Return of Organization Exempt From Income Tax

Transcription

1 Return of Organization Exempt From ncome Tax OMB Form Under section 5(c), 57, or 4947(a)() of the nternal Revenue Code (except private foundations) 99 À¾µ Do not enter Social Security numbers on this form as it may be made public. Open to Public Department of the Treasury nternal Revenue Service nformation about Form 99 and its instructions is at nspection A For the 4 calendar year, or tax year beginning, 4, and ending, B J Check if applicable: Address change Name change nitial return C Name of organization Doing Business As Number and street (or P.O. box if mail is not delivered to street address) Room/suite D E Telephone number Terminated City or town, state or province, country, and ZP or foreign postal code Amended return MAM, FL 9 G Gross receipts $ 54,94,67. Application F Name and address of principal officer: H(a) s this a group return for Yes pending HARVE MOGUL subordinates? 5 S.W. RD AVENUE MAM, FL 9 H(b) Are all subordinates included? Yes Tax-exempt status: 5(c)() 5(c) ( ) (insert no.) 4947(a)() or 57 f "," attach a list. (see instructions) J Website: H(c) Group exemption number FL Part Briefly describe the organization's mission or most significant activities: THE MSSON OF UNTED WAY OF MAM DADE HELPNG PEOPLE CARE FOR ONE ANOTHER. K Form of organization: Corporation Trust Association Other L Year of formation: M State of legal domicile: Summary Activities & Governance Revenue Expenses Net Assets or Fund Balances Check this box if the organization discontinued its operations or disposed of more than 5% of its net assets. Number of voting members of the governing body (Part V, line a) 4 Number of independent voting members of the governing body (Part V, line b) 4 5 Total number of individuals employed in calendar year 4 (Part V, line a) 5 6 Total number of volunteers (estimate if necessary) m m m m m m m m 6 7a Total unrelated business revenue from Part V, column (C), line 7a b Net unrelated business taxable income from Form 99-T, line 4 m m m m m m m m m m m m m m m m m m m m m m m m 7b Prior Year b Part UNTED WAY OF MAM-DADE, NC m m m m m m m m m m m m m m m m m m m m m m m Contributions and grants (Part V, line h) COPY FOR Program service revenue (Part V, line g) m m m m m m m m m PUBLC NSPECTON nvestment income (Part V, column (A), lines, 4, and 7d) m m m m m Other revenue (Part V, column (A), lines 5, 6d, 8c, 9c, c, and e) Total revenue - add lines 8 through (must equal Part V, column (A), m m line m m ) m Grants and similar amounts paid (Part, column (A), lines -) Benefits paid to or for members (Part, column (A), line 4) m m m m m m m m m m Salaries, other compensation, employee benefits (Part, column (A), lines 5-) a Professional fundraising fees (Part, column (A), line e) m m m m m m m m m m m m m m m m m Total fundraising expenses (Part, column (D), line 5),6,9. Other expenses (Part, column (A), lines a-d, f-4e) m m m m m m Total expenses. Add lines -7 (must equal Part, column (A), line 5) Revenue less expenses. Subtract line 8 from line m m m m m m m m m m m m m m m m m m m m Total assets (Part, line 6) m Total liabilities (Part, line 6) m m m m m m m m m m m m m Net assets or fund balances. Subtract line from line m m m m m m m m m m m m m m m m m m Signature Block 7/ 6/ S.W. RD AVENUE (5) Beginning of Current Year Current Year End of Year Under penalties of perjury, declare that have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge ,8,44. 4,844,8. 88,94. 67,4.,559,6.,79, , ,44. 4,65,4. 44,6,665. 7,7,55.,46,699. 9,479,5. 9,8,56. 5,69,85. 5,48,9. 4,8,6. 8,665,84. 4,8. 5,596,48. 5,94,65.,55, ,88,98. 46,644,88. 5,76,47. 54,86,675. Sign Here Paid M Signature of officer Date M Type or print name and title Print/Type preparer's name Preparer's signature Date Check if PTN self-employed ANDRES MOLGORA P464 Firm's EN Phone no. m m m m m m m m m m m m m m m m m m m m m m m m m Preparer Firm's name BDO USA, LLP Use Only Firm's address BRCKELL AVENUE, SUTE 8 MAM, FL May the RS discuss this return with the preparer shown above? (see instructions) Yes For Paperwork Reduction Act tice, see the separate instructions. Form 99 (4) 4E65. 94Y 7D /4/6 :7: PM V PAGE

2 Form 99 (4) Page Part UNTED WAY OF MAM-DADE, NC Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m m Briefly describe the organization's mission: THE MSSON OF UNTED WAY OF MAM DADE S TO BULD COMMUNTY BY HELPNG PEOPLE CARE FOR ONE ANOTHER. UNTED WAY BRNGS PEOPLE AND NSTTUTONS TOGETHER TO MPROVE THE EDUCATON, FNANCAL STABLTY AND HEALTH OF OUR COMMUNTY AND TS RESDENTS. m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," describe these new services on Schedule O. m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization undertake any significant program services during the year which were not listed on the prior Form 99 or 99-EZ? Yes Did the organization cease conducting, or make significant changes in how it conducts, any program services? Yes f "Yes," describe these changes on Schedule O. 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 5(c)() and 5(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (Code: ) (Expenses $ 7,6,658. including grants of $,48,45. ) (Revenue $ 67,4. ) *THE UNTED WAY CENTER FOR ECELLENCE N EARLY EDUCATON, AN NNOVATVE TEACHNG AND TRANNG NTATVE DEDCATED TO ELEVATNG THE QUALTY OF EARLY CARE AND EDUCATON N MAM-DADE AND BEYOND, PROVDED 56 PROFESSONAL LEARNNG SESSONS THAT WERE ATTENDED BY MORE THAN,55 PARTCPANTS - NCLUDNG TEACHERS AND DRECTORS FROM EARLY CARE AND EDUCATON PROGRAMS AROUND THE COUNTRY *,6 CHLDREN ATTENDED AFTER-SCHOOL PROGRAMS THAT ENABLED THEM TO MPROVE ACADEMC SKLLS AND AVOD RSKY BEHAVORS 4b (Code: ) (Expenses $,876,746. including grants of $,64,86. ) (Revenue $ ) *5, PEOPLE RECEVED EMERGENCY FOOD AND SHELTER ASSSTANCE THROUGH A FEDERAL PROGRAM MANAGED BY UNTED WAY *46 PEOPLE AVODED HOMELESSNESS THROUGH DRECT FNANCAL ASSSTANCE AND SUPPORTVE SERVCES LKE COUNSELNG AND BASC FNANCAL PLANNNG *,8 NDVDUALS AND FAMLES RECEVED COUNSELNG THAT WLL ENABLE THEM TO MPROVE THER FNANCAL STABLTY AND ACHEVE THER GOALS *ASSSTED MAM-DADE TAPAYERS RECEVE MORE THAN $. MLLON N TA REFUNDS AND EARNED NCOME TA CREDTS OF $4.MLLON 4c (Code: ) (Expenses $,59,48. including grants of $,575,469. ) (Revenue $ ) HEALTH - 47,95 NDVDUALS SAVED $. MLLON ON PRESCRPTON DRUGS THROUGH UNTED WAY'S PARTNERSHP WTH FAMLYWZE.,54 OLDER ADULTS WERE PROVDED WTH NUTRTOUS MEALS. 4d Other program services (Describe in Schedule O.) (Expenses $ 8,66,98. including grants of $ 7,76,. ) (Revenue $ ) 4e Total program service expenses 9,84,85. 4E. ATTACHMENT Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE

3 UNTED WAY OF MAM-DADE, NC Form 99 (4) Page Part V Checklist of Required Schedules a m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m s the organization required to complete Schedule B, Schedule of Contributors (see instructions)? m m m m m m m m m Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m Section 5(c)() organizations. Did the organization engage in lobbying activities, or have a section 5(h) election in effect during the tax year? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m s the organization described in section 5(c)() or 4947(a)() (other than a private foundation)? f "Yes," complete Schedule A s the organization a section 5(c)(4), 5(c)(5), or 5(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-9? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization maintain any donor 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? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? f "Yes," complete Schedule D, Part m m m m m m m m m m Did the organization maintain collections of works of art, historical treasures, or other similar assets? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount in Part, line, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part ; or provide credit counseling, debt management, credit repair, or debt negotiation services? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? f "Yes," complete Schedule D, Part Vm m m m m m m m f the organization s answer to any of the following questions is "Yes," then complete Schedule D, Parts V, V, V,, or as applicable. a Did the organization report an amount for land, buildings, and equipment in Part, line? f "Yes," b c d e f b a b a b 4E. complete Schedule D, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount for investments-other securities in Part, line that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m Did the organization report an amount for investments-program related in Part, line that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m Did the organization report an amount for other assets in Part, line 5 that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount for other liabilities in Part, line 5? f "Yes," complete Schedule D, Part Did the organization s separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FN 48 (ASC 74)? f "Yes," complete Schedule D, Part m m m m m m Did the organization obtain separate, independent audited financial statements for the tax year? f "Yes," complete Schedule D, Parts and m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Was the organization included in consolidated, independent audited financial statements for the tax year? f "Yes," and if the organization answered "" to line a, then completing Schedule D, Parts and is optional m m m s the organization a school described in section 7(b)()(A)(ii)? f "Yes," complete Schedule E Did the organization maintain an office, employees, or agents outside of the United States? m m m m m m m m m m m m Did the organization have aggregate revenues or expenses of more than $, from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $, or more? f "Yes," complete Schedule F, Parts and V m m m m m m m m m m m Did the organization report on Part, column (A), line, more than $5, of grants or other assistance to or for any foreign organization? f "Yes," complete Schedule F, Parts and V m m m m m m m m m m m m m m m m m m m m m m Did the organization report on Part, column (A), line, more than $5, of aggregate grants or other assistance to or for foreign individuals? f "Yes," complete Schedule F, Parts and V m m m m m m m m m m m m m m m m Did the organization report a total of more than $5, of expenses for professional fundraising services on Part, column (A), lines 6 and e? f "Yes," complete Schedule G, Part (see instructions) m m m m m m m m m m m m m Did the organization report more than $5, total of fundraising event gross income and contributions on Part V, lines c and 8a? f "Yes," complete Schedule G, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report more than $5, of gross income from gaming activities on Part V, line 9a? f "Yes," complete Schedule G, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization operate one or more hospital facilities? f "Yes," complete Schedule H m m m m m m m f "Yes" to line a, did the organization attach a copy of its audited financial statements to this return? m m m m m m a b c d e f a b 4a 4b a b Yes Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE 4

4 UNTED WAY OF MAM-DADE, NC Form 99 (4) Page 4 Part V Checklist of Required Schedules (continued) 4 a d 5 a a b b c b a b c m m m m m m m m m m Part, column (A), line? f Yes, complete Schedule, Parts and m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report more than $5, of grants or other assistance to any domestic organization or domestic government on Part, column (A), line? f "Yes," complete Schedule, Parts and Did the organization report more than $5, of grants or other assistance to or for domestic individuals on Did the organization answer Yes to Part V, Section A, line, 4, or 5 about compensation of the organization s current and former officers, directors, trustees, key employees, and highest compensated employees? f Yes, complete Schedule J m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $, as of the last day of the year, that was issued after December,? f "Yes," answer lines 4b through 4d and complete Schedule K. f, go to line 5a m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?m m m m m m m Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? m m m m m m Section 5(c)(), 5(c)(4), and 5(c)(9) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? f Yes, complete Schedule L, Part m m m m m m m m m m m m s the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 99 or 99-EZ? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report any amount on Part, line 5, 6, or for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 5% controlled entity or family member of any of these persons? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part V instructions for applicable filing thresholds, conditions, and exceptions): A current or former officer, director, trustee, or key employee? f "Yes," complete Schedule L, Part V m m m m m m m A family member of a current or former officer, director, trustee, or key employee? f "Yes," complete Schedule L, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? f "Yes," complete Schedule L, Part Vm m m m m Did the organization receive more than $5, in non-cash contributions? f "Yes," complete Schedule M m m m m Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? f "Yes," complete Schedule M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization liquidate, terminate, or dissolve and cease operations? f "Yes," complete Schedule N, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization sell, exchange, dispose of, or transfer more than 5% of its net assets? f "Yes," complete Schedule N, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization own % of an entity disregarded as separate from the organization under Regulations sections.77- and.77-? f "Yes," complete Schedule R, Part m m m m m m m m m m m m m m m m m m m m Was the organization related to any tax-exempt or taxable entity? f "Yes," complete Schedule R, Part,, or V, and Part V, line m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization have a controlled entity within the meaning of section 5(b)()? m m m m m m m m m m m m m m f "Yes" to line 5a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 5(b)()? f "Yes," complete Schedule R, Part V, line m m m m m Section 5(c)() organizations. Did the organization make any transfers to an exempt non-charitable related organization? f "Yes," complete Schedule R, Part V, line m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? f "Yes," complete Schedule R, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 9? te. All Form 99 filers are required to complete Schedule O m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization complete Schedule O and provide explanations in Schedule O for Part V, lines b and 4a 4b 4c 4d 5a 5b 6 7 8a 8b 8c 9 4 5a 5b Yes Form 99 (4) 4E. 94Y 7D /4/6 :7: PM V PAGE 5

5 Form 99 (4) Page 5 Part V Statements Regarding Other RS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V m m m m m m m m m m m m m m m m m m m m m Yes a b a b 9 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m c a Enter the number of employees reported on Form W-, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return m a 84 b f at least one is reported on line a, did the organization file all required federal employment tax returns? b 4a See instructions for filing requirements for FinCEN Form 4, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? m m m m m m m m b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c f "Yes" to line 5a or 5b, did the organization file Form 8886-T? m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6a Does the organization have annual gross receipts that are normally greater than $,, and did the 7 a 8 9 a b b b b c d e f g h a b a b a b a b c 4 a b Enter the number reported in Box of Form 96. Enter -- if not applicable m Enter the number of Forms W-G included in line a. Enter -- if not applicable m m m m m m m m m te. f the sum of lines a and a is greater than 5, you may be required to e-file (see instructions) Did the organization have unrelated business gross income of $, or more during the year? m m m f "Yes," has it filed a Form 99-T for this year? f "" to line b, provide an explanation in Schedule O m m m m m m m At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f Yes, enter the name of the foreign country: organization solicit any contributions that were not tax deductible as charitable contributions? m m m m m m m m m m m f "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Organizations that may receive deductible contributions under section 7(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization notify the donor of the value of the goods or services provided? m m m m m m m m m m m m Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 88? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," indicate the number of Forms 88 filed during the year m m m m m m m m m m m m m m m m 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? m m m m m f the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? f the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 98-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? m m m m m m m m m m m m m m m m m Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? m m m m m m Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? m m m m m m m m m m Section 5(c)(7) organizations. Enter: nitiation fees and capital contributions included on Part V, line m m m m m m m m m m a Gross receipts, included on Form 99, Part V, line, for public use of club facilities m m m m b Section 5(c)() organizations. Enter: Gross income from members or shareholders m m m m m m m m m m m m m m m m m m m m m m m m m m a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) m m m m m m m m m m m m m m m m m m m m m m m m m m m b Section 4947(a)() non-exempt charitable trusts. s the organization filing Form 99 in lieu of Form 4? f "Yes," enter the amount of tax-exempt interest received or accrued during the year m m m m m b Section 5(c)(9) qualified nonprofit health insurance issuers. s the organization licensed to issue qualified health plans in more than one state? m m m m m m m m m m m m m m m m m m a te. See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which 4E4. UNTED WAY OF MAM-DADE, NC the organization is licensed to issue qualified health plans b Enter the amount of reserves on hand m m m m m m m m m m m m m m m m m m m m m m m m m m m m m c Did the organization receive any payments for indoor tanning services during the tax year? m m m m m m m f "Yes," has it filed a Form 7 to report these payments? f "," provide an explanation in Schedule O m m m m m m a b 4a 5a 5b 5c 6a 6b 7a 7b 7c 7e 7f 7g 7h 8 9a 9b a a 4a 4b Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE 6

6 Form 99 (4) Page 6 Part V Governance, Management, and Disclosure For each "Yes" response to lines through 7b below, and for a "" response to line 8a, 8b, or b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part V Section A. Governing Body and Management a b a b Enter the number of voting members of the governing body at the end of the tax year m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O. Enter the number of voting members included in line a, above, who are independent m m m m m b any other officer, director, trustee, or key employee? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m supervision of officers, directors, or trustees, or key employees to a management company or other person? Did the organization make any significant changes to its governing documents since the prior Form 99 was filed? m m Did the organization become aware during the year of a significant diversion of the organization's assets? Did the organization have members or stockholders? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m one or more members of the governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m stockholders, or persons other than the governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did any officer, director, trustee, or key employee have a family relationship or a business relationship with Did the organization delegate control over management duties customarily performed by or under the direct Did the organization have members, stockholders, or other persons who had the power to elect or appoint Are any governance decisions of the organization reserved to (or subject to approval by) members, 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m 8a b Each committee with authority to act on behalf of the governing body? m m m m m m m m m m m m m m m m m m m m m m 8b 9 s there any officer, director, trustee, or key employee listed in Part V, Section A, who cannot be reached at the organization's mailing address? f "Yes," provide the names and addresses in Schedule O m m m m m m m m m m m 9 Section B. Policies (This Section B requests information about policies not required by the nternal Revenue Code.) a b a b a b 4 5 c a b 6a b Did the organization have local chapters, branches, or affiliates? m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? m m m Has the organization provided a complete copy of this Form 99 to all members of its governing body before filing the form? m Describe in Schedule O the process, if any, used by the organization to review this Form 99. Did the organization have a written conflict of interest policy? f "," go to line m m m m m m m m m m m m m m m m rise to conflicts? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m describe in Schedule O how this was done m m m m m m m m Did the organization have a written whistleblower policy? m m m m m m m m m m m m Did the organization have a written document retention and destruction policy? m m m m m m m m m m m m m m m m m m Were officers, directors, or trustees, and key employees required to disclose annually interests that could give Did the organization regularly and consistently monitor and enforce compliance with the policy? f "Yes," Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other officers or key employees of the organization f "Yes" to line 5a or 5b, describe the process in Schedule O (see instructions). Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization follow a written policy or procedure requiring the organization 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? m m m m m m m m m m m m m m m m m m m m m m m m m List the states with which a copy of this Form 99 is required to be filed FL, Section C. Disclosure Section 64 requires an organization to make its Forms (or 4 if applicable), 99, and 99-T (Section 5(c)()s only) available for public inspection. ndicate how you made these available. Check all that apply. Own website Another's website Upon request Other (explain in Schedule O) Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name, address, and telephone number of the person who possesses the organization's books and records: CARLOS G. MOLNA 5 S.W. RD AVENUE MAM, FL Form 99 (4) 4E4. UNTED WAY OF MAM-DADE, NC Y 7D /4/6 :7: PM V PAGE 7 a a 7b a b a a b c 4 5a 5b 6a 6b Yes Yes

7 UNTED WAY OF MAM-DADE, NC Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and ndependent Contractors Form 99 (4) Page 7 Part V Section A. Check if Schedule O contains a response or note to any line in this Part V m m m m m m m m m m m m m m m m m m m m m m Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's % tax year. List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -- in columns (D), (E), and (F) if no compensation was paid. % List all of the organization's current key employees, if any. See instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W- and/or Box 7 of Form 99-MSC) of more than $, from the organization and any related organizations. % List all of the organization's former officers, key employees, and highest compensated employees who received more than $, of reportable compensation from the organization and any related organizations. % List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $, of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (A) (B) Position (D) (E) (F) Name and Title Average hours per week (list any (do not check more than one box, unless person is both an officer and a director/trustee) hours for related organizations below dotted line) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee Former Reportable compensation from the organization (W-/99-MSC) Reportable compensation from related organizations (W-/99-MSC) Estimated amount of other compensation from the organization and related organizations () HARVE A. MOGUL CEO & PRESDENT 5. 47,. 7,947. () JAYNE HARRS ABESS DRECTOR. () YOLANDA C. BERKOWTZ DRECTOR. (4) PETER L. BERMONT DRECTOR. (5) DARLENE BOYTELL-PEREZ DRECTOR. (6) STEVEN J. BRODE, ESQ. DRECTOR. (7) MCHELE P. BURGER DRECTOR. (8) ALBERTO M. CARBALHO DRECTOR. (9) GULLERMO G. CASTLLO DRECTOR. () JUAN N. CENTO DRECTOR. () STEPHEN G. DANNER DRECTOR. () PETER J. DOLARA DRECTOR. () MGUEL G. FARRA DRECTOR. (4) RODOLFO FERNANDEZ. DRECTOR Form 99 (4) 4E4. 94Y 7D /4/6 :7: PM V PAGE 8

8 UNTED WAY OF MAM-DADE, NC Form 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations below dotted line) Position (do not check more than one box, unless person is both an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee b Sub-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines b and c) Former Reportable compensation from the organization (W-/99-MSC) Reportable compensation from related organizations (W-/99-MSC) Total number of individuals (including but not limited to those listed above) who received more than $, of reportable compensation from the organization 9 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 4 For any individual listed on line a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this table for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Estimated amount of other compensation from the organization and related organizations ( 5) FRANK GONZALEZ. DRECTOR ( 6) GERALD C. GRANT, JR.. DRECTOR ( 7) JORGE L. HERNANDEZ-TORANO, ESQ. DRECTOR ( 8) ELZABETH B. LEGHT. DRECTOR ( 9) SUSAN POTTER NORTON, ESQ.. DRECTOR ( ) PHLLS. OETERS. DRECTOR ( ) EUGENE MATTHEW SCHAEFER. DRECTOR ( ) ROMANE M. SEGUN. DRECTOR ( ) PENELOPE S. SHAFFER, PH.D.. DRECTOR ( 4) ANDREW M. SMULAN. DRECTOR ( 5) KATHLEEN B WOODS-RCHARDSON. DRECTOR 47,. 7,947.,56,75. 79,5.,78,77. 7,5. Yes ATTACHMENT (A) Name and business address (B) Description of services (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $, in compensation from the organization 4E55. Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE 9

9 UNTED WAY OF MAM-DADE, NC Form 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations below dotted line) Position (do not check more than one box, unless person is both an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee b Sub-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines b and c) Former Reportable compensation from the organization (W-/99-MSC) Reportable compensation from related organizations (W-/99-MSC) Total number of individuals (including but not limited to those listed above) who received more than $, of reportable compensation from the organization 9 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 4 For any individual listed on line a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this table for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Estimated amount of other compensation from the organization and related organizations ( 6) JOSH M. ZVALCH. DRECTOR ( 7) MARA C. ALONSO. DRECTOR ( 8) EDWARD J. JOYCE. DRECTOR ( 9) JASON T. LBERTY. DRECTOR ( ) AGOSTNHO ALFONSO MACEDO. DRECTOR ( ) LSA MENDELSON. DRECTOR ( ) CARLOS A. MGOYA. DRECTOR ( ) RUDOLF G. MOSE, D.O.. DRECTOR ( 4) W. ALLEN MORRS. DRECTOR ( 5) PETER T. PRUTT. DRECTOR ( 6) OSCAR SUAREZ. DRECTOR Yes (A) Name and business address (B) Description of services (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $, in compensation from the organization 4E55. Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE

10 UNTED WAY OF MAM-DADE, NC Form 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations below dotted line) Position (do not check more than one box, unless person is both an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee b Sub-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines b and c) Former Reportable compensation from the organization (W-/99-MSC) Reportable compensation from related organizations (W-/99-MSC) Total number of individuals (including but not limited to those listed above) who received more than $, of reportable compensation from the organization 9 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 4 For any individual listed on line a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this table for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Estimated amount of other compensation from the organization and related organizations ( 7) MARELENA VLLAML. DRECTOR ( 8) JUDY H. ZEDER. DRECTOR ( 9) JESS LAWHORN, JR.. DRECTOR ( 4) ALCA CERVERA LA MADRD. DRECTOR ( 4) MARLYN J. DEVOE. DRECTOR ( 4) CONSTANCE FERNANDEZ. DRECTOR ( 4) JORGE J. GONZALEZ. DRECTOR ( 44) MATTHEW B. GORSON. DRECTOR ( 45) FEDRCK NGRAM. DRECTOR ( 46) JOSE R. MAS. DRECTOR ( 47) WLLAM H O'DOWD V. DRECTOR Yes (A) Name and business address (B) Description of services (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $, in compensation from the organization 4E55. Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE

11 UNTED WAY OF MAM-DADE, NC Form 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations below dotted line) Position (do not check more than one box, unless person is both an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee b Sub-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines b and c) Former Reportable compensation from the organization (W-/99-MSC) Reportable compensation from related organizations (W-/99-MSC) Total number of individuals (including but not limited to those listed above) who received more than $, of reportable compensation from the organization 9 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 4 For any individual listed on line a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this table for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Estimated amount of other compensation from the organization and related organizations ( 48) CRSTNA PERERYA. DRECTO ( 49) JULO A. RAMREZ. BOARD CHAR ( 5) JORGE R. VLLACAMPA. DRECTOR ( 5) ALEANDRA VLLOCH. DRECTOR ( 5) CARLOS G. MOLNA 5. CHEF FNANCAL OFFCER 74,89. 4,69. ( 5) DANA E. GORRZ 5. VP MAJOR GFTS AND ATS,57. 5,49. ( 54) DANE BLEVN 5. V.P. HR & CAMPUS OPERATONS,5. 5,88. ( 55) CLAUDA GRLLO 5. CHEF OPERATNG OFFCER 5,9. 6,76. ( 56) TAMARA A. KNGLER 5. CHEF BRAND OFFCER 7,8. 6,5. ( 57) JACQUELNE O'MALLEY 5. GROUP VP, DEVELOPMENT 8,5. 6,9. ( 58) GLADYS MONTES 5. VP CENTER FOR ECELLENCE 8,4.,7. Yes (A) Name and business address (B) Description of services (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $, in compensation from the organization 4E55. Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE

12 UNTED WAY OF MAM-DADE, NC Form 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations below dotted line) Position (do not check more than one box, unless person is both an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee Former Reportable compensation from the organization (W-/99-MSC) Reportable compensation from related organizations (W-/99-MSC) Estimated amount of other compensation from the organization and related organizations ( 59) MARY DONWORTH 5. GROUP VP, COMMUNTY NVESTMENT 4,49. 9,976. b Sub-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines b and c) Total number of individuals (including but not limited to those listed above) who received more than $, of reportable compensation from the organization 9 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 4 For any individual listed on line a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this table for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Yes (A) Name and business address (B) Description of services (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $, in compensation from the organization 4E55. Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE

13 UNTED WAY OF MAM-DADE, NC Statement of Revenue Form 99 (4) Page 9 Part V Contributions, Gifts, Grants and Other Similar Amounts Program Service Revenue Other Revenue a b Check if Schedule O contains a response or note to any line in this Part V m m m m m m m m m m m m m m m m m m m m m m m m Federated campaigns Membership dues m m m m m m m m m m c Fundraising events d Related organizations e Government grants (contributions)m m f All other contributions, gifts, grants, and similar amounts not included above m f g ncash contributions included in lines a-f: $ h Total. Add lines a-f m m m m m m m m m m m m m m m m m m a b c d 6a b a b c d e Business Code e f All other program service revenue g Total. Add lines a-f m m m m m m m m m m m m m m m m m m and other similar amounts) m mattachment m m m m m m m m mm m m m ncome from investment of tax-exempt bond proceeds Royalties m m m m m m m m m m m m m m m m m m m m m m m m (i) Real (ii) Personal Gross rents m m m m m 689,58. b Less: rental expenses m,98. c Rental income or (loss) m m 678,665. d Net rental income or (loss) m m m m m m m m m m m m m m nvestment income (including dividends, interest, 4 5 7a Gross amount from sales of assets other than inventory m m m m m m m Less: cost or other basis (i) Securities (ii) Other and sales expenses 9,8,54. c Gain or (loss) 96,46. d Net gain or (loss) m m m m m m m m m m m m m m m m m m m m 8a of contributions reported on line c). See Part V, line 8 m a b Less: direct expenses m m m m m m m m m m b c Net income or (loss) from fundraising events m m m m m m m Gross income from gaming activities. See Part V, line 9 m a b Less: direct expenses m m m m m m m m m m b c Net income or (loss) from gaming activities m m m m m m m Gross sales of inventory, less returns and allowances a b Less: cost of goods sold m m m m m m m m m b c Net income or (loss) from sales of inventorym m m m m m m m 9a a a b c Gross income from fundraising events (not including $ Miscellaneous Revenue d All other revenue e Total. Add lines a-d Total revenue. See instructions m m m m m m m m m m m m m 4E5.,545,857.,6,46. 7,9,68. Business Code m m m m m m m m m m m m m m m m m m m m (A) Total revenue 4,844,8. (B) Related or exempt function revenue TUTON NCOME 66 67,4. 67,4.,44,55.,545,857. ATCH 4,65,87.,4,. 67,4. (C) Unrelated business revenue (D) Revenue excluded from tax under sections ,75. 87, , , ,46. 96,46. ATCH 5 4,87. 4,87. SHARED SERVCES TO OTHER UNTED WAYS 999 8,678. 8,678. CFE CONSULTNG SERVCES 999 9,5. 9,5. OTHER MSCELLANEOUS NCOME 999,69.,69. 5,87. 44,6, ,4.,745,5. Form 99 (4) 94Y 7D /4/6 :7: PM V PAGE 4