SCHEDULE O
(Form 990)

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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
PISCATAQUIS REGIONAL YMCA
 
Employer identification number

22-2592628
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION OFFERS MEMBERSHIPS TO THE COMMUNITY. INDIVIDUALS OR FAMILIES WISHING TO BECOME MEMBERS PAY A MONTHLY OR ANNUAL MEMBERSHIP RATE IN EXCHANGE FOR USE OF THE FACILITY AND FOR THE OPPORTUNITY TO PARTICIPATE IN CERTAIN PROGRAMS FOR FREE OR FOR A REDUCED RATE. THE FACILITY INCLUDES A FITNESS CENTER, AN INDOOR POOL, AND OFFERS SEVERAL FITNESS CLASSES FOR PERSONS OF ALL AGES.
FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE PRYMCA ELECT THE BOARD OF DIRECTORS AT THE ANNUAL MEETING. ALL MEMBERS ARE INVITED TO ATTEND THE ANNUAL MEETING AND PARTICIPATE IN THE ELECTION OF BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE COMPLETED AND THOROUGHLY REVIEWED BY THE TREASURER, CEO AND FINANCE DIRECTOR. A PRINTED COPY OF THIS 990 WILL BE PRESENTED AT THE MONTHLY BOARD MEETING FOR REVIEW BY ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C THE PRYMCA HAS A THOROUGH POLICY THAT SPECIFICALLY CALLS FOR PERIDODIC MONITORING TO BE DONE TO ENSURE THAT THE INTERESTS OF THE PRYMCA ARE SERVED IN ALL CASES AND THAT THE PRYMCA OPERATES IN A MANNER THAT DOES NOT CONFLICT WITH OUR MISSION AND DOES NOT JEOPARDIZE OUR TAX EXEMPT STATUS. KEY PERSONS ARE REQUIRED TO SIGN A STATEMENT CONFIRMING THEY HAVE RECEIVED THE POLICY AND THAT THEY HAVE READ AND UNDERSTAND THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15A BOARD OF DIRECTORS VOTE.
FORM 990, PART VI, SECTION C, LINE 19 THE PISCATAQUIS REGIONAL YMCA MAKES ITS 990 AVAILABLE UPON REQUEST TO ANYONE WHO VISITS OUR FACILITY AT 48 PARK STREET, DOVER-FOXCROFT, ME 04426. IT IS ALSO AVAILABLE FOR VIEWING ON SEVERAL INDEPENDENT WEBSITES WHO PROVIDE SUCH SERVICES.
FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST 104,886. ROUNDING
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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