Filing Instructions UNITED WAY OF LAKE COUNTY INC. Exempt Organization Tax Return. Taxable Year Ended June 30, 2017

Transcription

1 Filing Instrutions UNITED WAY OF LAKE COUNTY INC. Exempt Orgniztion Tx Return Txle Yer Ended June 0, 07 Dte Due: My, 08 Remittne: Signture: ne is required. Your Form 990 for the tx yer ended /0/7 shows no lne due. You re using Personl Identifition Numer (PIN) for signing your return eletronilly. Sign the IRS e-file Authoriztion nd mil it s soon s possile to: H & J CERTIFIED PUBLIC ACCOUNTANTS, INC. 7 FREDLE DR STE 0 CONCORD, OH 077 Other: Your return is eing filed eletronilly with the IRS nd is not required to e miled. Miling pper opy of your return to the IRS will dely the proessing of your return. Registrtion with the Stte of Ohio must e ompleted y My, 08. The wesite for online registrtion n e found here:

2 Form Deprtment of the Tresury Internl Revenue Servie Nme of exempt orgniztion Nme nd title of offier hek the ox on line,,,, or, elow, nd the mount on tht line for the return eing filed with this form ws lnk, then leve line,,,, or, whihever is pplile, lnk (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the pplile line elow. Do not omplete more thn line in Prt I. Prt I 8879-EO Form 990-PF hek here Form 888 hek here For lendr yer 0, or fisl yer eginning , 0, nd ending , Prt II Delrtion nd Signture Authoriztion of Offier Under penlties of perjury, I delre tht I m n offier of the ove orgniztion nd tht I hve exmined opy of the orgniztion s 0 eletroni return nd ompnying shedules nd sttements nd to the est of my knowledge nd elief, they re true, orret, nd omplete. I further delre tht the mount in Prt I ove is the mount shown on the opy of the orgniztion s eletroni return. I onsent to llow my intermedite servie provider, trnsmitter, or eletroni return origintor (ERO) to send the orgniztion s return to the IRS nd to reeive from the IRS () n knowledgement of reeipt or reson for rejetion of the trnsmission, () the reson for ny dely in proessing the return or refund, nd () the dte of ny refund. If pplile, I uthorize the U.S. Tresury nd its designted Finnil Agent to initite n eletroni funds withdrwl (diret deit) entry to the finnil institution ount indited in the tx preprtion softwre for pyment of the orgniztion s federl txes owed on this return, nd the finnil institution to deit the entry to this ount. To revoke pyment, I must ontt the U.S. Tresury Finnil Agent t no lter thn usiness dys prior to the pyment (settlement) dte. I lso uthorize the finnil institutions involved in the proessing of the eletroni pyment of txes to reeive onfidentil informtion neessry to nswer inquiries nd resolve issues relted to the pyment. I hve seleted personl identifition numer (PIN) s my signture for the orgniztion s eletroni return nd, if pplile, the orgniztion s onsent to eletroni funds withdrwl. I uthorize to enter my PIN s my signture ERO firm nme Enter five numers, ut do not enter ll zeros on the orgniztion s tx yer 0 eletronilly filed return. If I hve indited within this return tht opy of the return is eing filed with stte geny(ies) regulting hrities s prt of the IRS Fed/Stte progrm, I lso uthorize the forementioned ERO to enter my PIN on the return s dislosure onsent sreen. As n offier of the orgniztion, I will enter my PIN s my signture on the orgniztion s tx yer 0 eletronilly filed return. If I hve indited within this return tht opy of the return is eing filed with stte geny(ies) regulting hrities s prt of the IRS Fed/Stte progrm, I will enter my PIN on the return s dislosure onsent sreen. Offier's signture } Prt III Certifition nd Authentition ERO's EFIN/PIN. Enter your six-digit eletroni filing identifition numer (EFIN) followed y your five-digit self-seleted PIN. u Do not send to the IRS. Keep for your reords. u Informtion out Form 8879-EO nd its instrutions is t IRS e-file Signture Authoriztion for n Exempt Orgniztion 7/0 /0 7 Type of Return nd Return Informtion (Whole Dollrs Only) Form 990 hek here Totl revenue, if ny (Form 990, Prt VIII, olumn (A), line ) Form 990-EZ hek here Totl revenue, if ny (Form 990-EZ, line 9) Form 0-POL hek here Totl tx (Form 0-POL, line ) Offier's PIN: hek one ox only Tx sed on investment inome (Form 990-PF, Prt VI, line ) Blne Due (Form 888, line ) Dte Employer identifition numer JENNIFER MCCARTY PRESIDENT/CEO Chek the ox for the return for whih you re using this Form 8879-EO nd enter the pplile mount, if ny, from the return. If you } OMB ,,8 H & J CERTIFIED PUBLIC ACCOUNTANTS, 0//8 97 do not enter ll zeros I ertify tht the ove numeri entry is my PIN, whih is my signture on the 0 eletronilly filed return for the orgniztion indited ove. I onfirm tht I m sumitting this return in ordne with the requirements of Pu., Modernized e-file (MeF) Informtion for Authorized IRS e-file Providers for Business Returns. ERO's signture } ROLLAND B. STANDISH 0//8 Dte } For Pperwork Redution At tie, see k of form. ERO Must Retin This Form See Instrutions Do t Sumit This Form To the IRS Unless Requested To Do So Form 8879-EO (0)

3 Form Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) Deprtment of the Tresury u Do not enter soil seurity numers on this form s it my e mde puli. Internl Revenue Servie u Informtion out Form 990 nd its instrutions is t A For the 0 lendr yer, or tx yer eginning, nd ending B I J K Ativities & Governne Revenue Expenses Net Assets or Fund Blnes Chek if pplile: Address hnge Nme hnge Initil return Finl return/ terminted 990 Amended return Applition pending Tx-exempt sttus: Wesite: u Form of orgniztion: Prt I C Nme of orgniztion F Doing usiness s Return of Orgniztion Exempt From Inome Tx Numer nd street (or P.O. ox if mil is not delivered to street ddress) City or town, stte or provine, ountry, nd ZIP or foreign postl ode Nme nd ddress of prinipl offier: 0() ( ) t (insert no.) 97()() or 7 Grnts nd similr mounts pid (Prt I, olumn (A), lines ) Benefits pid to or for memers (Prt I, olumn (A), line ) Slries, other ompenstion, employee enefits (Prt I, olumn (A), lines 0) Professionl fundrising fees (Prt I, olumn (A), line e) Totl fundrising expenses (Prt I, olumn (D), line ) u , Other expenses (Prt I, olumn (A), lines d, f e) Totl expenses. Add lines 7 (must equl Prt I, olumn (A), line ) Room/suite E Telephone numer G Gross reeipts $ OMB Open to Puli Inspetion D Employer identifition numer H() Is this group return for suordintes? H() Are ll suordintes inluded? If "," tth list. (see instrutions) H() Group exemption numer u Corportion Trust Assoition Other u L Yer of formtion: 97 M Stte of legl domiile: OH Summry Briefly desrie the orgniztion's mission or most signifint tivities: Chek this ox u if the orgniztion disontinued its opertions or disposed of more thn % of its net ssets. Numer of voting memers of the governing ody (Prt VI, line ) Numer of independent voting memers of the governing ody (Prt VI, line ) Totl numer of individuls employed in lendr yer 0 (Prt V, line ) Totl numer of volunteers (estimte if neessry).. 7 Totl unrelted usiness revenue from Prt VIII, olumn (C), line Net unrelted usiness txle inome from Form 990-T, line Prior Yer PROGRESS PARKWAY 07/0/ 0/0/7 UNITED WAY OF LAKE COUNTY INC. MENTOR OH 00 JENNIFER MCCARTY 98 PROGRESS PARKWAY MENTOR OH 00 0()() SEE SCHEDULE O Contriutions nd grnts (Prt VIII, line h) Progrm servie revenue (Prt VIII, line g) Investment inome (Prt VIII, olumn (A), lines,, nd 7d) Other revenue (Prt VIII, olumn (A), lines, d, 8, 9, 0, nd e) Totl revenue dd lines 8 through (must equl Prt VIII, olumn (A), line ) Revenue less expenses. Sutrt line 8 from line Totl ssets (Prt, line ).... Totl liilities (Prt, line ).. Net ssets or fund lnes. Sutrt line from line Prt II Signture Blok 7 7 Beginning of Current Yer ,,8 Current Yer End of Yer Under penlties of perjury, I delre tht I hve exmined this return, inluding ompnying shedules nd sttements, nd to the est of my knowledge nd elief, it is true, orret, nd omplete. Delrtion of preprer (other thn offier) is sed on ll informtion of whih preprer hs ny knowledge. 0 0,98,70,, 0,9 7,8,708,0,0,8,,8,7,8,99,9 0,8 7,8 0 8,9 8,8,0,97,,07 -,9 -,0,09,,70,0,8,9,78,888,90,78,09, Sign Here Pid Preprer Use Only Signture of offier JENNIFER MCCARTY Type or print nme nd title Print/Type preprer's nme For Pperwork Redution At tie, see the seprte instrutions. Preprer's signture Dte Chek if PTIN ROLLAND B. STANDISH ROLLAND B. STANDISH 0//8 self-employed P00970 } PRESIDENT/CEO H & J CERTIFIED PUBLIC ACCOUNTANTS, INC FREDLE DR STE 0 Firm's nme Firm's EIN } CONCORD, OH 077 Phone no Firm's ddress } My the IRS disuss this return with the preprer shown ove? (see instrutions).... Dte Form 990 (0)

4 Form 990 (0) Pge Prt III Sttement of Progrm Servie Aomplishments Briefly desrie the orgniztion's mission: Did the orgniztion undertke ny signifint progrm servies during the yer whih were not listed on the prior Form 990 or 990-EZ? If "," desrie these new servies on Shedule O. Did the orgniztion ese onduting, or mke signifint hnges in how it onduts, ny progrm servies? If "," desrie these hnges on Shedule O. Desrie the orgniztion's progrm servie omplishments for eh of its three lrgest progrm servies, s mesured y expenses. Setion 0()() nd 0()() orgniztions re required to report the mount of grnts nd llotions to others, the totl expenses, nd revenue, if ny, for eh progrm servie reported. (Code: ) (Expenses $ inluding grnts of $ ) (Revenue $ ) ) $ (Revenue ) $ inluding grnts of $ ) (Expenses (Code: (Code: $ inluding grnts of $ ) ) (Expenses $ ) (Revenue. d Other progrm servies (Desrie in Shedule O.) (Revenue ) $ (Expenses ) $ inluding grnts of $ e Totl progrm servie expenses u Form 990 (0) Chek if Shedule O ontins response or note to ny line in this Prt III SEE SCHEDULE O,7,,,7 S AND AGENCY RELATIONS INCLUDE THE EVALUATION OF COMMUNITY NEEDS AND THE DISTRIBUTION OF FUNDS TO BEST MEET THOSE NEEDS. UNITED WAY OF LAKE COUNTY'S MANY VOLUNTEERS ARE CRITICAL DECISION- MAKERS WHEN IT COMES TO PROGRAM FUNDING DECISIONS. DOZENS OF COMPANIES RUN WORKPLACE CAMPAIGNS, INVOLVING CORPORATE GIFTS AND SPECIAL EVENTS, THAT HELP KEEP THE COMMUNITY ENGAGED IN MAKING IT A BETTER PLACE TO LIVE AND WORK. 0,0,8,9 COMMUNITY PLANNING INCLUDES COORDINATION OF AGENCY STAFF, VOLUNTEERS, AND OTHER RESOURCES TO CONDUCT ACTIVITIES FOR THE BETTERMENT OF THE COMMUNITY. UWLC ALSO HOUSES A COMMUNITY ROOM THAT CAN BE USED BY AREA NON-PROFITS, FREE OF CHARGE, FOR CLASSES, MEETINGS, AND TRAINING SESSIONS. COMMUNITY PLANNING EFFORTS ARE INTENSIVE IN A FEW MAIN AREAS EACH YEAR. THESE INCLUDE: DAY OF CARING, FEED LAKE COUNTY, YOUTH UNITED WAY, AND WOMEN'S LEADERSHIP COUNCIL. THE ANNUAL DAY OF CARING PROGRAM CONSISTS OF 700 EMPLOYEES FROM AREA BUSINESSES VOLUNTEERING AT OVER 00 SERVICE PROJECTS THROUGHOUT THE COUNTY. FEED LAKE COUNTY IS THE ANNUAL FOOD COLLECTION CAMPAIGN WHERE COMPANIES AND INDIVIDUALS RUN FOOD DRIVES AND COLLECT MONEY FOR FEED LAKE COUNTY. UWLC USES THOSE FUNDS TO PURCHASE OVER,78,0 00E0 0//08 :0 PM

5 Form 990 (0) Prt IV Cheklist of Required Shedules d e f Is the orgniztion desried in setion 0()() or 97()() (other thn privte foundtion)? If, omplete Shedule A Is the orgniztion required to omplete Shedule B, Shedule of Contriutors (see instrutions)? Did the orgniztion engge in diret or indiret politil mpign tivities on ehlf of or in opposition to ndidtes for puli offie? If, omplete Shedule C, Prt I..... Setion 0()() orgniztions. Did the orgniztion engge in loying tivities, or hve setion 0(h) eletion in effet during the tx yer? If "," omplete Shedule C, Prt II.... Is the orgniztion setion 0()(), 0()(), or 0()() orgniztion tht reeives memership dues, ssessments, or similr mounts s defined in Revenue Proedure 98-9? If "," omplete Shedule C, Prt III... Did the orgniztion mintin ny donor dvised funds or ny similr funds or ounts for whih donors hve the right to provide dvie on the distriution or investment of mounts in suh funds or ounts? If, omplete Shedule D, Prt I Did the orgniztion reeive or hold onservtion esement, inluding esements to preserve open spe, the environment, histori lnd res, or histori strutures? If, omplete Shedule D, Prt II Did the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If, omplete Shedule D, Prt III Did the orgniztion report n mount in Prt, line, for esrow or ustodil ount liility, serve s ustodin for mounts not listed in Prt ; or provide redit ounseling, det mngement, redit repir, or det negotition servies? If, omplete Shedule D, Prt IV Did the orgniztion, diretly or through relted orgniztion, hold ssets in temporrily restrited endowments, permnent endowments, or qusi-endowments? If, omplete Shedule D, Prt V If the orgniztion's nswer to ny of the following questions is, then omplete Shedule D, Prts VI, VII, VIII, I, or s pplile. Did the orgniztion report n mount for lnd, uildings, nd equipment in Prt, line 0? If "," omplete Shedule D, Prt VI Did the orgniztion report n mount for investments other seurities in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "," omplete Shedule D, Prt VII Did the orgniztion report n mount for investments progrm relted in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "," omplete Shedule D, Prt VIII Did the orgniztion report n mount for other ssets in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "," omplete Shedule D, Prt I..... Did the orgniztion report n mount for other liilities in Prt, line? If "," omplete Shedule D, Prt Did the orgniztion's seprte or onsolidted finnil sttements for the tx yer inlude footnote tht ddresses the orgniztion's liility for unertin tx positions under FIN 8 (ASC 70)? If "," omplete Shedule D, Prt Did the orgniztion otin seprte, independent udited finnil sttements for the tx yer? If, omplete Shedule D, Prts I nd II Ws the orgniztion inluded in onsolidted, independent udited finnil sttements for the tx yer? If "," nd if the orgniztion nswered "" to line, then ompleting Shedule D, Prts I nd II is optionl Is the orgniztion shool desried in setion 70()()(A)(ii)? If, omplete Shedule E Did the orgniztion mintin n offie, employees, or gents outside of the United Sttes? Did the orgniztion hve ggregte revenues or expenses of more thn $0,000 from grntmking, fundrising, usiness, investment, nd progrm servie tivities outside the United Sttes, or ggregte foreign investments vlued t $00,000 or more? If, omplete Shedule F, Prts I nd IV Did the orgniztion report on Prt I, olumn (A), line, more thn $,000 of grnts or other ssistne to or for ny foreign orgniztion? If, omplete Shedule F, Prts II nd IV..... Did the orgniztion report on Prt I, olumn (A), line, more thn $,000 of ggregte grnts or other ssistne to or for foreign individuls? If, omplete Shedule F, Prts III nd IV Did the orgniztion report totl of more thn $,000 of expenses for professionl fundrising servies on Prt I, olumn (A), lines nd e? If, omplete Shedule G, Prt I (see instrutions) Did the orgniztion report more thn $,000 totl of fundrising event gross inome nd ontriutions on Prt VIII, lines nd 8? If "," omplete Shedule G, Prt II Did the orgniztion report more thn $,000 of gross inome from gming tivities on Prt VIII, line 9? If "," omplete Shedule G, Prt III d e f Pge Form 990 (0)

6 Form 990 (0) Pge Prt IV Cheklist of Required Shedules (ontinued) d Did the orgniztion operte one or more hospitl filities? If, omplete Shedule H If to line 0, did the orgniztion tth opy of its udited finnil sttements to this return? Did the orgniztion report more thn $,000 of grnts or other ssistne to ny domesti orgniztion or domesti government on Prt I, olumn (A), line? If, omplete Shedule I, Prts I nd II Did the orgniztion report more thn $,000 of grnts or other ssistne to or for domesti individuls on Prt I, olumn (A), line? If, omplete Shedule I, Prts I nd III Did the orgniztion nswer to Prt VII, Setion A, line,, or out ompenstion of the orgniztion's urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees? If "," omplete Shedule J Did the orgniztion hve tx-exempt ond issue with n outstnding prinipl mount of more thn $00,000 s of the lst dy of the yer, tht ws issued fter Deemer, 00? If, nswer lines through d nd omplete Shedule K. If, go to line Did the orgniztion invest ny proeeds of tx-exempt onds eyond temporry period exeption? Did the orgniztion mintin n esrow ount other thn refunding esrow t ny time during the yer to defese ny tx-exempt onds? Did the orgniztion t s n on ehlf of issuer for onds outstnding t ny time during the yer? Setion 0()(), 0()(), nd 0()(9) orgniztions. Did the orgniztion engge in n exess enefit trnstion with disqulified person during the yer? If, omplete Shedule L, Prt I Is the orgniztion wre tht it engged in n exess enefit trnstion with disqulified person in prior yer, nd tht the trnstion hs not een reported on ny of the orgniztion's prior Forms 990 or 990-EZ? If "," omplete Shedule L, Prt I Did the orgniztion report ny mount on Prt, line,, or for reeivles from or pyles to ny urrent or former offiers, diretors, trustees, key employees, highest ompensted employees, or disqulified persons? If "," omplete Shedule L, Prt II Did the orgniztion provide grnt or other ssistne to n offier, diretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to % ontrolled entity or fmily memer of ny of these persons? If, omplete Shedule L, Prt III Ws the orgniztion prty to usiness trnstion with one of the following prties (see Shedule L, Prt IV instrutions for pplile filing thresholds, onditions, nd exeptions): A urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Prt IV A fmily memer of urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Prt IV An entity of whih urrent or former offier, diretor, trustee, or key employee (or fmily memer thereof) ws n offier, diretor, trustee, or diret or indiret owner? If, omplete Shedule L, Prt IV Did the orgniztion reeive more thn $,000 in non-sh ontriutions? If, omplete Shedule M Did the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulified onservtion ontriutions? If, omplete Shedule M Did the orgniztion liquidte, terminte, or dissolve nd ese opertions? If, omplete Shedule N, Prt I..... Did the orgniztion sell, exhnge, dispose of, or trnsfer more thn % of its net ssets? If "," omplete Shedule N, Prt II Did the orgniztion own 00% of n entity disregrded s seprte from the orgniztion under Regultions setions nd ? If, omplete Shedule R, Prt I.... Ws the orgniztion relted to ny tx-exempt or txle entity? If, omplete Shedule R, Prts II, III, or IV, nd Prt V, line Did the orgniztion hve ontrolled entity within the mening of setion ()()? If "" to line, did the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolled entity within the mening of setion ()()? If, omplete Shedule R, Prt V, line Setion 0()() orgniztions. Did the orgniztion mke ny trnsfers to n exempt non-hritle relted orgniztion? If, omplete Shedule R, Prt V, line..... Did the orgniztion ondut more thn % of its tivities through n entity tht is not relted orgniztion nd tht is treted s prtnership for federl inome tx purposes? If, omplete Shedule R, Prt VI... 8 Did the orgniztion omplete Shedule O nd provide explntions in Shedule O for Prt VI, lines nd 9? te. All Form 990 filers re required to omplete Shedule O. 0 0 d Form 990 (0)

7 Form 990 (0) Pge Prt V Sttements Regrding Other IRS Filings nd Tx Compline Chek if Shedule O ontins response or note to ny line in this Prt V d e f g h Enter the numer reported in Box of Form 09. Enter -0- if not pplile Enter the numer of Forms W-G inluded in line. Enter -0- if not pplile Did the orgniztion omply with kup withholding rules for reportle pyments to vendors nd reportle gming (gmling) winnings to prize winners? Enter the numer of employees reported on Form W-, Trnsmittl of Wge nd Tx Sttements, filed for the lendr yer ending with or within the yer overed y this return If t lest one is reported on line, did the orgniztion file ll required federl employment tx returns? te. If the sum of lines nd is greter thn 0, you my e required to e-file (see instrutions) Did the orgniztion hve unrelted usiness gross inome of $,000 or more during the yer? If, hs it filed Form 990-T for this yer? If to line, provide n explntion in Shedule O At ny time during the lendr yer, did the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)? If, enter the nme of the foreign ountry: u See instrutions for filing requirements for FinCEN Form, Report of Foreign Bnk nd Finnil Aounts Ws the orgniztion prty to prohiited tx shelter trnstion t ny time during the tx yer? Did ny txle prty notify the orgniztion tht it ws or is prty to prohiited tx shelter trnstion? If to line or, did the orgniztion file Form 888-T? Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $00,000, nd did the orgniztion soliit ny ontriutions tht were not tx dedutile s hritle ontriutions? If, did the orgniztion inlude with every soliittion n express sttement tht suh ontriutions or gifts were not tx dedutile? Orgniztions tht my reeive dedutile ontriutions under setion 70(). Did the orgniztion reeive pyment in exess of $7 mde prtly s ontriution nd prtly for goods If, did the orgniztion notify the donor of the vlue of the goods or servies provided? Did the orgniztion sell, exhnge, or otherwise dispose of tngile personl property for whih it ws required to file Form 88? If, indite the numer of Forms 88 filed during the yer d Did the orgniztion reeive ny funds, diretly or indiretly, to py premiums on personl enefit ontrt? Did the orgniztion, during the yer, py premiums, diretly or indiretly, on personl enefit ontrt? If the orgniztion reeived ontriution of qulified intelletul property, did the orgniztion file Form 8899 s required? If the orgniztion reeived ontriution of rs, ots, irplnes, or other vehiles, did the orgniztion file Form 098-C? Sponsoring orgniztions mintining donor dvised funds. Did donor dvised fund mintined y the sponsoring orgniztion hve exess usiness holdings t ny time during the yer? Sponsoring orgniztions mintining donor dvised funds. Did the sponsoring orgniztion mke ny txle distriutions under setion 9? Did the sponsoring orgniztion mke distriution to donor, donor dvisor, or relted person? Setion 0()(7) orgniztions. Enter: Initition fees nd pitl ontriutions inluded on Prt VIII, line Gross reeipts, inluded on Form 990, Prt VIII, line, for puli use of lu filities Setion 0()() orgniztions. Enter: Gross inome from memers or shreholders. Gross inome from other soures (Do not net mounts due or pid to other soures ginst mounts due or reeived from them.).. Setion 97()() non-exempt hritle trusts. Is the orgniztion filing Form 990 in lieu of Form 0? If, enter the mount of tx-exempt interest reeived or rued during the yer Setion 0()(9) qulified nonprofit helth insurne issuers. (FBAR). nd servies provided to the pyor? Is the orgniztion liensed to issue qulified helth plns in more thn one stte? te. See the instrutions for dditionl informtion the orgniztion must report on Shedule O. Enter the mount of reserves the orgniztion is required to mintin y the sttes in whih the orgniztion is liensed to issue qulified helth plns Enter the mount of reserves on hnd Did the orgniztion reeive ny pyments for indoor tnning servies during the tx yer? If "," hs it filed Form 70 to report these pyments? If "," provide n explntion in Shedule O Form 990 (0) e 7f 7g 7h 8 9 9

8 Form 990 (0) Pge Prt VI Governne, Mngement, nd Dislosure For eh "" response to lines through 7 elow, nd for "" response to line 8, 8, or 0 elow, desrie the irumstnes, proesses, or hnges in Shedule O. See instrutions. Chek if Shedule O ontins response or note to ny line in this Prt VI Setion A. Governing Body nd Mngement orgniztion s exempt sttus with respet to suh rrngements?..... Setion C. Dislosure 7 List the sttes with whih opy of this Form 990 is required to e filed u OH Setion 0 requires n orgniztion to mke its Forms 0 (or 0 if pplile), 990, nd 990-T (Setion 0()()s only) Enter the numer of voting memers of the governing ody t the end of the tx yer If there re mteril differenes in voting rights mong memers of the governing ody, or Enter the numer of voting memers inluded in line, ove, who re independent Did ny offier, diretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, diretor, trustee, or key employee? Did the orgniztion delegte ontrol over mngement duties ustomrily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to mngement ompny or other person? Did the orgniztion mke ny signifint hnges to its governing douments sine the prior Form 990 ws filed? Did the orgniztion eome wre during the yer of signifint diversion of the orgniztion s ssets? Did the orgniztion hve memers or stokholders? Did the orgniztion hve memers, stokholders, or other persons who hd the power to elet or ppoint one or more memers of the governing ody? Are ny governne deisions of the orgniztion reserved to (or sujet to pprovl y) memers, stokholders, or persons other thn the governing ody? Did the orgniztion ontemporneously doument the meetings held or written tions undertken during the yer y the following: The governing ody? Eh ommittee with uthority to t on ehlf of the governing ody? Is there ny offier, diretor, trustee, or key employee listed in Prt VII, Setion A, who nnot e rehed t the orgniztion s miling ddress? If, provide the nmes nd ddresses in Shedule O Setion B. Poliies (This Setion B requests informtion out poliies not required y the Internl Revenue Code.) Did the orgniztion hve lol hpters, rnhes, or ffilites? If, did the orgniztion hve written poliies nd proedures governing the tivities of suh hpters, ffilites, nd rnhes to ensure their opertions re onsistent with the orgniztion's exempt purposes? Hs the orgniztion provided omplete opy of this Form 990 to ll memers of its governing ody efore filing the form? Desrie in Shedule O the proess, if ny, used y the orgniztion to review this Form if the governing ody delegted rod uthority to n exeutive ommittee or similr ommittee, explin in Shedule O. Did the orgniztion hve written onflit of interest poliy? If, go to line Were offiers, diretors, or trustees, nd key employees required to dislose nnully interests tht ould give rise to onflits?.... Did the orgniztion regulrly nd onsistently monitor nd enfore ompline with the poliy? If, desrie in Shedule O how this ws done Did the orgniztion hve written whistlelower poliy? Did the orgniztion hve written doument retention nd destrution poliy? Did the proess for determining ompenstion of the following persons inlude review nd pprovl y independent persons, omprility dt, nd ontemporneous sustntition of the deliertion nd deision? The orgniztion s CEO, Exeutive Diretor, or top mngement offiil Other offiers or key employees of the orgniztion If to line or, desrie the proess in Shedule O (see instrutions). Did the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity during the yer? If, did the orgniztion follow written poliy or proedure requiring the orgniztion to evlute its prtiiption in joint venture rrngements under pplile federl tx lw, nd tke steps to sfegurd the ville for puli inspetion. Indite how you mde these ville. Chek ll tht pply. Own wesite Another's wesite Upon request Desrie in Shedule O whether (nd if so, how) the orgniztion mde its governing douments, onflit of interest poliy, nd finnil sttements ville to the puli during the tx yer. Stte the nme, ddress, nd telephone numer of the person who possesses the orgniztion's ooks nd reords: u ZACH SIEBERT Other (explin in Shedule O) 98 PROGRESS PARKWAY MENTOR OH Form 990 (0)

9 Form 990 (0) Pge 7 Prt VII Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compensted Employees, nd Independent Contrtors Chek if Shedule O ontins response or note to ny line in this Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees Complete this tle for ll persons required to e listed. Report ompenstion for the lendr yer ending with or within the orgniztion's tx yer. List ll of the orgniztion's urrent offiers, diretors, trustees (whether individuls or orgniztions), regrdless of mount of ompenstion. Enter -0- in olumns (D), (E), nd (F) if no ompenstion ws pid. List ll of the orgniztion's urrent key employees, if ny. See instrutions for definition of "key employee." List the orgniztion's five urrent highest ompensted employees (other thn n offier, diretor, trustee, or key employee) who reeived reportle ompenstion (Box of Form W- nd/or Box 7 of Form 099-MISC) of more thn $00,000 from the orgniztion nd ny relted orgniztions. List ll of the orgniztion's former offiers, key employees, nd highest ompensted employees who reeived more thn $00,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former diretors or trustees tht reeived, in the pity s former diretor or trustee of the orgniztion, more thn $0,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List persons in the following order: individul trustees or diretors; institutionl trustees; offiers; key employees; highest ompensted employees; nd former suh persons. () () () () () () (7) (8) (9) (0) () Chek this ox if neither the orgniztion nor ny relted orgniztion ompensted ny urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Nme nd Title Averge hours per week (list ny hours for relted orgniztions elow dotted line) CHAIR Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Individul trustee or diretor Institutionl trustee Offier Key employee Highest ompensted employee Former Reportle ompenstion from the orgniztion (W-/099-MISC) Reportle ompenstion from relted orgniztions (W-/099-MISC) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions ROBERT LEE KATHLEEN BUSE, PHD SCOTT MARN SCOT PARK TODD ALISHUSKY CATHY BUSH SEAN CAMPBELL RICHARD D. CICERO DAPHNE HUNTER JEREMY IOSUE AL JONES ST VICE CHAIR ND VICE CHAIR TREASURER DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR DIRECTOR Form 990 (0)

10 Form 990 (0) Pge 8 Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees (ontinued) Su-totl.... u Totl from ontinution sheets to Prt VII, Setion A u d Totl (dd lines nd ) u Totl numer of individuls (inluding ut not limited to those listed ove) who reeived more thn $00,000 of reportle ompenstion from the orgniztion u (A) Nme nd title Did the orgniztion list ny former offier, diretor, or trustee, key employee, or highest ompensted employee on line? If, omplete Shedule J for suh individul For ny individul listed on line, is the sum of reportle ompenstion nd other ompenstion from the orgniztion nd relted orgniztions greter thn $0,000? If, omplete Shedule J for suh individul Did ny person listed on line reeive or rue ompenstion from ny unrelted orgniztion or individul for servies rendered to the orgniztion? If, omplete Shedule J for suh person Setion B. Independent Contrtors (B) Averge hours per week (list ny hours for relted orgniztions elow dotted line) Individul trustee or diretor Institutionl trustee Offier (C) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Key employee Complete this tle for your five highest ompensted independent ontrtors tht reeived more thn $00,000 of ompenstion from the orgniztion. Report ompenstion for the lendr yer ending with or within the orgniztion's tx yer. (A) (B) Nme nd usiness ddress Desription of servies Highest ompensted employee Former (D) Reportle ompenstion from the orgniztion (W-/099-MISC) (E) Reportle ompenstion from relted orgniztions (W-/099-MISC) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions () ELLEN FOLEY KESSLER DIRECTOR () GREG LIEB.00 DIRECTOR () KAY MALEC.00 DIRECTOR () FRANK MCGORTY.00 DIRECTOR () AMY OLBRYSH.00 DIRECTOR (7) KATHY PETERSON.00 DIRECTOR (8) GABE RHOADS.00 DIRECTOR (9) MARY ROSSOLL.00 DIRECTOR ,000, 0,000, (F) (C) Compenstion Totl numer of independent ontrtors (inluding ut not limited to those listed ove) who reeived more thn $00,000 of ompenstion from the orgniztion u 0 Form 990 (0)

11 Form 990 (0) Pge 9 Prt VIII Sttement of Revenue Chek if Shedule O ontins response or note to ny line in this Prt VIII Contriutions, Gifts, Grnts nd Other Similr Amounts Progrm Servie Revenue Other Revenue d e f g h d e f g Federted mpigns Memership dues Fundrising events Relted orgniztions Government grnts (ontriutions)... All other ontriutions, gifts, grnts, nd similr mounts not inluded ove f,97,00 nsh ontriutions inluded in lines -f: $ 8, Totl. Add lines f u d e All other progrm servie revenue Totl. Add lines f Investment inome (inluding dividends, interest, nd other similr mounts) u Inome from investment of tx-exempt ond proeedsu Roylties u Gross rents Less: rentl exps. Rentl in. or (loss) (i) Rel (ii) Personl Busn. Code d Net rentl inome or (loss) Gross mount from (i) Seurities (ii) Other sles of ssets other thn inventory Less: ost or other 0 d e sis & sles exps. Gin or (loss) d Net gin or (loss) u 8 Gross inome from fundrising events (not inluding $ of ontriutions reported on line ). See Prt IV, line Less: diret expenses Net inome or (loss) from fundrising events u 9 Gross inome from gming tivities. See Prt IV, line Less: diret expenses Net inome or (loss) from gming tivities u Gross sles of inventory, less returns nd llownes Less: ost of goods sold Net inome or (loss) from sles of inventory Misellneous Revenue All other revenue , Totl. Add lines d Totl revenue. See instrutions ,978 u u u Busn. Code u u (A) (B) (C) (D) Totl revenue Relted or Unrelted Revenue exempt funtion revenue usiness revenue exluded from tx under setions -,, GRANT RECOVERY ,0 9,0 MISCELLANEOUS ,9,9 7,8 7,8,0,,8,0 0 7,8 Form 990 (0)

12 Form 990 (0) Pge 0 Prt I Sttement of Funtionl Expenses Setion 0()() nd 0()() orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A). Chek if Shedule O ontins response or note to ny line in this Prt I Do not inlude mounts reported on lines, 7, 8, 9, nd 0 of Prt VIII d e f g d e Grnts nd other ssistne to domesti orgniztions nd domesti governments. See Prt IV, line Grnts nd other ssistne to domesti individuls. See Prt IV, line Grnts nd other ssistne to foreign orgniztions, foreign governments, nd foreign individuls. See Prt IV, lines nd Benefits pid to or for memers Compenstion of urrent offiers, diretors, trustees, nd key employees Compenstion not inluded ove, to disqulified persons (s defined under setion 98(f)()) nd persons desried in setion 98()()(B) Other slries nd wges Pension pln ruls nd ontriutions (inlude setion 0(k) nd 0() employer ontriutions) Other employee enefits Pyroll txes Fees for servies (non-employees): Mngement Legl Aounting Loying Professionl fundrising servies. See Prt IV, line 7 Investment mngement fees Other. (If line g mount exeeds 0% of line, olumn (A) mount, list line g expenses on Shedule O.) Advertising nd promotion Offie expenses Informtion tehnology Roylties Oupny Trvel Pyments of trvel or entertinment expenses for ny federl, stte, or lol puli offiils Conferenes, onventions, nd meetings... Interest Pyments to ffilites Depreition, depletion, nd mortiztion... Insurne Other expenses. Itemize expenses not overed ove (List misellneous expenses in line e. If line e mount exeeds 0% of line, olumn (A) mount, list line e expenses on Shedule O.) All other expenses Totl funtionl expenses. Add lines through e..... Joint osts. Complete this line only if the orgniztion reported in olumn (B) joint osts from omined edutionl mpign nd fundrising soliittion. Chek here u if following SOP 98- (ASC 98-70) (A) (B) (C) (D) Totl expenses Progrm servie Mngement nd Fundrising expenses generl expenses expenses,,7,,7,8,8 0,000,000,000,000,9,88 9,, 7,7 7,079,,0,09 7,7,9,98,700,700,, 9,0 9,7,09,7 8,87,7,00 7,0,99 7,98 8,08,88 7,8,9,789,0 89,7,0, 0,9,99,07,8, 7,,9,,8 MISCELLANEOUS,88 8,79,9,0 PAYMENTS TO AFFILIATES,,878, 8,0 TELEPHONE,8,8,98,77 DUES & SUBSCRIPTIONS,77,0,9, ,,07,78,0,78 97,0 Form 990 (0)

13 Form 990 (0) Pge Prt Blne Sheet Chek if Shedule O ontins response or note to ny line in this Prt. (A) (B) Beginning of yer End of yer Csh non-interest ering ,9,97 Svings nd temporry sh investments ,0 9,9 Pledges nd grnts reeivle, net ,908 7, Aounts reeivle, net. Lons nd other reeivles from urrent nd former offiers, diretors, Assets Liilities Net Assets or Fund Blnes trustees, key employees, nd highest ompensted employees. Complete Prt II of Shedule L... Lons nd other reeivles from other disqulified persons (s defined under setion 98(f)()), persons desried in setion 98()()(B), nd ontriuting employers nd sponsoring orgniztions of setion 0()(9) voluntry employees' enefiiry orgniztions (see instrutions). Complete Prt II of Shedule L tes nd lons reeivle, net... Inventories for sle or use Prepid expenses nd deferred hrges Lnd, uildings, nd equipment: ost or other sis. Complete Prt VI of Shedule D Less: umulted depreition Investments pulily trded seurities Investments other seurities. See Prt IV, line Investments progrm-relted. See Prt IV, line Intngile ssets Other ssets. See Prt IV, line Totl ssets. Add lines through (must equl line ) Aounts pyle nd rued expenses Grnts pyle Deferred revenue Tx-exempt ond liilities Esrow or ustodil ount liility. Complete Prt IV of Shedule D Lons nd other pyles to urrent nd former offiers, diretors, trustees, key employees, highest ompensted employees, nd disqulified persons. Complete Prt II of Shedule L Seured mortgges nd notes pyle to unrelted third prties Unseured notes nd lons pyle to unrelted third prties Other liilities (inluding federl inome tx, pyles to relted third Totl liilities. Add lines 7 through Orgniztions tht follow SFAS 7 (ASC 98), hek here u nd omplete lines 7 through 9, nd lines nd. Unrestrited net ssets... Temporrily restrited net ssets. Permnently restrited net ssets Orgniztions tht do not follow SFAS 7 (ASC 98), hek here u nd omplete lines 0 through. Cpitl stok or trust prinipl, or urrent funds Pid-in or pitl surplus, or lnd, uilding, or equipment fund Retined ernings, endowment, umulted inome, or other funds Totl net ssets or fund lnes. Totl liilities nd net ssets/fund lnes prties, nd other liilities not inluded on lines 7-). Complete Prt of Shedule D ,0 9 7,87,9,99,0 98, 8,998 0,0,,77,,888,0,09,,70,0 8,9 7 78,888,00,000 8,00, ,8,9,78,888,8,9,,00 7 7,09 8 0, 9 0,90,78,09,,09,,70,0 Form 990 (0)

14 Form 990 (0) Pge Prt I Reonilition of Net Assets Chek if Shedule O ontins response or note to ny line in this Prt I Totl revenue (must equl Prt VIII, olumn (A), line ) Totl expenses (must equl Prt I, olumn (A), line ) Revenue less expenses. Sutrt line from line..... Net ssets or fund lnes t eginning of yer (must equl Prt, line, olumn (A)) Net unrelized gins (losses) on investments Donted servies nd use of filities Investment expenses Prior period djustments Other hnges in net ssets or fund lnes (explin in Shedule O) Net ssets or fund lnes t end of yer. Comine lines through 9 (must equl Prt, line, olumn (B)) Prt II Finnil Sttements nd Reporting Chek if Shedule O ontins response or note to ny line in this Prt II Aounting method used to prepre the Form 990: Csh Arul Were the orgniztion's finnil sttements ompiled or reviewed y n independent ountnt? If "," hek ox elow to indite whether the finnil sttements for the yer were ompiled or Were the orgniztion's finnil sttements udited y n independent ountnt? If "," hek ox elow to indite whether the finnil sttements for the yer were udited on of the udit, review, or ompiltion of its finnil sttements nd seletion of n independent ountnt? If the orgniztion hnged either its oversight proess or seletion proess during the tx yer, explin in the Single Audit At nd OMB Cirulr A-? If, did the orgniztion undergo the required udit or udits? If the orgniztion did not undergo the Other If the orgniztion hnged its method of ounting from prior yer or heked Other, explin in Shedule O. reviewed on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis seprte sis, onsolidted sis, or oth: Seprte sis If to line or, does the orgniztion hve ommittee tht ssumes responsiility for oversight Shedule O. Consolidted sis As result of federl wrd, ws the orgniztion required to undergo n udit or udits s set forth in required udit or udits, explin why in Shedule O nd desrie ny steps tken to undergo suh udits Both onsolidted nd seprte sis,,8,,07 -,0,90,78,9,09, Form 990 (0)