ymca of marion and polk counties 2013 charity report

8/10/2019 YMCA of Marion and Polk Counties 2013 Charity Report

1/56

Form

CT-12

ForOregon

Charities

Charitable Activit ies Section

Oregon DepartmentofJustice

1515 SW

5 th Avenu e, S u i te

410

P or t l and ,

OR

9 7 2 0 1 - 5 4 5 1

Em a i l : charitable.activ it ies@doj .state.or.us

Webs i t e : h t t p : / /w w w .do j . s t a te .o r .us

VOICE

( 9 7 1 ) 6 7 3 - 1 8 8 0

TTY (800)735-2900

FAX

( 9 7 1 ) 6 7 3 - 1 8 8 2

For

Accounting Periods Beginn

2013

SectionI.

General

Information

1.

Cross

Through Incorrect

Itemsand

CorrectHere:

(See

instructions

for

change

of

name or accounting period.)

1411

Registration

:

The

F a m i l y Young

Men's C h r i s t i a n

Assoc i a t i o r j r g an i za t i o nName:

o f

M a r i o n andP o l k C o u n t i e s Address:

685

C o u r t

St NE,Salem, OR

9 7 3 0 1

City, State, Zip:

01/01/2013 12/31/2013

p

h0

ne:

Email:

503-399-2757 Period Beginning:

Fax:

Period

Ending:

Am

R

Didacertif ied public accountant audit your financial records?- Ifyes, attach a copy of the auditor's report, financial statements,

accompanying notes, schedules,

or

other d ocum ents supplem enting the report or financial statements.

Isthe organization

a

party

to a

contrac t involving perso n-to-pe rson, advertising, vending machine or telephone fund-raisingin

Oregon?

If

yes, write the name

of

the fu nd-raising firm(s) who conducts the campaign(s):

Has

the o rganization

or

any

ofts

officer s, directo rs, trustees, or key employees ever signed a voluntary agreement with any

government

agency, such

as

a state attorney general, secretary

of

state, or local district attorney,

or

been a party to legal action

inany court

or

administrative agency regarding charitable solicitation, administration, management, or fiduciary practices?If

yes, attach explanation

of

each such agreement or action. See instructions.

During this reporting period, did the organization amend

its

articlesofincorporation, bylaws, or trust documents, OR did the

organizationreceive a determin ation letter from the Internal Revenue Service relating to its tax-exempt status?

If

yes, attach

a

copy

of

the amended document

or

letter.

Is

the organization ceasing operations and

is

this the final report?

(If

yes, see instructions on how to close your registration.)

Provide

contact information

for

the person respon sible for retaining the organization's records.

ve s

Yes

Z ] Yes

I I Yes

Name

Position Phone

MailingAddress

&

Email Address

F r e d

N a i m y VP

o f Ops

5 0 3 - 3 9 9 - 2 7 5 7 Same

as

a b o v e

8.

ListofOfficers, Directors, Trustees and Key Employees- List each person who held one of these positions

at

any time during the year evenifthey

not

receive compensa tion. Attach additional sheets

if

necessary.

If

an a ttached IRS form includes substantially the same compensation informat

the

phrase See IRS Form may be entered

in

lieu

of

completing that section. (Oregon law requires a minimum of three directors.)

(A)

Name, mailing address, daytime phone number

and

em ail address

(B) Title &

averageweekly

hours

devoted

to

position

(C)

Compensa

(enter $0

position un

Name:

Address:

Phone:

Email:

SeeIRS

F o r m

990

Name:

Address:

Phone:

Email:

RECEIVED

Name:

Address:

Phone:

Email:

MOV 0

DEPAHTMEIT

7

ZOH

Form

Continued

on

Reverse Side

THO

3J4460

1.000


2/56

Sec t ion

II. Fe e Calc ulat ion

11.

12.

13.

14.

16.

17.

Total Revenue

( F r o m L i n e

12

( c u r f e n t y e a r ) o n F o r m 9 9 0 ; L i n e 9 o n F o r m 9 9 0 - E Z ; P a r tI Line 12a on Form 990-PF; Line 9 on Form

1041;

or see p age 3 o f the instru ct ions i f no federal tax

return

w a s p r e p a r e d . A t t a c h e x p l a n a t i o n i f T o t a l R e v e n u e i s $ 0 . )

4 , 8 5 3 , 2 5 1

10 . Revenue Fee

( S e e c h a r t b e l o w .

Minimum

fee is $10, even i f

total

revenue is a negative amount.)

Amount o n L i n e 9

R e v e n u e F e e

0

24,999 10

25,000

49,999

25

50,000 99,999

45

100,000 249,999

75

250,000

499,999

100

500,000

749,999 135

750,000

999,999 170

1,000,000

or

m o r e 200

Net

Assets or Fund Balances at End of the Reporting

Period.

( F r o m

L i n e 22 ( en d of yea r) on Form990, Line 21 on Form 99 0-E Z, or Part I II ,

L i n e

6 o n Form 990 -PF ; or s ee pa ge 3 of CT-12 i ns truct i ons to ca lcula te . )

Net Fixed Asse ts U sed to Cond uct Charitable Activities . . .

( G e n e r a l l y ,

from

Pa rt X . L i ne 10c on Form 990, L i ne 23B on Form 99 0-EZ or Pa rt

II, L i n e

14b

on Form 990 -PF; or s ee pa ge 4 of CT- 12 i ns truct ions to ca lcula te . S e e

i ns truct i ons i f orga ni z a t i on owns i ncome-produci ng. )

Am oun t Subject to Net Assets or Fund Balances Fee . . . .

( L i ne 11 m i nus L i n e 12 . I f L i ne 11 mi nu s L i ne 12 i s le ss than

50,000, write

$0.)

Net

Assets or Fund Balances Fee

( L i n e 1 3 multip lied by .0001. I f

the

fee is le ss than $5, enter $0. N ot to ex ce ed 1,000. R ou nd cents to the nea res t whole dol lar

)

15. Are you filin g this report late? Yes No

(If

y e s ,

th e

late

fee is a minimumof $20. Yo u ma y owe more dependi ng on how

late

t he report is. S ee instruction 15 for additional

information

or conta ct

the

Cha r i ta ble A ct i v i t i es S ect i on a t ( 971)

673-1880

t oobtain

late

f ee amount)

10.

200

14.

0

15.

0

16.

200

otal Amount Due

(Add L i n e s 10, 14, a nd 15.

Makec h e c k

pa ya ble to the Oregon Department of Ju st ic e . )

Attach a copy of the organization's federal 990 or other return and all supporting schedules and attachments that were filed with the IRS with

the exception that Form 990 & 990EZ filers do not need to attach a copy of their Schedule B. Also, if the organization did not file with the IRS

or filed a 990-N, but had Total Revenue of $25,000 or more, or Net Assets or Fund Balances of $50,000 or more, see the instructions as the

organization

may be requ ired to c omple te ce rtain IRS For ms fo r O regon purposes only. If the attached return was not filed with the IRS, then

mark

any such return as For O regon P urposes Only. If your organization files IRS Form 990-N (e-Postcard) please attach a copy or confirmation

of its filing.

Please

Sign

Here

U nder penalties of perjury, I declare^that I have examined this return, including all accompanying forms, schedules, and attachments, and

to

the

bes

^ f

/ fny|


3/56

Form

990

Department

of the T r e a s u r y

Intemai R e v e n u e S e r v i c e

Return

of Organization Exempt From Income Tax

Undersection501

(c),

527, or4947(a)(1)of the Internal RevenueCode(except private foundations)

Do notenter

Socia l

Security numbers on this

form

as i t may bemadepublic.

Informationabout Form 990 and its instructions is at www.irs.gov/form990.

OM B

No . 1545-004

2013

Open to Public

Inspection

A

For the

2013

calendar year, or tax year beginning

and ending

B

C h e c k if

a ppl i ca ble :

A d d r e s s

c h a n g e

Name

c h a n g e

Initial

retum

T e r m i n

ated

A m e n d e d

return

A p p l i c a

tion

pending

C

Name of organization

THE

FAMILY

YOUNGMEN'S

C H R I S T I A N

ASSOCIATION OF

MARION

AND

POLK

COUNTIES

Doing

Business As

D

Emplo yer identification number

9 3 - 0 3 8 6 9 8 2

Numbera nd stre et (or P.O. box if mail is not delivered to street address)

6 8 5

COURT

ST NE

Cityor tow n, state or province, country, and ZIP or foreign postal c ode

Room/suite

Telephone number

5 0 3 - 3 9 9 - 2 7 5 7

SALEM,

OR 97 30 1

G G r o s s

rece ip t s $

4,856,892

F Name and address of principal officer:CHUCK HUDKINS

SAME AS C

ABOVE

I Tax-exempt status: [ X ]501(c)(3)

501(c)

( )


4/56

THE F A M I L Y

YOUNG

MEN'S C H R I S T I A N

Form990

(2013) A S S O C I A T I O N O F MARION AND POLK C O U N T I E S 9 3 - 0 3 8 6 9 8 2

p

a

g

Part

HI1

Statement of Program

Service

A ccompl ishments

Check

if Schedule

O

contains a response or note to any line in this Part III

1

Briefly describe the organization's mission:

THE

Y I SCOMMITTED TO

STRENGTHENING

OUR

COMMUNITY.

OUR

FOCUS

I SYOUTH

DEVELOPMENT,

HEALTHY L I V I N G

AND SO CI AL R E S P O N S I B I L I T Y . OUR MIS SIO N I S

TO P UT C H R I S T I A N P R I N C I P L E S I N T O P R A C T I C ETHROUGH PROGRAMSTHAT B U I L D

A HEALTHY S P I R I T , MIND

AND

BODY

FOR A L L . WE

HAVE

BE EN S ER V IN G OUR

2

Did the organization undertake any significant program services during the year which were not l isted on

the

prior Form 99 0 or 990-EZ?

L Z j Y e s E E ] N

If

Yes, descr ibe these new services on Schedule

O.

3 Did the organization cease con duc ting, or make significant change s in how it con du cts, any program services?

I I

Ye s

IXI

If

Yes, descr ibe these changes on Schedule O.

4

Describe the organization's program service acco mplishm ents for each of its three largest program services, as measured by expense s.

Section501(c)(3) and 501(c)(4) organizations are required to report the a mount of grants an d allocations to oth ers, the total expenses , and

revenue, if any, for each program service reported.

4a ( C o d e :

) ( E x p e n s e s

2 , 7 0 1 , 3 7 9 . inc lud ing grant s of

$ )

( R e v e n u e s 1 , 7 6 3 , 0 1 0

THE

A S S O C I A T I O N P R O V I D E S E A R L Y

CHILDHOOD

EDUCATION FOR K I D S AGE S I X

WEEKS

THROUGH KINDERGARTEN,

INCLUDI NG OPPO RT UN ITI ES TO EXPL ORE AND

LEARNTHROUGH

DEVELOPMENTALLY A P P R O P R I A T E A C T I V I T I E S . THE

ASSOCIATION'S SCHOOL A G E C H I L D CARE

PROGRAM

P R O V I D E S A UNIQUE BALANCE

OF

FUN, LEARNING, AND P HY SI CA LDEVELOPMENTTHROUGHPLANNED, S A F E

A C T I V I T I E S

S E T TO B I - W E E K L Y

THEMES.

4b ( c o d e :

)

( E x p e n s e s $ 1 8 0 , 0 9 9 . i n c l u d i n g

g rant s of

$ ) ( R e v e n u e $

1 , 4 0 1 , 3 1 0

THE Y P R O V I D E S

MEMBERSHIP

AND PROGRAM O P P O R T U N I T I E S THATPROMOTE

YOUTH

DEVELOPMENT,

HEALTHY L I V I N G

AND S OC IA L

R E S P O N S I B I L I T Y . PROGRAMS

INCLUDE BUT ARE NOT

L I M I T E D

TO E X E R C I S E

PROGRAMS, YMCA

D I A B E T E S

PROGRAM,

B I C Y C L E R E C Y C L I N G

PROGRAM

AND ARE FOR A L L L E V E L S OF E X E R C I S E

AND

AGES.

4c

( c o d e : )

( E x p e n s e s

1 , 2 8 8 , 6 3 1 . inc lud ing grant s of

$

)

( R e v e n u e $

1 , 0 5 1 , 8 7 2

YOUTH

SPORT

PROGRAMS

I N C L U D E : LEARNABOUTSPROGRAM (DESI GNE D TO IN V O L V

PARENTS

I N THE

LEARNING PROCESS

OF THE

SPORT

ALONGWITH

T H E I R C H I L D ) ,

YOUTH B A S K E T B A L L,

GYMNASTICS

&

MOVEMENT,DANCE,AQUATICS,

AND

MUCH

MORE. THE

SUMMER

DAY

CAMP

FOR K I D S I NGRADES 1

THROUGH

9 -LOCATED ON

ANOVER

8 0 - ACRE CAMP S I T E - O F F E R S BOATING, F I E L D SPORTS,GROUP GAMES,

ARCHERY,SWIMMING, CRA FTS , HI K I N G AND EXPL ORI NG . THE ASSOCIATION'S

R E S I D E N T

CAMP

I S

LOCATED

I N

S I L V E R F A L L S

S T A T E PARK AND OF FE RS

TRADITIONAL

CAMPPROGRAMSTHAT

B U I L D A

HEALTHY S P I R I T , MIND

AND BODY.

4d

Other program services (Describe in Sched uleO.)

( E x p e n s e s

$ includ ing grants of $

)

( R e v e n u e $

)

4e Total program service expenses

4 , 1 7 0 , 1 0 9 .

332002

Form990

(2

10-29-13

2

1 6 4 0 1 0 3 1

7 8 3 6 7 3 8 5 2 2 2 2 0 1 3 . 0 4 0 3 0 T H E F A M I L Y

YOUNGMEN'S

CHRI 852 22


5/56

THE F A M I L Y YOUNG

MEN'S

C H R I S T I A N

Form990(2013) A S S O C I A T I O N OF MARION AND POLK C O U N T I E S

93- 0 386982 Pa

Q

PartIV Checkl istofRequiredSche dules

1

Is the organization described

in

sect ion

501

(c)(3)

or

4947(a)(1) (other tha n

a

private foundation)?

If

Yes, complete ScheduleA

Ye s N

1

X

2

Is the organization requiredtocomplete Schedule B, Scheduleof Contributors

2

X

3 Did the organization engage in directorindirect p olit ical campaign ac tivities on be halfof orin opp ositiontocandidates for

publicoffice?If Yes, com plete Schedule C, Part1

3

4 Section501(c)(3) organizations.Did the organization engage in lobbying ac tivities,

or

have

a

sect ion501(h) election

in

effect

duringthe tax year?If Yes, complete S chedule C, Part II

4

5

Is the organization

a

section

501

(c)(4),

501

(c)(5),

or

501

(c)(6) organization that receives me mbers hip du es, assessm ents,

or

similar

amounts as defined in Revenue Procedure98-19?

If

Yes, complete Schedule C,PartIII

6 Did the organization maintain any dono r advised funds

or

any similar funds

or

accounts

for

which donors have the right

to

provide

advice on the distribution

or

investment

of

amounts in such funds or accounts?

If Yes, complete Schedule D, Part1

7 Did the organization receiveor hold a conservation easement, including easementstopreserve open s pace,

the environment, historic land areas,

or

historic structures ?

If Yes, complete Schedule

D,

Part II

8

Did the organization maintain collections

of

works

of

art, historical treasures,

or

other similar assets?

If

Yes, complete

Schedule D, Part III

5

6

7

8

9 Did the organization report an amountinPart X, line2 1 ,forescroworcustodial a ccou nt liability; serve asacustodianfor

amounts

not listed in Part X;orprovide credit coun seling, debt man agement, credit repair,ordeb t nego tiation services?

If Yes, complete S chedule D, Part IV

9

10 Did the organiza tion, directly or through

a

related organization, hold assets in temporarily restricted endowments, permanent

endowments ,

orquasi-endowments?If Yes, complete ScheduleD,Part V

10

X

11 If the organization's answer to anyofthe fol lowing quest ionsis Yes, then complete Schedule D, Parts

V I,

Vll, Vll l , IX,orX

as

ap pl icable.

a Did the organization report an amount for

land,

bui ld ings, and equipment

in

Part X, line

10?If Yes, complete Schedule D,

PartVI

11 a X

b Did the organization report an amount for investme nts - other securities in Part X, line 12 thatis5%ormoreofits total

assets

reported

in

Part X, line

16?If Yes, complete ScheduleD,PartVll

11b

c

Did the organization report an amount

for

investments

program related in Part X, line

13

that

is

5%

or

more

of

its total

assetsreportedinPart X, iine16?If Yes, complete ScheduleD,Part Vlll

11 c

X

d Did the organiza tion report an amount for other asse ts in Part X, l ine15that is 5%ormoreofits total assets rep ortedin

Part

X, line16?


D,

Part IX

11d

e

Did the organization report an amou nt for other liabilities in Part X, l ine 25?


D,

Part X

f

Did the organiza tion's separate

or

cons olidated financial stateme nts for the tax year include a footno te that add resses

the

organization's liability for uncertain ta x pos itions under FIN 48 (ASC 740)?

If

Yes, complete ScheduleD, PartX

12 a Did the organization obtain separate, independen t audited financial stateme nts for the tax year?

If

Yes, complete

Schedule D,Parts XI and Xll

11e

Hf

X

12 a X

b

Was the organization included in con solida ted, indepe ndent au dited financial statem ents for the tax year?

If Yes, andifthe organization answered No foline 12a, then completing Schedule D, Parts XI and Xll is op tional

13 Is the organization

a

school descr ibed in sect ion170(b)(1)(A)(ii)?

If

Yes, complete Schedule

E

14 a

Did the organization maintain an office, employ ees,

or

agents o utside

of

the U nited States?

b Did the organization have aggregate revenues

or

expenses

of

more than$10,000from grantmaking, fundraising, business,

investment,

and program service activities outside the United States,

or

aggregate foreign inves tments va lued

at$100,000

or more?If Yes, complete ScheduleF,Parts1and IV

12b

13

14a

14b

15 Did the organization report on Part IX, column (A), l ine 3, more than $5,000

of

grants or other assistance

to

or for any

foreign

organization?

If Yes, com plete Schedule F, PartsIIand IV

15

16

Did the organization report on Part IX, colum n (A), l ine 3, more than $5,000

of

aggregate grants

or

other a ssistance

to

orfor foreign individuals?If Yes, complete ScheduleF,Parts III and IV

16

17 Did the organization report a totalofmore than$15,000ofexpenses for professional fund raising services on PartIX,

column

(A), lines

6

and

11e?If Yes, complete Schedule G, Part

1

17

18 Did the organization report more than $15,000 total

of

fundraising event gross income an d contribu tions on PartVl l l , lines

1

c and 8a?

If Y es, complete ScheduleG,Part II

18

19 Did the organization report more than $15,000

of

gross income from gaming activities on PartVl l l , line 9a?

If Yes,

complete Schedule G,Part III

19

20 a Did the organization operate one

or

more hos pital facil it ies?

If Yes, complete Schedule H

b

If

Yes

to

line 20a, did the orqanization atta ch

a

copy

of

its audited financial statements

to

this return?

20 a

20b

Form990 (20

332003

10-29-13

3

16401031

783673 85222 2013 .04 030

THE F A M I L Y YOUNG

MEN'S

CHRI

85222


6/56

THE F A M I L Y YOUNGMEN'S C H R I S T I A N

Form990 (2013)

A S S O C I A T I O N OF MARION AND

POLK

C O U N T I E S

93-0386982 p

a q

PartIV

Checkl istof

Required

Schedules(continued)

21

Did the organization report more than $5,000

of

grants

or

other assistance to any domestic organization

or

government

on Part IX, column (A), line 1?

If Yes, complete Schedule1, Parts1 andII

Ye

21

s

N

X

22 Did the organization report more than $5,000

of

grants

or

other assistance to individuals in the U nited States on Part

IX,

column(A), line 2?If Yes, complete Schedule1, Parts1and III

22

X

23

Did the organization answer Yes

to

Part

Vll,

Section A, l ine 3, 4,

or

5 about compensat ion

of

the orga nization's curren t

andformer off icers, d irectors, t rustees, key employees, and highest compensated employees?

If Yes, complete

ScheduleJ

23

X

24 a Did the organization have a tax-exempt bon d issue with an outsta nding principal amount

of

more than

$100,000

as

of

the

lastd ayofthe year, that was issued after Decembe r 3 1 , 2002?If Yes, answer lines 24b through24dand complete

Schedule

K .If No ,go toline 25a

24a

X

b Did the organization invest any procee ds

of

tax-exempt bo nds beyond a temporary p er iod except ion?

c Did the organization maintain an escrow accou nt other thanarefunding escrowatany time durin g the year to defease

any tax-exempt bonds?

24b

24c

d Did the organization

act

as an on behalf of issuer for bonds outstand ing

at

any time du ring the year?

25 a Section501(c)(3)

a nd

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, Part1

24d

25a

X

b Is the organization aware thatitengaged in an excess benefit transaction withadisqualif ied personin aprior year, and

that

the transaction has not been reported on anyofthe orga nization's prior Forms 990or990-EZ?If Yes, complete

Schedule

L, Part

1 25b

X

26

Did the organization report any amou nt on Part X, l ine

5,6,

or 22

for

receivables from

or

payables

to

any current

or

formeroff icers, d irectors, t rustees, key em ployees, highest compen sated employees, or disqual i fied persons?Ifso,

completeScheduleL,PartII 26 y-

27 Did the organization provide

a

grant

or

other ass istance

to

an officer, director, trustee, key employee, substantial

contributoror

employee thereof,

a

grant selection c omm ittee mem ber, or to

a

35% control led ent i ty or family member

of

a ny

of

these persons?

If Yes, complete S chedule L, Part III

27

X

28 Was the organizationapartyto abusiness transact ion with oneofthe following pa rties (see ScheduleL,PartIV

instructions

for applicable fil ing thresholds, conditions, and exceptions):

a

A

current or forme r officer, director, trustee,

or

key employee?

If Yes, complete Schedu le L, Part IV

b

A

family mem ber

of a

current or former officer, director, truste e,

or

key employee?

If Yes, complete S chedule L, Part IV

c

An entity

of

which

a

current or former officer, director, truste e,

or

key employee (or a family m ember thereof) w as an officer,

director,trustee,ordirectorindirect ow ner?If Yes, complete Sch edule L, Part IV ...

28a

28b

28c

X

X

X

29 Did the organization receive more than $25,000innon-cash contributions?

If


M

30

Did the organization receive contribution s

of

art, historical treasures ,

or

other similar asse ts,

or

qualif ied conservation

contributions?If Yes, complete ScheduleM

29

30

X

X

31 Did the organization liquidate, terminate ,ordissolve and cease operations?

If Yes, com plete Schedule N, Part1

31

X

32 Did the organization sell,exchange, dispose of, or transfer more than 25 %

of

its net assets?/^ Ves,

complete

ScheduleN, Part II

32

X

33 Did the organization own 100%ofan entity disregarded as separate from the organiza tion under Regulations

sections

301.7701-2a nd301.7701-3?

If

Yes, complete ScheduleR,Part1 33

X

34 Was the organization related

to

any tax-exempt or taxable entity?

If

Yes, complete Schedule R,Part II, III, orIV,and

Part V, line

1

34

X

35 a Did the organization have

a

controlled entity within the meaning

of

section 512(b)(13)? 35a

X

b If

Yes

to

line 35a, did the organization receive any payment from or engage in any transaction with

a

contro lled en tity

within

the meaning

of

section

512(b)(13)?If

Y es, complete ScheduleR,PartV, line

2 35b

36 Section501(c)(3) organizations.Did the organization make any transfers

to

an exempt non-charitable related organization?

If

Yes, co mplete Schedule R, Part

V,

line2

36

37 Did the organization cond uct more than 5%

of

its activities through an entity that

is

no t

a

related organization

and

that

is

treated as

a

partnership for federal income tax purposes?

If Yes, complete Schedule R,Part VI

38 Did the organization com plete Schedule

O

and provide explanations in Schedule

Ofor

Part VI , lines

11b

and

19?

Note.All Form 990 filers are required

to

complete Schedule

O

37

38

>

i

Form

990

(20

332004

10-29-13

4

16401031 783673 85222 201 3. 0403 0 THE

F A M I L Y

YOUNGMEN'SCHRI 85222


7/56

Form

990

(2013)

T H E F A M I L Y Y O U N G M E N ' S C H R I S T I A N

A S S O C I A T I O N

O F M A R I O N A N D P O L K C O U N T I E S

9 3 - 0 3 8 6 9 8 2

p

a

qe

Part

V]

Statemen ts Regarding Other IRS

Filings

and Tax Com pliance

Check

if Schedule

O

contains a resp onse or n ote to any line in this Part V

1a

b

c

2a

3a

b

4a

1a

1b

2a

Enter

the num ber re ported in Box 3 of Form 109 6. Enter -0- if not applicable

Enter

the numb er of Forms W-2G included in line

1a.

Enter

-0 -

if not applicable

Didthe organization com ply with backu p withholdin g rules for reportable payments to vendors an d reportable gaming

(gambling)

winnings to prize winners?

Enter

the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,

filed

for the calendar year ending with or within the year covered by this return

If

at least one is reported o n line 2a, did the organization file all required federal employment t ax returns?

Note.If the s um o f l ines

1

a and 2a is greater than 2 50, you m ay be required toe-file(see instructions)

Did the organization have unrelated business gross income of$1,000or more during the year?

If

Yes, has it f i led a Form 990-T for this year?

If No,

fo

line 3b, provide an explanation in Schedule

O

Atany time during the ca lendar year, did the organization have an interest in, or a signature or other autho rity over, a

financialaccount in a foreign country (such as a bank account, securities account, or other financial account)?

If

Yes, enter the name of the foreign country:

5 0 5

See

instructions for fi l ing requirements for Form TD F90-22.1,Report of Foreign Bank and Financial Accounts.

5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?

b Did any taxable party n otify 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 Form8886-T?

6a

Does the organization have annua l gross receipts that are normally greater than $100 ,000, and did the organization solicit

any contributions that were not tax deductible as charitable contributions?

b If Yes, did the organization include with every solicitation an express statement that such contribution s or gifts

werenot tax deduct ible?

7

Organizat ions

that

may receive deductible contributions under

section

170(c).

a

Did the organization receive a payment in excess of $75 made partly asacontribution 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

tofi le Form 828 2?

d If Yes, indicate the number of Forms 8282 filed duringtheyear

I

7d

I

8

9

10

11

e

Did the organization receive any fun ds, directly or indirectly, to pay premiums on a personal benefit contrac t?

f

Did the organiza tion, during the year, pay premium s, directly or indirectly, on a personal benefit contra ct?

g If the organization received a contribution of qualif ied intellectual property, did the organization file Form 8899 as requ ired?. .

h

If the organization received a contribu tion of cars , boa ts, airplanes, or other vehicles, did the organization file a Form1098-C?

Sponsoring

organizations maintaining donor

advised

funds andsection

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 advisedfunds.

Did the organization make any taxable distributions under section 4966?

Did the organiza tion make a distribution to a donor, dono r advisor, or related person?

Section

501

(c)(7)

o rganizat ions.

Enter:

Initiation

fees and capital contributions included on PartVll l , line 12

10a

Gross receipts, included on Form 990, Part

Vl l l ,

line 12, for public use o f club facilit ies I10b

Section501(c)(12)organizat ions.Enter:

Gross

income from members or shareholders 11a

Gross

income from other sources (Do not net amounts due or paid to other sources against

amounts

due or received from them.)

I11b

12 a Section4947(a)(1) non-exempt charitabletrusts. Is the organization filing Form 990 in lieu of Form1041?

b If Yes, entertheamount of tax-exempt interest received or accrued during the year

I

1 2b

I

13 Section501(c)(29) qualified nonprofit healthinsurance

issuers.

a Is the organization licensed to issue qualif ied health plans in more than one state?

Note.See the instructions for additional information the organization must report on Schedule O.

b Enter the amou nt of reserves the organization is required to maintain by the states in which th e

organization is l icensed to issue qualif ied health plans 13b

c

Enter the amount of reserves on hand

I13c

14 a Did the organization receive any payme nts for indoor tanning services during the tax year?

b If Yes, has it f i led a Form 720 to report these paymen ts? If No, provide an explanation in Schedule

O

..

1c

2b

3a

3b

4a

5a

5b

5c

6a

6b

7a

7b

7c

7e

7f

7h

9a

9b

Yes N

12a

13a

X

14a

14b

Form 990

(2

332005

10-29-13

1 6 4 0 1 0 3 1 7 8 3 6 7 3 8 5 2 2 2

2 0 1 3 . 0 4 0 3 0

T H E F A M I L Y Y O U N G M E N ' S

C H R I

8 5 2 2 2


8/56

Form 990 (2013)

THE

F A M I L Y

YOUNG MEN'S

C H R I S T I A N

A S S O C I A T I O N OF MARION AND

POLK C O U N T I E S

93-0386982 p

a

q e

iRartVij

Governance,

Management, and

DisclosureFor each Yes response to lines 2 through 7b below,andfora No response

toline8a,8b ,

or

10bbelow, describe the circumstances, processes, or changes in Schedule O.See instructions.

Check

if

ScheduleOcontains a response or note

to

anv line in this Part VI LK

Sect ionA. Governing Body and Management

1a

1a

1b

Enter

the number

of

vot ing members

of

the governing body at the end of the tax year

Ifthere are material differences in voting rights among members ofthegoverning body, or if the governing

bodydelegated broad authority to an executive committee or similar committee, explain in Schedule

0.

b Enter the number

of

voting m embers included in line

1 a,

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 em ployee?

3 Did the organization delegate control over managem ent 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 chang es

to

its governing docum ents s ince the prior Form 990 was filed?

5 Did the organization becom e aware during the year of a significant diversion

of

the organization's assets?

6 Did the organization have mem bers or stockho lders?

7a

Did the organization have members, stockho lders, or other persons who had the power to elect or appo int one

or

moremembers

of

the governing body?

b Are any governan ce decisions of the organization reserved

to

(or sub ject

to

approval by) members, stockholders,

or

persons

other than the governing body?

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 com mittee with authority

to

act on behalf

of

the governing body?

Isthere any officer, director, trustee, or key employe e listed in PartVll,Sect ion A, who cannot be reached at the

organization's

mailing address?

If Yes, provide the names and addresses in ScheduleO

22

22

9

7a

7b

8a

8b

Yes

X

N

Section B .

Policies(This Section B requests information about policies not required by the Internal Revenue Code.)

Yes N

10a

X

10b

X

11a

X

12a

X

12b

X

12c

X

13

X

14

X

15a

X

15b

X

16a

X

16b

10a

b

11a

b

12a

b

c

13

14

15

16a

Did the organization have local chapters, branches, or affil iates?

If

Yes, did the organization have written policies and proced ures governing the activities

of

such chap ters, affil iates,

and branches to ensure their operations are consistent with the organization's exempt purposes?

Has

the organization provided

a

complete copy

of

this Form 990

to

all mem bers

of

its governing b ody b efore fil ing the form?

Describein ScheduleOthe process,

if

any, used by the o rganization

to

review this Form 99 0.

Didthe organization have a written conflict

of

interest policy?// No , go foline 13

Wereofficers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?

Did

the organization regularly and consistently monitor and enforce compliance with the policy?

If

Yes, describe

in ScheduleOhow this was done

Didthe organization have

a

written whistleblow er policy?

Did the organization have

a

written docum ent retention and destruction policy?

Didthe process for de termining compen sat ion

of

the following persons include

a

review and approval by independent

persons, comparabi li ty data, and contemp oraneous

substantiation

of the deliberation and decision?

a

The organization's CEO, Executive Director, or top m anagement official

b Other officers

or

key employee s

of

the organization

If

Yes

to

line15a or 15b, describe the process in Schedule

O

(see instructions).

Didthe organization invest in, contrib ute a ssets to , or participate in a joint ventu re or similar arrangement with

a

taxable

entity during the year?

If

Yes, did the organization follow

a

written po licy or procedure requiring the organ ization

to

evaluate its participation

in joint venture arrangements under applicable federal tax law, and take steps

to

safeguard the organization's

exempt

status with respect

to

such arrangements?

Sect ionC .Disclosure

17

18

List

the states with which

a

copy

of

this Form 990 is required

to

be filed OR

Section 6104

requires an organization

to

make its Forms

1023

(or

1024if

applicable), 990 , and 990-T (Section 501(c)(3)s only) available

fo r

public inspection. Indicate how you made these available. Check all that apply.

Own website Another 's website U pon request Other(explain in Schedule O)

Describein ScheduleOwhether (and

if

so, how), the organization made its governing documents, conflict

of

interest policy, a nd financial

statementsavailable to the public during the tax year.

State

the name, physical address, and telephone number

of

the person who possesses the books and records of the organizat ion:

THE ORGANIZATION-

5 0 3 - 3 9 9 - 2 7 5 7

6 8 5 COURT ST NE,SALEM,OR 97 301

332006 10-29-13

19

20

Form990 (20

1 6 4 0 1 0 3 1 7 8 3 6 7 3 8 5 2 2 2 2 0 1 3 . 0 4 0 3 0 THEF A M I L Y YOUNG MEN'S CHRI 8 5 2 2 2


9/56

Form

990

(2013)

THE F A M I L Y YOUNG MEN'S C H R I S T I A N

A S S O C I A T I O N OF MARION AND POLK COUNTIES

9 3 - 0 3 8 6 9 8 2

P a

qe

PartVHjCompen sation ofOfficers, Directors,

Trustees,

K ey

Employees,

Highest Compensated

Employees,

and Independent Contractors

Checkif

Schedule

O

contains

a

response

or

note to any line in this PartVll

Section

A .

Off icers,

Directors,Trustees,K eyEmployees,and Highest Compensated

Employees

1a Com plete this table for all persons required

to

be listed. Report compensation for the calendar year ending with

or

within the o rganization's tax

List all

of

the o rganization's

current

officers, directors, trustees (whether individuals

or

organizations), regardless

of

amount

of

compensat ion

Enter-0-in

columns (D), (E), and (F)

if

no compensat ion was

paid.

List all of the organization's

current

key employees,

if

any. See instructions for de finition

of

key employee.

List the organization's five current highest com pen sated e mployees (other than an officer, director, trustee,

or

key employee) who received rep

able

compensat ion (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 organization

List all

of

the o rganization's

former

off icers, key employees, and highest compen sated employees who received more than

$100,000

of

reportable compensation from the organization and any related organizations.

List all of the organization's

formerdirectors or trustees

that received, in the capa city as a former director o r trustee of the organization,

morethan$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-

andformer such persons.

Check this box

if

neither the organization nor any related

(A)

Nameand Title

( 1 )

RICHARDBERGER

P R E S I D E N T

organization compensated any current officer, director, or trustee.

(B)

Average

hours

per

week

(listany

hoursfor

related

organizations

below

line)

1.00

(C)

Position

(do

notc h e c k

more

thanone

box.

u n l e s s

p e r s o nisbothan

officer

a nd

a

d i rec t or / t rust ee )

X

(D)

Reportable

compensation

from

the

organization

(W-2/1099-MISC)

(E)

Reportable

compensation

from

related

organizations

(W-2/1099-MISC)

0.

(R

Estimated

amountof

other

compensatio

from

the

organization

and

related

organization

( 2 ) PAUL

CONNOLLY

P R E S I D E N T

ELECT

( 3 ) CHUCK

HUDKINS

PAST P R E S I D E N T

( 4 ) K E V I NPALMER

V I C E

P R E S I D E N T

( 5 ) CORI FRAUENDIENER

SECRETARY

( 6 )

DEB

WILDING

TREASURER

( 7 )

CHUCKADAMS

BOARD MEMBER

( 8 )

B R I A N B L I S S

BOARD MEMBER

( 9 ) S T E VE N HOFFERT

BOARD MEMBER

( 1 0 )

ROBERT

JACKMAN

BOARD MEMBER

( 1 1 )

P H I L

MCCORKLE

BOARD

MEMBER

( 1 2 ) FARIBORZ PAKSERESHT

BOARD MEMBER

( 1 3 )DON

RUSSO

BOARD MEMBER

( 1 4 )

MIKE

SMITH

BOARD MEMBER

( 1 5 )

PHIL

SCHRADLE

BOARD

MEMBER

( 1 6 ) DARIN S I L B E R N A G E L

BOARD

MEMBER

1.00

X

0.

1.00

X

X

0.

1.00

X

X

0.

1.00

X

X

0 .

1.00

X

1.00

X

1.00

0.

1.00

1.00

1.00

X

1.00

0

1.00

0

1.00

X

1.00

X

0

1.00

X 0.

0

( 1 7 ) MIKE

ERDMANN

BOARD MEMBER

1.00

X

0

332007 10-29-13

1 6 4 0 1 0 3 1 7 8 3 6 7 3

8 5 2 2 2

2 0 1 3 . 0 4 0 3 0

7

THE

FAMILYYOUNG MEN'S CHRI

Form990 (20

8 5 2 2 2


10/56

THE

F A M I L Y

YOUNG MEN'S

C H R I S T I A N

P a r t VH Sect ionA .Off icers,Directors,Trustees,Ke y E m

sloyees,and Highest Compen satedEmployees (continued)

(A)

Name

and tit le

(B)

Average

hours

per

week

(list

any

hours

for

related

organizations

below

line)

(C)

Position

(do

not

c h e c k more

thanone

box,

u n l e s s

pe rsonisbothan

officer

a nd

a

director/trustee)

(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

compensatio

from

the

organization

and related

organizations

(A)

Name

and tit le

(B)

Average

hours

per

week

(list

any

hours

for

related

organizations

below

line)

I

n

v

d

u

e

o

d

e

o

n

u

o

u

e

I

K

e

m

p

o

g

c

m

p

e

e

m

p

o

(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

compensatio

from

the

organization

and related

organizations

( 1 8 )

MAUR

HORTON

BOARD MEMBER

1.00

X

0.

0.

0

( 1 8 )

MAUR

HORTON

BOARD MEMBER

X

0.

0.

0

( 1 9 )DANMOORE

BOARD

MEMBER

1.00

X

0.

0.

0

( 1 9 )DANMOORE

BOARD

MEMBER

X

0.

0.

0

( 2 0 )

SHAWN

SELLERS

BOARD MEMBER

1.00

X

0.

0.

0

( 2 0 )

SHAWN

SELLERS

BOARD MEMBER

X

0.

0.

0

( 2 1 )DAN VANOY

BOARD MEMBER

1.00

X

0.

0.

0

( 2 1 )DAN VANOY

BOARD MEMBER

X

0.

0.

0

( 2 2 )DAVIDDECKLEMAN

BOARD MEMBER

1.00

X

0.

0.

0

( 2 2 )DAVIDDECKLEMAN

BOARD MEMBER

X

0.

0.

0

( 2 3 )

PAUL

MANNING

C H I E F E X E C U T I V E OFFICER

4 0 . 0 0

X

1 0 4 , 4 0 8 .

0.

1 4 , 3 4 6

( 2 3 )

PAUL

MANNING

C H I E F E X E C U T I V E OFFICER

X

1 0 4 , 4 0 8 .

0.

1 4 , 3 4 6

( 2 4 ) N I C K Y TIMM (THRUJUN)

DIRECTOR

OF

FINANCE

4 0 . 0 0

X

2 1 , 2 3 7 . 0.

4 , 1 5 3

( 2 4 ) N I C K Y TIMM (THRUJUN)

DIRECTOR

OF

FINANCE

X

2 1 , 2 3 7 . 0.

4 , 1 5 3

( 2 5 )

FREDNAIMY

V I C E

P R E S I D E N T

OFOPERATIONS

4 0 . 0 0

X

6 3 , 0 4 2 .

0. 1 0 , 0 6 0

( 2 5 )

FREDNAIMY

V I C E

P R E S I D E N T

OFOPERATIONS

X

6 3 , 0 4 2 .

0. 1 0 , 0 6 0

( 2 6 ) PEGGYHERMES

(JUN-DEC)

DIRECTOROF

FINANCE

4 0 . 0 0

X

3 3 , 5 3 8 . 0.

3,262

( 2 6 ) PEGGYHERMES

(JUN-DEC)

DIRECTOROF

FINANCE

X

3 3 , 5 3 8 . 0.

3,262

1b Sub-total

2 2 2 , 2 2 5 .

0.

3 1 , 8 2 1

c Total

from

continuation sheetstoPart

VI

d Total (addlines

1

ban d1c)

,Sect ion

A

0.

0.

0

Total

from

continuation sheetstoPart

VI

d Total (addlines

1

ban d1c)

2 2 2 , 2 2 5 .

0. 3 1 , 8 2 1

Total

number

of

individuals (including but not l imited to those listed above) who received more than

$100,000

of

reportable

compensation

from the orqanization

Did

the organization list any

former

officer, director, or trustee, key employee,

or

highest compensated employee on

line1a?If Yes, complete ScheduleJfor such individual

For any individua l l isted on line 1a, is the sum

of

reportable compensation and other compensation from the organization

andrelated organizations greater than

$150,000?

If


J

for such individual

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 ScheduleJfor such person

Yes

N

X

X

Section B. Independent Contractors

Complete

this table for your five highest com pensated independent con tractors that received more than $100,000

of

compensat ion from

the organization. Report compensation for the calendar year ending with

or

within the o rganization's tax yea r.

(A)

Name

and business address

NONE

(B)

Description

of

services

(C)

Compensation

Total

number

of

independ ent con tractors (including

but

not limited

to

those listed above) who received mo re than

$100,000

of

compensation from the organization

332008

10-29-13

Form

990

(20

8

1 6 4 0 1 0 3 1

7 8 3 6 7 3 8 5 2 2 2

2 0 1 3 . 0 4 0 3 0 THE

F A M I L Y

YOUNG MEN'S CHRI

8 5 2 2 2


11/56

Form990(2013)

THE F A M I L Y

YOUNG MEN'S

C H R I S T I A N


OF MARION AND


9 3 - 0 3 8 6 9 8 2

Pag

Part

Vlll

mm

c

c

2

=

i

OS

J?

I I

= T3

O c

OR

StatementofRevenue

Checkif

Schedule

O

contains

a

respons e or note

to

any line in this Part Vlll

1

a Federated campaigns

b Membership dues

c Fundraising events

d Related organizations

e Governmen t grants (contributions)

f All other contributions, gifts, grants, and

similaramounts not included above

9 N o n c a s h

cont r ibu t ions inc luded

inl i nes

1a-1fi

h

Total.A d d

lines1a-1

f

1f

3 8 , 9 9 3

5 1 3 , 0 8 6

6 1 0 .

(A)

Total

revenue

5 5 2 , 0 7 9

(B)

Relatedor

exempt

funct ion

revenue

(C)

Unrelated

business

revenue

(D)

Revenueexclud

from

tax unde

sections

512-514


12/56

Form 990 (2013)

THE FAMILY

YOUNG MEN'S

C H R I S T I A N


OF MARION AND

POLK COUNTIES

9 3 - 0 3 8 6 9 8 2 p

a Q e

1

RjaHIXi

j

StatementofFunctional

Expenses

Section 501(c)(3)a nd501(c)(4) organizations must completea llcolumns.Allother organizations must complete column (A).

Check

if

Schedule

O

contains a response or note to any line in this Part

IX

Do

no t

include amounts reported

on

lines Sb,

7b,8b 9b and 10b ofPart Vlll.

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

Grants and other assistance to governments and

organizations

in the U nited States. See Part IV, line 21

Grants and other assistance to individualsn

the

U nited States. See Part IV, line 22

Grants and other assistance to governments,

organizations, and individuals outside the

Uni ted

States. See Part IV, lines

15

a nd

16

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)(1)) and

persons described in section 4958(c)(3)(B)

Other salaries and w ages

Pension

plan accruals and contributions (include

section 401(k)

and 403(b) employer contributions)

Otheremployee benefits

Payroll

taxes

Fees for services (non-employees):

Management

Legal

Account ing

Lobbying

Professional

fundraising services. See Part IV, line 17

Investment

management fees

g Ot her . (If line

l l g

amount exceeds 10% of line 25,

column(A) amou nt, list line11gexpenses on Sch 0.)

Advertising

and promotion

Office

expenses

Information

technology

Royalties

Occupancy

Travel

Payments of travel or entertainment expenses

for any fed eral, state, or local public officials

Conferences, conventions, and meetings

Interest

Payments to affil iates

Depreciation, depletion, and amortization

Insurance

Other

expenses. Itemize expenses not covered

above.(List

miscellaneous expenses in line 24e.Ifline

24e

amount exceeds 10% of line 25, column (A)

amount, list line 24e expenses on Schedule 0.)

aS U P P L I E S

bSPORTSPROGRAM S U P P L I E S

cALLOCATION

OF

d

I N D I R E C T

e

All other expenses

25 Total functional expenses. Add lines

1

through 24e

(A)

Total

expenses

2 7 1 , 1 7 1

2 , 7 2 7 , 4 0 8 .

6 6 , 5 5 6

1 0 3 , 5 7 0

3 0 8 , 0 3 5

3,458,

2 2 , 1 5 1

1 4 5 , 8 7 5 .

4 6 , 2 2 9 .

1 6 1 , 8 6 4 .

7 , 8 6 8 .

4 5 9 , 2 2 4 .

4 5 , 6 3 7

2 1 , 7 7 8

7 8 , 3 1 7 .

1 1 4 , 3 9 3 .

1 0 0 , 0 8 1

8 4 , 0 9 0 .

3 0 0 , 2 2 0

10,728,

0

5 , 0 7 8 , 6 5 3

(B)

Program service

expenses

1 7 6 , 2 6 1

2 , 0 6 7 , 6 9 2

6 6 , 5 5 6

1 0 3 , 5 7 0

3 0 0 , 4 4 2

1 4 5 , 8 7 5

4 6 , 2 2 9

4 5 9 , 2 2 4

1 1 4 , 3 9 3

3 0 0 , 2 2 0

1 0 , 7 2 8

3 7 8 , 9 1 9

4 , 1 7 0 , 1 0 9

(C)

Management

and

general

expenses

9 2 ,198,

6 5 9 , 7 1 6

7 376

3,458

2 2 , 1 5 1

1 6 1 , 8 6 4

7,868,

4 5 , 6 3 7

21,778,

7 8 , 3 1 7

10 0 ,0 8 1

8 4 , 0 9 0

- 4 2 9 , 7 8 9

8 5 4 , 7 4 5

C

(D)

Fundraising

expenses

2,712

217

5 0 , 8 7 0

5 3 , 7 9 9

26 Joint costs. Complete this line only iftheorganization

reportedin column (B) joint costs froma combined

educational

campaign and fundraising solicitation .

C h e c k

here | | jffollowing S O P98-2( A S C

958-720)

332010 10-29-13

10

Form990

(201

1 6 4 0 1 0 3 1 7 8 3 6 7 3 8 5 2 2 2

2 0 1 3 . 0 4 0 3 0 THEFAMILYYOUNG MEN'SCHRI 8 5 2 2 2


13/56

Form

990 (2013)

THE F A M I L Y

YOUNG MEN'S

C H R I S T I A N


OF MARION AND


9 3 - 0 3 8 6 9 8 2

P a a

e1

PartX

Balance

Sheet

CD

m

L x ] -

Par t II | Additiona l (Not Auto matic )

3-MonthExtension

of Ti me . Onlyfilethe original (no

copies

needed).

Type or

print

Fi le by the

Nameof exempt organization or other fi ler, see instructions.

T H E

F A M I L Y Y OU NG M E N ' S C H R I S T I A N


O F MARION AND P O L K C O U N T I E S

Employer

identification number (EIN) or

93-0386982

due date for

filingyour

re t urn . Se e

Number,street, and room or suite no. If a P.O. box, see ins tructions.

685

C O U R T

S T N E

Social

security number (SSN)

i ns truct i ons .

City,

town or post office, state, and ZIP code. For a foreign address, see instructions.

S A L E M , OR

97301

Enter

the Return code for the return that this application is for (file a separate applica tion for each return) |

0 | 1

Application

Return Applicat ion

Return

Is

For

Code

Is For

Code

Form

990 or Form 990-EZ

01

Form

990-BL

02

Form 1041

-A

08

Form

4720 (individual)

03 Form

4720 (other than individual)

09

Form

990-PF

04 Form 5227

10

Form

990-T (sec.401(a) or 408(a) tru st)

05 Form

6069

11

Form

990-T

(trust

other than above)

06

Form8870

12

S T O P Do not complete Part IIif vou were not alreadv granted an automatic3-monthextension on a previouslvfiledForm 8868.

T H E

O R G A N I Z A T I O N

The books arein the care of

6 8 5

C O U R T

S T N E -

S A L E M ,

OR

97301

TelephoneN o .

503 -399 -2757

Fax

No.

If

the organization doe s not have an office or place of business in the U nited States, check this box .

If

this is for a Group Re turn, enter the orga nization's four digit Group Exemp tion Num ber (GEN)

.

If this is for the whole gro up, check this

box

. If it is for part of the grou p, check this box

n

and attach a list with the names and EINs of all membe rs the extension is for.

4 I request an additional 3-month extension of time until

5 For calendar year 2 0 1 3 , or other tax year beginning

6 If the tax year entered in line 5 is for less than12months, check reason:

Change in account ing per iod

7

State in detail why you need the extension

N O V E M B E R

1 5 , 2014.

Initial return

,

and ending

Final return

A D D T I O N A L T I M E I S

N E E D E D

T O F I L E A

C O M P L E T E

AN D

A C C U R A T E R E T U R N .

8 a

If this applica tion is for Forms 990-BL , 990-PF, 990-T, 472 0, or 606 9, enter the tentative tax, less any

nonrefundablecredits. See instruct ions.

8a

$ 0 .

b If this application is for Forms 990-PF, 990-T, 472 0, or 606 9, enter any refundable credits and e stimated

tax payments made. Include any prior year overpayment allowed as a credit and any amount paid

previously

with Form 8868.

8b

$

0 .

0

Ba lance due.Subtract l ine 8b fromline8a. Include your payment with this form, if required, by using

EFTPS

(Electronic Federal Tax Payment System). See instnjctions.

8c

$ 0 .

Signature

and Verification m ust be com pleted for P art II only.

Under

penalties of

perjury,I

declare that

I

have examined this fo rm, including accompanying schedules

and

statements, and to the best of my knowledge and belief,

it

is true, correct, and complete, and that

I

am authorized to prepare this form .

Sgnature

4AJL,

f.

bfAAfcdVX Title

C P A

Date

Form8868(Rev.1-2014

^ 1

t t

323842

12-31-13

2 0 1 3 . 0 4 0 1 0

T H E F A M I L Y Y OU NG M E N ' S

C H R I 85222

1


54/56

Form8868

Application

for

Extension

of Time T o

File

a n

(Rev.

January 2014)

Exempt

Organization Return

OMBN o.1545-1709

Depar tment

of the T r e a s u r y

File

a sep arate application for

each

return.

Internal

R e v e n u e S ervi ce

Informationabout Form

8868

and its instruc tions is at www.irs.gov/form8868.

If you are filing for an

Automatic3-MonthExtension,complete only PartI

and check this box >

LX]

If you are filing for an

Additional (Not Automatic)3-MonthExtension,complete only Part II

(on page 2 of this form).

Donot complete Part II unless you have already been granted an automatic 3-month extension on a previously fi led Form 8868 .

Electronic filing(e-file). You ca n electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 monthsfora corporation

required

to file Form 990-T), or an additional (not automatic) 3-month extension of time. You ca n electronically fi le Form 886 8 to requ est an e xtension

of

time to file any of the forms listed in Part

I

or Part II with the exc eption of Form 8870 , Information Return for Transfers Assoc iated W ith Certain

Personal

Benefit Contra cts, which must be s ent to the IRS in paper format (see instructions). For more details on the electronic fi l ing of this form,

visit

www.irs.aov/efile and click one-file for Charities & Non profits.

Part

II

Automatic

3-Month Extension

of T im e. Only submit original (no

copies

needed).

A

corporation required to file Form 990-T and requesting an automatic 6-month extens ion - check this b ox and c omplete

Part I

only

Allother corporations (including1120-C filers),partnerships, R EMIC s, and trusts must use Form 7004 to requestanextension of time

tofile income tax returns. _ ^ _. , .. .

>

Type or

print

Nameof exempt o rganization or other fi ler, see instructions.

T H E

F A M I L Y Y OUN G M E N ' S C H R I S T I A N

Employer

identification number (EIN) or

File

by the

due date for

filing

your

return.

See


O F MARION AN D

P O L K C O U N T I E S

93-0386982

File

by the

due date for

filing

your

return.

See

Number,

street, and room or s uite no. If a P.O. box, see instruc tions.

685 C O U R T

S T N E

Socialsecurity num ber (SSN)

instructions.

City,

town or po st office, state, and ZIP code . For a foreign address , see instructions.

S A L E M , OR

97301

Enter

the Return co de for the return that this a pplication is for (fi le a separate application fo r each return)

|Q| 1

Application

Return

Application

Return

Is For

Code

Is

For

Code

Form

990 or Form 990-EZ

01

Form 990-T (corporation)

07

Form

990-BL

02

Form 1041-A

08

Form

472 0 (individual)

03

Form


09

Form 990-PF

04

Form

5227

10

Form 990-T (sec.401(a) or 408(a) tru st)

05

Form

6069

11

Form

990-T (trust other tha n above)

06

Form

8870

12

T H E


The books are in the care of

6 8 5

C O U R T

S T N E

S A L E M ,

OR

97301

TelephoneN o .

5 0 3 - 3 9 9 - 2 7 5 7

FaxNo.

If the organization does not have an office or place of business in the U nited States, chec k this box ^

If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) .

If

this is for the whole gro up, check this

box I IIf it is for part of the g roup, che ck this box

L~~1and attach a list with the names and EINs of all members the e xtension is for.

1

I

request an automatic 3 -month (6 months for a corporation required to file Form 990-T) extension of time until

A U G U S T

1 5 , 2 0 1 4 ,

to file the exempt organization return for the organization named above. Theextensigj

is

for the organization's return for:

Lx] calendar year 2 0 1 3 or

C Z I tax year beginning , and ending .

2 If the tax year entered in line

1

is for less than

12

months, check reason:

C Z

Initial return

LZH

Final return

[Of-

3a

If this application is for Forms 990-BL , 990-PF, 990-T, 472 0, or 6069 , enter the tentative tax, less any

nonrefundablecredits. See instructions.

3a

$

0 .

b If this application is for Forms 990-PF, 990-T, 472 0, or 6069, enter any refundable credits and

estimated

tax paymen ts mad e. Include any prior year overpayment allowed as a credit.

3b

$

0 .

c

Balancedue.Subtract l ine 3b from line 3a. Include your pay ment w ith this form, if required,

bv

using EFTPS (Electronic Federal Tax Payment Sys tem). See instructions.

3 c

$

0 .

Caution.If you are going to make an electronic fun ds withdra wal (direct debit) with this Form 88 68, see Form

8453-EO

and Form

8879-EO

for paym ent

instructions.

L HA

Fo rPrivacyAct and Paperwork Reduction Act Notice, see instructions.

323841

12-31-13

Form

8868(Rev.1-2014)

2013.03030 T H E F A M I L Y Y OU NG M E N ' S C H R I 85222 1


55/56

Form

8868 (Rev.1-2014)

Page

If you are fil ing for an

Additional (Not Au tomatic)3-MonthExtension,complete only Part II

and check this box

Note.Only complete Part II if you have already been granted an automatic 3-month extension on a previously fi led Form 8868.

* If you are fil ing for an Automatic3-MonthExtension,complete only PartI(on page 1).

Lx]

Part

III

Additional (Not Autom atic)

3-MonthExtension

of T ime . Onlyfilethe original (no

copies

needed).

Type

or

print

Fi l e

by the

Name

of exempt organization or other fi ler, see instructions.

T H E F A M I L Y YO UN G M E N ' S C H R I S T I A N


O F MARION AND

P O L K

C O U N T I E S

Employer

iden tification number (EIN) o

93-0386982

due date for

filing

your

re t urn . See

Number,street, and room or suite no. If a P.O. box, see instructions.

685 C O U R T

S T N E

Social

security n umbe r (SSN)

i ns truct i ons .

City,

town or post o f f ice, state, and ZIP co de. For a foreign address, see instruct ions.

S A L E M ,

OR

97301

Enterthe Return cod e for the return that this applic ation is for (fi le a separate applic ation for each return) ]Q | 1

Applicat ion

Return Applicat ion

Return

Is

For

Co d e

Is

For

Code

Form

990 or Form 990-EZ

01

Form

990-BL

02

Form 1041-A

08

Form 4720 (individual)

03

Form


09

Form

990-PF

04

Form

5227

10

Form

990-T (sec. 401(a) or 408(a) trust)

05 Form

6069

11

Form

990-T (trust other than above)

06

Form 8870

12

S T O P Do not complete Part II if vou were not alreadv granted an automatic3-monthextension on a previouslvfiledForm8868.

T H E O R G A N I Z A T I O N


6 8 5

C O U R T

S T N E

- S A L E M ,

OR

97301

FaxNo. elephoneN o .

503 -399 -2757

If

the organizat ion does not have an off ice or place of business in the U nited States, check this box

If

this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)

If

this is for the whole group, check this

box .

If it is for part of the grou p, chec k this box and attach a list with the names and EINs of all memb ers the extension is for.

4

I

request an addit ional 3-month extension of t ime un t i l

5

For calendar year

2 0 1 3

, or other tax year beginn ing

6 Ifthetax year en tered in line 5 is for less than12months, check reason:

Change in account ing per iod

7

State in detai l why you need the extension

N O V E M B E R

1 5 ,

2014.

Initial return

,

and ending

Final return

A D D T I O N A L T I M E I S

N E E D E D

T O

F I L E

A

C O M P L E T E

AND

A C C U R A T E

R E T U R N .

8a If this applica tion is for Forms 990-BL, 990-PF, 990-T, 472 0, or 6069, enter the tentative tax, less any

nonrefundable

credits. See instruct ions.

8a

S 0

b If this applica tion is for Forms 990-PF, 990-T, 47 20 , or 6069, enter any refundable cred its and estima ted

tax

payme nts ma de. Include any pr ior year overpayment al lowed as a credit and any amount paid

previouslywith Form 8868.

8b

$

0

c

Balan ce du e. Subtract l ine 8b from line 8a. Include your payment with this form, if required, by using

EFTPS

(Electronic Federal Tax Payment System). See instructions.

8c

$ 0

Signature

and Verification must be completed for Part II only.

Under

penalties of

perjury,I

declare that

I

have examined this form , including accompanying schedules and statements, and to the best of my knowledge and belief,

it

is true, correct, and complete, and that

I

am authorized to prepare this form .

Sgnature

/

JjOfMiZ, f.(LaSs3cSY\ Title

C P A

Date

(J Form 886 8 (Rev.

1

-201

323842

12-31-13

783673 85222 20 13 .04 01 0 T H E

F A M T L Y

YnTTOn MRN' .q P H R T n^ooi

1


56/56

Form8868

(Rev.

January 2014)

Department of the T r e a s u r y

Internal

R e v e n u e S e r v i c e

Application

for

Extension

of Tim e To

File

an

Exem pt Organization Return

Filea separate application for eachreturn.

Informationabout Form

8868

an d its instructions is at www.irs.gov/form8868.

OMBNo. 1545-1709

I f you are f i ling for an Autom atic 3 -Month Ex tens ion, complete onlyPar tIand check this box

fx l

If you are fil ing for an Ad diti on al

(Not

A u tom a t i c )

3

- M on th Ex tens ion , com p le te

only

P a r t

II

(on page 2 o f this form).

Donot complete Part II unless

you have already been granted an autom atic 3-month extension on a previously filed Form 8868 .

Electronic f i l ing(e-file). You can electronically fi le Form 8868 if you need a 3-month au tomatic extension of time to file (6 mon ths for a corpo ration

requiredto file Form 990-T), or an additional (not automa tic) 3-month extension of tim e. You can electronically fi le Form 8868 to reque st an extens ion

of

time to file any of the fo rms listed in Part

I

or Part II with the exce ption of Form 887 0, Information R eturn for Transfers Assoc iated W ith Certain

Personal

Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the electronic fi l ing of this form,

visitwww.irs.gov/efile and click one-file for Charities & Nonprofits.

PartI

| Automatic

3-MonthExtension

of Time. Only submit original (no

copies

needed).

A

corporation required to file Form 990-T and requesting an automa tic 6-month extension - chec k this box and com plete

Part Ionly

All other corporations (including 1120-C filers),partnerships, REM ICs, and trusts must use Form 7004 to request an extension of time

tofile income tax returns. _ ^

Typeor

print

Nameof exempt organ ization or other fi ler, see instruction s.

T H E

F A M I L Y Y OU NG M E N ' S C H R I S T I A N

Employeridentification numbe r (EIN) o

Fi le by t he

due date for

filing your

re t urn . Se e


O F MARION AND

P O L K C O U N T I E S

93-0386982

Fi le by t he

due date for

filing your

re t urn . Se e

Number,

street, and room or suite no. If a P.O. box, see instructions .

685 C O U R T

S T N E

Socialsecurity num ber (SSN)

i ns truct i ons .

City,

town or post office, state, and ZIP code. For a foreign address, see instructions.

S A L E M ,

OR

97301

Enter the Return code for the return that this application isfor (fi le a separate app lication for ea ch return)

1

0I1

Application

Return

Application

Return

Is

For

Code Is

For

Code

Form

990 or Form

990-EZ

01

Form 990-T (corporation)

07

Form 990-BL

02

Form 1041-A

08

Form

4720 (individual)

03

Form


09

Form

990-PF

04

Form

5227

10

Form

990-T (sec.401(a) or 408(a) trust)

05

Form6069

11

Form

990-T (trust other tha n above)

06

Form

8870

12

T H E



6 8 5

C O U R T

S T N E -

S A L E M ,

OR

97301

TelephoneN o .

5 0 3 - 3 9 9 - 2 7 5 7

FaxNo.

If the organization does not have an office or place of business in the U nited States, check this box 1

If this is for a Group Return, enter the organization's four digit Group Exemption Numb er (GEN) .

If

this is for the whole group, check this

box EZ3 If it is for part of the group , check this box

I

and attach a list with the names and EINs of all members the extension is for.

1 I

request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until

A U G U S T

1 5 , 2 0 1 4

,

to file the exempt organization return for the organization named above. The extension

isfor the orga nization's return for:

Lx] calendar year2 0 1 3 or

taxyear beginning

,

and ending

2

If the tax year entered in line

1

is for less than12months, check reason:

I

Initial return

I

Final return

3a

If this application is for Forms 990-BL, 990-PF, 990-T, 472 0, or 6069 , enter the tentative tax, less any

ymca of marion and polk counties 2013 charity report

Documents