Public Disclosure Copy
Transcription
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 mmmmmmmmmmmmmmmmmmmmmmmm 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? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm X No Yes mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 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 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmm 1 2 3 4 5 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 6 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 7 8 9 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 10 11 a b c d 3 Checklist of Required Schedules mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmm e f Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses mmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmm mmmmmmmmmm mmmmmmmmmmmmm mm mmmmmmm mmmmmmmmmmm mmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmm mmmmm 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) 1 2 X X 5 6 X 7 X 8 X 9 X 10 X 1 1a X 1 1b X X 1 1c 1 1d 1 1e X X 11f X X 1 2a 1 2b 13 1 4a X 1 4b X 15 X X X 16 X 17 X 18 X 19 2 0a X X 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 mmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmm 22 23 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 24 a b c d 25 a b mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmm mmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm m 26 27 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 28 a b c 29 30 mmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmm 31 32 33 34 35 a 36 37 38 4 Checklist of Required Schedules (continued) mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmm 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 X 22 X 23 X No X 2 4a 2 4b 2 4c 2 4d 2 5a X 2 5b X 26 X 27 X 2 8a X 2 8b X 2 8c 29 X X 30 X 31 X 32 X 33 X 34 35 X X 36 X 37 X 38 Form X 990 (2010) JSA 0E1030 1.000 94217W 649R 0166754 PAGE 6 Form 990 (2010) Part V Page mmmmmmmmmmmmmmmmmmmmmmm 100 mmmmmmmmmm 0 mmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 379 m 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 mmmmmmmmmm mmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm I mmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm e f g h 8 9 a b 10 a b mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmm mmm mmm 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 mmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmm mmmmmmmmmmmmmm mmmm mmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmm mmmmmmmmmmmmmmmmmm 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 mmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm m m m m m m m mm mm mm mm mm mm 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 mmmmmmmmmmmmmmmm 26 mmmmmm 26 mmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmm mmmmmm mmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmm 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 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmm 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.) mmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmm 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 mmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 1 5a 1 5b X X mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 1 6a mmmmmmmmmmmmmmmmmmmmmmmm 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 mmmmmmmmmmmmmmmmmmmmm 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 JSA 0E1210 3.000 94217W 649R 0166754 PAGE 15 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 JSA 0E1220 1.000 94217W 649R 0166754 PAGE 16 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 94217W 649R 0166754 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 JSA 0E1225 2.000 94217W 649R 0166754 PAGE 18 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) JSA 0E1251 1.000 94217W 649R 0166754 PAGE 19 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) JSA 0E1253 1.000 94217W 649R 0166754 PAGE 20 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. JSA 0E1264 0.040 94217W 649R 0166754 PAGE 21 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 JSA 0E1265 0.020 94217W 649R 0166754 PAGE 22 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 JSA 0E1266 0.020 94217W 649R 0166754 PAGE 23 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 JSA 0E1500 1.000 94217W 649R 0166754 PAGE 24 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 JSA 0E1268 1.000 94217W 649R 0166754 PAGE 25 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 JSA 0E1269 1.000 94217W 649R 0166754 PAGE 26 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). JSA 0E1270 1.000 Schedule D (Form 990) 2010 94217W 649R 0166754 PAGE 27 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 JSA 0E1271 1.000 94217W 649R 0166754 PAGE 28 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 JSA 0E1226 1.000 94217W 649R 0166754 PAGE 29 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 JSA 0E1226 1.000 94217W 649R 0166754 PAGE 30 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 JSA 0E1274 1.000 94217W 649R 0166754 PAGE 31 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 JSA 0E1275 1.000 94217W 649R 0166754 PAGE 32 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 JSA 0E1275 1.000 94217W 649R 0166754 PAGE 33 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 JSA 0E1275 1.000 94217W 649R 0166754 PAGE 34 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 JSA 0E1276 1.000 94217W 649R 0166754 PAGE 35 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 JSA 0E1277 1.000 94217W 649R 0166754 PAGE 36 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 JSA 0E1502 1.000 94217W 649R 0166754 PAGE 37 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 94217W 649R 0E1288 2.000 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 94217W 649R 0E1288 2.000 0166754 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 94217W 649R 0E1288 2.000 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 94217W 649R 0E1288 2.000 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) JSA 94217W 649R 0E1288 2.000 0166754 PAGE 87 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) JSA 94217W 649R 0E1504 3.000 0166754 PAGE 88 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) JSA 94217W 649R 0E1504 3.000 0166754 PAGE 89 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 JSA 0E1290 1.000 94217W 649R 0166754 PAGE 90 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 JSA 94217W 649R 0E1291 1.000 0166754 PAGE 91 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 JSA 0E1505 1.000 94217W 649R 0166754 PAGE 92 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) JSA 0E1227 2.000 94217W 649R 0166754 PAGE 93 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 JSA 0E1228 2.000 94217W 649R 0166754 PAGE 94 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 Schedule O (Form 990 or 990-EZ) 2010 JSA 0E1228 2.000 94217W 649R 0166754 PAGE 95 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 JSA 0E1228 2.000 94217W 649R 0166754 PAGE 96 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 Schedule O (Form 990 or 990-EZ) 2010 JSA 0E1228 2.000 94217W 649R 0166754 PAGE 97 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 JSA 0E1228 2.000 94217W 649R 0166754 PAGE 98 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 JSA 0E1228 2.000 94217W 649R 0166754 PAGE 99 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 JSA 0E1307 1.000 94217W 649R 0166754 PAGE 100 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 JSA 0E1308 1.000 94217W 649R 0166754 PAGE 101 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 JSA 0E1309 1.000 94217W 649R 0166754 PAGE 102 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 JSA 0E1310 1.000 94217W 649R 0166754 PAGE 103 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