Return of Organization Exempt From Income Tax

Transcription

1 Form 99 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 5(c), 527, or 4947(a)() of the Internal Revenue Code (except black lung benefit trust or private foundation) OMB No Open to Public Inspection The organization may have to use a copy of this return to satisfy state reporting requirements. A For the 2 calendar year, or tax year beginning 7//2, and ending 6/3/2 B Check if applicable: C Name of organization Deschutes United Way D Employer identification number Address change Doing Business As Name change Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number Initial return PO Box Terminated City or town, state or country, and ZIP + 4 Amended return Bend OR 9778 G Gross receipts $ Application pending F Name and address of principal officer: H(a) Is this a group return for affiliates? Yes No Ken Wilhelm PO Box 5969 Bend OR 9778 H(b) Are all affiliates included? Yes No I Tax-exempt status: 5(c)(3) 5(c) ( ) (insert no.) 4947(a)() or 527 If No, attach a list. (see instructions) J Website: H(c) Group exemption number K Form of organization: Corporation Trust Association Other L Year of formation: 953 M State of legal domicile: OR Part I Summary Briefly describe the organization s mission or most significant activities: Activities & Governance Revenue Expenses Net Assets or Fund Balances UNITED WAY OF DESCHUTES COUNTY CONNETS CARING PEOPLE TO IMPROVE LIVES AND SHAPE A BETTER COMMUNITY, SUPPORTING 26 LOCAL HUMAN SERVICE AGENCIES AND MANAGING CENTRAL OREGON Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets. 3 Number of voting members of the governing body (Part VI, line a) Number of independent voting members of the governing body (Part VI, line b) Total number of individuals employed in calendar year 2 (Part V, line 2a) Total number of volunteers (estimate if necessary) a Total unrelated business revenue from Part VIII, column, line a b Net unrelated business taxable income from Form 99-T, line b 8 Contributions and grants (Part VIII, line h) Program service revenue (Part VIII, line 2g) Investment income (Part VIII, column, lines 3, 4, and 7d) Other revenue (Part VIII, column, lines 5, 6d, 8c, 9c, c, and e)... 2 Total revenue add lines 8 through (must equal Part VIII, column, line 2) 3 Grants and similar amounts paid (Part I, column, lines 3) Benefits paid to or for members (Part I, column, line 4) Salaries, other compensation, employee benefits (Part I, column, lines 5 ) 6a Professional fundraising fees (Part I, column, line e) b Total fundraising expenses (Part I, column (D), line 25) Other expenses (Part I, column, lines a d, f 24f) Total expenses. Add lines 3 7 (must equal Part I, column, line 25). 9 Revenue less expenses. Subtract line 8 from line Total assets (Part, line 6) Total liabilities (Part, line 26) Net assets or fund balances. Subtract line 2 from line Part II Signature Block Prior Year Beginning of Current Year Current Year End of Year Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Sign Here Paid Preparer Use Only Signature of officer Type or print name and title Print/Type preparer s name Preparer's signature Date Firm s name Firm's EIN Firm's address Phone no. Date PTIN Check if self-employed May the IRS discuss this return with the preparer shown above? (see instructions) Yes No For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 282Y Form 99 (2)

2 Deschutes United Way Form 99 (2) Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III Briefly describe the organization s mission: United Way of Deschutes County brings people, and businesses together to address the community's most pressing human service needs through programs and services that change peoples' lives and strengthen our community in the process. 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 99 or 99-EZ? Yes No 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? Yes No 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 5(c)(3) and 5(c)(4) and section 4947(a)() 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: 6242 ) (Expenses $ including grants of $ ) (Revenue $ ) UWDC provided discretionary funding to 23 partner agencies with proven successful programs that address the targeted priorities of getting kids off to a Great Start in life, keeping Youth on Track for success, helping individuals and families meet Basic Needs, and protecting people from Abuse and Violence. Collectively, these programs reported service 72,57 people in 2-. Allocation amounts to funded partner agencies are cetermined through a rigorous volunteer-driven process that aligns funding with Board-determined priorities, as well as monitoring agencies for operational efficiency and the effectiveness of theirr program. 4b (Code: 6242 ) (Expenses $ including grants of $ ) (Revenue $ ) United Way of Deschutes County distributed $385,769 in donor-restricted contributions to 95 non-profit 5(c)(3) agencies as determined by donors. 4 c (Code: 5642 ) (Expenses $ 2764 including grants of $ 2764 ) (Revenue $ ) UWDC assisted 7,64 callers in finding services they needed through the Central Oregon 2-- program. 2-- is an easy-to-remember phone number that connects people with highly skilled community informations specialists who quickly assess the caller's needs and refer them to the appropriate services. CO2 maintains a comprehensive database containing the most current information on a broad range of services - including housing, health, food, counseling, childcare, and much more. The most frequest requests from callers were for housing/utilities (2,772), food./meals (,52), and healthcare (875). 4d 4e Other program services. (Describe in Schedule O.) (Expenses $ including grants of $ ) (Revenue $ ) Total program service expenses 9858 Form 99 (2)

3 Deschutes United Way Form 99 (2) Page 7 Part VII 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 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 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 ), regardless of amount of compensation. Enter -- 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 99-MISC) of more than $, from the organization and any related. List all of the organization s former officers, key employees, and highest compensated employees who received more than $, of reportable compensation from the organization and any related. 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 $, of reportable compensation from the organization and any related. 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. () Raul Ainardi (2) Bill Baker (3) Jerry Bass (4) Rick Breeden Name and Title (5) Scott Ellender (6) (7) Peter Hall (8) Sally Heise (9) Brad Henry () Cheryl Howard () (2) Jan Even Lisa Ihander Jinnifer Jeresek (3) Jeff Ludeman (4) Dennis Luke (5) Dennis Lynn (6) Sue Meyer Average hours per week (describe hours for related in Schedule O) Position (check all that apply) Individual trustee or director Institutional trustee Officer Key employee Highest compensated employee Former (D) Reportable compensation from the organization (W-2/99-MISC) (E) Reportable compensation from related (W-2/99-MISC) (F) Estimated amount of other compensation from the organization and related 3 2 Form 99 (2)

4 Deschutes United Way Form 99 (2) Page 8 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Name and title Average hours per week (describe hours for related in Schedule O) Position (check all that apply) (D) Reportable compensation from the organization (W-2/99-MISC) (E) Reportable compensation from related (W-2/99-MISC) Individual trustee or director Institutional trustee Officer Key employee Highest compensated employee Former (F) Estimated amount of other compensation from the organization and related (7) Pam Mjor (8) Paul Morton (9) Sally Morton (2) Mike Oman (2) Sheri Pendergraft (22) Greg Pollack (23) John Salzer (24) Corky Senecal (25) Bob Shaw (26) Todd Shields (27) Ken Wilhelm (28) Jane Wendell b Sub-total c Total from continuation sheets to Part VII, Section A..... d Total (add lines b and c) Total number of individuals (including but not limited to those listed above) who received more than $, in reportable compensation from the organization 3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line a? If Yes, complete Schedule J for such individual For any individual listed on line a, is the sum of reportable compensation and other compensation from the organization and related greater than $5,? If Yes, complete Schedule J for such individual Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If Yes, complete Schedule J for such person Section B. Independent Contractors Complete this table for your five highest compensated independent contractors that received more than $, of compensation from the organization. Name and business address Description of services Yes Compensation No 2 Total number of independent contractors (including but not limited to those listed above) who received more than $, in compensation from the organization Form 99 (2)

5 Deschutes United Way Form 99 (2) Page 9 Part VIII Contributions, gifts, grants and other similar amounts Program Service Revenue Statement of Revenue a Federated campaigns... a b Membership dues.... b c Fundraising events.... c d Related... d e Government grants (contributions) e f All other contributions, gifts, grants, and similar amounts not included above f g Noncash contributions included in lines a-f: $ 3323 h Total. Add lines a f Business Code 2a b c d e f All other program service revenue. g Total. Add lines 2a 2f Investment income (including dividends, interest, and other similar amounts) Income from investment of tax-exempt bond proceeds 5 Royalties (i) Real (ii) Personal 6a Gross Rents.. b Less: rental expenses c Rental income or (loss) d Net rental income or (loss) a Gross amount from sales of (i) Securities (ii) Other assets other than inventory 896 b Less: cost or other basis and sales expenses c Gain or (loss) d Net gain or (loss) Total revenue 3228 Related or exempt function revenue Unrelated business revenue (D) Revenue excluded from tax under sections 52, 53, or Other Revenue 8a Gross income from fundraising events (not including $ of contributions reported on line c). See Part IV, line a b Less: direct expenses.... b c Net income or (loss) from fundraising events 9a Gross income from gaming activities. See Part IV, line a b Less: direct expenses.... b c Net income or (loss) from gaming activities. a Gross sales of inventory, less returns and allowances... a b Less: cost of goods sold... b c Net income or (loss) from sales of inventory. Miscellaneous Revenue... Business Code a Admin Fee-EFSP 56 b Admin Fee-Project Connect56 c d All other revenue..... e Total. Add lines a d Total revenue. See instructions Form 99 (2)

6 Deschutes United Way Form 99 (2) Page Part I Statement of Functional Expenses Section 5(c)(3) and 5(c)(4) must complete all columns. All other must complete column but are not required to complete columns,, and (D). Do not include amounts reported on lines 6b, 7b, 8b, 9b, and b of Part VIII. Grants and other assistance to governments and in the U.S. See Part IV, line Grants and other assistance to individuals in the U.S. See Part IV, line Grants and other assistance to governments,, and individuals outside the U.S. See Part IV, lines 5 and Benefits paid to or for members Compensation of current officers, directors, trustees, and key employees Compensation not included above, to disqualified persons (as defined under section 4958(f)()) and persons described in section 4958(c)(3).. 7 Other salaries and wages Pension plan contributions (include section 4(k) and section 43(b) employer contributions).. 9 Other employee benefits Payroll taxes Fees for services (non-employees): a Management b Legal c Accounting d Lobbying e Professional fundraising services. See Part IV, line 7 f Investment management fees..... g Other Advertising and promotion Office expenses Information technology Royalties Occupancy Travel Payments of travel or entertainment expenses for any federal, state, or local public officials 9 Conferences, conventions, and meetings. 2 Interest Payments to affiliates Depreciation, depletion, and amortization. 23 Insurance Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds % of line 25, column amount, list line 24f expenses on Schedule O.) a b c d e f All other expenses 25 Total functional expenses. Add lines through 24f 26 Joint costs. Check here if following SOP 98-2 (ASC ). Complete this line only if the organization reported in column joint costs from a combined educational campaign and fundraising solicitation.. Total expenses Program service expenses Management and general expenses (D) Fundraising expenses Form 99 (2)

7 Deschutes United Way Form 99 (2) Page Assets Liabilities Net Assets or Fund Balances Part Balance Sheet Beginning of year 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 Receivables from other disqualified persons (as defined under section 4958(f)()), persons described in section 4958(c)(3), and contributing employers and sponsoring of section 5(c)(9) voluntary employees' beneficiary (see instructions) Notes and loans receivable, net Inventories for sale or use Prepaid expenses and deferred charges a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D a 3975 b Less: accumulated depreciation.... b c Investments publicly traded securities Investments other securities. See Part IV, line Investments program-related. See Part IV, line Intangible assets Other assets. See Part IV, line Total assets. Add lines through 5 (must equal line 34) Accounts payable and accrued expenses Grants payable Deferred revenue Tax-exempt bond liabilities Escrow or custodial account liability. Complete Part IV of Schedule D Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L Secured mortgages and notes payable to unrelated third parties Unsecured notes and loans payable to unrelated third parties Other liabilities. Complete Part of Schedule D Total liabilities. Add lines 7 through Organizations that follow SFAS 7, check here and complete lines 27 through 29, and lines 33 and Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets Organizations that do not follow SFAS 7, check here and complete lines 3 through 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 End of year Form 99 (2)

8 Deschutes United Way Form 99 (2) Page 2 Part I Reconciliation of Net Assets Check if Schedule O contains a response to any question in this Part I Total revenue (must equal Part VIII, column, line 2) Total expenses (must equal Part I, column, line 25) Revenue less expenses. Subtract line 2 from line Net assets or fund balances at beginning of year (must equal Part, line 33, column ) 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, line 33, column ) Part II Financial Statements and Reporting Check if Schedule O contains a response to any question in this Part II Accounting method used to prepare the Form 99: Cash Accrual Other If the organization changed its method of accounting from a prior year or checked Other, explain in Schedule O. 2a Were the organization s financial statements compiled or reviewed by an independent accountant?... 2a b Were the organization s financial statements audited by an independent accountant? b c 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? 2c If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. d 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: Separate basis Consolidated basis Both consolidated and separate basis 3a 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-33? a b 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 3b Yes No Form 99 (2)