058RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1805RevenuesLessExpensesCY
Total Assets BOY1101956TotalAssetsBOY
Total Assets EOY1220642TotalAssetsEOY
Total Liabilities BOY68600TotalLiabilitiesBOY
Total Liabilities EOY182850TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1033356NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1037792NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE FINANCIAL ASSISTANCE TO LOCALLY OPERATED NOT-FOR-PROFIT AGENCIES IN JACKSON COUNTY, INDIANA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense748266Expense
Grants683503Grants
Revenue6229Revenue
DescriptionTHE MISSION OF THE JACKSON COUNTY UNITED WAY IS TO CONTINUALLY ASSESS THE NEEDS OF THE PEOPLE OF JACKSON COUNTY AND IMPROVE THEIR QUALITY OF LIFE BY RAISING AND ALLOCATING FUNDS FOR HUMAN CARE AND DEVELOPMENTAL PROGRAMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense220007Expense
DescriptionAMERICORPS EXPENSES IMPACT JACKSON COUNTY BY ALLOWING THE UNITED WAY TO COMPLETE COMMUNITY PROJECTS, STRENGHTHEN TIES THAT BIND COMMUNITIES TOGETHER, AND DEVELOP THE CITIZENSHIP AND SKILLS OF PARTICIPANTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense968273TotalProgramServiceExpense
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 Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Employees49NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8125225450TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 94AddressLine1
CitySEYMOURCity
StateINState
ZIP Code47274ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JUSTIN BLOMENBERG
PRESIDENT5.00XX000
ROBIN LANDRUM
1ST VICE PRESIDENT5.00XX000
JOE BRADLEY
2ND VICE PRESIDENT5.00XX000
JAY FISCHER
SECRETARY5.00XX000
JANET BRUMFIELD-SMITH
TREASURER5.00XX000
JOHN DORIOT
ASST TREASURER5.00XX000
NATE TORMOEHLEN
PAST PRESIDENT1.00X000
DAN BANKS
BOARD MEMBER1.00X000
SHAWN DEPPEN
BOARD MEMBER1.00X000
ADELA FOIST
BOARD MEMBER1.00X000
KERSTEN FYE
BOARD MEMBER1.00X000
MIKE GEIFER
BOARD MEMBER1.00X000
BRIAN HARDY
BOARD MEMBER1.00X000
AMBER HATFIELD-OWENS
BOARD MEMBER1.00X000
BILL NAGEL
BOARD MEMBER1.00X000
CHIP ORBEN
BOARD MEMBER1.00X000
DALE SIEFKER
BOARD MEMBER1.00X000
HOLLY SIPE
BOARD MEMBER1.00X000
JOHN SPRAY
BOARD MEMBER1.00X000
RUTH ANN REBBER
EXECUTIVE DIRECTOR40.00X5491801647
FieldValueIRS element (for citing)
Total Reportable Comp From Org54918TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1647TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns100846FederatedCampaigns
All Other Contributions1005367AllOtherContributions
Total Contributions1106213TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19683TotalRevenueColumn
Exclusion$19,683ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-3Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3TotalRevenueColumn
Exclusion-$3ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column6229TotalRevenueColumn
Related Or Exempt Function Income6229RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6229TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1132122TotalRevenueColumn
Related Or Exempt Function Income6229RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$19,680ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total683503Total
Program Services683503ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total56566Total
Program Services18667ProgramServices
Management And General17536ManagementAndGeneral
Fundraising20363Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total261924Total
Program Services218099ProgramServices
Management And General20277ManagementAndGeneral
Fundraising23548Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1722Total
Program Services568ProgramServices
Management And General534ManagementAndGeneral
Fundraising620Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total24238Total
Program Services16594ProgramServices
Management And General3536ManagementAndGeneral
Fundraising4108Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10300Total
Program Services1031ProgramServices
Management And General5149ManagementAndGeneral
Fundraising4120Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total350Total
Management And General350ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7950Total
Program Services31ProgramServices
Management And General7799ManagementAndGeneral
Fundraising120Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total9389Total
Fundraising9389Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6433Total
Program Services814ProgramServices
Management And General2549ManagementAndGeneral
Fundraising3070Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total19200Total
Program Services3840ProgramServices
Management And General7680ManagementAndGeneral
Fundraising7680Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2236Total
Program Services224ProgramServices
Management And General1565ManagementAndGeneral
Fundraising447Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1312Total
Program Services131ProgramServices
Management And General393ManagementAndGeneral
Fundraising788Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total8411Total
Program Services841ProgramServices
Management And General7486ManagementAndGeneral
Fundraising84Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1912Total
Management And General1912ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7817Total
Program Services782ProgramServices
Management And General7035ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
AMERICORPS GRANTS1066610666
1010 GRANT PROGRAM EXP73277327
DAY OF CARING26962696
DUES AND SUBSCRIPTIONS2050204182521

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4315Total
Program Services2255ProgramServices
Management And General1146ManagementAndGeneral
Fundraising914Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1130317Total
Program Services968273ProgramServices
Management And General86772ManagementAndGeneral
Fundraising75272Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY748271BOY
EOY845983EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY347698BOY
EOY346507EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2185BOY
EOY2527EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis46167LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39419LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3802BOY
EOY6748EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY18877EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1101956BOY
EOY1220642EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10391BOY
EOY7416EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY4767BOY
EOY9093EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY53442BOY
EOY166341EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY68600BOY
EOY182850EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY342018BOY
EOY346303EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY691338BOY
EOY691489EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1033356BOY
EOY1037792EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1101956BOY
EOY1220642EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1805ReconcilationRevenueExpenses
Reconcilation Other Changes2631ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
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 Years1091799CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years787597CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1186566CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year840184CurrentTaxYearMinus1Year
Current Tax Year1106213CurrentTaxYear
Total5012359Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1091799CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years787597CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1186566CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year840184CurrentTaxYearMinus1Year
Current Tax Year1106213CurrentTaxYear
Total5012359Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total366740AmountsSubstContributorsTotal
Public Support Total1704645619PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26010CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21001CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10399CurrentTaxYearMinus1Year
Current Tax Year19683CurrentTaxYear
Total94322Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years3983CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5639CurrentTaxYearMinus1Year
Current Tax Year6229CurrentTaxYear
Total15851Total
FieldValueIRS element (for citing)
Total Support5122532TotalSupport
Public Support Pertcentage1700.90690PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89890PublicSupportPertcentPriorYear
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 Basis46167OtherCostOrOtherBasis
Depreciation39419Depreciation
Book Value6748BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6748TotalOfBookValueLandBuildings
Total Revenue1132122TotalRevenue
Total Expenses1130317TotalExpenses
Excess Or Deficit For Year1805ExcessOrDeficitForYear
Net Unrealized GL On Investments2631NetUnrealizedGLOnInvestments
Total Adjustments2631TotalAdjustments
Excess Or Deficit Per FS4436ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1147538TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2631NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities13678DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99016309RevenueNotRptdF990
Revenue Subtotal1131229RevenueSubtotal
Investment Expenses Not Included350InvestmentExpensesNotIncluded
Other Revenues Not Included543OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt893RevenueNotRptdOnFinStmt
Total Revenue Per Form9901132122TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1143102TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities13678DonatedServicesUseOfFacilities
Expenses Not Rptd F99013678ExpensesNotRptdF990
Expenses Subtotal1129424ExpensesSubtotal
Investment Expenses Not Included2350InvestmentExpensesNotIncluded2
Other Expenses Not Included543OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt893ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901130317TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011 AND 2010, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GRANTS PAID 543.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:GRANTS PAID THROUGH ENDOWMENT 543.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BOYS AND GIRLS CLUB OF SEYMOUR
950 NORTH OBRIEN STREETSEYMOURIN47274350909245501(C)(3)120982TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
CHILD CARE NETWORK
113 N CHESTNUT STSEYMOURIN47274351779049501(C)(3)30422TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
GIRLS INC
956 N OBRIEN STREETSEYMOURIN47274350998714501(C)(3)143196TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
AMERICAN RED CROSS
410 INDIANAPOLIS AVESEYMOURIN47274351002410501(C)(3)93260TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
ANCHOR HOUSE
PO BOX 765SEYMOURIN47274351803634501(C)(3)27067TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
ARC
2490 N 925 WNORMANIN47264356006629501(C)(3)16134TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
BIG BROTHERSBIG SISTERS
PO BOX 231SEYMOURIN47274351804076501(C)(3)61244TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
HEAD START
PO BOX 588COLUMBUSIN47201351127422501(C)(3)6372TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
MENTAL HEALTH ASSOCIATION
PO BOX 51SEYMOURIN47274237038692501(C)(3)13741TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
SALVATION ARMY
PO BOX 88517INDIANAPOLISIN46208362167910501(C)(3)5522TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
TURNING POINT
PO BOX 103COLUMBUSIN47202310993447501(C)(3)26730AWHITLOCK - 08/29/12 11:07AM WORKSHEET SCHEDULE I
KENTUCKIANA GIRL SCOUTS
PO BOX 32335LOUISVILLEKY40232610444698501(C)(3)20107TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
MEALS ON WHEELS
PO BOX 80SEYMOURIN47274510137648501(C)(3)1186TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
BROWNSTOWN SENIOR CITIZENS
124 S MAIN STBROWNSTOWNIN47220311017271501(C)(3)3325TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
MEDORA SENIOR CITIZENS
413 N SUGARBROWNSTOWNIN47220351457315501(C)(3)1699TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
CROTHERSVILLE SENIOR CITIZENS
114 E MAIN STCROTHERSVILLEIN47229311017271501(C)(3)3483TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
LITERACY COALITION
PO BOX 1045SEYMOURIN47274351741340501(C)(3)25936TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
SEYMOUR SENIOR CITIZENS
107 S CHESTNUT STSEYMOURIN47274351880939501(C)(3)2565TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
FREETOWN SENIOR CITIZENS
6782 N MAPLEFREETOWNIN47235141839017501(C)(3)1274TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
HOOSIER TRAILS BOY SCOUTS
5625 E ST RD 46BLOOMINGTONIN47401351290776501(C)(3)17470TO FURTHER THE OVERALL PURPOSE OF THE ORGANIZATION.
SHELBY COUNTY UNITED FUND INC
126 N HARRISON STREETSHELBYVILLEIN46176350953458501(C)(3)109255-COUNTY GRANT
UNITED WAY OF SCOTT COUNTY
60 NORTH MAIN STREETSCOTTSBURGIN47170351867167501(C)(3)109255-COUNTY GRANT
JEFFERSON COUNTY UNITED WAY
PO BOX 193MADISONIN47250356006467501(C)(3)109255-COUNTY GRANT
JENNINGS COUNTY UNITED WAY
PO BOX 446NORTH VERNONIN47265237215407501(C)(3)113895-COUNTY GRANT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants24TotalNbrOf501C3AndGovtGrants

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: GRANTS ARE DISTRIBUTED PER THE GUIDELINES OF THE ALLOCATION PROCESS,IMPACT GRANT REQUEST FORM, OR OTHER GRANT GUIDELINES. ALL DISTRIBUTIONS REQUIRE A RECEIPT FOR PAYMENT AND ALL DISTIBUTIONS ARE RECORDED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM IS REVIEWED BY THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST FORMS ARE COMPLETED BY EACH BOARD MEMBER ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE REVIEWS AND RECOMMENDS CEO SALARY AND THE EXECUTIVE DIRECTOR REVIEWS AND RECOMMENDS EMPLOYEE SALARIES. ALL SALARIES AND AGENCY BUDGET ARE REVIEWED BY AND APPROVED BY THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE 990 AND ANNUAL AUDIT ARE AVAILABLE ON THE JACKSON COUNTY UNITED WAY'S WEBSITE. ALL OTHER DOCUMENTS CAN BE VIEWED AT THE OFFICE DURING REGULAR BUSINESS HOURS.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 2,631.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCEDURES THE AUDIT COMMITTEE TAKES ANNUALLY DID NOT CHANGE IN THE CURRENT YEAR.CHANGE IN PROCEDURES OF AUDIT COMMITTEE

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