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Public Disclosure Copy
NATIONAL COUNCIL OF YMCAS
OF THE USA
2010 Form 990 for the
Year Ended December 31, 2010
Public Disclosure Copy
Form 990 (2010)
Part III
Page
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III
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2
X
1 Briefly describe the organization's mission:
YMCA OF THE USA (Y-USA) IS THE NATIONAL RESOURCE OFFICE FOR THE
NATION'S 2,700 YS, WHICH STRENGTHEN COMMUNITY BY NURTURING THE
POTENTIAL OF KIDS, PROMOTING HEALTHY LIVING FOR ALL AND FOSTERING
SOCIAL RESPONSIBILITY.
2 Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ?
If "Yes," describe these new services on Schedule O.
3 Did the organization cease conducting, or make significant changes in how it conducts, any program
services?
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X No
Yes
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X No
Yes
If "Yes," describe these changes on Schedule O.
4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and
allocations to others, the total expenses, and revenue, if any, for each program service reported.
4 a (Code:
) (Expenses $
35,789,964.
including grants of $
585,259.
) (Revenue $
36,166,069.
)
6,635,246.
) (Revenue $
4,067,204.
)
11,493,711.
) (Revenue $
7,607,342.
)
ATTACHMENT 1
4 b (Code:
) (Expenses $
15,675,606.
including grants of $
ATTACHMENT 2
4 c (Code:
14,801,656.including
) (Expenses $
grants of $
ATTACHMENT 3
4 d Other program services. (Describe in Schedule O.)
(Expenses $
12,638,168. including grants of $
1,739,105.
78,905,394.
4 e Total program service expenses
I
) (Revenue $
8,368,076.
)
Form
JSA
990
(2010)
0E1020 1.000
94217W 649R
0166754
PAGE 4
Form 990 (2010)
Part IV
Page
Yes
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"
complete Schedule A
Is the organization required to complete Schedule B, Schedule of Contributors? (see instructions)
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C, Part I
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)
election in effect during the tax year? If "Yes," complete Schedule C, Part II
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have
the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"
complete Schedule D, Part I
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part
X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes,"
complete Schedule D, Part IV
Did the organization, directly or through a related organization, hold assets in term, permanent, or
quasi-endowments? If "Yes," complete Schedule D, Part V
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,
VII, VIII, IX, or X as applicable.
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII
Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets
reported in Part X, line 16? If "Yes," complete Schedule D, Part IX
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
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b
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Checklist of Required Schedules
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f Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses
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the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
1 2 a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"
complete Schedule D, Parts XI, XII, and XIII
b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if
the organization answered "No" to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional
1 3 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
1 4 a Did the organization maintain an office, employees, or agents outside of the United States?
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,
business, and program service activities outside the United States? If "Yes," complete Schedule F, Parts I and IV
1 5 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any
organization or entity located outside the United States? If "Yes," complete Schedule F, Parts II and IV
1 6 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance
to individuals located outside the United States? If "Yes," complete Schedule F, Parts III and IV
1 7 Did the organization report a total of more than $15,000 of expenses for professional fundraising services
on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)
1 8 Did the organization report more than $15,000 total of fundraising event gross income and contributions on
Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II
1 9 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part III
2 0 a Did the organization operate one or more hospitals? If "Yes," complete Schedule H
b If "Yes" to line 20a, did the organization attach its audited financial statements to this return? Note. Some Form
990 filers that operate one or more hospitals must attach audited financial statements (see instructions)
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2
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X
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X
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X
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1 1a
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1 1b
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X
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1 2b
13
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1 4b
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2 0b
Form
JSA
X
X
3
4
No
990
(2010)
0E1021 1.000
94217W 649R
0166754
PAGE 5
Form 990 (2010)
Part IV
Page
Yes
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations
in the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States
on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the
organization's current and former officers, directors, trustees, key employees, and highest compensated
employees? If "Yes," complete Schedule J
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than
$100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 2 4b
through 24d and complete Schedule K. If “No,” go to line 2 5
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction
with a disqualified person during the year? If "Yes," complete Schedule L, Part I
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior
year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?
If "Yes," complete Schedule L, Part I
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or
disqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, Part II
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,
substantial contributor, or a grant selection committee member, or to a person related to such an individual?
If "Yes," complete Schedule L, Part III
Was the organization a party to a business transaction with one of the following parties (see Schedule L,
Part IV instructions for applicable filing thresholds, conditions, and exceptions):
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete
Schedule L, Part IV
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)
was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
conservation contributions? If "Yes," complete Schedule M
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"
complete Schedule N, Part II
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts II, III,
IV, and V, line 1
Is any related organization a controlled entity within the meaning of section 512(b)(13)?
Did the organization receive any payment from or engage in any transaction with a
controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R,
X No
Part V, line 2
Yes
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable
related organization? If "Yes," complete Schedule R, Part V, line 2
Did the organization conduct more than 5% of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R,
Part VI
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Checklist of Required Schedules (continued)
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Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and
19? Note. All Form 990 filers are required to complete Schedule O.
21
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23
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No
X
2 4a
2 4b
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Form
X
990
(2010)
JSA
0E1030 1.000
94217W 649R
0166754
PAGE 6
Form 990 (2010)
Part V
Page
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X
Yes
1a
1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable
1b
b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable
c Did the organization comply with backup withholding rules for reportable payments to vendors and
reportable gaming (gambling) winnings to prize winners?
2 a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax
2a
Statements, filed for the calendar year ending with or within the year covered by this return
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
3 a Did the organization have unrelated business gross income of $1,000 or more during the year?
b If "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation in Schedule O
4 a At any time during the calendar year, did the organization have an interest in, or a signature or other authority
over, a financial account in a foreign country (such as a bank account, securities account, or other financial
account)?
ISRAEL
b If “Yes,” enter the name of the foreign country:
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5 a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
c If "Yes," to line 5a or 5b, did the organization file Form 8886-T?
6 a Does the organization have annual gross receipts that are normally greater than $100,000, and did the
organization solicit any contributions that were not tax deductible?
b If "Yes," did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible?
7 Organizations that may receive deductible contributions under section 170(c).
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods
and services provided to the payor?
b If "Yes," did the organization notify the donor of the value of the goods or services provided?
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
required to file Form 8282?
7d
d If "Yes," indicate the number of Forms 8282 filed during the year
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Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting
organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring
organization, have excess business holdings at any time during the year?
Sponsoring organizations maintaining donor advised funds.
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
Section 501(c)(7) organizations. Enter:
1 0a
Initiation fees and capital contributions included on Part VIII, line 12
1 0b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
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Section 501(c)(12) organizations. Enter:
1 1a
a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources
1 1b
against amounts due or received from them.)
1 2 a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
1 2b
b If "Yes," enter the amount of tax-exempt interest received or accrued during the year
11
13
5
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V
Section 501(c)(29) qualified nonprofit health insurance issuers.
a Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
b Enter the amount of reserves the organization is required to maintain by the states in which
the organization is licensed to issue qualified health plans
1 3b
1 3c
c Enter the amount of reserves on hand
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1 4 a Did the organization receive any payments for indoor tanning services during the tax year?
b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O
JSA
0E1040 1.000
1c
2b
3a
3b
X
X
4a
X
5a
5b
5c
X
X
6a
X
6b
7a
7b
X
7c
X
7e
7f
7g
7h
X
X
8
9a
9b
1 2a
1 3a
0166754
X
1 4a
1 4b
Form
94217W 649R
No
990
(2010)
PAGE 7
Form 990 (2010)
Page
6
Part VI Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and
for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in
Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI
X
Section A. Governing Body and Management
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Yes
No
1a
1b
1a Enter the number of voting members of the governing body at the end of the tax year
b Enter the number of voting members included in line 1a, above, who are independent
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with
any other officer, director, trustee, or key employee?
3
Did the organization delegate control over management duties customarily performed by or under the direct
supervision of officers, directors or trustees, or key employees to a management company or other person?
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
5
Did the organization become aware during the year of a significant diversion of the organization's assets?
6
Does the organization have members or stockholders?
7a Does the organization have members, stockholders, or other persons who may elect one or more members
of the governing body?
b Are any decisions of the governing body subject to approval by members, stockholders, or other persons?
8
Did the organization contemporaneously document the meetings held or written actions undertaken during
the year by the following:
a The governing body?
b Each committee with authority to act on behalf of the governing body?
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at
the organization's mailing address? If "Yes," provide the names and addresses in Schedule O
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X
2
X
3
4
5
6
X
X
X
X
X
7a
7b
X
X
8a
8b
X
9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
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1 0 a Does the organization have local chapters, branches, or affiliates?
b If "Yes," does the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with those of the organization?
1 1 a Has the organization provided a copy of this Form 990 to all members of its governing body before filing the
form?
b Describe in Schedule O the process, if any, used by the organization to review this Form 990.
1 2 a Does the organization have a written conflict of interest policy? If "No," go to line 13
b Are officers, directors or trustees, and key employees required to disclose annually interests that could give
rise to conflicts?
c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"
describe in Schedule O how this is done
13
Does the organization have a written whistleblower policy?
14
Does the organization have a written document retention and destruction policy?
15
Did the process for determining compensation of the following persons include a review and approval by
independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization's CEO, Executive Director, or top management official
b Other officers or key employees of the organization
If "Yes" to line 15a or 15b, describe the process in Schedule O. (See instructions.)
1 6 a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement
with a taxable entity during the year?
b If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate
its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard
the organization's exempt status with respect to such arrangements?
Section C. Disclosure
Yes
1 0b
1 1a
X
1 2a
X
1 2b
X
1 2c
13
14
X
X
X
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1 5b
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X
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1 6a
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I ATTACHMENT 4
X
1 6b
17
18
List the states with which a copy of this Form 990 is required to be filed
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only)
available for public inspection. Indicate how you make these available. Check all that apply.
X Own website
X Upon request
Another's website
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest
policy, and financial statements available to the public.
State the name, physical address, and telephone number of the person who possesses the books and records of the
organization: JAMES C. MELLOR 101 NORTH WACKER DRIVE CHICAGO, IL 60606
20
No
X
1 0a
I (312)977-0031
JSA
0E1042 1.000
Form
94217W 649R
0166754
990
(2010)
PAGE 8
Form 990 (2010)
Page
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees,
and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII
Part VII
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Section A.
7
X
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1 a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the
organization's tax year.
%
%%
%
%
List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
List all of the organization's current key employees, if any. See instructions for definition of "key employee."
List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.
List all of the organization's former officers, key employees, and highest compensated employees who received more than
$100,000 of reportable compensation from the organization and any related organizations.
List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of
the organization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
Former
Highest compensated
employee
Key employee
Officer
Institutional trustee
(describe
hours for
related
organizations
in Schedule
O)
(C)
Position (check all that apply)
Individual trustee
or director
(B)
Average
hours per
week
(D)
Reportable
compensation
from
the
organization
(W-2/1099-MISC)
(E)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
(1) SHARON ALLEN
BOARD MEMBER
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
4.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
(2) GARRETT BOONE
BOARD MEMBER
(3) GINA BOSWELL
BOARD MEMBER
(4) JOHN W. CORYA
BOARD MEMBER
(5) KENNETH B. COLLOTON
BOARD MEMBER
(6) WANDA DENSON-LOW
BOARD MEMBER
(7) R. HUGH A. FITZPATRICK
BOARD MEMBER
(8) PAULA L. GAVIN
BOARD MEMBER
(9) VIRGINA BALES HARRIS
SECRETARY
(10)MATTHEW HYDE
BOARD MEMBER
(11)TIMOTHY M. KELLY
BOARD MEMBER
(12)NANCY KISSINGER
BOARD MEMBER
(13)WILLIAM LOVETT
BOARD MEMBER
(14)CHRISTINE MARCKS
BOARD MEMBER
(15)STEVEN MALCOLM
BOARD MEMBER
(16)LISA MOLNAR
BOARD MEMBER
0.
Form
JSA
990
(2010)
0E1041 1.000
94217W 649R
0166754
PAGE 9
Form 990 (2010)
Part VII
Page
8
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
(C)
Average
Position (check all that apply)
Former
OSTERGAARD
BOARD MEMBER
(18) CHARLES R. PARROTT
BOARD MEMBER
(19) ULICE PAYNE
CHAIR
(20) JORGE PEREZ
BOARD MEMBER
(21) DAVID PRATT
TREASURER
(22) THOMAS J. RODELL
BOARD MEMBER
(23) JUDAH C. SOMMER
BOARD MEMBER
(24) RACHAEL SWANSON
BOARD MEMBER
(25) STEPHEN S. TAYLOR
BOARD MEMBER
(26) KEVIN WASHINGTON
BOARD MEMBER
(27) NEIL J. NICOLL
PRESIDENT AND CEO
(28) KENT D. JOHNSON
SR. VP & COO
Highest compensated
employee
in Schedule O)
Key employee
related
organizations
Officer
hours for
Institutional
trustee
week
(describe
Individual trustee
or director
hours per
(D)
Reportable
compensation
from
the
organization
(W-2/1099-MISC)
(E)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
(17) ANN
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
4.00
X
0.
0.
0.
2.00
X
0.
0.
0.
4.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
2.00
X
0.
0.
0.
50.00
X
452,581.
0.
14,057.
50.00
X
343,026.
0.
0.
0.
0.
12,585.
26,642.
98,826.
125,468.
m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm I
m m m m m m m m m m m m m m m m m m m m m m m m m m m m II
m
I
1b
c
d
2
795,607.
Sub-total
2,179,266.
Total from continuation sheets to Part VII, Section A ATTACHMENT 5
2,974,873.
Total (add lines 1b and 1c)
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in
reportable compensation from the organization
127
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated
employee on line 1a? If "Yes," complete Schedule J for such individual
mmmmmmmmmmmmmmmmmmmmmmmmmm
3
X
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from
the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
4
X
Yes No
4
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmm
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual
for services rendered to the organization? If "Yes," complete Schedule J for such person
5
Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization.
5
(A)
Name and business address
(B)
Description of services
X
(C)
Compensation
ATTACHMENT 6
2
Total number of independent contractors (including but not limited to those listed above) who received
more than $100,000 in compensation from the organization
41
I
Form
JSA
990
(2010)
0E1050 1.000
94217W 649R
0166754
PAGE 10
Form 990 (2010)
Part VIII
Page
Contributions, gifts, grants
Program Service Revenue and other similar amounts
(A)
Total revenue
mmmmmmmm
mmmmmmmmm
mmmmmmmmm
mmmmmmmm
mm
m
m m m m m m m m m m m m m m m m m m mI
Federated campaigns
1a
b
Membership dues
1b
c
Fundraising events
d
Related organizations
1d
3,325,535.
e
Government grants (contributions)
1e
5,932,341.
f
All other contributions, gifts, grants,
1f
19,244,856.
Noncash contributions included in lines 1a-1f: $
3,374.
1a
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from tax
under sections
512, 513, or 514
1c
and similar amounts not included above
g
h
9
Statement of Revenue
Total. Add lines 1a-1f
28,502,732.
Business Code
2 a FAIR SHARE SUPPORT - YMCA MEMBER DUES
541610
51,403,895.
51,403,895.
b
PROGRAM AND TRAINING REGISTRATION FEES
611710
3,726,321.
3,726,321.
c
YMCA PROGRAM CERTIFICATION REVENUES
900099
1,078,475.
1,078,475.
d
MAGAZINE AND ADVERTISING REVENUE
900004
3,725.
e
f
g
m m m m m m mm mm mm mm mm m m m m m m m m I
m m m m m m m m m m m m m m m m m m mI
m m m m m m m m m m m m m m m m m m m m m m mm mm mm II
mmmmmmmm
mmm
m mm m m m m m m m m m m m m m m m m
I
All other program service revenue
Total. Add lines 2a-2f
56,212,416.
Investment income (including dividends, interest, and
3
other similar amounts)
4
Income from investment of tax-exempt bond proceeds
5
Royalties
(i) Real
6a
Less: rental expenses
c
d
Rental income or (loss)
Net rental income or (loss)
b
8a
730,310.
0.
514,028.
514,028.
236,560.
236,560.
1,529,438.
1,529,438.
(ii) Personal
236,560.
(i) Securities
Gross amount from sales of
assets other than inventory
(ii) Other
73,817,042.
mmmm
m m mm mm mm mm mm m m m m m m m m m m m m m m m m
Less: cost or other basis
72,287,604.
and sales expenses
c
d
730,310.
236,560.
Gross Rents
b
7a
Other Revenue
3,725.
1,529,438.
Gain or (loss)
Net gain or (loss)
Gross
income
from
I
fundraising
events (not including $
mmmmmmmmmmm
mmmmmmmmmm mmmmmmmm
I
mmmmmmmmmmm
mmmmmmmmmmmmmmmmmmm
I
mmmmmmmmm
mmmmmmmmmmmmmmmmmm
I
of contributions reported on line 1c).
See Part IV, line 18
b
c
9a
b
c
10a
b
c
11a
b
Gross income from gaming activities.
See Part IV, line 19
Gross
sales
of
inventory,
returns and allowances
e
12
0.
a
Less: direct expenses
b
Net income or (loss) from gaming activities
0.
less
a
Less: cost of goods sold
b
Net income or (loss) from sales of inventory
Miscellaneous Revenue
Business Code
0.
VENDOR BOOTH REVENUE
900004
910,308.
PARKING LOT REVENUE
812930
630,779.
900099
436,262.
436,262.
583,652.
583,652.
c REBATE REVENUE
d
a
Less: direct expenses
b
Net income or (loss) from fundraising events
All other revenue
m m m m mm mm mm mm mm mm mm mm mm m m m m m m m m
m m m m m m m m m m m m m m II
Total. Add lines 11a-11d
Total revenue. See instructions
910,308.
630,779.
2,561,001.
90,286,485.
56,208,691.
634,504.
4,940,558.
Form
990
(2010)
JSA
0E1051 2.000
94217W 649R
0166754
PAGE 11
Form 990 (2010)
Page
10
Part IX Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns.
All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
(A)
(B)
(C)
(D)
Do not include amounts reported on lines 6b,
Total expenses
Program service
Management and
Fundraising
7b, 8b, 9b, and 10b of Part VIII.
expenses
general expenses
expenses
mm
mmmmmmmmmm
1
Grants and other assistance to governments and
organizations in the U.S. See Part IV, line 2 1
16,446,178.
16,446,178.
2
Grants and other assistance to individuals in
the U.S. See Part IV, line 2 2
72,320.
72,320.
3
Grants and other assistance to governments,
organizations, and individuals outside the
U.S. See Part IV, lines 15 and 1 6
Benefits paid to or for members
3,934,823.
0.
3,934,823.
4
5
Compensation of current officers, directors,
trustees, and key employees
3,100,341.
1,785,012.
886,917.
428,412.
6
Compensation not included above, to disqualified
0.
27,029,783.
22,077,957.
3,883,366.
1,068,460.
2,918,950.
2,882,920.
2,215,089.
2,488,935.
2,483,178.
1,882,773.
333,610.
238,296.
233,109.
96,405.
161,446.
99,207.
231,612.
860.
440,000.
222,466.
150,843.
mmmmmmmm
mmmmmmmmm
mmmmmmmmmm
mmmmmm
mmmmmmmmmmmm
mmmmmm
mmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmmmmmmmm
mmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmm
mmmmmmmmmmmmmmmm
mmmmmmmmmmmmm
m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmmmmmmmmmmmmmmmmmmmm
persons (as defined under section 4958(f)(1)) and
persons described in section 4958(c)(3)(B)
7
Other salaries and wages
8
Pension plan contributions (include section 401(k)
and section 403(b) employer contributions)
Other employee benefits
9
10
Payroll taxes
11
Fees for services (non-employees):
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services. See Part IV, line 1 7
f Investment management fees
g Other
12
Advertising and promotion
13
Office expenses
14
Information technology
15
Royalties
16
Occupancy
17
Travel
18
Payments of travel or entertainment expenses
for any federal, state, or local public officials
19
Conferences, conventions, and meetings
20
Interest
21
Payments to affiliates
22
Depreciation, depletion, and amortization
23
Insurance
24
Other
mmmm
mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmm
mmmm
mmmmmmmmmmmmmmmmmmm
expenses.
Itemize
expenses
not
0.
454,078.
151,703.
440,000.
0.
134,927.
11,070,777.
75,646.
3,532,064.
683,494.
0.
2,710,583.
6,219,740.
0.
2,665,148.
72,876.
0.
605,086.
769,989.
134,927.
807,012.
10,263,765.
75,646.
3,295,520.
559,330.
129,615.
124,164.
106,929.
2,047,838.
5,478,139.
507,695.
587,437.
155,050.
154,164.
2,611,912.
59,644.
53,236.
13,232.
497,475.
619,599.
107,611.
150,390.
659,076.
170,517.
16,435.
0.
0.
706,850.
78,905,394.
137,336.
188,211.
81,179.
covered
above (List miscellaneous expenses in line 24f. If
line 24f amount exceeds 10% of line 25, column
(A) amount, list line 24f expenses on Schedule O.)
a
PROVISION FOR UNCOLLECTIBLES
b EQUIPMENT
c STAFF
DEVELOPMENT
796,412.
358,728.
97,614.
d
e
f All other expenses
25
Total functional expenses. Add lines 1 through 24f
26
Joint Costs. Check here
if following
SOP 98-2 (ASC 958-720). Complete this line
only if the organization reported in column
(B) joint costs from a combined educational
campaign and fundraising solicitation
I
822,000.
90,261,269.
115,150.
9,085,802.
2,270,073.
mmmmmm
JSA
0E1052 1.000
Form
94217W 649R
0166754
990
(2010)
PAGE 12
Form 990 (2010)
Part X
Page
11
Balance Sheet
mmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmm
1
2
3
4
5
Cash - non-interest-bearing
Savings and temporary cash investments
Pledges and grants receivable, net
Accounts receivable, net
Receivables from current and former officers, directors, trustees, key
employees, and highest compensated employees. Complete Part II of
Schedule L
6
Receivables from other disqualified persons (as defined under section 4958(f)(1)), persons
(A)
Beginning of year
2,050.
15,656,493.
11,553,931.
6,849,450.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
(B)
End of year
1
2
3
4
2,050.
27,180,590.
9,493,770.
6,396,129.
5
Assets
described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of
mmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm
section 501(c)(9) voluntary employees' beneficiary organizations (see instructions)
Notes and loans receivable, net
Inventories for sale or use
Prepaid expenses and deferred charges
Land, buildings, and equipment: cost or
43,531,998.
other basis. Complete Part VI of Schedule D 1 0a
12,221,174.
1 0b
b Less: accumulated depreciation
1 1 Investments - publicly traded securities
1 2 Investments - other securities. See Part IV, line 11
1 3 Investments - program-related. See Part IV, line 11
1 4 Intangible assets
1 5 Other assets. See Part IV, line 11
1 6 Total assets. Add lines 1 through 15 (must equal line 34)
1 7 Accounts payable and accrued expenses
1 8 Grants payable
1 9 Deferred revenue
2 0 Tax-exempt bond liabilities
2 1 Escrow or custodial account liability. Complete Part IV of Schedule D
2 2 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified persons.
Complete Part II of Schedule L
2 3 Secured mortgages and notes payable to unrelated third parties
2 4 Unsecured notes and loans payable to unrelated third parties
2 5 Other liabilities. Complete Part X of Schedule D
2 6 Total liabilities. Add lines 17 through 25
X and complete
Organizations that follow SFAS 117, check here
lines 27 through 29, and lines 33 and 34.
7
8
9
10a
Net Assets or Fund Balances
Liabilities
m m m m mm mm mm mm mm mm m m m m m m m m m m m m m m m
mmmmmmmmmmmmmmm
mmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
27
28
29
30
31
32
33
34
mmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmm
mmmmmmmmm
mmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm
I
mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmm
I
mmmmmmmmmmmmmmmm
mmmmmmmm
mmmm
mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117, check here
complete lines 30 through 34.
6
7
8
1,348,647. 9
21,685,249. 1 0c
7,107,782.
16,022,545.
80,226,147.
8,467,743.
11,658,155.
11
12
13
14
15
16
17
18
19
20
21
1,009,479.
31,310,824.
18,798,331.
57,828,356.
16,862,665.
168,882,194.
14,286,087.
11,139,749.
22
23
6,000,000. 2 4
1,011,472. 2 5
27,137,370. 2 6
15,075,000.
8,817,816.
49,318,652.
23,050,300. 2 7
22,890,144. 2 8
7,148,333. 2 9
68,607,048.
32,897,900.
18,058,594.
and
Capital stock or trust principal, or current funds
Paid-in or capital surplus, or land, building, or equipment fund
Retained earnings, endowment, accumulated income, or other funds
Total net assets or fund balances
Total liabilities and net assets/fund balances
30
31
32
53,088,777. 3 3
80,226,147. 3 4
119,563,542.
168,882,194.
Form 990 (2010)
JSA
0E1053 1.000
94217W 649R
0166754
PAGE 13
Form 990 (2010)
Part XI
Page
12
mmmmmmmmmmmmmmmmmmmmmmm X
90,286,485.
mmmmmmmmmmmmmmmmmmmmmmmmmm
90,261,269.
mmmmmmmmmmmmmmmmmmmmmmmmmm
25,216.
mmmmmmmmmmmmmmmmmmmmmmmmmmmm
53,088,777.
mmmmmmmm
66,449,549.
mmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
119,563,542.
Financial Statements and Reporting
mmmmmmmmmmmmmmmmmmmmmm
Reconciliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI
Total revenue (must equal Part VIII, column (A), line 12)
Total expenses (must equal Part IX, column (A), line 25)
Revenue less expenses. Subtract line 2 from line 1
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
Other changes in net assets or fund balances (explain in Schedule O)
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33,
column (B))
1
2
3
4
5
6
Part XII
1
2
3
4
5
6
Check if Schedule O contains a response to any question in this Part XII
Yes
1
2a
b
c
d
3a
b
X Accrual
Accounting method used to prepare the Form 990:
Cash
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
Were the organization's financial statements compiled or reviewed by an independent accountant?
Were the organization's financial statements audited by an independent accountant?
If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of
the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in
Schedule O.
If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were
issued on a separate basis, consolidated basis, or both:
Both consolidated and separate basis
X Consolidated basis
Separate basis
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in
the Single Audit Act and OMB Circular A-133?
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the
required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
mmmmmmmm
mmmmmmmmmmmmmmmm
mmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
No
X
2a
2b
X
2c
X
3a
X
3b
X
Form
990
(2010)
JSA
0E1054 1.000
94217W 649R
0166754
PAGE 14
SCHEDULE A
(Form 990 or 990-EZ)
OMB No. 1545-0047
Public Charity Status and Public Support
À¾µ´
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Department of the Treasury
Internal Revenue Service
I
Attach to Form 990 or Form 990-EZ.
I
Open to Public
Inspection
See separate instructions.
Name of the organization
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
Part I
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
hospital's name, city, and state:
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II.)
6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II.)
8
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9 X An organization that normally receives: (1) more than 3 31 /3 % of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 3 31/3% of its
support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
11
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the
purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section
509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.
a
Type I
b
Type II
c
Type III - Functionally integrated
d
Type III - Other
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified
persons other than foundation managers and other than one or more publicly supported organizations described in section
509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting
organization, check this box
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
Yes No
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
11g(i)
and (iii) below, the governing body of the supported organization?
11g(ii)
(ii) A family member of a person described in (i) above?
11g(iii)
(iii) A 35% controlled entity of a person described in (i) or (ii) above?
h
Provide the following information about the supported organization(s).
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
(i) Name of supported
organization
(ii) EIN
(iii) Type of organization
(described on lines 1-9
above or IRC section
(see instructions))
(iv) Is the
organization in
col. (i) listed in
your governing
document?
Yes
No
(v) Did you notify
the organization
in col. (i) of
your support?
Yes
No
(vi) Is the
organization in
col. (i) organized
in the U.S.?
Yes
(vii) Amount of
support
No
(A)
(B)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Schedule A (Form 990 or 990-EZ) 2010
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Schedule A (Form 990 or 990-EZ) 2010
Page
2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
I
1
Gifts,
grants,
contributions,
and
membership fees received. (Do not
include any "unusual grants.")
2
Tax revenues levied for the organization's
benefit and either paid to or expended on
its behalf
3
The value of services or facilities
furnished by a governmental unit to the
organization without charge
4
Total. Add lines 1 through 3
5
The portion of total contributions by each
person (other than a governmental unit or
publicly supported organization) included
on line 1 that exceeds 2% of the amount
shown on line 11, column (f)
Public support. Subtract line 5 from line 4.
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
mmmmmm
mmmmmmmmmmmmmmmm
mmmmmmm
mmmmmmm
mmmmmmm
6
Section B. Total Support
m m m m m m m m mIm
Calendar year (or fiscal year beginning in)
7
8
Amounts from line 4
Gross income from interest, dividends,
payments received on securities loans,
rents, royalties and income from similar
sources
mmmmmmmmmmmmmmmmm
9
Net income from unrelated business
activities, whether or not the business
is regularly carried on
10
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part IV.)
mmmmmmmmmm
mmmmmmmmmmm
mm
mmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
Section C. Computation of Public Support Percentage
mmmmmmmm
mmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmI
mmmmmmmmmmmmmmmmmI
11
12
13
Total support. Add lines 7 through 10
12
Gross receipts from related activities, etc. (see instructions)
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here
14
1 4 Public support percentage for 2010 (line 6, column (f) divided by line 11, column (f))
15
1 5 Public support percentage from 2009 Schedule A, Part II, line 14
1 6a 3 3 1 /3 % support test - 2010. If the organization did not check the box on line 13, and line 14 is 3 3 1 /3 % or more, check
this box and stop here. The organization qualifies as a publicly supported organization
b 3 3 1 /3 % support test - 2009. If the organization did not check a box on line 13 or 16a, and line 15 is 3 3 1 /3 % or more,
check this box and stop here. The organization qualifies as a publicly supported organization
1 7a 10%-facts-and-circumstances test - 2010. If the organization did not check a box on line 13, 16a or 16b, and line 14 is 10%
or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in
Part IV how the organization meets the "facts-and-circumstances” test. The organization qualifies as a publicly supported
organization
b 10%-facts-and-circumstances test - 2009. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organzation meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization
1 8 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
%
%
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
Schedule A (Form 990 or 990-EZ) 2010
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Schedule A (Form 990 or 990-EZ) 2010
Page
3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
1
I
received. (Do not include any "unusual grants.")
2
(a) 2 0 06
(b) 2 0 07
(c) 2 0 08
(d) 2 0 09
(e) 2 0 10
(f) Total
31,743,332.
13,122,387.
31,446,082.
20,196,806.
29,413,040.
125,921,647.
54,022,284.
25,954,184.
54,487,037.
54,194,107.
56,208,691.
244,866,303.
85,765,616.
39,076,571.
85,933,119.
74,390,913.
85,621,731.
370,787,950.
106,695.
43,653.
96,273.
66,596.
69,510.
382,727.
Gifts, grants, contributions, and membership fees
Gross receipts from admissions, merchandise
sold
or
services
performed,
or
facilities
furnished in any activity that is related to the
organization's tax-exempt purpose
3
mmmmmm
m
Gross receipts from activities that are not an
unrelated trade or business under section 5 1 3
4
Tax revenues levied for the organization's
benefit and either paid to or expended on
its behalf
5
The
mmmmmmmmmmmmmmmm
value
of
services
or
facilities
furnished by a governmental unit to the
organization without charge
6
Total. Add lines 1 through 5
mmmmmmm
mmmmmmm
mmmm
7 a Amounts included on lines 1, 2, and 3
received from disqualified persons
b Amounts included on lines 2 and 3
received from other than disqualified
persons that exceed the greater of
$5,000 or 1% of the amount on line 1 3
for the year
mmmmmmmmmmmmmmm
mmmmmmmmmmm
mmmmmmmmmmmmmmmmm
Section B. Total Support
m m m m m m m m m m Im
c Add lines 7a and 7b
8 Public support (Subtract line 7c from
742,878.
1,089,648.
1,449,020.
2,505,363.
4,747,247.
10,534,156.
849,573.
1,133,301.
1,545,293.
2,571,959.
4,816,757.
10,916,883.
line 6.)
Calendar year (or fiscal year beginning in)
9 Amounts from line 6
1 0 a Gross income from interest, dividends,
payments received on securities loans,
rents, royalties and income from similar
sources
mmmmmmmmmmmmmmmmm
359,871,067.
(a) 2 0 06
(b) 2 0 07
(c) 2 0 08
(d) 2 0 09
(e) 2 0 10
85,765,616.
39,076,571.
85,933,119.
74,390,913.
85,621,731.
370,787,950.
(f) Total
2,524,031.
1,147,553.
2,629,412.
1,764,967.
1,917,160.
9,983,123.
b Unrelated business taxable income (less
section 511
taxes) from businesses
mmmmmm
mmmmmmmmm
acquired after June 30, 1 9 75
c Add lines 10a and 10b
11
Net income from unrelated business
activities not included in line 10b,
whether or not the business is regularly
carried on
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part IV.) ATCH 1
18,737.
80,758.
63,612.
139,343.
48,585.
351,035.
2,542,768.
1,228,311.
2,693,024.
1,904,310.
1,965,745.
10,334,158.
836,580.
212,289.
583,713.
745,477.
583,652.
2,961,711.
89,144,964.
40,517,171.
89,209,856.
77,040,700.
88,171,128.
384,083,819.
mmmmmmmmmmmmmmm
12
mmmmmmmmmmm
mmmmmmmmmmmmmmmm
13
Total support. (Add lines 9, 10c, 11,
14
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
and 12.)
organization, check this box and stop here
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mI
93.70
93.61
m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm
Section C. Computation of Public Support Percentage
15
Public support percentage for 2010 (line 8, column (f) divided by line 13, column (f))
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
16
Section D. Computation of Investment Income Percentage
mmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm
17
Investment income percentage for 2010 (line 10c, column (f) divided by line 13, column (f))
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
18
2.69 %
2.70 %
1 9 a 3 3 1 /3 % support tests - 2010. If the organization did not check the box on line 14, and line 15 is more than 3 31 /3 %, and line
17 is not more than 3 31 /3 %, check this box and stop here. The organization qualifies as a publicly supported organization
b 3 3 1 /3 % support tests - 2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 3 31 /3 %, and
20
line 18 is not more than 3 31 /3 %, check this box and stop here. The organization qualifies as a publicly supported organization
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
JSA
0E1221 1.000
%
%
I
I
I
X
Schedule A (Form 990 or 990-EZ) 2010
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PAGE 17
36-3258696
Schedule A (Form 990 or 990-EZ) 2010
Part IV
Page
4
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See
instructions).
ATTACHMENT 1
SCHEDULE A, PART III - OTHER INCOME
DESCRIPTION
2006
2007
2008
2009
TOTAL
2010
REIM OF EXPENSE FROM YMCA ORGS
541,196.
195,638.
398,272.
412,616.
338,354.
1,886,076.
SUBSEQ. COLLECT. OF BAD DEBT
249,605.
0.
175,000.
0.
0.
424,605.
45,779.
16,651.
10,441.
332,861.
245,298.
651,030.
836,580.
212,289.
583,713.
745,477.
583,652.
2,961,711.
MISCELLANEOUS INCOME
TOTAL
Schedule A (Form 990 or 990-EZ) 2010
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Schedule B
I
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
OMB No. 1545-0047
À¾µ´
Attach to Form 990, 990-EZ, or 990-PF.
Name of the organization
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
X
501(c)( 3
) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation
527 political organization
Form 990-PF
501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See
instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.
Special Rules
X
For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 331 /3 % support test of the regulations under
sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Parts
I and II.
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during
the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or
educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during
the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not
aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during the
year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year
$
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm I
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2 of its Form 990, or check the box on line H of its Form 990-EZ, or on
line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF.
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
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Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Name of organization
Page
NATIONAL COUNCIL OF YMCAS OF THE USA
of
of Part I
Employer identification number
36-3258696
Part I Contributors (see instructions)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
1
$
5,671,030.
(d)
Type of contribution
Person
Payroll
Noncash
X
(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
2
$
5,500,753.
(d)
Type of contribution
Person
Payroll
Noncash
X
(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
3
$
5,399,113.
(d)
Type of contribution
Person
Payroll
Noncash
X
(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
4
$
3,325,535.
(d)
Type of contribution
Person
Payroll
Noncash
X
(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
5
$
1,250,000.
(d)
Type of contribution
Person
Payroll
Noncash
X
(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
6
$
1,200,000.
(d)
Type of contribution
Person
Payroll
Noncash
X
(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
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Political Campaign and Lobbying Activities
SCHEDULE C
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
OMB No. 1545-0047
À¾µ´
For Organizations Exempt From Income Tax Under section 501(c) and section 527
I
I
Complete if the organization is described below.
Attach to Form 990 or Form 990-EZ.
I
Open to Public
Inspection
See separate instructions.
If the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part VI, line 46 (Political Campaign Activities), then
Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
%
%
%
%
%
%
Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes," to Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of organization
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
Complete if the organization is exempt under section 501(c) or is a section 527 organization.
Part I-A
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to
candidates for public office in Part IV.
$
Political expenditures
Volunteer hours
1
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIm
2
3
Part I-B
1
2
3
4a
b
Part I-C
1
2
3
4
5
Complete if the organization is exempt under section 501(c)(3).
mmmmm I
mm I
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
Enter the amount of any excise tax incurred by the organization under section 4955
Enter the amount of any excise tax incurred by organization managers under section 4955
If the organization incurred a section 4955 tax, did it file Form 4720 for this year?
Was a correction made?
If "Yes," describe in Part IV.
$
$
Yes
No
Yes
No
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
Enter the amount directly expended by the filing organization for section 527 exempt function
$
activities
Enter the amount of the filing organization's funds contributed to other organizations for section
$
527 exempt function activities
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL,
$
line 1 7b
Did the filing organization file Form 1120-POL for this year?
Yes
No
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which filing
organization made payments. For each organization listed, enter the amount paid from the filing organization's funds. Also enter
the amount of political contributions received that were promptly and directly delivered to a separate political organization, such
as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mI
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mI
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mI
mmmmmmmmmmmmmmmmmmmmmmmmmmmm
(a) Name
(b) Address
(c) EIN
(d) Amount paid from
filing organization's
funds. If none, enter -0-.
(e) Amount of political
contributions received and
promptly and directly
delivered to a separate
political organization. If
none, enter -0-.
(1)
(2)
(3)
(4)
(5)
(6)
Schedule C (Form 990 or 990-EZ) 2010
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
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Schedule C (Form 990 or 990-EZ) 2010
Part II-A
A Check
B Check
I
I
Page
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
1a
b
c
d
e
f
2
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under
section 501(h)).
if the filing organization belongs to an affiliated group.
if the filing organization checked box A and "limited control" provisions apply.
mmmmmm
mmmmmmm
mmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmm
(a) Filing
organization's totals
Total lobbying expenditures to influence public opinion (grass roots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying)
Total lobbying expenditures (add lines 1a and 1b)
Other exempt purpose expenditures
Total exempt purpose expenditures (add lines 1c and 1d)
Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
(b) Affiliated
group totals
440,000.
440,000.
78,465,394.
78,905,394.
1,000,000.
If the amount on line 1e, column (a) or (b) is: The lobbying nontaxable amount is:
g
h
i
j
Not over $500,000
20% of the amount on line 1e.
Over $500,000 but not over $1,000,000
$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000
$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000
$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000
$1,000,000.
mmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
250,000.
Grassroots nontaxable amount (enter 25% of line 1f)
Subtract line 1g from line 1a. If zero or less, enter -0Subtract line 1f from line 1c. If zero or less, enter -0If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year?
Yes
No
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
2 a Lobbying nontaxable amount
(a) 2 0 07
1,000,000.
(b) 2 0 08
1,000,000.
(c) 2 0 09
1,000,000.
(d) 2 0 10
1,000,000.
(e) Total
4,000,000.
b Lobbying ceiling amount
6,000,000.
(150% of line 2a, column (e))
c Total lobbying expenditures
240,000.
480,000.
480,000.
440,000.
1,640,000.
d Grassroots nontaxable amount
250,000.
250,000.
250,000.
250,000.
1,000,000.
e Grassroots ceiling amount
1,500,000.
(150% of line 2d, column (e))
f Grassroots lobbying expenditures
Schedule C (Form 990 or 990-EZ) 2010
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Schedule C (Form 990 or 990-EZ) 2010
Part II-B
Page
(a)
Yes
1
a
b
c
d
e
f
g
h
i
j
2a
b
c
d
(b)
No
Amount
During the year, did the filing organization attempt to influence foreign, national, state or local
legislation, including any attempt to influence public opinion on a legislative matter or
referendum, through the use of:
Volunteers?
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)?
Media advertisements?
Mailings to members, legislators, or the public?
Publications, or published or broadcast statements?
Grants to other organizations for lobbying purposes?
Direct contact with legislators, their staffs, government officials, or a legislative body?
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means?
Other activities? If "Yes," describe in Part IV
Total. Add lines 1c through 1i
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)?
If "Yes," enter the amount of any tax incurred under section 4 912
If "Yes," enter the amount of any tax incurred by organization managers under section 4 912
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year?
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmmmmm
mmmm
m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmm
mmmmmmmmmmmmmmmm
m m m mm mm
Part III-A
1
2
3
3
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768
(election under section 501(h)).
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501(c)(6).
mmmmmmmmmmmmmmmmmmm
m m m m m m m m mm mm mm mm mm mm mm mm mm mm
Were substantially all (90% or more) dues received nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Did the organization agree to carryover lobbying and political expenditures from the prior year?
Part III-B
No
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered "No" OR if Part III-A, line 3 is answered
"Yes."
mmmmmmmmmmmmmmmmmmmmmmmmmmmm
Dues, assessments and similar amounts from members
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for w hich the section 527(f) tax w as paid).
a Current year
b Carryover from last year
c Total
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the
excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying
and political expenditure next year?
5
Taxable amount of lobbying and political expenditures (see instructions)
1
2
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmm
m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
Part IV
Yes
1
2
3
1
2a
2b
2c
3
4
5
Supplemental Information
Complete this part to provide the descriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; and Part II-B, line 1i.
Also, complete this part for any additional information.
Schedule C (Form 990 or 990-EZ) 2010
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36-3258696
Schedule C (Form 990 or 990-EZ) 2010
Part IV
Page
4
Supplemental Information (continued)
Schedule C (Form 990 or 990-EZ) 2010
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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
I
OMB No. 1545-0047
Supplemental Financial Statements
À¾µ´
Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
I
Attach to Form 990.
I
Open to Public
Inspection
See separate instructions.
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the
organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds
mmmmmmmmmmm
mmmm
mmmmmm
mmmmmmmmm
1
2
3
4
5
(b) Funds and other accounts
Total number at end of year
Aggregate contributions to (during year)
Aggregate grants from (during year)
Aggregate value at end of year
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization’s property, subject to the organization’s exclusive legal control?
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other
purpose conferring impermissible private benefit?
6
mmmmmmmmmmm
Yes
No
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
Part II
Purpose(s) of conservation easements held by the organization (check all that apply).
1
Preservation of land for public use (e.g., recreation or education)
Preservation of an historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation
easement on the last day of the tax year.
Held at the End of the Tax Year
2
mmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
mmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmm
6
2a
Total number of conservation easements
2b
Total acreage restricted by conservation easements
2c
Number of conservation easements on a certified historic structure included in (a)
Number of conservation easements included in (c) acquired after 8/17/06, and not on a
2d
historic structure listed in the National Register
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year
Number of states where property subject to conservation easement is located
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
violations, and enforcement of the conservation easements it holds?
Yes
No
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)
(i) and 170(h)(4)(B)(ii)?
Yes
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the
organization’s accounting for conservation easements.
a
b
c
d
3
I
4
5
I
I
I
mmmmmmmmmmmmmmmmmmmmmmm
$
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
9
Part III
1a
b
2
a
b
No
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet
works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of
public service, provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet
works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of
public service, provide the following amounts relating to these items:
(i) Revenues included in Form 990, Part VIII, line 1
$
(ii) Assets included in Form 990, Part X
$
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
Revenues included in Form 990, Part VIII, line 1
$
Assets included in Form 990, Part X
$
mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m II
m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule D (Form 990) 2010
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Schedule D (Form 990) 2010
Part III
3
Page
2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its
collection items (check all that apply):
Loan or exchange programs
Public exhibition
a
d
Scholarly research
Other
b
e
Preservation for future generations
c
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part
XIV.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization's collection?
Yes
No
mmmmmm
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV,
line 9, or reported an amount on Form 990, Part X, line 21.
1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X?
b If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance
1c
d Additions during the year
1d
e Distributions during the year
1e
f Ending balance
1f
2 a Did the organization include an amount on Form 990, Part X, line 21?
b If "Yes," explain the arrangement in Part XIV.
Part V
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
Yes
No
Endowment Funds. Complete if organization answered "Yes" to Form 990, Part IV, line 10.
mmmm
mmmmmmmmmmm
mmmmmmmmmmmmm
mmmmmm
m
mmmmmmmmmmm
mmmmm
mmmmmmmm
1 a Beginning of year balance
b Contributions
c Net investment earnings, gains,
and losses
d Grants or scholarships
e Other expenditures for facilities
and programs
f Administrative expenses
g End of year balance
(a) Current year
(b) Prior year
(c) Two years back
(d) Three years back
66,044,152.
12,198,725.
1,750,000.
283,515.
191,177.
76,018,185.
Provide the estimated percentage of the year end balance held as:
74.0000 %
Board designated or quasi-endowment
14.0000 %
Permanent endowment
12.0000 %
Term endowment
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:
(i) unrelated organizations
(ii) related organizations
b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R?
4 Describe in Part XIV the intended uses of the organization's endowment funds.
2
a
b
c
3a
I
I
I
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
Part VI
(e) Four years back
Yes
No
X
X
3a(i)
3a(ii)
3b
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment
mmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
mmmmmmmmmm
mmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm
(a) Cost or other basis
(b) Cost or other basis
(c) Accumulated
(investment)
(other)
depreciation
11,251,574.
1 a Land
1,437,126. 1,437,126.
b Buildings
7,040,151.
235,351.
c Leasehold improvements
12,647,078. 10,548,697.
d Equipment
11,156,069.
e Other
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)
mmmmmmI
(d) Book value
11,251,574.
0.
6,804,800.
2,098,381.
11,156,069.
31,310,824.
Schedule D (Form 990) 2010
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Schedule D (Form 990) 2010
Part VII
Page
(a) Description of security or category
(including name of security)
(b) Book value
mmmmmmmmmmmmmmmmm
mmmmmmmmmmmmm
(1) Financial derivatives
(2) Closely-held equity interests
(3) Other
(A) COMMINGLED FUNDS
(B) LIMITED PARTNERSHIPS
(C) JERUSALEM FOUNDATION
(D) OTHER
(E) INVESTMENT IN Y MUTUAL
(F)
(G)
(H)
(I)
54,306,041.
2,913,814.
602,455.
5,046.
1,000.
FMV
FMV
FMV
FMV
COST
I
(a) Description of investment type
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 13.)
Part IX
(c) Method of valuation:
Cost or end-of-year market value
57,828,356.
Investments - Program Related. See Form 990, Part X, line 13.
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)
Part VIII
(b) Book value
(c) Method of valuation:
Cost or end-of-year market value
I
Other Assets. See Form 990, Part X, line 15.
(a) Description
(1) DUE FROM YMCA SVC CORP & JIY
(2) INTEREST IN PERPETUAL TRUST
(3) UNEMPLOYMENT TRUST
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 15.)
Part X
1.
3
Investments - Other Securities. See Form 990, Part X, line 12.
(b) Book value
9,156,580.
7,690,921.
15,164.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm I
16,862,665.
Other Liabilities. See Form 990, Part X, line 25.
(a) Description of liability
(1) Federal income taxes
(2) DEFERRED RENT EXPENSE
(3) SELF-INSURANCE RESERVE
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 25.)
(b) Amount
8,617,816.
200,000.
I
8,817,816.
2. FIN 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the
organization's liability for uncertain tax positions under FIN 48 (ASC 740).
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Schedule D (Form 990) 2010
Part XI
Page
mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
mmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
Total revenue (Form 990, Part VIII, column (A), line 12)
Total expenses (Form 990, Part IX, column (A), line 25)
Excess or (deficit) for the year. Subtract line 2 from line 1
Net unrealized gains (losses) on investments
Donated services and use of facilities
Investment expenses
Prior period adjustments
Other (Describe in Part XIV.)
Total adjustments (net). Add lines 4 through 8
Excess or (deficit) for the year per audited financial statements. Combine lines 3 and 9
1
2
3
4
5
6
7
8
9
10
Part XII
1
2
a
b
c
d
e
3
4
a
b
c
5
Total revenue, gains, and other support per audited financial statements
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
Net unrealized gains on investments
Donated services and use of facilities
Recoveries of prior year grants
Other (Describe in Part XIV.)
Add lines 2a through 2 d
Subtract line 2 e from line 1
Amounts included on Form 990, Part VIII, line 12, but not on line 1 :
Investment expenses not included on Form 990, Part VIII, line 7b
Other (Describe in Part XIV.)
Add lines 4 a and 4 b
Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
1
2
a
b
c
d
e
3
4
a
b
c
5
1
2
3
4
5
6
7
8
9
10
2e
3
4a
4b
4c
5
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm
Total expenses and losses per audited financial statements
Amounts included on line 1 but not on Form 990, Part IX, line 25:
Donated services and use of facilities
Prior year adjustments
Other losses
Other (Describe in Part XIV.)
Add lines 2 a through 2 d
Subtract line 2 e from line 1
Amounts included on Form 990, Part IX, line 25, but not on line 1 :
Investment expenses not included on Form 990, Part VIII, line 7b
Other (Describe in Part XIV.)
Add lines 4 a and 4 b
Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)
Part XIV
1
2a
2b
2c
2d
mmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm
Part XIII
4
Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements
1
2a
2b
2c
2d
2e
3
4a
4b
4c
5
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide
any additional information.
SEE PAGE 5
Schedule D (Form 990) 2010
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Schedule D (Form 990) 2010
Part XIV
Page
5
Supplemental Information (continued)
FORM 990, SCHEDULE D, PART V, LINE 4
INTENDED USES OF ENDOWMENT FUNDS
Y-USA USES ITS NET INVESTMENT INCOME AND THE NET PROCEEDS FROM THESE
ACTIVITIES PRIMARILY TO MAKE GRANTS IN SUPPORT OF THE CHARITABLE
ACTIVITIES OF Y-USA AND OTHER WORLDWIDE YMCA ORGANIZATIONS.
FORM 990, SCHEDULE D, PART VII, LINE 3C
INVESTMENT IN Y-PIP
IN JANUARY 2009, THE NATIONAL BOARD OF YMCA OF THE USA, AT THE
RECOMMENDATION OF THE FINANCE COMMITTEE VOTED TO TERMINATE THE Y-PIP
PROGRAM.
AT DECEMBER 31, 2008 THE PARTNERSHIP HAD APPROXIMATELY 23 PARTNERS HAVING
A COMBINED MARKET VALUE OF APPROXIMATELY $22 MILLION.
ALL PARTNERS, WITH THE EXCEPTION OF Y-USA WERE FULLY LIQUIDATED BY
DECEMBER 31, 2009. Y-USA WITHDREW ITS FUNDS FROM THE PARTNERSHIP IN
FEBRUARY 2010.
FORM 990, SCHEDULE D, PART X, LINE 2
FIN 48 (ASC 740) FOOTNOTE
THE ORGANIZATIONS ADOPTED ASC 740-10 AS OF JANUARY 1, 2009. ASC 740-10
CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR
EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO
FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS SECTION PROVIDES
THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN BE RECOGNIZED IN
Schedule D (Form 990) 2010
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Schedule D (Form 990) 2010
Part XIV
Page
5
Supplemental Information (continued)
THE FINANCIAL STATEMENTS ONLY IF THE POSITION IS "MORE-LIKELY-THAN-NOT"
TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING
AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE
TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT
THE TAX POSITION MAY BE CHALLENGED. YMCA OF THE USA IS EXEMPT FROM INCOME
TAX UNDER IRC SECTION 501(C)(3), RESPECTIVELY, AND THEY ARE ONLY SUBJECT
TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSES, UNLESS THAT INCOME IS
OTHERWISE EXCLUDED BY THE CODE. THE TAX YEARS ENDING 2007, 2008 AND 2009
ARE STILL OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. THE ADOPTION
OF ASC 740-10 DID NOT HAVE ANY IMPACT ON THE ORGANIZATIONS' FINANCIAL
STATEMENTS.
Schedule D (Form 990) 2010
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SCHEDULE F
(Form 990)
OMB No. 1545-0047
Statement of Activities Outside the United States
I
I
Department of the Treasury
Internal Revenue Service
Name of the organization
À¾µ´
Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Attach to Form 990.
I
Open to Public
Inspection
See separate instructions.
Employer identification number
36-3258696
NATIONAL COUNCIL OF YMCAS OF THE USA
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 14b.
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the
grants or assistance?
1
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
X Yes
2
For grantmakers. Describe in Part V the organization's procedures for monitoring the use of grant funds outside the
United States.
3
Activities per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region
(1)
MIDDLE EAST AND NORTH AFRICA
(2)
(b) Number of
offices in the
region
1.
(d) Activities conducted in
region (by type) (e.g.,
fundraising, program
services, investments,
grants to recipients
located in the region)
(e) If activity listed in (d) is
a program service,
describe specific type of
service(s) in region
(f) Total
expenditures for
and investments
in region
GRANTMAKING
YMCA PROGRAM SUPPORT
1,194,444.
NORTH AMERICA
GRANTMAKING
YMCA PROGRAM SUPPORT
757,240.
(3)
SUB-SAHARAN AFRICA
GRANTMAKING
YMCA PROGRAM SUPPORT
459,531.
(4)
CENTRAL AMERICA/CARIBBEAN
GRANTMAKING
YMCA PROGRAM SUPPORT
222,725.
(5)
EUROPE
GRANTMAKING
YMCA PROGRAM SUPPORT
170,756.
(6)
RUSSIA/INDEPENDENT STATES
GRANTMAKING
YMCA PROGRAM SUPPORT
145,833.
(7)
EAST ASIA AND THE PACIFIC
GRANTMAKING
YMCA PROGRAM SUPPORT
133,774.
(8)
SOUTH ASIA
GRANTMAKING
YMCA PROGRAM SUPPORT
52,100.
(9)
SOUTH AMERICA
GRANTMAKING
YMCA PROGRAM SUPPORT
39,000.
MIDDLE EAST AND NORTH AFRICA
INVESTMENTS
(10)
1.
(c) Number of
employees,
agents,
and independent
contractors
in region
No
28,688.
(11)
(12)
(13)
(14)
(15)
(16)
(17)
3a
b
c
mmmmmmmmmmm
mmmmmmm
Sub-total
Total
from
continuation
sheets to Part I
Totals (add lines 3a and 3b)
1.
1.
1.
1.
3,204,091.
3,204,091.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule F (Form 990) 2010
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Schedule F (Form 990) 2010
Part II
1
Page
mmmmmmmmmmI
(a) Name of organization
(b) IRS code
section and EIN
(if applicable)
(c) Region
(d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(1)
MIDDLE EAST/NORTH AFRICA
PROGRAM SUPP
1,126,741.
WIRETRANSFER
(2)
NORTH AMERICA
PROGRAM SUPP
733,540.
WIRETRANSFER
(3)
EUROPE/ICELAND/GREENLAND
PROGRAM SUPP
140,554.
WIRETRANSFER
(4)
SUB-SAHARAN AFRICA
PROGRAM SUPP
120,500.
WIRETRANSFER
(5)
SUB-SAHARAN AFRICA
PROGRAM SUPP
105,874.
WIRETRANSFER
(6)
RUSSIA
PROGRAM SUPP
95,833.
WIRETRANSFER
(7)
SUB-SAHARAN AFRICA
PROGRAM SUPP
71,550.
WIRETRANSFER
(8)
CENT. AMERICA/CARIBBEAN
PROGRAM SUPP
60,700.
WIRETRANSFER
(9)
SUB-SAHARAN AFRICA
PROGRAM SUPP
60,450.
WIRETRANSFER
(10)
MIDDLE EAST/NORTH AFRICA
PROGRAM SUPP
60,433.
WIRETRANSFER
(11)
EAST ASIA/PACIFIC
PROGRAM SUPP
60,000.
WIRETRANSFER
(12)
CENT. AMERICA/CARIBBEAN
PROGRAM SUPP
53,000.
WIRETRANSFER
(13)
SOUTH ASIA
PROGRAM SUPP
40,100.
WIRETRANSFER
(14)
SUB-SAHARAN AFRICA
PROGRAM SUPP
35,725.
WIRETRANSFER
(15)
RUSSIA
PROGRAM SUPP
35,000.
WIRETRANSFER
(16)
EAST ASIA/PACIFIC
PROGRAM SUPP
33,050.
WIRETRANSFER
2
3
2
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000
Part II can be duplicated if additional space is needed.
(g) Amount of
non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal,
other)
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt
by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter
Enter total number of other organizations or entities
m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
Schedule F (Form 990) 2010
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Schedule F (Form 990) 2010
Part II
1
Page
mmmmmmmmmmI
(a) Name of organization
(b) IRS code
section and EIN
(if applicable)
(c) Region
(d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(1)
CENT. AMERICA/CARIBBEAN
PROGRAM SUPP
30,500.
WIRETRANSFER
(2)
EAST ASIA/PACIFIC
PROGRAM SUPP
30,275.
WIRETRANSFER
(3)
SUB-SAHARAN AFRICA
PROGRAM SUPP
26,956.
WIRETRANSFER
(4)
CENT. AMERICA/CARIBBEAN
PROGRAM SUPP
25,000.
WIRETRANSFER
(5)
CENT. AMERICA/CARIBBEAN
PROGRAM SUPP
25,000.
WIRETRANSFER
(6)
SOUTH AMERICA
PROGRAM SUPP
21,700.
WIRETRANSFER
(7)
CENT. AMERICA/CARIBBEAN
PROGRAM SUPP
20,000.
WIRETRANSFER
(8)
EUROPE/ICELAND/GREENLAND
PROGRAM SUPP
17,245.
WIRETRANSFER
(9)
SUB-SAHARAN AFRICA
PROGRAM SUPP
15,830.
WIRETRANSFER
(10)
NORTH AMERICA
PROGRAM SUPP
15,000.
WIRETRANSFER
(11)
RUSSIA
PROGRAM SUPP
15,000.
WIRETRANSFER
(12)
EUROPE/ICELAND/GREENLAND
PROGRAM SUPP
11,708.
WIRETRANSFER
(13)
SOUTH AMERICA
PROGRAM SUPP
11,250.
WIRETRANSFER
(14)
SUB-SAHARAN AFRICA
PROGRAM SUPP
10,000.
WIRETRANSFER
(15)
CENT. AMERICA/CARIBBEAN
PROGRAM SUPP
7,525.
WIRETRANSFER
(16)
NORTH AMERICA
PROGRAM SUPP
6,200.
WIRETRANSFER
2
3
2
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000
Part II can be duplicated if additional space is needed.
(g) Amount of
non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal,
other)
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt
by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter
Enter total number of other organizations or entities
m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
Schedule F (Form 990) 2010
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Schedule F (Form 990) 2010
Part II
1
Page
2
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000
Part II can be duplicated if additional space is needed.
mmmmmmmmmmI
(a) Name of organization
(1)
(b) IRS code
section and EIN
(if applicable)
(c) Region
SOUTH AMERICA
(d) Purpose of
grant
PROGRAM SUPP
(e) Amount of
cash grant
6,050.
(f) Manner of
cash
disbursement
(g) Amount of
non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal,
other)
WIRETRANSFER
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
2
3
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt
by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter
Enter total number of other organizations or entities
m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
33.
Schedule F (Form 990) 2010
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Schedule F (Form 990) 2010
Part III
Page
3
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance
(b) Region
(c) Number of
recipients
(d) Amount of
cash grant
(e) Manner of
cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal,
other)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
Schedule F (Form 990) 2010
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Schedule F (Form 990) 2010
Part IV
1
Page
Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"
the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign
Corporation (see Instructions for Form 926)
Yes
X
No
Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization
may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and
Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a
U.S. Owner (see Instructions for Forms 3520 and 3520-A)
Yes
X
No
Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes,"
the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to
Certain Foreign Corporations. (see Instructions for Form 5471)
Yes
X
No
Was the organization a direct or indirect shareholder of a passive foreign investment company or a
qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621,
Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see
Instructions for Form 8621)
Yes
X
No
Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes,"
the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain
Foreign Partnerships. (see Instructions for Form 8865)
Yes
X
No
Did the organization have any operations in or related to any boycotting countries during the tax year? If
"Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions
for Form 5713)
Yes
X
No
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
2
mmmmmmmmmmmmmmmmmmmmmmm
3
mmmmmmmmmmmmmmmmmmmmm
4
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
5
mmmmmmmmmmmmmmmmmmmmmmmmm
6
4
Foreign Forms
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Schedule F (Form 990) 2010
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Schedule F (Form 990) 2010
Part V
Page
5
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f)
(accounting method); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated
number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
FORM 990, SCHEDULE F, PART I, LINE 2
ORGANIZATION'S PROCEDURES FOR MONITORING GRANT FUNDS OUTSIDE THE U.S.
GRANTS ARE ONLY PROVIDED TO YMCAS OR AFFILIATED MEMBERS OF THE WORLD
ALLIANCE OF YMCAS. EACH PROPOSAL RECEIVED IS EVALUATED BY APPROPRIATE
STAFF TO ENSURE IT IS WITHIN THE INTERNATIONAL GROUP PRIORITIES AND
BUDGET ALLOCATION. THE STAFF RECOMMENDATIONS ARE THEN PRESENTED TO THE
INTERNATIONAL COMMITTEE AND/OR VICE PRESIDENT OF INTERNATIONAL GROUP FOR
APPROVAL.
Schedule F (Form 990) 2010
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SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
Part I General Information on Grants and Assistance
1
2
À¾µ´
36-3258696
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
X Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
ARMED SERVICES YMCA OF THE USA-NATIONAL HDQ
(2)
YMCA OF CENTRAL OHIO
(3)
YMCA OF METROPOLITAN ATLANTA INC
(4)
YMCA OF METROPOLITAN MINNEAPOLIS
(5)
YMCA OF GREATER NEW YORK
(6)
YMCA OF GREATER CINCINNATI
(7)
YMCA OF METROPOLITAN DETROIT
(8)
YMCA OF GREATER SAINT PAUL
(9)
VALLEY OF THE SUN YMCA
6359 WALKER LN STE 200 ALEXANDRIA, VA 22310
40 W LONG ST COLUMBUS, OH 43215
100 EDGEWOOD AVE NE ATLANTA, GA 30303
30 S 9TH ST MINNEAPOLIS, MN 55402
5 W 63RD ST 6TH FL NEW YORK, NY 10023
1105 ELM ST CINCINNATI, OH 45202
1401 BROADWAY ST STE 3A DETROIT, MI 48226
2125 E HENNEPIN AVE MINNEAPOLIS, MN 55413
350 N 1ST AVE PHOENIX, AZ 85003
(10)
PRAIRIE VALLEY YMCA
(11)
YMCA OF GREATER INDIANAPOLIS
(12)
YMCA OF GREATER LONG BEACH
50 N MCLEAN BLVD ELGIN, IL 60123
615 N ALABAMA ST INDIANAPOLIS, IN 46204
3605 LONG BEACH BLVD LONG BEACH, CA 90807
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
91-1883466 501(C)(3)
1,724,341.
ARMED SERVICES WORK
31-4379594 501(C)(3)
290,000.
PROGRAM SUPPORT
58-0566253 501(C)(3)
276,250.
PROGRAM SUPPORT
41-0695629 501(C)(3)
233,000.
PROGRAM SUPPORT
13-1624228 501(C)(3)
210,040.
PROGRAM SUPPORT
31-0537178 501(C)(3)
188,305.
PROGRAM SUPPORT
38-1358055 501(C)(3)
184,000.
PROGRAM SUPPORT
41-0693932 501(C)(3)
175,000.
PROGRAM SUPPORT
86-0096799 501(C)(3)
168,983.
PROGRAM SUPPORT
36-2169193 501(C)(3)
168,000.
PROGRAM SUPPORT
35-0868211 501(C)(3)
159,500.
PROGRAM SUPPORT
95-1643396 501(C)(3)
148,600.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
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0166754
PAGE 38
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF METROPOLITAN CHICAGO
(2)
BIRMINGHAM METROPOLITAN YMCA
(3)
YMCA OF GREATER LOUISVILLE
(4)
YMCA OF GREATER DAYTON
(5)
SAN JUAN - PUERTO RICO YMCA
(6)
YMCA OF PHILADELPHIA AND VICINITY
(7)
YMCA OF MONROE COUNTY INC
(8)
YMCA OF GREATER SEATTLE
(9)
PROVIDENCE METROPOLITAN YMCA
(b) EIN
801 N DEARBORN PKWY CHICAGO, IL 60610
2101 4TH AVE N BIRMINGHAM, AL 35203
545 S 2ND ST LOUISVILLE, KY 40202
111 W 1ST ST STE 107 DAYTON, OH 45402
PO BOX 360590 SAN JUAN, PR 00936
2000 MARKET ST PHILADELPHIA, PA 19103
2125 S HIGHLAND AVE BLOOMINGTON, IN 47402
909 4TH AVE SEATTLE, WA 98104
371 PINE ST PROVIDENCE, RI 02903
(10)
YMCA OF SOUTHERN ARIZONA
(11)
TAMPA METROPOLITAN AREA YMCA
(12)
YMCA OF DELAWARE
60 W ALAMEDA ST TUCSON, AZ 85702
110 E OAK AVE TAMPA, FL 33602
100 W 10TH ST STE 1100 WILMINGTON, DE 19801
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
36-2179782 501(C)(3)
140,853.
PROGRAM SUPPORT
63-0299894 501(C)(3)
139,900.
PROGRAM SUPPORT
61-0444843 501(C)(3)
138,046.
PROGRAM SUPPORT
31-0537517 501(C)(3)
137,500.
PROGRAM SUPPORT
66-0190784 501(C)(3)
121,282.
PROGRAM SUPPORT
23-1243965 501(C)(3)
120,100.
PROGRAM SUPPORT
35-1384859 501(C)(3)
113,900.
PROGRAM SUPPORT
91-0482710 501(C)(3)
112,800.
PROGRAM SUPPORT
05-0258878 501(C)(3)
110,900.
PROGRAM SUPPORT
86-0101237 501(C)(3)
108,451.
PROGRAM SUPPORT
59-1742909 501(C)(3)
106,650.
PROGRAM SUPPORT
51-0065748 501(C)(3)
105,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 39
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
MOULTRIE YMCA
(2)
YMCA OF GREATER SPRINGFIELD INC
(3)
YMCA OF COASTAL GEORGIA INC
(4)
YMCA OF GREATER OKLAHOMA CITY
(5)
METROPOLITAN YMCA OF THE ORANGES
(6)
SOUTH COUNTY FAMILY YMCA
(7)
YMCA OF MIDDLE TENNESSEE
(8)
YMCA OF GREATER FORT WAYNE
(9)
FLORIDA'S FIRST COAST YMCA - METROPOLITAN
(b) EIN
601 26TH AVE SE MOULTRIE, GA 31768
275 CHESTNUT ST STE 1 SPRINGFIELD, MA 01104
PO BOX 14142 SAVANNAH, GA 31416
500 N BROADWAY OKLAHOMA CITY, OK 73102
139 E MCCLELLAN AVE LIVINGSTON, NJ 07039
701 CENTER RD. VENICE, FL 34285
1000 CHURCH ST NASHVILLE, TN 37203
347 W BERRY ST STE 500 FORT WAYNE, IN 46802
12735 GRAN BAY PKWY JACKSONVILLE, FL 32258
(10)
DEFIANCE AREA YMCA
(11)
YMCA OF CAPITAL DISTRICT
(12)
CENTRAL CONNECTICUT COAST YMCA
1599 PALMER DR DEFIANCE, OH 43512
465 NEW KARNER RD 2ND FL ALBANY, NY 12205
1240 CHAPEL ST NEW HAVEN, CT 06511
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
58-0593424 501(C)(3)
99,625.
PROGRAM SUPPORT
04-1859893 501(C)(3)
88,750.
PROGRAM SUPPORT
58-0603160 501(C)(3)
84,625.
PROGRAM SUPPORT
73-0579270 501(C)(3)
84,500.
PROGRAM SUPPORT
22-1487387 501(C)(3)
84,000.
PROGRAM SUPPORT
59-1629660 501(C)(3)
84,000.
PROGRAM SUPPORT
62-0476243 501(C)(3)
81,768.
PROGRAM SUPPORT
35-0886850 501(C)(3)
78,900.
PROGRAM SUPPORT
59-0638514 501(C)(3)
76,400.
PROGRAM SUPPORT
34-1014167 501(C)(3)
75,000.
PROGRAM SUPPORT
14-1726531 501(C)(3)
75,000.
PROGRAM SUPPORT
06-0662195 501(C)(3)
75,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 40
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF GRANTS PASS OREGON
(2)
YMCA OF GREATER GRAND RAPIDS
(3)
YMCA OF GREATER ROCHESTER
(4)
YMCA OF ST. JOSEPH MISSOURI
(5)
ALFRED CAMPANELLI YMCA
(6)
YMCA OF GREATER KALAMAZOO
(7)
DULUTH AREA FAMILY YMCA
(8)
GREATER PEORIA FAMILY YMCA
(9)
BURLINGTON COUNTY YMCA
(10)
YMCA OF GREATER TOLEDO
(11)
YMCA OF THE BLUE WATER AREA
(12)
YMCA OF HONOLULU
(b) EIN
1000 REDWOOD AVE GRANTS PASS, OR 97527
475 LAKE MICHIGAN DR GRAND RAPIDS, MI 49504
444 E MAIN ST ROCHESTER, NY 14604
315 S SIXTH ST ST. JOSEPH, MO 64501
300 W WISE RD SCHAUMBURG, IL 60193
1001 W MAPLE ST KALAMAZOO, MI 49008
302 W 1ST ST DULUTH, MN 55802
7000 N FLEMING LN PEORIA, IL 61614
59 CENTERTON RD MT. LAUREL, NJ 08054
1500 N SUPERIOR ST 2ND FL TOLEDO, OH 43604
1525 THIRD ST PORT HURON, MI 48060
1441 PALI HWY HONOLULU, HI 96813
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
93-0848122 501(C)(3)
72,539.
PROGRAM SUPPORT
38-1358058 501(C)(3)
72,000.
PROGRAM SUPPORT
16-0743242 501(C)(3)
69,900.
PROGRAM SUPPORT
44-0552491 501(C)(3)
68,711.
PROGRAM SUPPORT
36-3234727 501(C)(3)
67,901.
PROGRAM SUPPORT
38-1360592 501(C)(3)
67,500.
PROGRAM SUPPORT
41-0693931 501(C)(3)
63,880.
PROGRAM SUPPORT
37-0662605 501(C)(3)
63,615.
PROGRAM SUPPORT
21-0634482 501(C)(3)
62,752.
PROGRAM SUPPORT
34-4428262 501(C)(3)
62,000.
PROGRAM SUPPORT
38-1358417 501(C)(3)
61,990.
PROGRAM SUPPORT
99-0073533 501(C)(3)
60,856.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 41
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF CENTRAL KENTUCKY
(2)
THE WEST COOK YMCAS
(3)
MEETING WATERS YMCA
(4)
ALBERT LEA FAMILY YMCA
(5)
YMCA OF SOUTHWESTERN INDIANA
(6)
YMCA OF THE SUNCOAST
(7)
CADILLAC AREA YMCA
(8)
YMCA OF COLUMBIA SOUTH CAROLINA-METRO
(9)
CALLAWAY COUNTY YMCA
239 E HIGH ST LEXINGTON, KY 40507
255 S MARION ST OAK PARK, IL 60302
66 ATKINSON ST BELLOWS FALLS, VT 05101
2021 W MAIN ST ALBERT LEA, MN 56007
222 NW 6TH ST EVANSVILLE, IN 47708
2469 ENTERPRISE RD CLEARWATER, FL 33763
9845 CAMPUS DR CADILLAC, MI 49601
1420 SUMTER ST COLUMBIA, SC 29201
1715 WOOD ST FULTON, MO 65251
(10)
KANKAKEE AREA YMCA
(11)
HUNTERDON COUNTY YMCA
(12)
GREENSBORO METROPOLITAN YMCA
1075 N KENNEDY DR KANKAKEE, IL 60901
1410 US HWY 22 WEST ANNANDALE, NJ 08801
620 GREEN VALLEY RD GREENSBORO, NC 27408
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
61-0444842 501(C)(3)
60,000.
PROGRAM SUPPORT
36-2179780 501(C)(3)
59,825.
PROGRAM SUPPORT
03-0214294 501(C)(3)
59,615.
PROGRAM SUPPORT
41-1000679 501(C)(3)
59,500.
PROGRAM SUPPORT
35-0869074 501(C)(3)
59,500.
PROGRAM SUPPORT
59-0810731 501(C)(3)
57,833.
PROGRAM SUPPORT
30-0013507 501(C)(3)
57,642.
PROGRAM SUPPORT
57-0314423 501(C)(3)
57,325.
PROGRAM SUPPORT
43-1552855 501(C)(3)
57,325.
PROGRAM SUPPORT
36-2169198 501(C)(3)
57,016.
PROGRAM SUPPORT
22-1524183 501(C)(3)
57,000.
PROGRAM SUPPORT
56-0543243 501(C)(3)
57,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 42
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
COLE CENTER FAMILY YMCA
(2)
CHANNEL ISLANDS YMCA
(3)
YMCA OF NORTHWEST NORTH CAROLINA
(4)
YMCA OF METROPOLITAN HARTFORD
(5)
YMCA OF SOUTHWEST ILLINOIS
(6)
QUINCY YMCA
(7)
YMCA OF ANAHEIM
(8)
SHIAWASSEE FAMILY YMCA
(9)
YMCA OF GREATER PITTSBURGH
(10)
TUSCARAWAS COUNTY YMCA INC
(11)
MIAMI COUNTY YMCA AT PIQUA OHIO
(12)
YMCA OF METROPOLITAN WASHINGTON
700 GARDEN ST KENDALLVILLE, IN 46755
55 HITCHCOCK WAY SANTA BARBARA, CA 93105
301 N MAIN ST WINSTON SALEM, NC 27101
241 TRUMBULL ST HARTFORD, CT 06103
424 LEBANON AVE BELLEVILLE, IL 62220
3101 MAINE ST QUINCY, IL 62301
240 S EUCLID ST ANAHEIM, CA 92802
515 W MAIN ST OWOSSO, MI 48867
420 FT DUQUESNE BLVD PITTSBURGH, PA 15222
600 MONROE ST DOVER, OH 44622
223 W HIGH ST PIQUA, OH 45356
1112 16TH ST NW WASHINGTON, DC 20036
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
23-7077600 501(C)(3)
57,000.
PROGRAM SUPPORT
95-1643379 501(C)(3)
57,000.
PROGRAM SUPPORT
56-0530015 501(C)(3)
56,408.
PROGRAM SUPPORT
06-0881325 501(C)(3)
56,306.
PROGRAM SUPPORT
37-0673565 501(C)(3)
56,300.
PROGRAM SUPPORT
37-0661262 501(C)(3)
56,046.
PROGRAM SUPPORT
95-1709299 501(C)(3)
55,000.
PROGRAM SUPPORT
38-1359577 501(C)(3)
54,500.
PROGRAM SUPPORT
25-0969497 501(C)(3)
54,468.
PROGRAM SUPPORT
34-0714797 501(C)(3)
54,322.
PROGRAM SUPPORT
31-0537179 501(C)(3)
54,241.
PROGRAM SUPPORT
53-0207403 501(C)(3)
53,639.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 43
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF METROPOLITAN DALLAS
(2)
YMCA OF MANSFIELD OHIO
(3)
EUGENE FAMILY YMCA
(4)
YMCA OF SAN FRANCISCO
(5)
YMCA OF NORTHWESTERN DUPAGE COUNTY
(6)
MARION FAMILY YMCA
(7)
YMCA OF LENAWEE COUNTY
(8)
JOLIET YMCA
(9)
YMCA OF METROPOLITAN DENVER
(b) EIN
601 N AKARD ST DALLAS, TX 75201
750 SCHOLL RD MANSFIELD, OH 44907
2055 PATTERSON ST EUGENE, OR 97405
631 HOWARD ST SAN FRANCISCO, CA 94105
49 DEICKE DR GLEN ELLYN, IL 60137
645 BARKS RD E MARION, OH 43302
638 W MAUMEE ST ADRIAN, MI 49221
749 HOUBOLT RD JOLIET, IL 60431
2625 S COLORADO BLVD DENVER, CO 80222
(10)
WEST VIRGINIA HIGHER EDUCATION POLICY COMMI
(11)
YMCA OF YONKERS INC
(12)
YMCA SOUTHCOAST
GH212H 1 JOHN MARSHALL HUNTINGTON, WI 25755
17 RIVERDALE AVE YONKERS, NY 10701
18 S WATER ST NEW BEDFORD, MA 02740
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
75-0800696 501(C)(3)
53,000.
PROGRAM SUPPORT
34-0714795 501(C)(3)
52,583.
PROGRAM SUPPORT
93-0500679 501(C)(3)
52,500.
PROGRAM SUPPORT
94-0997140 501(C)(3)
52,500.
PROGRAM SUPPORT
36-2470895 501(C)(3)
52,400.
PROGRAM SUPPORT
31-4380058 501(C)(3)
52,325.
PROGRAM SUPPORT
38-1393859 501(C)(3)
52,325.
PROGRAM SUPPORT
36-2169197 501(C)(3)
52,000.
PROGRAM SUPPORT
84-0402696 501(C)(3)
52,000.
PROGRAM SUPPORT
55-0571092 501(C)(3)
50,000.
PROGRAM SUPPORT
13-1740520 501(C)(3)
50,000.
PROGRAM SUPPORT
04-2104749 501(C)(3)
47,340.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 44
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF SAGINAW
(2)
GASTON COUNTY FAMILY YMCA
(3)
UNIONTOWN AREA YMCA
(4)
GREAT MIAMI VALLEY YMCA
(5)
MASON BRANCH YMCA
(6)
YMCA OF CENTRAL MASSACHUSETTS
(7)
WILKES-BARRE FAMILY YMCA
(8)
YMCA OF METROPOLITAN LOS ANGELES
(9)
YMCA OF THE INLAND NORTHWEST
(b) EIN
1915 FORDNEY ST SAGINAW, MI 48601
201 S CLAY ST GASTONIA, NC 28052
ONE YMCA DR UNIONTOWN, PA 15401
105 N 2ND ST HAMILTON, OH 45011
3548 WALKER AVE MEMPHIS, TN 38111
766 MAIN ST WORCESTER, MA 01610
40 W NORTHAMPTON ST WILKES BARRE, PA 18701
625 S NEW HAMPSHIRE LOS ANGELES, CA 90005
1126 N MONROE SPOKANE, WA 99201
(10)
ALLEGHENY VALLEY YMCA
(11)
CLEVELAND COUNTY FAMILY YMCA
(12)
YMCA OF SILICON VALLEY
5021 FREEPORT RD NATRONA HEIGHTS, PA 15065
411 CHERRYVILLE RD SHELBY, NC 28151
1922 THE ALAMEDA FL 3 SAN JOSE, CA 95126
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
38-1360594 501(C)(3)
47,249.
PROGRAM SUPPORT
56-0655420 501(C)(3)
47,143.
PROGRAM SUPPORT
25-0965631 501(C)(3)
46,901.
PROGRAM SUPPORT
31-0536719 501(C)(3)
46,500.
PROGRAM SUPPORT
62-0476304 501(C)(3)
46,333.
PROGRAM SUPPORT
04-2105885 501(C)(3)
46,195.
PROGRAM SUPPORT
24-0795638 501(C)(3)
46,000.
PROGRAM SUPPORT
95-1644052 501(C)(3)
45,638.
PROGRAM SUPPORT
91-0827958 501(C)(3)
44,247.
PROGRAM SUPPORT
25-0965630 501(C)(3)
44,200.
PROGRAM SUPPORT
58-2016066 501(C)(3)
42,500.
PROGRAM SUPPORT
94-1156318 501(C)(3)
40,838.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 45
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
LA CROSSE AREA FAMILY YMCA
(2)
YMCA OF MARSHALLTOWN IOWA
(3)
LAKE COUNTY YMCA
(4)
YMCA OF METROPOLITAN MILWAUKEE INC
(5)
MERRIMACK VALLEY YMCA INC
(6)
DRYADES YMCA
(7)
DOWNTOWN FAMILY YMCA
(8)
YMCA OF GREATER KANSAS CITY
(9)
CANNON STREET YMCA
1140 MAIN ST LA CROSSE, WI 54601
108 WASHINGTON ST MARSHALLTOWN, IA 50158
933 MENTOR AVE PAINESVILLE, OH 44077
161 W WISCONSIN AVE MILWAUKEE, WI 53203
101 AMESBURY ST 4TH FL LAWRENCE, MA 01840
2220 ORETHA CASTLE NEW ORLEANS, LA 70113
1050 W STATE ST BOISE, ID 83702
3100 BROADWAY ST KANSAS CITY, MO 64111
61 CANNON ST CHARLESTON, SC 29403
(10)
YMCA OF MICHIANA INC
(11)
YMCA OF GREATER TULSA - METRO OFFICE
(12)
YMCA YOUTH & FAMILY SERVICES
1201 NORTHSIDE BLVD SOUTH BEND, IN 46615
420 S MAIN ST STE 200 TULSA, OK 74103
3708 RUFFIN RD SAN DIEGO, CA 92123
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
39-0806172 501(C)(3)
39,045.
PROGRAM SUPPORT
42-1478611 501(C)(3)
38,621.
PROGRAM SUPPORT
34-0714796 501(C)(3)
38,212.
PROGRAM SUPPORT
39-0806314 501(C)(3)
36,500.
PROGRAM SUPPORT
04-2104378 501(C)(3)
35,000.
PROGRAM SUPPORT
72-0428019 501(C)(3)
35,000.
PROGRAM SUPPORT
82-0200908 501(C)(3)
35,000.
PROGRAM SUPPORT
44-0546002 501(C)(3)
34,618.
PROGRAM SUPPORT
57-0935533 501(C)(3)
34,468.
PROGRAM SUPPORT
35-0868216 501(C)(3)
34,217.
PROGRAM SUPPORT
73-0579269 501(C)(3)
34,094.
PROGRAM SUPPORT
95-2039198 501(C)(3)
34,051.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 46
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
YMCA OF HOT SPRINGS ARKANSAS INC
(2)
YMCA OF THE FOX CITIES INC
(3)
YMCA OF GREATER RICHMOND
(4)
WILLIAM A. HUNTON FAMILY YMCA
(5)
YMCA OF GREATER SALT LAKE AREA
(6)
GREATER ST. LOUIS YMCA
(7)
YMCA OF CENTRAL MARYLAND
(8)
UNIVERSITY OF SIOUX FALLS
(9)
CONNECTICUT ASSOCIATION OF STUDENT FINANCIA
130 WERNER ST HOT SPRINGS, AR 71913
218 E LAWRENCE ST APPLETON, WI 54911
2 W FRANKLIN ST RICHMOND, VA 23220
1139 E CHARLOTTE ST NORFOLK, VA 23504
3098 S HIGHLAND DR SALT LAKE CITY, UT 84106
1528 LOCUST ST ST. LOUIS, MO 63103
20 S CHARLES ST 6TH FL BALTIMORE, MD 21201
101 W 22ND ST SIOUX FALLS, SD 57105
CT COLLEGE GOAL SUNDAY MANCHESTER, CT 06045
(10)
ED & RUTH LEHMAN YMCA
(11)
CONNECTICUT STATE ALLIANCE SOUTHINGTON-CHES
(12)
YMCA OF SOUTHERN NEVADA
950 LASHLEY ST LONGMONT, CO 80504
29 HIGH ST SOUTHINGTON, CT 06489
4141 MEADOWS LN LAS VEGAS, NV 89107
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
71-0236925 501(C)(3)
34,000.
PROGRAM SUPPORT
39-0806191 501(C)(3)
33,845.
PROGRAM SUPPORT
54-0505986 501(C)(3)
33,350.
PROGRAM SUPPORT
54-0663046 501(C)(3)
33,000.
PROGRAM SUPPORT
87-0212472 501(C)(3)
32,732.
PROGRAM SUPPORT
43-0653616 501(C)(3)
31,771.
PROGRAM SUPPORT
52-0591699 501(C)(3)
30,749.
PROGRAM SUPPORT
46-0224600 501(C)(3)
30,000.
PROGRAM SUPPORT
06-0986627 501(C)(3)
30,000.
PROGRAM SUPPORT
84-1129504 501(C)(3)
28,774.
PROGRAM SUPPORT
06-0646905 501(C)(3)
28,519.
PROGRAM SUPPORT
88-0059266 501(C)(3)
27,661.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 47
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
MACOMB FAMILY YMCA
(2)
SOUTH CAROLINA COLLEGE SUNDAY
(3)
LOUISIANA COLLEGE GOAL SUNDAY
(4)
YMCA OF GREATER BOSTON
(5)
GENERAL CONVENTION OF SIOUX YMCAS
(6)
WEST BROAD STREET YMCA
(7)
SPRINGFIELD FAMILY YMCA CHILD CARE
(8)
YMCA OF GREATER CLEVELAND
(9)
NORTHWEST EDUCATION LOAN ASSOCIATION - NELA
10 N RIVER RD MOUNT CLEMENS, MI 48043
1330 MAIN ST STE 200 COLUMBIA, SC 29201
1885 WOODALE BLVD BATON ROUGE, LA 70821
316 HUNTINGTON AVE BOSTON, MA 02115
PO BOX 218 1 B ST DUPREE, SD 57623
1110 MAY ST SAVANNAH, GA 31415
417 S JEFFERSON SPRINGFIELD, MO 65806
2200 PROSPECT AVE CLEVELAND, OH 44115
190 QUEEN ANNE AVE NORTH SEATTLE, WA 98109
(10)
YMCA OF THE GREATER HOUSTON AREA
(11)
YM/WCA NEWARK & VICINITY
(12)
NORTH DAKOTA COLLEGE SUNDAY
PO BOX 3007 STE 300 HOUSTON, TX 77253
600 BROAD ST NEWARK, NJ 07102
1801 N COLLEGE DR DEVILS LAKE, ND 58301
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
38-1358055 501(C)(3)
27,579.
PROGRAM SUPPORT
57-0674590 501(C)(3)
27,500.
PROGRAM SUPPORT
72-0591742 501(C)(3)
27,500.
PROGRAM SUPPORT
04-2103551 501(C)(3)
27,190.
PROGRAM SUPPORT
46-0336514 501(C)(3)
26,650.
PROGRAM SUPPORT
58-0616558 501(C)(3)
26,585.
PROGRAM SUPPORT
44-0545283 501(C)(3)
26,353.
PROGRAM SUPPORT
34-0714728 501(C)(3)
25,600.
PROGRAM SUPPORT
91-1068278 501(C)(3)
25,000.
PROGRAM SUPPORT
74-1109737 501(C)(3)
25,000.
PROGRAM SUPPORT
22-1552820 501(C)(3)
25,000.
PROGRAM SUPPORT
45-0273403 501(C)(3)
25,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 48
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
MID-EASTERN ASSOCIATION OF EDUCATIONAL OPPO
(2)
GEORGIA STUDENT FINANCE AUTHORITY
(3)
STATE OF ARKANSAS DEPARTMENT OF HIGHER EDUC
(4)
GREATER BURLINGTON YMCA
(5)
GREATER SYRACUSE YMCA
(6)
YMCA AT WHITE ROCK
(7)
YMCA OF BROWARD COUNTY
(8)
RACINE FAMILY YMCA
(9)
FRANK G. BERLIN SR. BRANCH YMCA
1021 DULANEY VALLEY RD BALTIMORE, MD 21204
2082 E EXCHANGE PL TUCKER, GA 30084
115 E CAPITOL AVE LITTLE ROCK, AR 72201
266 COLLEGE ST BURLINGTON, VT 05401
340 MONTGOMERY ST SYRACUSE, NY 13202
7301 GASTON AVE DALLAS, TX 75214
900 SE THIRD AVE FORT LAUDERDALE, FL 33316
725 LAKE AVE RACINE, WI 53403
1075 S EUCLID AVE SARASOTA, FL 34237
(10)
FOUNTAIN VALLEY YMCA
(11)
GREATER HOLYOKE YMCA
(12)
TEXAS A&M UNIVERSITY
301 E IOWA ST FOUNTAIN, CO 80817
171 PINE ST HOLYOKE, MA 01040
PO BOX 30016 COLLEGE STATION, TX 77842
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
31-0939782 501(C)(3)
25,000.
PROGRAM SUPPORT
58-1088463 501(C)(3)
25,000.
PROGRAM SUPPORT
71-0847443 501(C)(3)
25,000.
PROGRAM SUPPORT
03-0185810 501(C)(3)
24,776.
PROGRAM SUPPORT
15-0532278 501(C)(3)
23,929.
PROGRAM SUPPORT
75-0800696 501(C)(3)
23,789.
PROGRAM SUPPORT
59-0624463 501(C)(3)
23,288.
PROGRAM SUPPORT
39-0807254 501(C)(3)
23,255.
PROGRAM SUPPORT
59-1618413 501(C)(3)
22,500.
PROGRAM SUPPORT
84-0404266 501(C)(3)
22,500.
PROGRAM SUPPORT
04-2192693 501(C)(3)
22,469.
PROGRAM SUPPORT
74-6000531 501(C)(3)
21,667.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 49
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
WATSONVILLE FAMILY YMCA
(2)
YMCA OF WILMINGTON INC
(3)
PENOBSCOT BAY YMCA
(4)
YMCA OF ANCHORAGE ALASKA
(5)
YMCA OF SNOHOMISH COUNTY
(6)
KANSAS ASSOCIATION OF STUDENT FINANCIAL AID
(7)
CARL CHAVIS MEMORIAL BRANCH YMCA
(8)
YMCA OF ROWAN COUNTY
(9)
SPRINGFIELD COLLEGE OFFICE OF YMCA RELATION
27 SUDDEN ST WATSONVILLE, CA 95076
2710 MARKET ST WILMINGTON, NC 28403
116 UNION ST PO BOX 840 ROCKPORT, ME 04856
5353 LAKE OTIS PKWY ANCHORAGE, AK 99507
2720 ROCKEFELLER AVE EVERETT, WA 98201
PO BOX 82507 LINCOLN, NE 68501
2757 GRANVILLE ST HIGH POINT, NC 27236
PO BOX 1575 215 GUFFY SALISBURY, NC 28145
263 ALDEN ST SPRINGFIELD, MA 01109
(10)
COMMUNITY OUTREACH BRANCH YMCA
(11)
PACIFIC ASSOCIATION OF FINANCIAL AID ADMINI
(12)
COLUMBUS METROPOLITAN YMCA
200 Y BLVD ROCKFORD, IL 61107
1314 S KING ST STE 851 HONOLULU, HI 96814
PO BOX 1640 STE 851 COLUMBUS, GA 31902
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
77-0202335 501(C)(3)
21,223.
PROGRAM SUPPORT
56-0532317 501(C)(3)
20,791.
PROGRAM SUPPORT
01-0211813 501(C)(3)
20,332.
PROGRAM SUPPORT
92-0034878 501(C)(3)
20,221.
PROGRAM SUPPORT
91-0565561 501(C)(3)
20,000.
PROGRAM SUPPORT
48-1010942 501(C)(3)
20,000.
PROGRAM SUPPORT
56-0530014 501(C)(3)
20,000.
PROGRAM SUPPORT
56-0606313 501(C)(3)
20,000.
PROGRAM SUPPORT
04-2104329 501(C)(3)
20,000.
PROGRAM SUPPORT
36-2174838 501(C)(3)
20,000.
PROGRAM SUPPORT
20-0429061 501(C)(3)
20,000.
PROGRAM SUPPORT
58-0648697 501(C)(3)
20,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 50
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
MONTGOMERY YMCA METRO BOARD
(2)
CHAMBERSBURG MEMORIAL YMCA
(3)
GLENDALE/PEORIA YMCA
(4)
CENTRAL FLORIDA METRO YMCA
(5)
YMCA OF SUPERIOR CALIFORNIA ADMINISTRATION
(6)
CHESTNUT STREET BRANCH YMCA
(7)
YMCA OF TOPEKA KANSAS
(8)
FARMINGTON FAMILY YMCA
(9)
SOMERSET HILLS YMCA
880 S LAWRENCE MONTGOMERY, AL 36102
570 E MCKINLEY ST CHAMBERSBURG, PA 17201
14711 N 59TH AVE GLENDALE, AZ 85306
433 N MILLS AVE ORLANDO, FL 32803
1926 V ST SACRAMENTO, CA 95818
930 W CHESTNUT ST LOUISVILLE, KY 40203
421 SW VAN BUREN ST TOPEKA, KS 66603
28100 FARMINGTON FARMINGTON HILLS, MI 48334
140 MOUNT AIRY RD BASKING RIDGE, NJ 07920
(10)
BANGOR YMCA
(11)
LAUDERHILL COMMUNITY YMCA
(12)
BLACK ACHIEVERS BRANCH
17 SECOND ST BANGOR, ME 04401
1901 NW 49 AVE LAUDERHILL, FL 33313
316 HUNTINGTON AVE BOSTON, MA 02115
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
63-0288885 501(C)(3)
20,000.
PROGRAM SUPPORT
23-1476339 501(C)(3)
19,294.
PROGRAM SUPPORT
86-0096799 501(C)(3)
19,220.
PROGRAM SUPPORT
59-0624430 501(C)(3)
18,862.
PROGRAM SUPPORT
94-1156634 501(C)(3)
18,832.
PROGRAM SUPPORT
61-0444843 501(C)(3)
18,525.
PROGRAM SUPPORT
48-0543757 501(C)(3)
18,478.
PROGRAM SUPPORT
38-1358055 501(C)(3)
18,393.
PROGRAM SUPPORT
22-1559439 501(C)(3)
18,350.
PROGRAM SUPPORT
01-0211485 501(C)(3)
18,242.
PROGRAM SUPPORT
59-0624463 501(C)(3)
18,137.
PROGRAM SUPPORT
04-2103551 501(C)(3)
18,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 51
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF METROPOLITAN LANSING
(2)
PRINCETON FAMILY YMCA
(3)
YMCA OF WESTFIELD
(4)
RARITAN VALLEY YMCA
(5)
BEAUFORT COUNTY YMCA
(6)
YMCA OF GREATER ST. PETERSBURG
(7)
YMCA OF ARLINGTON
(8)
YMCA OF GREATER MIAMI
(9)
SANTA ANITA FAMILY YMCA
(b) EIN
119 N WASHINGTON SQUARE LANSING, MI 48933
59 PAUL ROBESON PL #1 PRINCETON, NJ 08540
220 CLARK ST WESTFIELD, NJ 07090
144 TICES LN EAST BRUNSWICK, NJ 08816
1801 RICHMOND AVE PORT ROYAL, SC 29935
600 1ST AVE NORTH ST. PETERSBURG, FL 33701
1148 W PIONEER PKWY ARLINGTON, TX 76013
730 NW 107 AVE STE 200 MIAMI, FL 33172
501 S MOUNTAIN AVE MONROVIA, CA 91016
(10)
DOWNTOWN BRANCH YMCA
(11)
TWO RIVERS YMCA
(12)
KANDIYOHI COUNTY AREA FAMILY YMCA
225 E 6TH ST LONG BEACH, CA 90802
2040 - 53RD ST MOLINE, IL 61265
PO BOX 757 WILLMAR, MN 56201
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
38-1359576 501(C)(3)
17,989.
PROGRAM SUPPORT
21-0639890 501(C)(3)
17,500.
PROGRAM SUPPORT
22-1487393 501(C)(3)
17,500.
PROGRAM SUPPORT
22-1494457 501(C)(3)
17,395.
PROGRAM SUPPORT
57-0910326 501(C)(3)
17,034.
PROGRAM SUPPORT
59-0624468 501(C)(3)
16,722.
PROGRAM SUPPORT
75-1000839 501(C)(3)
16,528.
PROGRAM SUPPORT
59-0624464 501(C)(3)
16,511.
PROGRAM SUPPORT
95-4768497 501(C)(3)
16,212.
PROGRAM SUPPORT
95-1643396 501(C)(3)
16,175.
PROGRAM SUPPORT
36-2169199 501(C)(3)
15,928.
PROGRAM SUPPORT
41-1908049 501(C)(3)
15,856.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 52
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF MARQUETTE COUNTY
(2)
ARTHUR JORDAN BRANCH YMCA
(3)
NORTHEAST YMCA
(4)
YMCA OF SIOUX FALLS
(5)
GREENSBORO HAYES-TAYLOR MEMORIAL BRANCH
(6)
J.M. TULL BRANCH/GWINNETT FAMILY YMCA
(7)
HOMEWOOD-BRUSHTON BRANCH YMCA
(8)
BERKELEY YMCA ASSOCIATION OFFICE
(9)
BUTLER STREET YMCA
(b) EIN
1420 PINE ST MARQUETTE, MI 49855
8400 WESTFIELD BLVD INDIANAPOLIS, IN 46240
3127 EASTERN AVE SACRAMENTO, CA 95821
230 S MINNESOTA AVE SIOUX FALLS, SD 57104
1101 E MARKET ST GREENSBORO, NC 27401
2985 SUGARLOAF PKWY LAWRENCEVILLE, GA 30045
7140 BENNETT ST PITTSBURGH, PA 15208
2111 MARTIN LUTHER KING BERKELEY, CA 94704
22 JESSE HILL JR DR NE ATLANTA, GA 30303
(10)
NORTH BRANCH YMCA
(11)
YMCA OF EAU CLAIRE WISCONSIN
(12)
FRISCO FAMILY YMCA
1640 SANDALWOOD PL COLUMBUS, OH 43229
700 GRAHAM AVE EAU CLAIRE, WI 54701
3415 MAIN ST FRISCO, TX 75034
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
38-3211419 501(C)(3)
15,845.
PROGRAM SUPPORT
35-0868211 501(C)(3)
15,758.
PROGRAM SUPPORT
94-1156634 501(C)(3)
15,555.
PROGRAM SUPPORT
46-0225021 501(C)(3)
15,526.
PROGRAM SUPPORT
56-0543243 501(C)(3)
15,501.
PROGRAM SUPPORT
58-0566253 501(C)(3)
15,496.
PROGRAM SUPPORT
25-0969497 501(C)(3)
15,400.
PROGRAM SUPPORT
94-1156635 501(C)(3)
15,350.
PROGRAM SUPPORT
58-0566145 501(C)(3)
15,325.
PROGRAM SUPPORT
31-4379594 501(C)(3)
15,228.
PROGRAM SUPPORT
39-0806351 501(C)(3)
15,045.
PROGRAM SUPPORT
75-0800696 501(C)(3)
15,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 53
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
MCDONALD COMMUNITY YMCA
(2)
WESTSIDE BRANCH YMCA
(3)
STATE OF TENNESSEE HIGHER EDUCATION COMMISS
(4)
CAMP CURTIN BRANCH YMCA
(5)
INDIAN VALLEY FAMILY YMCA
(6)
OREGON STUDENT ASSISTANCE COMMISSION
(7)
NEW YORK ASSOCIATION OF STUDENT FINANCIAL A
(8)
COLLEGE SUCCESS NETWORK OF NEW MEXICO
(9)
YMCA OF THE TRIANGLE AREA
2400 E BERRY ST FORT WORTH, TX 76105
2900 RUIZ ST SAN ANTONIO, TX 78228
404 JAME ROBERTSON PKWY NASHVILLE, TN 37243
2135 N 6TH ST HARRISBURG, PA 17110
890 MAPLE AVE HARLEYSVILLE, PA 19438
1500 VALLEY RIVER DR EUGENE, OR 97401
99 WASHINGTON AVE STE 1320 ALBANY, NY 12255
414 ALVARADO SQUARE ALBUQUERQUE, NM 87158
801 CORPORATE CENTER DR RALEIGH, NC 27607
(10)
GARNER ROAD YMCA
(11)
OLD COLONY YMCA
(12)
MALDEN YMCA
2235 GARNER RD RALEIGH, NC 27610
320 MAIN ST BROCKTON, MA 02301
99 DARTMOUTH ST MALDEN, MA 02148
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
75-0827471 501(C)(3)
15,000.
PROGRAM SUPPORT
74-1109634 501(C)(3)
15,000.
PROGRAM SUPPORT
62-6001445 501(C)(3)
15,000.
PROGRAM SUPPORT
23-1665437 501(C)(3)
15,000.
PROGRAM SUPPORT
23-1489848 501(C)(3)
15,000.
PROGRAM SUPPORT
93-6015581 501(C)(3)
15,000.
PROGRAM SUPPORT
13-2836102 501(C)(3)
15,000.
PROGRAM SUPPORT
56-2574128 501(C)(3)
15,000.
PROGRAM SUPPORT
56-0591307 501(C)(3)
15,000.
PROGRAM SUPPORT
56-0556747 501(C)(3)
15,000.
PROGRAM SUPPORT
04-2125014 501(C)(3)
15,000.
PROGRAM SUPPORT
04-2105874 501(C)(3)
15,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 54
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
YMCA OF SOUTHERN INDIANA
(2)
METROPOLITAN AUGUSTA YMCA
(3)
YMCA OF BOULDER VALLEY ADMINISTRATIVE OFFIC
(4)
DEARBORN YMCA
(5)
TUSKEGEE-MACON COUNTY YMCA
(6)
Y-CAP BRANCH YMCA
(7)
YORK & YORK COUNTY YMCA
(8)
ANN ARBOR YMCA
(9)
TRI-TOWN YMCA
33 STATE ST NEW ALBANY, IN 47150
3570 WHEELER RD AUGUSTA, GA 30909
2800 DAGNY WAY LAFAYETTE, CO 80026
321 N WARREN ST MOBILE, AL 36603
PO BOX 830448 TUSKEGEE, AL 36083
3548 WALKER AVE MEMPHIS, TN 38111
90 N NEWBERRY ST YORK, PA 17401
400 W WASHINGTON ST ANN ARBOR, MI 48103
1464 S MAIN ST LOMBARD, IL 60148
(10)
YMCA OF THE SHOALS
(11)
NEWPORT NEWS BRANCH YMCA
(12)
YMCA OF RAPID CITY SOUTH DAKOTA
2121 HELTON DR FLORENCE, AL 35630
7827 WARWICK BLVD NEWPORT NEWS, VA 23607
815 KANSAS CITY ST RAPID CITY, SD 57701
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
31-1183203 501(C)(3)
15,000.
PROGRAM SUPPORT
58-0566254 501(C)(3)
15,000.
PROGRAM SUPPORT
84-0459944 501(C)(3)
15,000.
PROGRAM SUPPORT
63-0302188 501(C)(3)
15,000.
PROGRAM SUPPORT
63-0288885 501(C)(3)
15,000.
PROGRAM SUPPORT
62-0476304 501(C)(3)
14,996.
PROGRAM SUPPORT
23-1352600 501(C)(3)
14,951.
PROGRAM SUPPORT
38-1525162 501(C)(3)
14,925.
PROGRAM SUPPORT
36-2643097 501(C)(3)
14,892.
PROGRAM SUPPORT
63-0545200 501(C)(3)
14,830.
PROGRAM SUPPORT
54-0524905 501(C)(3)
14,828.
PROGRAM SUPPORT
46-0227218 501(C)(3)
14,647.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 55
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
SHASTA COUNTY YMCA
(2)
LITTLETON BRANCH YMCA
(3)
AUDUBON BRANCH YMCA
(4)
YMCA OF GREATER EL PASO TX & RIO GRANDE VAL
(5)
YMCA BUFFALO NIAGARA
(6)
MIDLOTHIAN FAMILY YMCA
(7)
MUKILTEO FAMILY BRANCH YMCA
(8)
JOHN C. CUDAHY YMCA
(9)
IRVING BRANCH YMCA
1155 N COURT ST REDDING, CA 96001
11 W DRY CREEK CT LITTLETON, CO 80120
2460 BLVD GENERALS WEST NORRITON, PA 19403
808 MONTANA AVE EL PASO, TX 79902
301 CAYUGA RD STE 100 BUFFALO, NY 14225
737 COALFIELD RD MIDLOTHIAN, VA 23114
10601 47TH PL W MUKILTEO, WA 98275
9050 N SWAN RD MILWAUKEE, WI 53224
2200 W IRVING BLVD IRVING, TX 75061
(10)
WEST SHORE FAMILY BRANCH YMCA
(11)
OCEAN COUNTY YMCA
(12)
CMT CENTER YMCA
1575 COLUMBIA RD WESTLAKE, OH 44145
1088 W WHITTY RD TOMS RIVER, NJ 08755
1 TOWN CTR DR MARYVILLE, IL 62062
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
94-1212141 501(C)(3)
14,622.
PROGRAM SUPPORT
84-0402696 501(C)(3)
14,603.
PROGRAM SUPPORT
23-1401544 501(C)(3)
14,526.
PROGRAM SUPPORT
74-1109880 501(C)(3)
14,500.
PROGRAM SUPPORT
16-0743231 501(C)(3)
14,454.
PROGRAM SUPPORT
54-0505986 501(C)(3)
14,399.
PROGRAM SUPPORT
91-0565561 501(C)(3)
14,265.
PROGRAM SUPPORT
39-0806314 501(C)(3)
14,238.
PROGRAM SUPPORT
75-0800696 501(C)(3)
14,039.
PROGRAM SUPPORT
34-0714728 501(C)(3)
13,997.
PROGRAM SUPPORT
22-1901046 501(C)(3)
13,980.
PROGRAM SUPPORT
37-0673565 501(C)(3)
13,903.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 56
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
SOUTHSIDE VIRGINIA FAMILY YMCA
(2)
EASTSIDE YMCA
(3)
WENATCHEE VALLEY YMCA
(4)
ARTHUR R. BAXTER BRANCH YMCA
(5)
GREATER MISSOULA FAMILY YMCA
(6)
LOWER BUCKS FAMILY YMCA
(7)
AUSTIN METROPOLITAN YMCA
(8)
PUBLIC ALLIES, INC
(9)
SOUTH BAY FAMILY YMCA
(b) EIN
120 N MADISON ST PETERSBURG, VA 23803
1500 SANDY LN FORT WORTH, TX 76112
217 ORONDO AVE WENATCHEE, WA 98807
7900 SHELBY ST INDIANAPOLIS, IN 46227
3000 S RUSSELL ST MISSOULA, MT 59801
601 OXFORD VALLEY FAIRLESS HILLS, PA 19030
1402 E CESAR CHAVEZ AUSTIN, TX 78702
200 N MICHIGAN #520 CHICAGO, IL 60601
1201 PASEO MAGDA CHULA VISTA, CA 91910
(10)
VISSER FAMILY YMCA
(11)
DOWNRIVER FAMILY YMCA
(12)
DAVENPORT FAMILY YMCA
3540 FAIRLANES AVE SW GRANDVILLE, MI 49418
16777 NORTHLINE RD SOUTHGATE, MI 48195
606 W 2ND ST DAVENPORT, IA 52801
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
54-0505986 501(C)(3)
13,895.
PROGRAM SUPPORT
75-0827471 501(C)(3)
13,893.
PROGRAM SUPPORT
91-0578224 501(C)(3)
13,882.
PROGRAM SUPPORT
35-0868211 501(C)(3)
13,673.
PROGRAM SUPPORT
81-0300829 501(C)(3)
13,660.
PROGRAM SUPPORT
23-1433890 501(C)(3)
13,660.
PROGRAM SUPPORT
74-1193464 501(C)(3)
13,569.
PROGRAM SUPPORT
52-1759564 501(C)(3)
13,534.
PROGRAM SUPPORT
95-2039198 501(C)(3)
13,482.
PROGRAM SUPPORT
38-1358058 501(C)(3)
13,449.
PROGRAM SUPPORT
38-1358055 501(C)(3)
13,423.
PROGRAM SUPPORT
42-0703278 501(C)(3)
13,420.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 57
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF SPRINGFIELD
(2)
BRONX BRANCH YMCA
(3)
J.A. HENRY BRANCH YMCA
(4)
MAPLEWOOD BRANCH YMCA
(5)
SCOTT COUNTY FAMILY YMCA
(6)
YMCA OF SOUTH HAMPTON ROADS
(7)
YMCA OF GREATER DES MOINES IOWA
(8)
GLOW YMCA, INC
(9)
SHENANGO VALLEY YMCA
701 S 4TH ST SPRINGFIELD, IL 62705
2 CASTLE HILL AVE BRONX, NY 10473
5600 BRAINERD RD CHATTANOOGA, TN 37411
25 DRIVING PARK AVE ROCHESTER, NY 14613
606 W 2ND ST DAVENPORT, IA 52801
250 W BRAMBLETON AVE NORFOLK, VA 23510
101 LOCUST ST DES MOINES, IA 50309
209 E MAIN ST BATAVIA, NY 14020
925 N HERMITAGE RD HERMITAGE, PA 16148
(10)
FAMILY YMCA OF MARION AND POLK COUNTIES
(11)
THE COMMUNITY YMCA
(12)
HAMILTON CENTRAL BRANCH YMCA
685 COURT ST NE SALEM, OR 97301
113 TINDALL RD MIDDLETOWN, NJ 07748
105 N 2ND ST HAMILTON, OH 45011
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
37-0661263 501(C)(3)
13,381.
PROGRAM SUPPORT
13-1624228 501(C)(3)
13,284.
PROGRAM SUPPORT
62-0475699 501(C)(3)
13,194.
PROGRAM SUPPORT
16-0743242 501(C)(3)
13,187.
PROGRAM SUPPORT
42-0703278 501(C)(3)
13,050.
PROGRAM SUPPORT
54-0445205 501(C)(3)
13,000.
PROGRAM SUPPORT
42-0680438 501(C)(3)
13,000.
PROGRAM SUPPORT
16-0743230 501(C)(3)
12,959.
PROGRAM SUPPORT
25-1113698 501(C)(3)
12,812.
PROGRAM SUPPORT
93-0386982 501(C)(3)
12,704.
PROGRAM SUPPORT
21-0635051 501(C)(3)
12,699.
PROGRAM SUPPORT
31-0536719 501(C)(3)
12,657.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 58
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
SOUTH SOUND YMCA
(2)
CHICKAHOMINY BRANCH YMCA
(3)
TUCKAHOE FAMILY YMCA
(4)
AUBURN-LEWISTON YMCA
(5)
A.J. MCCLUNG YMCA
(6)
YMCA OF LINCOLN NEBRASKA
(7)
CAMP HAMMOND YMCA
(8)
YMCA OF METROPOLITAN LITTLE ROCK
(9)
ASHLAND AREA YMCA
(b) EIN
1530 YELM HWY SE OLYMPIA, WA 98501
5401 WHITESIDE RD SANDSTON, VA 23150
9211 PATTERSON AVE RICHMOND, VA 23229
62 TURNER ST AUBURN, ME 04210
1175 MARTIN LUTHER KING COLUMBUS, GA 31906
570 FALLBROOK BLVD LINCOLN, NE 68521
6320 SE STUBBS RD BERRYTON, KS 66409
6101 JOHN F KENNEDY N LITTLE ROCK, AR 72116
3232 OLD 13TH ST ASHLAND, KY 41102
(10)
UNIVERSITY FAMILY YMCA
(11)
VOLUSIA/FLAGLER FAMILY YMCA ASSOCIATION OFF
(12)
YMCA OF METUCHEN
5003 12TH AVE NE SEATTLE, WA 98105
761 E INT'L SPEEDWAY BLVD DELAND, FL 32724
483 MIDDLESEX AVE METUCHEN, NJ 08840
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
91-0586473 501(C)(3)
12,655.
PROGRAM SUPPORT
54-0505986 501(C)(3)
12,637.
PROGRAM SUPPORT
54-0505986 501(C)(3)
12,628.
PROGRAM SUPPORT
01-0211567 501(C)(3)
12,555.
PROGRAM SUPPORT
58-0648697 501(C)(3)
12,506.
PROGRAM SUPPORT
47-0376578 501(C)(3)
12,500.
PROGRAM SUPPORT
48-0543757 501(C)(3)
12,500.
PROGRAM SUPPORT
71-0236926 501(C)(3)
12,500.
PROGRAM SUPPORT
61-0444836 501(C)(3)
12,457.
PROGRAM SUPPORT
91-0482710 501(C)(3)
12,447.
PROGRAM SUPPORT
59-3284968 501(C)(3)
12,382.
PROGRAM SUPPORT
22-1487616 501(C)(3)
12,282.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 59
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
COUNCIL BLUFFS BRANCH YMCA
(2)
NORTHEAST FAMILY BRANCH YMCA
(3)
YMCA OF GREATER MANCHESTER
(4)
BLOOMINGTON YMCA
(5)
MINNESOTA VALLEY BRANCH YMCA
(6)
CHILD CARE BRANCH YMCA
(7)
JAMES RIVER FAMILY YMCA
(8)
THE YMCA OF CENTRAL NEW MEXICO
(9)
YMCA OF HELENA INC
(b) EIN
7 S 4TH ST COUNCIL BLUFFS, IA 51503
9400 MILL BROOK RD LOUISVILLE, KY 40223
30 MECHANIC ST MANCHESTER, NH 03101
602 S MAIN ST BLOOMINGTON, IL 61701
13850 PORTLAND AVE S BURNSVILLE, MN 55337
209 S MAIN ST STE 501 AKRON, OH 44308
918 7TH ST NE JAMESTOWN, ND 58401
PO BOX 52196 ALBUQUERQUE, NM 87181
1200 N LAST CHANCE GULCH HELENA, MT 59601
(10)
YMCA OF KERN COUNTY INC
(11)
PALM BEACHES METROPOLITAN YMCA
(12)
SOUTH BRANCH YMCA
5880 DISTRICT BLVD BAKERSFIELD, CA 93313
2085 S CONGRESS AVE W PALM BEACH, FL 33406
4101 HILLSIDE AMARILLO, TX 79110
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
47-0376586 501(C)(3)
12,193.
PROGRAM SUPPORT
61-0444843 501(C)(3)
12,109.
PROGRAM SUPPORT
02-0222248 501(C)(3)
12,097.
PROGRAM SUPPORT
37-0662603 501(C)(3)
12,000.
PROGRAM SUPPORT
41-0695629 501(C)(3)
11,981.
PROGRAM SUPPORT
34-0714727 501(C)(3)
11,958.
PROGRAM SUPPORT
45-0337816 501(C)(3)
11,804.
PROGRAM SUPPORT
85-0105592 501(C)(3)
11,728.
PROGRAM SUPPORT
81-0231815 501(C)(3)
11,678.
PROGRAM SUPPORT
95-1744379 501(C)(3)
11,641.
PROGRAM SUPPORT
59-0624470 501(C)(3)
11,599.
PROGRAM SUPPORT
75-0800695 501(C)(3)
11,521.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 60
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
YMCA OF CASS AND CLAY COUNTIES
(2)
YMCA OF THE EAST VALLEY
(3)
YMCA OF BOISE INC
(4)
YMCA OF COLUMBIA-WILLAMETTE ASSOCIATION SER
(5)
YMCA OF GREATER CHARLOTTE
(6)
HOCKOMOCK AREA YMCA
(7)
ANDREW AND WALTER YOUNG FAMILY YMCA
(8)
JERRY L. GARVER YMCA
(9)
WESTSIDE COMMUNITY BRANCH YMCA
400 1ST AVE S FARGO, ND 58103
500 E CITRUS AVE REDLANDS, CA 92373
1177 W STATE ST BOISE, ID 83702
9500 SW BARBUR BLVD PORTLAND, OR 97219
500 E MOREHEAD ST CHARLOTTE, NC 28202
300 ELMWOOD ST NORTH ATTLEBORO, MA 02760
2220 CAMPBELLTON RD SW ATLANTA, GA 30311
6767 REFUGEE RD CANAL WINCHESTER, OH 43110
3700 OLD LANSING RD LANSING, MI 48917
(10)
SHEINBERG FAMILY YMCA OF WESTON
(11)
YMCA OF POMONA VALLEY
(12)
SOUTHERN SARATOGA COUNTY BRANCH YMCA
20201 SADDLE CLUB RD WESTON, FL 33327
350 N GAREY AVE POMONA, CA 91767
1 WALL ST CLIFTON PARK, NY 12065
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
45-0232096 501(C)(3)
11,490.
PROGRAM SUPPORT
95-1684787 501(C)(3)
11,476.
PROGRAM SUPPORT
82-0200908 501(C)(3)
11,469.
PROGRAM SUPPORT
93-0386981 501(C)(3)
11,352.
PROGRAM SUPPORT
56-1045299 501(C)(3)
11,350.
PROGRAM SUPPORT
04-2131749 501(C)(3)
11,272.
PROGRAM SUPPORT
58-0566253 501(C)(3)
11,134.
PROGRAM SUPPORT
31-4379594 501(C)(3)
11,091.
PROGRAM SUPPORT
38-1359576 501(C)(3)
11,035.
PROGRAM SUPPORT
59-0624463 501(C)(3)
11,022.
PROGRAM SUPPORT
95-1641976 501(C)(3)
10,928.
PROGRAM SUPPORT
14-1726531 501(C)(3)
10,909.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 61
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
PIKEVILLE AREA FAMILY YMCA
(2)
FAMILY YMCA OF GLENS FALLS AREA
(3)
WATERTOWN FAMILY YMCA
(4)
RIDGEDALE BRANCH YMCA
(5)
BRANDON FAMILY BRANCH YMCA
(6)
MEL KORUM FAMILY YMCA
(7)
RITE-HITE FAMILY YMCA
(8)
HENDRICKS REGIONAL HEALTH YMCA
(9)
NASHUA BRANCH YMCA
424 BOB AMOS DR PIKEVILLE, KY 41501
600 GLEN ST GLENS FALLS, NY 12801
119 WASHINGTON ST WATERTOWN, NY 13601
12301 RIDGEDALE DR MINNETONKA, MN 55305
3097 S KINGSWAY RD SEFFNER, FL 33584
302 43RD AVE SE PUYALLUP, WA 98374
9250 N GREEN BAY RD BROWN DEER, WI 53209
301 SATORI PKWY AVON, IN 46123
17 PROSPECT ST NASHUA, NH 03060
(10)
ALLIANCE YMCA
(11)
YMCA OF GREATER OMAHA
(12)
SILVER SPRING BRANCH YMCA
205 S UNION AVE ALLIANCE, OH 44601
430 S 20TH ST OMAHA, NE 68102
9800 HASTINGS DR SILVER SPRING, MD 20901
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
61-1177162 501(C)(3)
10,891.
PROGRAM SUPPORT
14-1340008 501(C)(3)
10,876.
PROGRAM SUPPORT
15-0559207 501(C)(3)
10,837.
PROGRAM SUPPORT
41-0695629 501(C)(3)
10,800.
PROGRAM SUPPORT
59-1742909 501(C)(3)
10,790.
PROGRAM SUPPORT
91-0565562 501(C)(3)
10,704.
PROGRAM SUPPORT
39-0806314 501(C)(3)
10,676.
PROGRAM SUPPORT
35-0868211 501(C)(3)
10,666.
PROGRAM SUPPORT
02-0222250 501(C)(3)
10,656.
PROGRAM SUPPORT
34-0714792 501(C)(3)
10,655.
PROGRAM SUPPORT
47-0376586 501(C)(3)
10,535.
PROGRAM SUPPORT
53-0207403 501(C)(3)
10,412.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 62
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
PRESCOTT YMCA OF YAVAPAI COUNTY
(2)
YMCA JUDSON COMMUNITY CENTER
(3)
HARRISON COUNTY YMCA INC
(4)
YMCA OF MINOT NORTH DAKOTA
(5)
VENTURA FAMILY YMCA
(6)
PARKLAND YMCA FAMILY CENTER
(7)
YMCA OF WHEELING
(8)
TAUNTON DIVISION
(9)
WAXAHACHIE BRANCH YMCA
750 WHIPPLE ST PRESCOTT, AZ 86301
2 EIGHTH ST GREENVILLE, SC 29611
LOWNDES HILL PARK CLARKSBURG, WV 26302
PO BOX 69 MINOT, ND 58702
3760 TELEGRAPH RD VENTURA, CA 93003
10559 TRAILS END PARKLAND, FL 33067
55 LOUNEZ AVE WHEELING, WV 26003
71 COHANNET ST TAUNTON, MA 02780
100 YMCA DR WAXAHACHIE, TX 75168
(10)
MARTINSVILLE & HENRY COUNTY FAMILY YMCA
(11)
COLLEGIATE BRANCH YMCA
(12)
CAMPING SERVICES BRANCH YMCA
3 STARLING AVE MARTINSVILLE, VA 24112
311 BELLEFIELD HALL PITTSBURGH, PA 15260
300 BIG POND RD HUGUENOT, NY 12746
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
86-0119151 501(C)(3)
10,400.
PROGRAM SUPPORT
57-0314424 501(C)(3)
10,372.
PROGRAM SUPPORT
55-0486791 501(C)(3)
10,349.
PROGRAM SUPPORT
45-0237612 501(C)(3)
10,325.
PROGRAM SUPPORT
95-1643379 501(C)(3)
10,296.
PROGRAM SUPPORT
59-0624463 501(C)(3)
10,253.
PROGRAM SUPPORT
55-0357071 501(C)(3)
10,249.
PROGRAM SUPPORT
04-2125014 501(C)(3)
10,237.
PROGRAM SUPPORT
75-0800696 501(C)(3)
10,208.
PROGRAM SUPPORT
54-0839746 501(C)(3)
10,208.
PROGRAM SUPPORT
25-0969497 501(C)(3)
10,200.
PROGRAM SUPPORT
13-1624228 501(C)(3)
10,200.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 63
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
THE HARRIET & JOE FOSTER FAMILY YMCA
(2)
YMCA OF THE CITY OF SCRANTON
(3)
YMCA OF THE PIKES PEAK REGION
(4)
YMCA OF RIVERSIDE CITY AND COUNTY
(5)
EDWARD L. GAYLORD DOWNTOWN YMCA
(6)
CHEYENNE FAMILY YMCA
(7)
WYOMING COLLEGE GOAL SUNDAY
(8)
THE WEST VIRGINIA ALLIANCE OF YMCAS HUNTING
(9)
YMCA PUBLIC POLICY FUND GREATER GREEN BAY Y
1234 W 34TH ST HOUSTON, TX 77018
706 N BLAKELY ST DUNMORE, PA 18512
316 N TEJON COLORADO SPRINGS, CO 80903
4020 JEFFERSON ST RIVERSIDE, CA 92504
1 NW 4TH ST OKLAHOMA CITY, OK 73102
1426 E LINCOLNWAY CHEYENNE, WY 82001
3200 W C ST TORRINGTON, WY 82240
935 10TH AVE HUNTINGTON, WV 25701
235 N JEFFERSON ST GREEN BAY, WI 54301
(10)
MEREDITH MATHEWS EAST MADISON BRANCH YMCA
(11)
CAMPING SERVICES YMCA
(12)
WELLS MOUNTAIN FOUNDATION INC
1700 23RD AVE SEATTLE, WA 98122
909 4TH AVE SEATTLE, WA 98104
25 MAIN ST BRISTOL, VT 05443
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
74-1109737 501(C)(3)
10,142.
PROGRAM SUPPORT
24-0795516 501(C)(3)
10,111.
PROGRAM SUPPORT
84-0404266 501(C)(3)
10,049.
PROGRAM SUPPORT
95-1644053 501(C)(3)
10,048.
PROGRAM SUPPORT
73-0579270 501(C)(3)
10,021.
PROGRAM SUPPORT
83-0179528 501(C)(3)
10,000.
PROGRAM SUPPORT
83-0201971 501(C)(3)
10,000.
PROGRAM SUPPORT
55-0397261 501(C)(3)
10,000.
PROGRAM SUPPORT
39-0806314 501(C)(3)
10,000.
PROGRAM SUPPORT
91-0482710 501(C)(3)
10,000.
PROGRAM SUPPORT
91-0482710 501(C)(3)
10,000.
PROGRAM SUPPORT
20-3823604 501(C)(3)
10,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 64
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
YMCA AT VIRGINIA TECH
(2)
HAMPTON UNIVERSITY OFFICE OF FINANCIAL AID
(3)
OAHE YMCA INC
(4)
SOUTH CAROLINA YMCA PUBLIC POLICY FUND COLU
(5)
NEWPORT COUNTY YMCA
(6)
YMCA OF THE UPPER MAIN LINE
(7)
OHIO ASSOCIATION OF STUDENT FINANCIAL AID A
(8)
YMCA OF THE GREATER TRI-VALLEY
(9)
YMCAS OF NEW YORK STATE
1000 N MAIN ST BLACKSBURG, VA 24060
WHIPPLE BARNE 2ND HAMPTON, VA 23668
900 E CHURCH ST PIERRE, SD 57501
1420 SUMTER ST COLUMBIA, SC 29201
792 VALLEY RD MIDDLETOWN, RI 02842
1416 BERWYN PAOLI RD BERWYN, PA 19312
41 S HIGH ST STE 1650 COLUMBUS, OH 43215
301 W BLOOMFIELD ST ROME, NY 13442
33 ELK ST STE 200 ALBANY, NY 12207
(10)
THE FAMILY YMCA
(11)
TRENTON AREA FAMILY YMCA
(12)
NEW JERSEY STATE ALLIANCE OF YMCAS
1450 IRIS ST LOS ALAMOS, NM 87544
431 PENNINGTON AVE TRENTON, NJ 08618
425 GREENWOOD AVE TRENTON, NJ 08609
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
54-0505987 501(C)(3)
10,000.
PROGRAM SUPPORT
52-1865914 501(C)(3)
10,000.
PROGRAM SUPPORT
23-7169291 501(C)(3)
10,000.
PROGRAM SUPPORT
57-0314423 501(C)(3)
10,000.
PROGRAM SUPPORT
05-0258916 501(C)(3)
10,000.
PROGRAM SUPPORT
23-1613647 501(C)(3)
10,000.
PROGRAM SUPPORT
31-0883788 501(C)(3)
10,000.
PROGRAM SUPPORT
23-7045379 501(C)(3)
10,000.
PROGRAM SUPPORT
01-0567018 501(C)(3)
10,000.
PROGRAM SUPPORT
85-0130054 501(C)(3)
10,000.
PROGRAM SUPPORT
21-0635052 501(C)(3)
10,000.
PROGRAM SUPPORT
22-1487392 501(C)(3)
10,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 65
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
NEW HAMPSHIRE STATE ALLIANCE OF YMCAS
(2)
CHAPEL HILL-CARRBORO YMCA
(3)
HENRY L. MCCROREY BRANCH YMCA
(4)
STUDENT ASSISTANCE FOUNDATION COLLEGE GOAL
(5)
HODDING CARTER MEMORIAL YMCA
(6)
JACKSON METROPOLITAN YMCA
(7)
MASSACHUSETTS COLLEGE GOAL SUNDAY
(8)
BOONSLICK HEARTLAND YMCA
(9)
MISSOURI DEPARTMENT OF HIGHER EDUCATION
6 HENRY CLAY DR MERRIMACK, NH 03054
980 MARTIN LUTHER CHAPEL HILL, NC 27514
3801 BEATTIES FORD RD CHARLOTTE, NC 28216
2500 BROADWAY HELENA, MT 59601
1688 FAIRGROUNDS RD GREENVILLE, MS 38703
826 NORTH ST JACKSON, MS 39202
415 SOUTH ST MS 027 WALTHAM, MA 02454
757 3RD ST PO BOX 104 BOONVILLE, MO 65233
3515 AMAZONAS DR JEFFERSON CITY, MO 65109
(10)
FLINT YMCA-CAMP COPNECONIC
(11)
STORER CAMPS
(12)
EDUGUIDE
10407 N FENTON RD FENTON, MI 48430
6941 N STONEY LAKE RD JACKSON, MI 49201
321 N PINE ST LANSING, MI 48933
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
02-0222250 501(C)(3)
10,000.
PROGRAM SUPPORT
56-0899075 501(C)(3)
10,000.
PROGRAM SUPPORT
56-1045299 501(C)(3)
10,000.
PROGRAM SUPPORT
81-0527529 501(C)(3)
10,000.
PROGRAM SUPPORT
64-0306257 501(C)(3)
10,000.
PROGRAM SUPPORT
64-0303099 501(C)(3)
10,000.
PROGRAM SUPPORT
04-2792003 501(C)(3)
10,000.
PROGRAM SUPPORT
43-1798929 501(C)(3)
10,000.
PROGRAM SUPPORT
30-0249822 501(C)(3)
10,000.
PROGRAM SUPPORT
38-1358056 501(C)(3)
10,000.
PROGRAM SUPPORT
34-4428262 501(C)(3)
10,000.
PROGRAM SUPPORT
38-2955237 501(C)(3)
10,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 66
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
CUMBERLAND COUNTY YMCA
(2)
YMCA ALLIANCE OF MAINE
(3)
FINANCE AUTHORITY OF MAINE
(4)
YMCA OF FREDERICK COUNTY MD INC
(5)
MASSACHUSETTS ALLIANCE OF YMCAS
(6)
OAK SQUARE FAMILY BRANCH YMCA
(7)
KENTUCKY YMCA YOUTH ASSOCIATION INC
(8)
KENTUCKY ASSOCIATION OF STUDENT FINANCIAL A
(9)
URBAN MISSION BRANCH YMCA
70 FOREST AVE PORTLAND, ME 04104
PO BOX 500 BOOTHBAY HARBOR, ME 04538
5 COMMUNITY DR PO BOX 949 AUGUSTA, ME 04332
1000 N MARKET ST FREDERICK, MD 21701
14 BEACON ST RM 803 BOSTON, MA 02170
615 WASHINGTON ST BRIGHTON, MA 02135
91 C MICHAEL DAVENPORT FRANKFORT, KY 40604
121 OSWALD BLDG LEXINGTON, KY 40506
615 N ALABAMA ST INDIANAPOLIS, IN 46204
(10)
INDIANA ASSOCIATION OF STUDENT FINANCIAL AI
(11)
ILLINOIS AREA FUND
(12)
DANVILLE AREA COMMUNITY COLLEGE
4430 W SILVERTHORNE BLOOMINGTON, IN 47404
200 Y BLVD ROCKFORD, IL 61107
2000 E MAIN ST DANVILLE, IL 61832
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
01-0211568 501(C)(3)
10,000.
PROGRAM SUPPORT
01-0237912 501(C)(3)
10,000.
PROGRAM SUPPORT
01-0392006 501(C)(3)
10,000.
PROGRAM SUPPORT
52-0607953 501(C)(3)
10,000.
PROGRAM SUPPORT
04-2103551 501(C)(4)
10,000.
PROGRAM SUPPORT
04-2103551 501(C)(3)
10,000.
PROGRAM SUPPORT
61-0444841 501(C)(3)
10,000.
PROGRAM SUPPORT
61-1082353 501(C)(3)
10,000.
PROGRAM SUPPORT
35-0868211 501(C)(3)
10,000.
PROGRAM SUPPORT
35-1597706 501(C)(3)
10,000.
PROGRAM SUPPORT
36-2169196 501(C)(3)
10,000.
PROGRAM SUPPORT
37-0889813 501(C)(3)
10,000.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 67
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
EAST LAKE BRANCH YMCA
(2)
CAPITAL REGION YMCA
(3)
FLORIDA STATE ALLIANCE OF YMCAS
(4)
STATE OF ARIZONA COMMISSION ON POSTSECONDAR
(5)
NORTHEAST FAMILY BRANCH
(6)
PONCE YMCA
(7)
WESTLAND BRANCH YMCA
(8)
GLOUCESTER COUNTY YMCA
(9)
SUFFOLK FAMILY YMCA
275 E LAKE BLVD SE ATLANTA, GA 30317
2001 APALACHEE PKWY TALLAHASSEE, FL 32301
3620 CLEVELAND HEIGHTS LAKELAND, FL 33803
2020 N CENTRAL AVE PHOENIX, AZ 85004
628 RED LANE RD BIRMINGHAM, AL 35215
7843 NAZARET ST SANTA MARIA PONCE, PR 00717
10402 FONDREN RD HOUSTON, TX 77096
235 E RED BANK AVE WOODBURY, NJ 08096
2769 GODWIN BLVD SUFFOLK, VA 23434
(10)
YMCA OF MEDFORD
(11)
STERLING-ROCK FALLS FAMILY YMCA
(12)
STANLY COUNTY FAMILY YMCA
522 W SIXTH ST MEDFORD, OR 97501
2505 YMCA WAY STERLING, IL 61081
427 N 1ST ST ALBEMARLE, NC 28001
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
58-0566253 501(C)(3)
10,000.
PROGRAM SUPPORT
59-0808247 501(C)(3)
10,000.
PROGRAM SUPPORT
59-1158144 501(C)(3)
10,000.
PROGRAM SUPPORT
86-6004791 501(C)(3)
10,000.
PROGRAM SUPPORT
63-0299894 501(C)(3)
10,000.
PROGRAM SUPPORT
66-0204831 501(C)(3)
9,943.
PROGRAM SUPPORT
74-1109737 501(C)(3)
9,936.
PROGRAM SUPPORT
21-0649032 501(C)(3)
9,930.
PROGRAM SUPPORT
54-0445205 501(C)(3)
9,857.
PROGRAM SUPPORT
93-0391645 501(C)(3)
9,852.
PROGRAM SUPPORT
36-2225496 501(C)(3)
9,825.
PROGRAM SUPPORT
58-1582063 501(C)(3)
9,796.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 68
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF CANTON
(2)
YMCA OF WICHITA KANSAS
(3)
BAYTOWN BRANCH YMCA
(4)
HAZELWOOD OUTREACH BRANCH YMCA
(5)
YMCA OF SUMTER
(6)
FRANKFORT YMCA
(7)
GERALD L SCHLESSMAN BRANCH YMCA
(8)
XENIA BRANCH YMCA
(9)
COPPELL FAMILY YMCA
1325 E ASH ST CANTON, IL 61520
340 S BROADWAY #200 WICHITA, KS 67202
201 YMCA DR BAYTOWN, TX 77521
4713 CHATSWORTH ST PITTSBURGH, PA 15207
510 MILLER RD SUMTER, SC 29150
402 W BROADWAY ST FRANKFORT, KY 40601
3901 E YALE AVE DENVER, CO 80210
135 E CHURCH ST XENIA, OH 45385
146 TOWN CTR BLVD COPPELL, TX 75019
(10)
KETTLE MORAINE YMCA INC
(11)
CHAMPAIGN COUNTY YMCA
(12)
BOB DYE CLAY FAMILY BRANCH YMCA
1111 W WASHINGTON ST WEST BEND, WI 53095
500 W CHURCH ST CHAMPAIGN, IL 61820
3322 MOODY AVE ORANGE PARK, FL 32065
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
37-0748000 501(C)(3)
9,674.
PROGRAM SUPPORT
48-0554440 501(C)(3)
9,660.
PROGRAM SUPPORT
74-1109737 501(C)(3)
9,611.
PROGRAM SUPPORT
25-0969497 501(C)(3)
9,597.
PROGRAM SUPPORT
57-0314417 501(C)(3)
9,501.
PROGRAM SUPPORT
61-0562021 501(C)(3)
9,460.
PROGRAM SUPPORT
84-0402696 501(C)(3)
9,414.
PROGRAM SUPPORT
31-0537517 501(C)(3)
9,397.
PROGRAM SUPPORT
75-0800696 501(C)(3)
9,390.
PROGRAM SUPPORT
39-1175559 501(C)(3)
9,350.
PROGRAM SUPPORT
37-0673564 501(C)(3)
9,257.
PROGRAM SUPPORT
59-0638514 501(C)(3)
9,107.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 69
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
WILLIAM & HARRIET CLIPPARD BRANCH YMCA
(2)
SEACOAST FAMILY YMCA
(3)
BRIARGATE FAMILY CENTER YMCA
(4)
YMCA OF GREATER WILLIAMSON COUNTY
(5)
WESTSIDE BRANCH YMCA
(6)
JOHN R. GRUBB COMMUNITY YMCA
(7)
MIDWEST CITY YMCA
(8)
BLUE ASH BRANCH YMCA
(9)
GALOWICH FAMILY YMCA
(b) EIN
8920 CHEVIOT RD CINCINNATI, OH 45251
550 PEVERLY HILL RD PORTSMOUTH, NH 03801
4025 FAMILY PL COLORADO SPRINGS, CO 80920
1812 N MAYS PO BOX 819 ROUND ROCK, TX 78680
5400 S OLYMPIA AVE TULSA, OK 74107
1611 - 11TH ST DES MOINES, IA 50314
2817 N WOODCREST DR MIDWEST CITY, OK 73110
5000 YMCA DR CINCINNATI, OH 45242
749 HOUBOLT RD JOLIET, IL 60431
(10)
NORTH RICHMOND YMCA COMMUNITY CENTER
(11)
YORBA LINDA-PLACENTIA BRANCH YMCA
(12)
HERNANDO COUNTY FAMILY BRANCH YMCA
4207 OLD BROOK RD RICHMOND, VA 23227
18333 LEMON DR YORBA LINDA, CA 92886
1300 MARINER BLVD SPRING HILL, FL 34609
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
31-0537178 501(C)(3)
9,094.
PROGRAM SUPPORT
02-0222251 501(C)(3)
9,089.
PROGRAM SUPPORT
84-0404266 501(C)(3)
9,065.
PROGRAM SUPPORT
74-2206558 501(C)(3)
9,015.
PROGRAM SUPPORT
73-0579269 501(C)(3)
9,000.
PROGRAM SUPPORT
42-0680438 501(C)(3)
8,984.
PROGRAM SUPPORT
73-0579270 501(C)(3)
8,977.
PROGRAM SUPPORT
31-0537178 501(C)(3)
8,895.
PROGRAM SUPPORT
36-2169197 501(C)(3)
8,759.
PROGRAM SUPPORT
54-0505986 501(C)(3)
8,757.
PROGRAM SUPPORT
95-1644055 501(C)(3)
8,745.
PROGRAM SUPPORT
59-0810731 501(C)(3)
8,605.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 70
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
YMCA OF THE NORTHWOODS
(2)
PIKE COUNTY YMCA
(3)
OSHKOSH COMMUNITY YMCA
(4)
MARYSVILLE/NORTH COUNTY FAMILY BRANCH YMCA
(5)
YMCA OF BERWYN-CICERO
(6)
GRAND FORKS YMCA FAMILY CENTER
(7)
JAMES WELDON JOHNSON FAMILY BRANCH YMCA
(8)
YMCA CAPITAL VIEW
(9)
MISSION VALLEY FAMILY YMCA
2003 WINNEBAGO ST E RHINELANDER, WI 54501
400 PRIDE DR WAVERLY, OH 45690
324 WASHINGTON AVE OSHKOSH, WI 54901
6420 60TH DR NE MARYSVILLE, WA 98270
2947 OAK PARK AVE BERWYN, IL 60402
215 N 7TH ST GRAND FORKS, ND 58208
5700 CLEVELAND RD JACKSONVILLE, FL 32209
2118 RIDGECREST COURT WASHINGTON, DC 20020
5505 FRIARS RD SAN DIEGO, CA 92110
(10)
YMCA OF CENTRAL VIRGINIA
(11)
WATERVILLE AREA YMCA
(12)
ROCKY MOUNT FAMILY YMCA INC
801 WYNDHURST DR LYNCHBURG, VA 24502
126 NORTH ST WATERVILLE, ME 04901
1000 INDEPENDENCE DR ROCKY MOUNT, NC 27803
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
39-1942168 501(C)(3)
8,591.
PROGRAM SUPPORT
31-1665134 501(C)(3)
8,578.
PROGRAM SUPPORT
39-0878909 501(C)(3)
8,555.
PROGRAM SUPPORT
91-0565561 501(C)(3)
8,540.
PROGRAM SUPPORT
36-2702522 501(C)(3)
8,530.
PROGRAM SUPPORT
45-0226434 501(C)(3)
8,512.
PROGRAM SUPPORT
59-0638514 501(C)(3)
8,508.
PROGRAM SUPPORT
53-0207403 501(C)(3)
8,504.
PROGRAM SUPPORT
95-2039198 501(C)(3)
8,500.
PROGRAM SUPPORT
54-0505924 501(C)(3)
8,469.
PROGRAM SUPPORT
01-0283465 501(C)(3)
8,396.
PROGRAM SUPPORT
56-0543251 501(C)(3)
8,366.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 71
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
GRAND TRAVERSE BAY YMCA
(2)
JOHN O. MORGAN FAMILY YMCA
(3)
YMCA OF KOKOMO INDIANA
(4)
ROCKLAND COUNTY YMCA
(5)
NORTHWEST BRANCH YMCA
(6)
ED ISAKSON/ALPHARETTA YMCA
(7)
ANTHONY WAYNE COMMUNITY YMCA
(8)
OLEAN-BRADFORD AREA YMCA
(9)
PALOMAR FAMILY YMCA
(10)
CHEMUNG COUNTY YMCA
(11)
CLEVELAND FAMILY YMCA
(12)
YMCA OF PORT ARTHUR TEXAS
(b) EIN
3000 RACQUET CLUB TRAVERSE CITY, MI 49684
1002 S PEARL ST TACOMA, WA 98465
200 N UNION ST KOKOMO, IN 46901
35 S BROADWAY NYACK, NY 10960
7601 42ND AVE N NEW HOPE, MN 55427
3655 PRESTON RIDGE RD ALPHARETTA, GA 30005
808 MICHIGAN AVE WATERVILLE, OH 43566
1020 REED ST OLEAN, NY 14760
1050 N BROADWAY ESCONDIDO, CA 92026
425 PENNSYLVANIA AVE ELMIRA, NY 14904
220 URBANE RD NE CLEVELAND, TN 37312
6760 9TH AVE PORT ARTHUR, TX 77642
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
38-1709640 501(C)(3)
8,355.
PROGRAM SUPPORT
91-0565562 501(C)(3)
8,333.
PROGRAM SUPPORT
35-0893511 501(C)(3)
8,291.
PROGRAM SUPPORT
13-1740513 501(C)(3)
8,282.
PROGRAM SUPPORT
41-0695629 501(C)(3)
8,254.
PROGRAM SUPPORT
58-0566253 501(C)(3)
8,231.
PROGRAM SUPPORT
34-4428262 501(C)(3)
8,216.
PROGRAM SUPPORT
16-0743241 501(C)(3)
8,176.
PROGRAM SUPPORT
95-2039198 501(C)(3)
8,164.
PROGRAM SUPPORT
16-0743232 501(C)(3)
8,162.
PROGRAM SUPPORT
62-0475699 501(C)(3)
8,144.
PROGRAM SUPPORT
74-1143027 501(C)(3)
8,105.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 72
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
WAUSAU - WOODSON YMCA
(2)
CHILD ACHIEVEMENT BRANCH
(3)
STATEN ISLAND BRANCH YMCA
(4)
KATY FAMILY YMCA
(5)
DOWNTOWN BRANCH YMCA
(6)
MARION COUNTY YMCA FAMILY CENTER
(7)
YMCA OF LONG ISLAND
(8)
YUMA FAMILY YMCA
(9)
YMCA OF MIDLAND TEXAS
707 3RD ST WAUSAU, WI 54403
201 BROAD ST MATAWAN, NJ 07747
3939 RICHMOND AVE STATEN ISLAND, NY 10312
22807 WESTHEIMER PKWY KATY, TX 77494
31 W 10TH ST ERIE, PA 16501
3200 SE 17TH ST OCALA, FL 34471
121 DOSORIS LANE GLEN COVE, NY 11542
2550 S 4TH AVE YUMA, AZ 85364
PO BOX 954 MIDLAND, TX 79702
(10)
AUBURN YMCA-WEIU
(11)
SOUTH SHORE FAMILY BRANCH YMCA
(12)
FAMILY HEALTH AND FITNESS BRANCH
27 WILLIAM ST AUBURN, NY 13021
3244 E COLLEGE AVE CUDAHY, WI 53110
166 MAPLE AVE RED BANK, NJ 07701
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
39-0808463 501(C)(3)
8,045.
PROGRAM SUPPORT
21-0635051 501(C)(3)
8,040.
PROGRAM SUPPORT
13-1624228 501(C)(3)
7,997.
PROGRAM SUPPORT
74-1109737 501(C)(3)
7,966.
PROGRAM SUPPORT
25-0965621 501(C)(3)
7,943.
PROGRAM SUPPORT
59-0624430 501(C)(3)
7,891.
PROGRAM SUPPORT
11-1649914 501(C)(3)
7,839.
PROGRAM SUPPORT
86-0096799 501(C)(3)
7,838.
PROGRAM SUPPORT
75-0871732 501(C)(3)
7,826.
PROGRAM SUPPORT
16-0978301 501(C)(3)
7,825.
PROGRAM SUPPORT
39-0806314 501(C)(3)
7,807.
PROGRAM SUPPORT
21-0635051 501(C)(3)
7,800.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 73
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
ALAMANCE COUNTY COMMUNITY YMCA
(2)
LANGHAM CREEK FAMILY YMCA
(3)
SHERIDAN COUNTY YMCA
(4)
SUMMIT FAMILY YMCA
(5)
NORTHWEST FAMILY YMCA
(6)
WEST SIDE BRANCH YMCA
(7)
BILLINGS FAMILY YMCA
(8)
YMCA OF IDAHO FALLS INC
(9)
YMCA OF CATAWBA VALLEY
(b) EIN
1346 S MAIN ST BURLINGTON, NC 27215
16725 LONGENBAUGH DR HOUSTON, TX 77095
417 N JEFFERSON ST SHERIDAN, WY 82801
1765 E HIGHWAY 34 NEWNAN, GA 30265
3760 LEXINGTON AVE N SAINT PAUL, MN 55126
5 W 63RD ST NEW YORK, NY 10023
402 N 32ND ST BILLINGS, MT 59101
155 N CORNER ST IDAHO FALLS, ID 83402
1375 LENOIR RHYNE BLVD SE HICKORY, NC 28602
(10)
YMCA OF THE GREATER TRI-CITIES
(11)
NORTH SPOKANE YMCA
(12)
PATRICK HENRY BRANCH YMCA
1234 COLUMBIA PARK TRL RICHLAND, WA 99352
10727 N NEWPORT HWY SPOKANE, WA 99218
217 ASHCAKE RD ASHLAND, VA 23005
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
56-0611575 501(C)(3)
7,800.
PROGRAM SUPPORT
74-1109737 501(C)(3)
7,793.
PROGRAM SUPPORT
83-0186708 501(C)(3)
7,787.
PROGRAM SUPPORT
58-0566253 501(C)(3)
7,751.
PROGRAM SUPPORT
41-0693932 501(C)(3)
7,732.
PROGRAM SUPPORT
13-1624228 501(C)(3)
7,700.
PROGRAM SUPPORT
81-0229386 501(C)(3)
7,654.
PROGRAM SUPPORT
82-0222174 501(C)(3)
7,601.
PROGRAM SUPPORT
56-0928743 501(C)(3)
7,549.
PROGRAM SUPPORT
91-0655754 501(C)(3)
7,500.
PROGRAM SUPPORT
91-0827958 501(C)(3)
7,500.
PROGRAM SUPPORT
54-0505986 501(C)(3)
7,500.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 74
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
SHADY GROVE BRANCH YMCA
(2)
DOWNTOWN BRANCH YMCA
(3)
COOPER STREET BRANCH YMCA
(4)
MOORLAND BRANCH YMCA
(5)
OAK CLIFF BRANCH YMCA
(6)
GREATER KINGSPORT FAMILY YMCA
(7)
EASTSIDE BRANCH YMCA
(8)
GEORGE I. THEISEN FAMILY BRANCH
(9)
KENT COUNTY BRANCH YMCA
(b) EIN
11255 NUCKOLS RD GLEN ALLEN, VA 23059
2 W FRANKLIN ST RICHMOND, VA 23220
7120 S COOPER ST ARLINGTON, TX 76001
907 E LEDBETTER DR DALLAS, TX 75216
6701 S HAMPTON RD DALLAS, TX 75232
1100 FRANKLIN SQUARE KINGSPORT, TN 37664
1250 TAYLORS RD TAYLORS, SC 29687
100 INSPIRATIONAL TRAVELERS REST, SC 29690
900 CENTERVILLE RD WARWICK, RI 02886
(10)
BRANDYWINE YMCA
(11)
YMCA OF NEW KENSINGTON
(12)
DOWNTOWN BRANCH YMCA
295 HURLEY RD COATESVILLE, PA 19320
800 CONSTITUTION NEW KENSINGTON, PA 15068
90 N NEWBERRY ST YORK, PA 17401
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
54-0505986 501(C)(3)
7,500.
PROGRAM SUPPORT
54-0505986 501(C)(3)
7,500.
PROGRAM SUPPORT
75-1000839 501(C)(3)
7,500.
PROGRAM SUPPORT
75-0800696 501(C)(3)
7,500.
PROGRAM SUPPORT
75-0800696 501(C)(3)
7,500.
PROGRAM SUPPORT
58-1564232 501(C)(3)
7,500.
PROGRAM SUPPORT
57-0314424 501(C)(3)
7,500.
PROGRAM SUPPORT
57-0314424 501(C)(3)
7,500.
PROGRAM SUPPORT
05-0258878 501(C)(3)
7,500.
PROGRAM SUPPORT
23-1365994 501(C)(3)
7,500.
PROGRAM SUPPORT
25-0965625 501(C)(3)
7,500.
PROGRAM SUPPORT
23-1352600 501(C)(3)
7,500.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 75
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
YMCA OF ASHLAND
(2)
GAMBLE-NIPPERT BRANCH YMCA
(3)
COMMUNITY SERVICES YMCA
(4)
WAYMAN PALMER YMCA
(5)
SUMMIT YMCA
(6)
WOLF CREEK YMCA
(7)
WEST BRANCH YMCA
(8)
EAST ORANGE BRANCH YMCA
(9)
SOUTH MOUNTAIN BRANCH YMCA
(b) EIN
540 YMCA WAY ASHLAND, OR 97520
3159 MONTANA AVE CINCINNATI, OH 45211
1105 ELM ST CINCINNATI, OH 45202
2053 N 14TH ST TOLEDO, OH 43620
306 BUSH ST TOLEDO, OH 43604
2100 S HOLLAND SYLVANIA RD MAUMEE, OH 43537
740 MAIN ST JOHNSON CITY, NY 13790
100 N ARLINGTON AVE EAST ORANGE, NJ 07017
13 JEFFERSON AVE MAPLEWOOD, NJ 07040
(10)
WEST ESSEX BRANCH YMCA
(11)
SUMMIT BRANCH YMCA
(12)
CHERRYVILLE FAMILY YMCA
321 S LIVINGSTON AVE LIVINGSTON, NJ 07039
67 MAPLE ST SUMMIT, NJ 07901
119 A MAIN ST CHERRYVILLE, NC 28021
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
93-0386976 501(C)(3)
7,500.
PROGRAM SUPPORT
31-0537178 501(C)(3)
7,500.
PROGRAM SUPPORT
31-0537178 501(C)(3)
7,500.
PROGRAM SUPPORT
34-4428262 501(C)(3)
7,500.
PROGRAM SUPPORT
34-4428262 501(C)(3)
7,500.
PROGRAM SUPPORT
34-4428262 501(C)(3)
7,500.
PROGRAM SUPPORT
15-0532282 501(C)(3)
7,500.
PROGRAM SUPPORT
22-1487387 501(C)(3)
7,500.
PROGRAM SUPPORT
22-1487387 501(C)(3)
7,500.
PROGRAM SUPPORT
22-1487387 501(C)(3)
7,500.
PROGRAM SUPPORT
22-1487392 501(C)(3)
7,500.
PROGRAM SUPPORT
56-0655420 501(C)(3)
7,500.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 76
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
ROBERT LEE STOWE JR. FAMILY YMCA
(2)
SOUTH GASTON FAMILY YMCA
(3)
ALBEMARLE FAMILY YMCA
(4)
LAKESHORE FAMILY YMCA
(5)
DAVID D. HUNTING BRANCH YMCA
(6)
WOLVERINE WORLD WIDE FAMILY YMCA
(7)
LOWELL BRANCH YMCA
(8)
SOUTHEAST BRANCH YMCA
(9)
DEWITT BRANCH YMCA
(b) EIN
196 YMCA DR BELMONT, NC 28012
3210 UNION RD GASTONIA, NC 28054
1240 N ROAD ST ELIZABETH CITY, NC 27909
23401 E JEFFERSON ST CLAIR SHORES, MI 48080
475 LAKE MICHIGAN DR GRAND RAPIDS, MI 49504
6555 JUPITER AVE BELMONT, MI 49306
1335 W MAIN ST LOWELL, MI 49331
730 FOREST HILL AVE GRAND RAPIDS, MI 49546
13161 SCHAVEY RD DEWITT, MI 48820
(10)
FRANCIS FAMILY YMCA
(11)
CENTRAL BRANCH
(12)
NEWMAN BRANCH YMCA
2000 W DEAN RD TEMPERANCE, MI 48182
316 HUNTINGTON AVE BOSTON, MA 02115
472 TAUNTON AVE SEEKONK, MA 02771
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
56-0655420 501(C)(3)
7,500.
PROGRAM SUPPORT
56-0655420 501(C)(3)
7,500.
PROGRAM SUPPORT
54-0445205 501(C)(3)
7,500.
PROGRAM SUPPORT
38-1358055 501(C)(3)
7,500.
PROGRAM SUPPORT
38-1358058 501(C)(3)
7,500.
PROGRAM SUPPORT
38-1358058 501(C)(3)
7,500.
PROGRAM SUPPORT
38-1358058 501(C)(3)
7,500.
PROGRAM SUPPORT
38-1358058 501(C)(3)
7,500.
PROGRAM SUPPORT
38-1359576 501(C)(3)
7,500.
PROGRAM SUPPORT
34-4428262 501(C)(3)
7,500.
PROGRAM SUPPORT
04-2103551 501(C)(3)
7,500.
PROGRAM SUPPORT
05-0258878 501(C)(3)
7,500.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 77
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
BENJAMIN HARRISON YMCA
(2)
YMCA AT THE ATHENAEUM
(3)
DECATUR FAMILY YMCA
(4)
YMCA OF SAN BENITO COUNTY
(5)
NORTH VALLEY FAMILY YMCA AT PORTER RANCH
(6)
CHILD CARE CONNECTION
(7)
MAPLE HILL YMCA
(8)
SALINAS COMMUNITY YMCA
(9)
MISSION BRANCH YMCA
5736 LEE RD INDIANAPOLIS, IN 46216
401 E MICHIGAN ST INDIANAPOLIS, IN 46204
220 W MCKINLEY AVE DECATUR, IL 62526
351 TRES PINOS HOLLISTER, CA 95023
11336 CORBIN AVE NORTHRIDGE, CA 91326
676 N GIBBS POMONA, CA 91767
1673 MAPLE HILL DIAMOND BAR, CA 91765
117 CLAY ST SALINAS, CA 93901
4080 MISSION ST SAN FRANCISCO, CA 94112
(10)
MESA FAMILY YMCA
(11)
CHRIS-TOWN YMCA
(12)
LOHSE FAMILY BRANCH YMCA
207 N MESA DR MESA, AZ 85201
5517 N 17TH AVE PHOENIX, AZ 85015
60 W ALAMEDA ST TUCSON, AZ 85701
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
35-0868211 501(C)(3)
7,500.
PROGRAM SUPPORT
35-0868211 501(C)(3)
7,500.
PROGRAM SUPPORT
37-0661258 501(C)(3)
7,500.
PROGRAM SUPPORT
77-0202335 501(C)(3)
7,500.
PROGRAM SUPPORT
95-1644052 501(C)(3)
7,500.
PROGRAM SUPPORT
95-1641976 501(C)(3)
7,500.
PROGRAM SUPPORT
95-1641976 501(C)(3)
7,500.
PROGRAM SUPPORT
77-0202335 501(C)(3)
7,500.
PROGRAM SUPPORT
94-0997140 501(C)(3)
7,500.
PROGRAM SUPPORT
86-0096799 501(C)(3)
7,500.
PROGRAM SUPPORT
86-0096799 501(C)(3)
7,500.
PROGRAM SUPPORT
86-0101237 501(C)(3)
7,500.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 78
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
GOLDEN TRIANGLE YMCA FAMILY CENTER
(2)
HANOVER AREA YMCA
(3)
SUSAN M. DUNCAN FAMILY YMCA
(4)
CHARLOTTE AVENUE BRANCH YMCA
(5)
HILLTOP YMCA
(6)
YMCA OF SELMA-DALLAS COUNTY
(7)
CLARK COUNTY BRANCH YMCA
(8)
YMCA OF CENTRAL STARK COUNTY
(9)
SOUTHDALE BRANCH YMCA
(10)
YMCA OF THE SANDHILLS
(11)
SARPY COMMUNITY YMCA
(12)
WESTCHESTER FAMILY YMCA
(b) EIN
1465 DAVID WALKER DR TAVARES, FL 32778
500 GEORGE ST HANOVER, PA 17331
6350 ELDRIDGE ST ARVADA, CO 80004
402 CHARLOTTE AVE ROCK HILL, SC 29730
2879 VALLEYVIEW DR COLUMBUS, OH 43204
#1 YMCA DR SELMA, AL 36701
11324 NE 51ST CIR VANCOUVER, WA 98682
1201 30TH ST NW STE 200 CANTON, OH 44709
7355 YORK AVE SOUTH EDINA, MN 55435
2717 FORT BRAGG RD FAYETTEVILLE, NC 28303
111 E 1ST ST PAPILLION, NE 68046
8015 S SEPULVEDA BLVD LOS ANGELES, CA 90045
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
59-0624430 501(C)(3)
7,460.
PROGRAM SUPPORT
23-7172265 501(C)(3)
7,457.
PROGRAM SUPPORT
84-0402696 501(C)(3)
7,328.
PROGRAM SUPPORT
57-0335422 501(C)(3)
7,313.
PROGRAM SUPPORT
31-4379594 501(C)(3)
7,290.
PROGRAM SUPPORT
63-0414814 501(C)(3)
7,285.
PROGRAM SUPPORT
93-0386981 501(C)(3)
7,283.
PROGRAM SUPPORT
34-0714392 501(C)(3)
7,230.
PROGRAM SUPPORT
41-0695629 501(C)(3)
7,193.
PROGRAM SUPPORT
56-0582025 501(C)(3)
7,179.
PROGRAM SUPPORT
47-0376586 501(C)(3)
7,171.
PROGRAM SUPPORT
95-1644052 501(C)(3)
7,091.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 79
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
INTERNATIONAL BRANCH YMCA
(2)
TRI-VALLEY BRANCH YMCA
(3)
EDMOND YMCA
(4)
AURORA FAMILY YMCA
(5)
WABASH YMCA
(6)
PROVIDENCE YMCA/BALL FAMILY CENTER
(7)
ROCKWALL COUNTY BRANCH YMCA
(8)
JOPLIN FAMILY YMCA
(9)
GUILDERLAND YMCA
(b) EIN
5 W 63RD ST SECOND FLOOR NEW YORK, NY 10023
6693 SIERRA LN DUBLIN, CA 94568
1220 S RANKIN ST EDMOND, OK 73034
460 GARFIELD AVE AURORA, IL 60506
3763 S WABASH AVE CHICAGO, IL 60653
8601 PARALLEL PKWY KANSAS CITY, KS 66109
1210 N GOLIAD ST ROCKWALL, TX 75087
510 WALL ST PO BOX 227 JOPLIN, MO 64802
250 WINDING BROOK DR GUILDERLAND, NY 12084
(10)
BROOKHAVEN-ROE/EAST BRANCH YMCA
(11)
VALLEY POINTS FAMILY YMCA
(12)
YMCA OF GREATER SAN ANTONIO
255 W MAIN ST PATCHOGUE, NY 11772
800 CONSTITUTION NEW KENSINGTON, PA 15068
3233 N ST MARY'S ST SAN ANTONIO, TX 78212
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
13-1624228 501(C)(3)
7,080.
PROGRAM SUPPORT
94-1156317 501(C)(3)
7,004.
PROGRAM SUPPORT
73-0579270 501(C)(3)
6,997.
PROGRAM SUPPORT
36-2169192 501(C)(3)
6,905.
PROGRAM SUPPORT
36-2179782 501(C)(3)
6,876.
PROGRAM SUPPORT
44-0546002 501(C)(3)
6,856.
PROGRAM SUPPORT
75-0800696 501(C)(3)
6,835.
PROGRAM SUPPORT
44-0552026 501(C)(3)
6,751.
PROGRAM SUPPORT
14-1726531 501(C)(3)
6,750.
PROGRAM SUPPORT
11-1649914 501(C)(3)
6,629.
PROGRAM SUPPORT
25-0965625 501(C)(3)
6,610.
PROGRAM SUPPORT
74-1109634 501(C)(3)
6,500.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 80
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
R.F. WILKINSON FAMILY
(2)
THE LICKING COUNTY FAMILY YMCA
(3)
CLACKAMAS FAMILY BRANCH YMCA
(4)
ABINGTON BRANCH YMCA
(5)
SOUTH SIDE YMCA
(6)
YMCA OF RED WING MINNESOTA
(7)
WEST SIDE FAMILY CENTER
(8)
RIDGEWOOD BRANCH YMCA
(9)
EL PASO ARMED SERVICES YMCA
301 SENTARA CIRCLE WILLIAMSBURG, VA 23188
470 W CHURCH ST NEWARK, OH 43055
10121 SE SUNNYSIDE RD CLACKAMAS, OR 97015
1073 OLD YORK RD ABINGTON, PA 19001
6330 S STONY ISLAND AVE CHICAGO, IL 60637
434 MAIN ST RED WING, MN 55066
400 WINSTON RD KNOXVILLE, TN 37909
6840 RIDGE RD PARMA, OH 44129
7060 COMINGTON ST EL PASO, TX 79930
(10)
GAINSBORO FAMILY YMCA
(11)
YMCA OF VINCENNES INDIANA
(12)
BAYOULAND YMCA
108 ORANGE AVE NW ROANOKE, VA 24016
2010 COLLEGE AVE VINCENNES, IN 47591
103 VALHI BLVD HOUMA, LA 70360
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
54-0524905 501(C)(3)
6,456.
PROGRAM SUPPORT
31-6053101 501(C)(3)
6,424.
PROGRAM SUPPORT
93-0386981 501(C)(3)
6,400.
PROGRAM SUPPORT
23-1243965 501(C)(3)
6,380.
PROGRAM SUPPORT
36-2179782 501(C)(3)
6,377.
PROGRAM SUPPORT
41-0695614 501(C)(3)
6,352.
PROGRAM SUPPORT
62-0475700 501(C)(3)
6,333.
PROGRAM SUPPORT
34-0714728 501(C)(3)
6,331.
PROGRAM SUPPORT
91-1883466 501(C)(3)
6,325.
PROGRAM SUPPORT
54-0515736 501(C)(3)
6,310.
PROGRAM SUPPORT
35-0868218 501(C)(3)
6,240.
PROGRAM SUPPORT
72-0880478 501(C)(3)
6,239.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 81
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
WILLIAMS FAMILY BRANCH YMCA
(2)
YMCA OF SAN JOAQUIN COUNTY
(3)
GREENSBURG YMCA
(4)
KILLEEN ARMED SERVICES YMCA
(5)
INDIAN BOUNDARY YMCA
(6)
LIONVILLE COMMUNITY YMCA
(7)
YMCA OF MARIETTA
(8)
TRI-STATE FAMILY YMCA
(9)
STONESTOWN FAMILY BRANCH YMCA
(b) EIN
10415 SAN JOSE BLVD JACKSONVILLE, FL 32257
6135 TAM O'SHANTER DR STOCKTON, CA 95210
101 S MAPLE AVE GREENSBURG, PA 15601
415 N 8TH ST KILLEEN, TX 76541
711 59TH ST DOWNERS GROVE, IL 60516
100 DEVON DR EXTON, PA 19341
300 N 7TH ST MARIETTA, OH 45750
4701 CHOUTEAU DR NEOSHO, MO 64850
333 EUCALYPTUS DR SAN FRANCISCO, CA 94132
(10)
SOUTH/SOUTHWEST BRANCH YMCA
(11)
YMCA OF WOOSTER OHIO
(12)
YMCA CHILD DEVELOPMENT CENTER
13010 ATWOOD AVE OMAHA, NE 68144
680 WOODLAND AVE WOOSTER, OH 44691
31 W 290 SCHOGER DR NAPERVILLE, IL 60564
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
59-0638514 501(C)(3)
6,211.
PROGRAM SUPPORT
94-1156319 501(C)(3)
6,118.
PROGRAM SUPPORT
25-0965622 501(C)(3)
6,117.
PROGRAM SUPPORT
91-1883466 501(C)(3)
6,099.
PROGRAM SUPPORT
36-2179782 501(C)(3)
6,096.
PROGRAM SUPPORT
23-1613647 501(C)(3)
6,006.
PROGRAM SUPPORT
31-4386270 501(C)(3)
6,000.
PROGRAM SUPPORT
43-1729473 501(C)(3)
6,000.
PROGRAM SUPPORT
94-0997140 501(C)(3)
6,000.
PROGRAM SUPPORT
47-0376586 501(C)(3)
5,974.
PROGRAM SUPPORT
34-0766172 501(C)(3)
5,961.
PROGRAM SUPPORT
36-2179781 501(C)(3)
5,956.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 82
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
RYAN FAMILY YMCA
(2)
YMCA OF GRAYS HARBOR
(3)
OWASSO FAMILY YMCA
(4)
BEAVER COUNTY YMCA
(5)
THE PERRY FAMILY YMCA
(6)
FAMILY YMCA OF SOUTHEAST MISSISSIPPI INC
(7)
WESTSIDE YMCA
(8)
PIEDMONT FAMILY YMCA INC
(9)
FAMILY YMCA OF THE DESERT
(b) EIN
8250 MCCART AVE FORT WORTH, TX 76123
2500 SIMPSON AVE HOQUIAM, WA 98550
8300 N OWASSO EXPY OWASSO, OK 74055
2236 THIRD AVE NEW BRIGHTON, PA 15066
1700 LEAGUE CITY PKWY LEAGUE CITY, TX 77573
3719 VETERANS MEM DR HATTIESBURG, MS 39401
8201 CALMONT AVE FORT WORTH, TX 76116
442 WESTFIELD RD CHARLOTTESVILLE, VA 22901
43930 SAN PABLO AVE PALM DESERT, CA 92260
(10)
HUNTINGTON TOWNSHIP BRANCH YMCA
(11)
YMCA OF ROCK RIVER VALLEY
(12)
YMCA OF GREATER BERGEN COUNTY
60 MAIN ST HUNTINGTON, NY 11743
200 Y BLVD ROCKFORD, IL 61107
360 MAIN ST HACKENSACK, NJ 07601
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
75-0827471 501(C)(3)
5,949.
PROGRAM SUPPORT
91-1984900 501(C)(3)
5,927.
PROGRAM SUPPORT
73-0579269 501(C)(3)
5,901.
PROGRAM SUPPORT
25-0993391 501(C)(3)
5,893.
PROGRAM SUPPORT
74-1109737 501(C)(3)
5,883.
PROGRAM SUPPORT
64-0340760 501(C)(3)
5,875.
PROGRAM SUPPORT
75-0827471 501(C)(3)
5,849.
PROGRAM SUPPORT
54-1717336 501(C)(3)
5,830.
PROGRAM SUPPORT
95-3673295 501(C)(3)
5,806.
PROGRAM SUPPORT
11-1649914 501(C)(3)
5,741.
PROGRAM SUPPORT
36-2174838 501(C)(3)
5,715.
PROGRAM SUPPORT
22-1739117 501(C)(3)
5,680.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
94217W 649R
0E1288 2.000
0166754
PAGE 83
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(b) EIN
(1)
WENDEL D. LEY FAMILY BRANCH YMCA
(2)
TIFFIN COMMUNITY YMCA RECREATION CENTER INC
(3)
HAMILTON BRANCH YMCA
(4)
YMCA OF HUNTINGTON WEST VIRGINIA
(5)
DR. PHILLIPS YMCA FAMILY CENTER
(6)
GREENBRIER FAMILY YMCA
(7)
YMCA OF JACKSON
(8)
YMCA OF GREATER SPARTANBURG
(9)
YMCA OF THE NORTH SHORE
15055 WALLISVILLE RD HOUSTON, TX 77049
180 SUMMIT ST TIFFIN, OH 44883
7430 SHALLOWFORD RD CHATTANOOGA, TN 37421
935 10TH AVE HUNTINGTON, WV 25701
7000 DR PHILLIPS BLVD ORLANDO, FL 32819
1033 GREENBRIER PKWY CHESAPEAKE, VA 23320
1515 CAMPBELL ST JACKSON, TN 38305
266 S PINE ST SPARTANBURG, SC 29302
245 CABOT ST BEVERLY, MA 01915
(10)
OSWEGO YMCA
(11)
YMCA OF TYLER TEXAS INC
(12)
NORTHSIDE BRANCH YMCA
249 W 1ST ST OSWEGO, NY 13126
225 S VINE AVE TYLER, TX 75702
1350 W NORTH AVE MILWAUKEE, WI 53205
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
74-1109737 501(C)(3)
5,656.
PROGRAM SUPPORT
34-4479386 501(C)(3)
5,640.
PROGRAM SUPPORT
62-0475699 501(C)(3)
5,625.
PROGRAM SUPPORT
55-0397261 501(C)(3)
5,605.
PROGRAM SUPPORT
59-0624430 501(C)(3)
5,583.
PROGRAM SUPPORT
54-0445205 501(C)(3)
5,578.
PROGRAM SUPPORT
62-0416320 501(C)(3)
5,578.
PROGRAM SUPPORT
57-0314425 501(C)(3)
5,566.
PROGRAM SUPPORT
04-2104913 501(C)(3)
5,563.
PROGRAM SUPPORT
15-0532272 501(C)(3)
5,547.
PROGRAM SUPPORT
75-0891469 501(C)(3)
5,526.
PROGRAM SUPPORT
39-0806314 501(C)(3)
5,500.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
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PAGE 84
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
COLUMBIA NORTH BRANCH YMCA
(2)
WEST PHILADELPHIA YMCA
(3)
SHERMAN LAKE YMCA OUTDOOR CENTER
(4)
CYPRESS CREEK BRANCH YMCA
(5)
YMCA OF BURBANK CALIFORNIA
(6)
WILKES YMCA
(7)
SAN PEDRO & PENINSULA YMCA
(8)
CROSS ISLAND YMCA
(9)
MCGAW YMCA
(b) EIN
1400 N BROAD ST #26 PHILADELPHIA, PA 19121
5120 CHESTNUT ST PHILADELPHIA, PA 19139
6225 N 39TH ST AUGUSTA, MI 49012
19915 STATE HWY 249 HOUSTON, TX 77070
321 E MAGNOLIA BLVD BURBANK, CA 91502
1801 YMCA BLVD WILKESBORO, NC 28697
301 S BANDINI ST SAN PEDRO, CA 90731
238-10 HILLSIDE AVE BELLEROSE, NY 11426
1000 GROVE ST EVANSTON, IL 60201
(10)
JOHN M. ALEXANDER FAMILY YMCA
(11)
SOUTHWEST VALLEY REGIONAL YMCA
(12)
W.L. HUTCHERSON BRANCH YMCA
1603 HILLSBOROUGH ST RALEIGH, NC 27605
2919 N LITCHFIELD RD GOODYEAR, AZ 85395
1120 E PINE ST TULSA, OK 74106
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
23-1243965 501(C)(3)
5,500.
PROGRAM SUPPORT
23-1243965 501(C)(3)
5,500.
PROGRAM SUPPORT
38-3167869 501(C)(3)
5,500.
PROGRAM SUPPORT
74-1109737 501(C)(3)
5,486.
PROGRAM SUPPORT
95-1664139 501(C)(3)
5,460.
PROGRAM SUPPORT
56-0530015 501(C)(3)
5,414.
PROGRAM SUPPORT
95-1644052 501(C)(3)
5,410.
PROGRAM SUPPORT
13-1624228 501(C)(3)
5,400.
PROGRAM SUPPORT
36-2169194 501(C)(3)
5,383.
PROGRAM SUPPORT
56-0591307 501(C)(3)
5,372.
PROGRAM SUPPORT
86-0096799 501(C)(3)
5,366.
PROGRAM SUPPORT
73-0579269 501(C)(3)
5,338.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
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0166754
PAGE 85
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
ADAMS COUNTY BRANCH YMCA
(2)
WILLIAM G. WHITE JR. FAMILY YMCA
(3)
JESSAMINE COUNTY BRANCH YMCA
(4)
YMCA VILLAGE OF ALLAPATTAH FAMILY BRANCH
(5)
MONTEBELLO FAMILY YMCA
(6)
YMCA OF SALINA KANSAS
(7)
MEDINA COUNTY YMCA
(8)
BERWICK AREA YMCA
(9)
SHADES VALLEY FAMILY BRANCH
1500 E 128TH AVE THORNTON, CO 80241
775 W END BLVD WINSTON SALEM, NC 27101
220 E MAPLE ST NICHOLASVILLE, KY 40356
2370 NW 17 AVE MIAMI, FL 33142
2000 W BEVERLY BLVD MONTEBELLO, CA 90640
570 YMCA DR SALINA, KS 67401
3076 REMSEN RD MEDINA, OH 44256
231 W 3RD ST BERWICK, PA 18603
3551 MONTGOMERY HWY BIRMINGHAM, AL 35209
(10)
STOKES FAMILY YMCA
(11)
OLD TOWN-ORONO YMCA
(12)
CHILD CARE DIVISION
105 MOORE RD KING, NC 27021
472 STILLWATER AVE OLD TOWN, ME 04468
9500 SW BARBUR BLVD PORTLAND, OR 97219
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
84-0402696 501(C)(3)
5,328.
PROGRAM SUPPORT
56-0530015 501(C)(3)
5,325.
PROGRAM SUPPORT
61-0444842 501(C)(3)
5,325.
PROGRAM SUPPORT
59-0624464 501(C)(3)
5,325.
PROGRAM SUPPORT
95-1644052 501(C)(3)
5,319.
PROGRAM SUPPORT
48-0544573 501(C)(3)
5,307.
PROGRAM SUPPORT
34-0714727 501(C)(3)
5,302.
PROGRAM SUPPORT
24-0813665 501(C)(3)
5,300.
PROGRAM SUPPORT
63-0299894 501(C)(3)
5,262.
PROGRAM SUPPORT
56-0530015 501(C)(3)
5,250.
PROGRAM SUPPORT
51-0201156 501(C)(3)
5,250.
PROGRAM SUPPORT
93-0386981 501(C)(3)
5,247.
PROGRAM SUPPORT
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule I (Form 990) (2010)
JSA
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0166754
PAGE 86
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
OMB No. 1545-0047
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.
Open to Public
Inspection
I
Name of the organization
Part I
1
2
À¾µ´
Employer identification number
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Yes
No
Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Part
II can be duplicated if additional space is needed
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
1
(a) Name and address of organization
or government
(1)
CENTRAL LAKE YMCA
(2)
POCONO FAMILY YMCA
(3)
SAN JACINTO BRANCH YMCA
(4)
YMCA OF PARKERSBURG WEST VIRGINIA
(5)
WILLIAMSPORT BRANCH YMCA
700 LAKEVIEW PKWY VERNON HILLS, IL 60061
809 MAIN ST STROUDSBURG, PA 18360
1716 JASMINE DR PASADENA, TX 77503
1800 30TH ST PARKERSBURG, WV 26104
320 ELMIRA ST WILLIAMSPORT, PA 17701
(b) EIN
(c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
36-2181659 501(C)(3)
5,166.
PROGRAM SUPPORT
24-0795519 501(C)(3)
5,109.
PROGRAM SUPPORT
74-1109737 501(C)(3)
5,101.
PROGRAM SUPPORT
55-0357059 501(C)(3)
5,053.
PROGRAM SUPPORT
24-0795698 501(C)(3)
5,050.
PROGRAM SUPPORT
(6)
(7)
(8)
(9)
(10)
(11)
(12)
m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II
2 Enter total number of section 501(c)(3) and government organizations
3 Enter total number of other organizations
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
592.
1.
Schedule I (Form 990) (2010)
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Schedule I (Form 990) (2010)
Part III
(a) Type of grant or assistance
1
Page
2
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
SCHOLARSHIPS
(b) Number of
recipients
40.
(c) Amount of
cash grant
(d) Amount of
non-cash assistance
(e) Method of valuation (book,
(f) Description of non-cash assistance
FMV, appraisal, other)
72,320.
2
3
4
5
6
7
Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
FORM 990, SCHEDULE I, PART I, LINE 2
ORGANIZATION'S PROCEDURES FOR MONITORING GRANT FUNDS IN THE UNITED STATES
WHEN YMCA OF THE USA ISSUES GRANTS TO A LOCAL YMCA, THERE ARE TWO METHODS
THROUGH WHICH IT MONITORS THE USE OF GRANT FUNDS. FIRST, FOR CERTAIN
GRANTS, YMCA OF THE USA PROGRAM STAFF REGULARLY COMMUNICATE WITH THE
LOCAL YMCA GRANTEE AS IT CONDUCTS THE WORK FUNDED. SECOND, YMCA OF THE
USA TYPICALLY REQUIRES A REPORT ON USE OF FUNDING FROM THE LOCAL YMCA
GRANTEE. THIS REPORT IS REQUESTED AND STORED THROUGH THE ONLINE GRANTS
MANAGEMENT SYSTEM. REPORTS REQUEST INFORMATION ABOUT HOW THE YMCA USED
THE GRANT FUNDS, INCLUDING ACTIVITIES CONDUCTED, PROGRESS TOWARD
Schedule I (Form 990) (2010)
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Schedule I (Form 990) (2010)
Part III
Page
2
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance
(b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
non-cash assistance
(e) Method of valuation (book,
(f) Description of non-cash assistance
FMV, appraisal, other)
1
2
3
4
5
6
7
Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
OBJECTIVES AND OUTCOMES. IN SOME CASES, YMCA OF THE USA REQUIRES A
DETAILED ACCOUNTING OF HOW THE YMCA ALLOCATED THE GRANT FUNDS AND WHETHER
ANY OF THESE FUNDS REMAIN.
Schedule I (Form 990) (2010)
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Compensation Information
SCHEDULE J
(Form 990)
Department of the Treasury
Internal Revenue Service
OMB No. 1545-0047
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" to Form 990,
Part IV, line 23.
Attach to Form 990.
See separate instructions.
I
I
À¾µ´
Open to Public
Inspection
I
Name of the organization
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
Part I
Questions Regarding Compensation
36-3258696
Yes
No
1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
X First-class or charter travel
X
Travel for companions
Tax indemnification and gross-up payments
Discretionary spending account
Housing allowance or residence for personal use
Payments for business use of personal residence
Health or social club dues or initiation fees
Personal services (e.g., maid, chauffeur, chef)
b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment
or reimbursement or provision of all of the expenses described above? If "No," complete Part III to
explain
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a?
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmm
X Compensation committee
Independent compensation consultant
Form 990 of other organizations
a
b
6
a
b
9
X
W ritten employment contract
During the year, did any person listed in Form 990, Part VII, Section A, line 1a, with respect to the filing
organization or a related organization:
a Receive a severance payment or change-of-control payment from the organization or a related organization?
b Participate in, or receive payment from, a supplemental nonqualified retirement plan?
c Participate in, or receive payment from, an equity-based compensation arrangement?
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
5
8
2
X Compensation survey or study
X Approval by the board or compensation committee
mm
mmmmmmmmmmmmmm
mmmmmmmmmmmmmmm
7
X
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
3
4
1b
4a
4b
4c
X
X
X
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
5a
5b
X
X
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
6a
6b
X
X
7
X
8
X
Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9.
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
The organization?
Any related organization?
If "Yes" to line 5a or 5b, describe in Part III.
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
The organization?
Any related organization?
If "Yes" to line 6a or 6b, describe in Part III.
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject
to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in
Regulations section 53.4958-6(c)?
mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
9
Schedule J (Form 990) 2010
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Schedule J (Form 990) 2010
Part II
Page
2
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(B) Breakdown of W-2 and/or 1099-MISC compensation
(A) Name
(i) Base
compensation
(i)
1
NEIL J. NICOLL
(ii)
2
KENT D. JOHNSON
(ii)
3
JAMES C. MELLOR
(ii)
4
ANGELA F. WILLIAMS
(ii)
5
MICHAEL WEIL
(ii)
6
LYNNE G. VAUGHAN
(ii)
7
MONIQUE H. HANSON
(ii)
8
KATE MARKIN
(ii)
9
LAWRENCE KAMEYA
(ii)
(i)
(i)
(i)
(i)
(i)
(i)
(i)
(i)
(i)
1 0 JOAN
LOVELL
(ii)
(i)
1 1 CORINNE
STEEDE
(ii)
423,181.
0.
313,626.
0.
262,716.
0.
254,581.
0.
243,600.
0.
229,492.
0.
230,167.
0.
226,273.
0.
221,753.
0.
181,811.
0.
109,341.
0.
(ii) Bonus & incentive
compensation
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
(iii) Other
reportable
compensation
29,400.
0.
29,400.
0.
29,400.
0.
29,400.
0.
16,872.
0.
27,539.
0.
27,620.
0.
27,153.
0.
26,610.
0.
21,817.
0.
13,121.
0.
(C) Retirement and
other deferred
compensation
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
(D) Nontaxable
benefits
14,057.
0.
12,585.
0.
11,834.
0.
11,751.
0.
9,670.
0.
11,342.
0.
11,342.
0.
11,300.
0.
11,190.
0.
10,739.
0.
9,658.
0.
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
466,638.
0.
355,611.
0.
303,950.
0.
295,732.
0.
270,142.
0.
268,373.
0.
269,129.
0.
264,726.
0.
259,553.
0.
214,367.
0.
132,120.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
(i)
12
(ii)
13
(ii)
14
(ii)
15
(ii)
16
(ii)
(i)
(i)
(i)
(i)
Schedule J (Form 990) 2010
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Page
Schedule J (Form 990) 2010
3
Part III Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for
any additional information.
FORM 990, SCHEDULE J, PART I, LINE 1A
FIRST CLASS OR CHARTER TRAVEL
FIRST CLASS TRAVEL IS NOT OFFERED TO ANY YMCA OF THE USA EMPLOYEES, BUT
WAS OFFERED TO ONE EMPLOYEE DUE TO AN OUTSTANDING MITIGATING
CIRCUMSTANCE. THAT INDIVIDUAL IS NOT REQUIRED TO BE LISTED ON THE FORM
990. ALL OF THESE ITEMS ARE REPORTED ON EMPLOYEES' FORMS W-2.
FORM 990, SCHEDULE J, PART I, LINE 1A
TAX INDEMNIFICATION AND GROSS-UP PAYMENTS
TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE OFFERED TO ALL EMPLOYEES,
OFFICERS, DIRECTORS, AND HIGHLY COMPENSATED EMPLOYEES. ALL OF THESE ITEMS
ARE REPORTED ON EMPLOYEES' FORMS W-2.
Schedule J (Form 990) 2010
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SCHEDULE O
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
À¾µ´
Open to Public
Inspection
I
Name of the organization
OMB No. 1545-0047
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
FORM 990, PART III, LINE 4D
OTHER PROGRAM SERVICES
ONE OF Y-USA'S CORE FUNCTIONS IS TO EXPAND OPPORTUNITIES TO INCLUDE
DIVERSE COMMUNITIES AND BUILD A GLOBAL COMMUNITY. THROUGH ITS WORLD
SERVICE CAMPAIGN IN 2010, Y-USA PROVIDED NEARLY $1.3 MILLION IN TECHNICAL
AND FINANCIAL ASSISTANCE TO YMCA MOVEMENTS AROUND THE WORLD TO SUPPORT
YOUTH PROGRAMS, LEADERSHIP DEVELOPMENT AND YMCA COMMUNITY CENTERS. THE
YMCA IS ACTIVE IN MORE THAN 120 COUNTRIES WORLDWIDE. ANOTHER CORE Y-USA
FUNCTION IS COMMUNICATING THE YMCA'S MISSION AND MESSAGES TO KEY
AUDIENCES NATIONALLY AND PROVIDING YMCAS WITH TOOLS AND RESOURCES TO DO
THE SAME LOCALLY. Y-USA ALSO CONNECTS YS TO ONE ANOTHER THROUGH
TECHNOLOGY AND HUMAN NETWORKS, ENABLING THEM TO SHARE BEST PRACTICES AND
BUILD STRONGER RELATIONSHIPS.
FORM 990, PART VI, SECTION A, LINE 4
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS
IN MAY 2010, THE 934 MEMBER ASSOCIATIONS VOTED TO AMEND THE CONSTITUTION
OF THE NATIONAL COUNCIL OF YOUNG MEN'S CHRISTIAN ASSOCIATIONS AS
FOLLOWS:
-
TO REVISE AND ENHANCE MEMBERSHIP REQUIREMENTS IN ARTICLE II, SEC 2
-
TO ELIMINATE THE NATIONAL BOARD NOMINATING COMMITTEE AND TRANSFER ITS
FUNCTION OF IDENTIFYING NOMINEES TO THE NATIONAL BOARD TO THE NATIONAL
BOARD DEVELOPMENT COMMITTEE, AND
-
TO EXTEND BOARD MEMBER TERM LIMITS FROM TWO (2) THREE-YEAR TERMS TO
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Schedule O (Form 990 or 990-EZ) (2010)
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Schedule O (Form 990 or 990-EZ) 2010
Page
Name of the organization
2
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
THREE (3) THREE-YEAR TERMS
FORM 990, PART VI, SECTION B, LINE 11B
REVIEW OF FORM 990
STAFF PREPARED THE FORM 990 AND FORWARDED THE RETURN TO OUR OUTSIDE
AUDITORS FOR REVIEW. ONCE ALL MODIFICATIONS WERE MADE THE RETURN WAS
FORWARDED TO AND REVIEWED BY OUR AUDIT COMMITTEE AS AUTHORIZED BY THE
BOARD OF DIRECTORS. AFTER THE AUDIT COMMITTEE REVIEWS THE FORM 990, A
COPY IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C
CONFLICT OF INTEREST
ANNUALLY, Y-USA PROVIDES ITS DIRECTORS, OFFICERS, NATIONAL BOARD
COMMITTEE MEMBERS AND SELECT STAFF WITH THE CONFLICT OF INTEREST POLICY.
EACH PERSON IS REQUIRED TO COMPLETE THE STATEMENT OF DISCLOSURE AND
RETURN IT TO THE OFFICE OF THE GENERAL COUNSEL. THE RESULTS ARE THEN
SHARED WITH THE Y-USA'S AUDIT COMMITTEE, AND FOLLOW UP IS CONDUCTED AS
NECESSARY. POTENTIAL CONFLICTS THAT ARISE BETWEEN DISCLOSURE STATEMENTS
ARE TO BE DISCLOSED TO THE OFFICE OF THE GENERAL COUNSEL IMMEDIATELY.
FORM 990, PART VI, SECTION B, LINE 15A
PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL
Y-USA'S HUMAN RESOURCES STAFF PERFORMED A MARKET DATA STUDY TO DETERMINE
IF OUR PAY WAS EQUITABLE FOR OFFICERS AS WELL AS STAFF THAT REPORTED
DIRECTLY TO THE CEO. WE USED AT LEAST THREE DATA SOURCES. ALONG WITH THE
PERFORMANCE RATING OF THE STAFF, WE CALCULATED THE MERIT INCREASE USING
Schedule O (Form 990 or 990-EZ) 2010
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Schedule O (Form 990 or 990-EZ) 2010
Page
Name of the organization
2
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
THE SAME CRITERIA USED FOR ALL Y-USA STAFF. THE COMPENSATION COMMITTEE OF
THE BOARD OF DIRECTORS OF Y-USA MET WITH THE CEO AND THE V.P. OF HUMAN
RESOURCES. UNANIMOUS APPROVAL WAS GIVEN.
FORM 990, PART VI, SECTION B, LINE 15B
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES
THE AFOREMENTIONED PROCESS TO ESTABLISH COMPENSATION WAS USED FOR Y-USA'S
OFFICERS AS WELL AS ALL OTHER MEMBERS OF Y-USA'S LEADERSHIP GROUP.
FORM 990, PART VI, SECTION C, LINE 19
ORGANIZATION DOCUMENTS AVAILABLE TO THE PUBLIC
OUR AUDITED FINANCIAL STATEMENTS ARE NOT GENERALLY SHARED WITH THE
PUBLIC. WHEN REQUESTED BY A POTENTIAL DONOR, WE PROVIDE A COPY. GOVERNING
DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART X, LINE 12
INVESTMENT IN PARTNERSHIP
IN JANUARY 2009, THE NATIONAL BOARD OF YMCA OF THE USA, AT THE
RECOMMENDATION OF THE FINANCE COMMITTEE VOTED TO TERMINATE THE Y-PIP
PROGRAM.
AT DECEMBER 31, 2008 THE PARTNERSHIP HAD APPROXIMATELY 23 PARTNERS HAVING
A COMBINED MARKET VALUE OF APPROXIMATELY $22 MILLION.
ALL PARTNERS, WITH THE EXCEPTION OF Y-USA WERE FULLY LIQUIDATED BY
DECEMBER 31, 2009. Y-USA WITHDREW ITS FUNDS FROM THE PARTNERSHIP IN
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Schedule O (Form 990 or 990-EZ) 2010
Page
Name of the organization
2
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
FEBRUARY 2010.
FORM 990, PART XI, LINE 5
OTHER CHANGES IN NET ASSETS OR FUND BALANCES
DESCRIPTION
AMOUNT
NET ASSETS FROM NATIONAL YMCA FUND, INC.
55,430,881
UNREALIZED GAINS
10,818,668
ADJUST IN-KIND NET ASSETS
200,000
--------------TOTAL:
66,449,549
ATTACHMENT 1
FORM 990, PART III - PROGRAM SERVICE, LINE 4A
PROVIDE CONSULTING, TRAINING AND LEADERSHIP DEVELOPMENT SUPPORT TO
YS TO HELP THEM STRENGTHEN COMMUNITY. Y-USA STAFF WORKED DIRECTLY
WITH LOCAL Y LEADERS ON PROJECTS DESIGNED TO INCREASE YS' CAPACITY
TO STRENGTHEN COMMUNITY THROUGH YOUTH DEVELOPMENT, HEALTHY LIVING
AND SOCIAL RESPONSIBILITY. THROUGH ITS NATIONAL TRAINING AND
LEADERSHIP DEVELOPMENT SYSTEM, Y-USA PROVIDED LEARNING
OPPORTUNITIES DESIGNED TO BUILD LEADERSHIP COMPETENCIES AND
STRONG, DEEP FUNCTIONAL SKILLS IN KEY Y PROGRAM AREAS, SUCH AS
CHILD CARE, AQUATICS SAFETY AND COMMUNITY DEVELOPMENT. WITH
ASSISTANCE FROM THOUSANDS OF VOLUNTEERS, Y-USA GRANTED 50,773
CERTIFICATIONS TO Y STAFF, VOLUNTEERS AND COMMUNITY LEADERS,
THEREBY ENHANCING THE Y'S LIFE-ENRICHING IMPACT IN COMMUNITIES
NATIONWIDE.
Schedule O (Form 990 or 990-EZ) 2010
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Schedule O (Form 990 or 990-EZ) 2010
Page
Name of the organization
2
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
ATTACHMENT 2
FORM 990, PART III - PROGRAM SERVICE, LINE 4B
PROVIDE LEADERSHIP TO THE COLLECTIVE STRENGTH OF THE Y MOVEMENT IN
THE AREAS OF YOUTH DEVELOPMENT, HEALTHY LIVING AND SOCIAL
RESPONSIBILITY. IN 190 COMMUNITIES ACROSS THE NATION, YS HAVE
RECEIVED FEDERAL FUNDING-SECURED BY Y-USA-FROM THE CENTERS FOR
DISEASE CONTROL AND PREVENTION OR THE ROBERT WOOD JOHNSON
FOUNDATION TO COLLABORATE WITH COMMUNITY LEADERS TO MAKE HEALTHY
LIVING ACCESSIBLE TO PEOPLE IN THOSE COMMUNITIES. THE
COLLABORATIONS HAVE INFLUENCED NEARLY 15,000 ENVIRONMENTAL AND
POLICY CHANGES, IMPACTING MORE THAN 34 MILLION LIVES. LOCAL
SUCCESSES INCLUDE IMPROVED WALK-ABILITY AND PEDESTRIAN SAFETY;
GREATER ACCESS TO FRESH FRUIT AND VEGETABLES THROUGH THE CREATION
OF FARMERS' MARKETS AND COMMUNITY GARDENS; AND INCREASED PHYSICAL
ACTIVITY OPPORTUNITIES FOR CHILDREN THROUGH PARTNERSHIPS WITH
SCHOOLS AND AFTERSCHOOL PROGRAMS.
ATTACHMENT 3
FORM 990, PART III - PROGRAM SERVICE, LINE 4C
PROVIDE FINANCIAL RESOURCES TO DELIVER Y PROGRAMS AND SERVICES TO
NEW AND UNDERSERVED COMMUNITIES. Y-USA USED FINANCIAL SUPPORT IT
RECEIVED FROM DONORS AND GOVERNMENT AGENCIES TO PROVIDE GRANTS
TOTALING $11.5 MILLION TO YS IN THE U.S. AND ABROAD. AMONG MANY
THINGS, THESE FUNDS HELPED YS PROVIDE FINANCIAL ASSISTANCE TO
LOW-INCOME YOUTH SO THEY COULD LEARN, GROW AND DEVELOP SOCIAL
SKILLS IN AFTERSCHOOL PROGRAMS; ASSIST STUDENTS FROM UNDERSERVED
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Schedule O (Form 990 or 990-EZ) 2010
Page
Name of the organization
2
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
ATTACHMENT 3 (CONT'D)
COMMUNITIES IN APPLYING FOR FEDERAL FINANCIAL AID SO THEY COULD
PURSUE THEIR DREAMS OF ATTENDING COLLEGE; AND OFFER MEMBERSHIPS
AND RESPITE CHILD CARE FREE OF CHARGE TO MILITARY FAMILIES SO THEY
COULD SPEND TIME TOGETHER AND ENJOY FUN ACTIVITIES IN A SUPPORTIVE
ENVIRONMENT.
ATTACHMENT 4
FORM 990, PART VI, LINE 17 - STATES
AL,AK,AZ,AR,CA,CO,CT,
DC,FL,GA,IL,IN,KS,KY,ME,MD,MA,MI,
MN,MS,NH,NJ,NM,NY,ND,OH,OK,OR,PA,
RI,SC,TN,UT,VT,WA,WV,WI,
ATTACHMENT 5
PART VII - CONTINUATION OF OFFICERS, DIRECTORS, TRUSTEES,
KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES
(1)=IND.TRUSTEE/DIR. (2)=INS.TRUSTEE (3)=OFFICER (4)=KEY EMP. (5)=HIGHEST COMP. (6)=FORMER
29
30
31
32
33
34
35
36
37
(C)POSITION
(6)
(A)NAME AND TITLE
(B)HOURS (1)(2)(3)(4)(5)
(6)
JAMES C. MELLOR
SR. VP & CFO
50.00
X
ANGELA F. WILLIAMS
SR. VP, GENERAL COUNSEL & CAO
50.00
X
MICHAEL WEIL
SR. VP, NAUG
50.00
X
LYNNE G. VAUGHAN
SR. VP CHIEF INNOV. OFFICER
50.00
X
MONIQUE H. HANSON
SR. VP & CHIEF DEV. OFFICER
50.00
X
KATE MARKIN
SR. VP AND CMO
50.00
X
LAWRENCE KAMEYA
VP NTL DIRECTOR YMCA RESOURCES 50.00
X
JOAN LOVELL
ASSOCIATE GENERAL COUNSEL
50.00
X
CORINNE STEEDE
X
AD, CERTIFICATION & MEMB. STDS 50.00
COMPENSATION FROM
(D)ORG. (E)REL. ORG. (F)OTHER
292,116.
0.
11,834.
283,981.
0.
11,751.
260,472.
0.
9,670.
257,031.
0.
11,342.
257,787.
0.
11,342.
253,426.
0.
11,300.
248,363.
0.
11,190.
203,628.
0.
10,739.
122,462.
0.
9,658.
Schedule O (Form 990 or 990-EZ) 2010
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Schedule O (Form 990 or 990-EZ) 2010
Page
Name of the organization
2
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
ATTACHMENT 6
990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS
NAME AND ADDRESS
DESCRIPTION OF SERVICES
COMPENSATION
GARY LEE PARTNERS
360 WEST SUPERIOR STREET
CHICAGO, IL 60654
ARCHITECTURAL DESIGN
587,524.
CORPORATE MAGIC, INC.
1925 CEDAR SPRINGS ROAD
DALLAS, TX 75201
EVENT MANAGEMENT
560,094.
CLERESTORY CONSULTING
520 WEST ERIE STREET, SUITE 330
CHICAGO, IL 60610
CONSULT/TECH ASSIST
502,794.
SIEGEL & GALE, LLC
625 AVENUE OF THE AMERICAS, 4TH FLOOR
NEW YORK, NY 10011
BRAND REVITALIZATION
408,319.
GOLIN/HARRIS INTERNATIONAL
111 EAST WACKER DRIVE
CHICAGO, IL 60601
BRAND REVITALIZATION
364,206.
TOTAL COMPENSATION
2,422,937.
Schedule O (Form 990 or 990-EZ) 2010
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SCHEDULE R
(Form 990)
OMB No. 1545-0047
Related Organizations and Unrelated Partnerships
I
Department of the Treasury
Internal Revenue Service
À¾µ´
Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
I
I
Attach to Form 990.
Open to Public
Inspection
See separate instructions.
Name of the organization
Employer identification number
NATIONAL COUNCIL OF YMCAS OF THE USA
36-3258696
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity
(b)
Primary activity
20-0568333
(1) NORTH AMERICAN YMCA DEVELOPMENT ORG.
101 NORTH WACKER DRIVE
CHICAGO, IL 60606
PHILANTHROPY
(c)
Legal domicile (state
or foreign country)
IL
(d)
Total income
864,157.
(e)
End-of-year assets
(f)
Direct controlling
entity
742,419. N/A
(2)
(3)
(4)
(5)
(6)
Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had
one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13)
controlled
entity?
Yes
(1)
THE NATIONAL YMCA FUND, INC.
101 NORTH WACKER DRIVE
No
36-3917598
CHICAGO, IL 60606
SUPPORT YMCA
IL
501(C)(3)
11 - TYPE I N/A
X
(2)
(3)
(4)
(5)
(6)
(7)
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule R (Form 990) 2010
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Schedule R (Form 990) 2010
Page
2
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34
because it had one or more related organizations treated as a partnership during the tax year.)
Part III
(a)
Name, address, and EIN
of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Direct controlling
entity
(e)
Predominant
income (related,
unrelated,
excluded from
tax under
sections 512-514)
(f)
Share of total
income
(g)
Share of end-of-year
assets
(h)
Disproportionate
allocations?
(i)
Code V-UBI
amount in box 20
of
Schedule K-1
(Form 1065)
Yes No
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV,
line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization
(1)
YMCA SERVICES CORP.
101 NORTH WACKER DRIVE CHICAGO, IL 60606
(b)
Primary activity
(c)
Legal domicile
(state or
foreign country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of
end-of-year assets
(h)
Percentage
ownership
75-2179517
RISK MANAGEMENT
IL
N/A
C CORP
0.
0.
100.0000
(2)
(3)
(4)
(5)
(6)
(7)
Schedule R (Form 990) 2010
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Schedule R (Form 990) 2010
Part V
Page
3
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35, 35a, or 36.)
Yes
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
1
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II–IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity
b Gift, grant, or capital contribution to other organization(s)
c Gift, grant, or capital contribution from other organization(s)
d Loans or loan guarantees to or for other organization(s)
e Loans or loan guarantees by other organization(s)
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
1a
1b
1c
1d
1e
No
X
X
X
X
X
f
g
h
i
Sale of assets to other organization(s)
Purchase of assets from other organization(s)
Exchange of assets
Lease of facilities, equipment, or other assets to other organization(s)
1f
1g
1h
1i
X
X
X
X
j
k
l
m
n
Lease of facilities, equipment, or other assets from other organization(s)
Performance of services or membership or fundraising solicitations for other organization(s)
Performance of services or membership or fundraising solicitations by other organization(s)
Sharing of facilities, equipment, mailing lists, or other assets
Sharing of paid employees
1j
1k
1l
1m
1n
X
X
X
X
X
o
p
Reimbursement paid to other organization for expenses
Reimbursement paid by other organization for expenses
1o
1p
q
r
1q
Other transfer of cash or property to other organization(s)
X
1r
Other transfer of cash or property from other organization(s)
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
2
(a)
Name of other organization
(b)
Transaction
type (a–r)
(c)
Amount involved
X
X
X
(d)
Method of determining
amount involved
(1)
THE NATIONAL YMCA FUND, INC.
C
3,325,535.
CASH
(2)
THE NATIONAL YMCA FUND, INC.
P
131,250.
CASH
(3)
THE NATIONAL YMCA FUND, INC.
R
55,430,881.
CASH
(4)
(5)
(6)
Schedule R (Form 990) 2010
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Schedule R (Form 990) 2010
Part VI
Page
4
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets
or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all partners
section
501(c)(3)
organizations?
Yes
No
(e)
Share of
end-of-year
assets
(f)
Disproportionate
allocations?
Yes
No
(g)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes
No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
Schedule R (Form 990) 2010
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36-3258696
Schedule R (Form 990) 2010
Page
5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see
instructions).
FORM 990, SCHEDULE R, PART V, LINE 2
TRANSACTIONS WITH RELATED ORGANIZATIONS
TRANSACTION TYPE "C", GIFT, GRANT, OR CAPITAL CONTRIBUTION FROM OTHER
ORGANIZATIONS: EVERY YEAR, THE RESOURCES THAT Y FUND CONTRIBUTES TO Y-USA
ARE EVALUATED BY THE Y FUND BOARD OF DIRECTORS. THIS EVALUATION TAKES
INTO ACCOUNT Y FUND'S SPENDING POLICY AS WELL AS MARKET PERFORMANCE
METRICS. THE METRICS USED ARE BASED ON MARKET PERFORMANCE FIGURES AS OF
SEPTEMBER 30 OF THE PRIOR YEAR. THE GRANTED AMOUNT IS THEN INCLUDED IN
THE Y FUND BUDGET WHICH IS APPROVED BY THE BOARD OF DIRECTORS. THE
CONTRIBUTION IS RECEIVED BY Y-USA ON A MONTHLY BASIS FROM Y FUND.
TRANSACTION TYPE "P", REIMBURSEMENT PAID BY OTHER ORGANIZATION FOR
EXPENSES: PAYMENT WAS MADE BY Y-FUND TO THE NATIONAL COUNCIL OF THE YMCA
OF THE USA FOR OCCUPANCY COSTS AND SHARED FACILITIES ALLOCATED TO Y-FUND.
THE VALUATION OF SUCH COSTS IS BASED ON ACTUAL EXPENSE AMOUNTS WHICH ARE
THEN ALLOCATED ON A BASIS CONSISTENT WITH THAT UTILIZED FOR SHARED
EMPLOYEES PROVIDING SUPPORT FOR Y-FUND.
Y-FUND HAS NO PAID EMPLOYEES. INSTEAD, Y-FUND UTILIZES THE SHARED
SERVICES OF YMCA OF THE USA'S EMPLOYEES. THE VALUATION OF THOSE SERVICES
IS BASED ON THE TIME PROVIDED BY THOSE EMPLOYEES WHO ENGAGE IN THE
ACTIVITIES NECESSARY TO SUPPORT Y-FUND OPERATIONS.
TRANSACTION TYPE "R", OTHER TRANSFER OF CASH OR PROPERTY FROM OTHER
ORGANIZATIONS: ON JUNE 15, 2010 THE BOARD OF TRUSTEES OF THE NATIONAL
YMCA FUND, INC., APPROVED A PLAN OF MERGER TO DISSOLVE THE CORPORATION
Schedule R (Form 990) 2010
0E1510 1.000
94217W 649R
0166754
PAGE 104
Schedule R (Form 990) 2010
Page
5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see
instructions).
AND MERGE ITS ASSETS WITH AND INTO Y-USA. THE MERGER WAS EFFECTIVE ON
JULY 16, 2010 PURSUANT TO THE PROVISIONS OF ARTICLE 11 OF THE ILLINOIS
GENERAL NOT-FOR-PROFIT ACT OF 1983, WITH Y-USA AS THE SURVIVING
CORPORATION. Y-FUND (NON-SURVIVING CORPORATION) CEASED TO EXIST ON THE
EFFECTIVE DATE OF THE MERGER.
THE EFFECT OF THE MERGER WAS TO CONTRIBUTE APPROXIMATELY $65.9 MILLION OF
ASSETS FROM THE NATIONAL YMCA FUND INC., TO Y-USA WHO ALSO ASSUMED THE
RELATED LIABILITIES. ON A CONSOLIDATED BASIS, THE MERGER HAS NO FINANCIAL
IMPACT AS THESE ASSETS AND LIABILITIES WERE PART OF A WHOLLY-OWNED
SUPPORTING ORGANIZATION OF YUSA. THE NET TRANSFER TO Y-USA WAS
$55,430,881.
Y-USA'S INVESTMENT COMMITTEE WILL RETAIN THE RESPONSIBILITY TO OVERSEE
AND PROTECT THE ENDOWMENT ASSETS. CERTAIN ENDOWMENTS AND GIFTS CONTAIN
RESTRICTIONS WHICH SPECIFY THE USE OF INCOME AND/OR PRINCIPAL.
POSTMERGER, ALL DISTRIBUTIONS FROM THE ENDOWMENT FUND WILL CONTINUE TO BE
MADE IN ACCORDANCE WITH THE ORIGINAL DONOR RESTRICTIONS AND BOARD
DESIGNATIONS AND ACCOUNTED FOR IN ACCORDANCE WITH GENERALLY ACCEPTED
ACCOUNTING PRINCIPLES, ADHERENCE TO ILLINOIS LAW AND UNIFORM PRUDENT
MANAGEMENT OF INSTITUTIONAL FUND ACT (UPMIFA). ALL DISBURSEMENTS WILL BE
MADE FOR THE EXPRESS PURPOSE OF FURTHERING YMCA WORK THROUGHOUT THE
WORLD.
Schedule R (Form 990) 2010
0E1510 1.000
94217W 649R
0166754
PAGE 105

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