SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
DULUTH AREA FAMILY YMCA HERITAGE
FOUNDATION
Employer identification number

20-0956455
Return Reference Explanation
Form 990, Part VI, Section B, line 11b THE 990 IS REVIEWED AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE IT IS FILED.
Form 990, Part VI, Section B, line 12c CONFLICT OF INTEREST POLICY IS PROVIDED, AND INDIVIDUALS SIGN STATING A CONFLICT OR NO CONFLICT.
Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XI, line 9: CHANGE IN VALUE OF LIFE INSURANCE POLICIES -9,377.
FORM 990, PART XI, LINE 2C: NO CHANGE IN PROCESS FROM PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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