Return of Organization Exempt From Income Tax Form 99D ~ Under section 601(e), 527, or 4947(a)(1) of the Internal Revenue Code (except black loop

D,& U, Wt benefitWstorprmteloundation)

Inimw Rwsius SeNw " The organization may have to use a copy of this return to sati sfy state reporting requirements to

F keounnnOmeNOO U

H end I are not applicable to section 527 organizations H(e) Is this a group return for affiliates? =Yes [K] No H(b) If 'Yes,' enter number ofaffiliates " H(o) Are all affiliates included N/A ~ Yea ~ No

(if *No,' attach a list.) H(d) Is this a separate return filed by an or- ~ _ .

J Orp~n¢aUOnypelcnenanyooel" LX.J501(c)(3 )~o^~^o) LJ4947(a)(1) orLl52 K Check here " 0 it the organization's gross receipts are normally not more than $25,000 The

organization need not file a return with the IRS, but d the organization received a Form 990 Package in the mail, R should file a return without financial data Some states require a complete return

M Check Is- I-I d the organization is not required to attach Sch B (Form 990. 990-EZ. or 990-PP)

-471 . 1J7 .

,725,409 . -372,183 . ,102,087 . Form 990 (2002)

1 -D

I 2-b3 LHA For Paperwork Reduction Act Notice, see the separate instructions ('70

6 -i-

A For the 2002 aelendaryeu, or tax Year period beginning and

B a,~ a p~~ C Name of organization ~~~~ yr IRS Ad&~ ~.I W ~g. pm,~UNITED WAY OF LAKE COUNTY, INC .

= N.. trip. ~W S. Number and street (or P 0 box if mail is not delivered to street address) mum 5P~fic 0"°W 9285 PROGRESS PARKWAY

D Flnel Instruc Wum m~. City or town, state or country, and ZIP t 4

orat. ~ MENTOR , OH 44060 0^PaAt°' " Section 507(e)(3) organizations and 4947(a)(1) nonexempt charitable trusts

must attach a completed Schedule A (Form 990 or 990-EZ)

D Employer identification number

J'l-11V7V

RoaMSwte E Telephone number ddn asI _

1 Contributions, gifts, grants, and similar amounts received a Direct public support is 3 . 246 . 56 b Indirect public support lb c Government contributions (grants) to d Total (add lines 1a through 7c) (cash S 3 . 18 6 , 812 . noncash $ 59,752* )

2 Program service revenue including government fees and contracts (from Part VII, line 93) 3 Membership dues and assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest from securities 6 e Gross rents 6a

b Less rental expenses 6b e Net rental income or (loss) (subtract line 6b from line 6a)

m 7 Other investment income (describe c 8 a Gross amount from sale of assets other A Securities B Other d 'y than inventory Be

b Less cost or other basis and sales expenses Bb e Gain or (lass) (attach schedule) Be d Net gain or (loss) (combine line Bc, columns (A) and (B))

o soecial events and activities (attach schedule) a EM^M"q0w*WdmgM of contributions

6 Less ' rdirect expenses othe lundraisinp expenses e ~uroor~e ~ (lafl(~m al events (subtract line 9b from line 9a) a Gross sales al inventory, I turns and allowances

" y ~6fit~dl floldJ Hom sat s of inventory (attach schedule) (subtract line 101b from line 10a) °"-0 11 Other revenue (from Part , me 703)

12 Total revenue add lines 10 2 3 4 5 . 6c 7. 8d . 9c . 10c . and 11 ) 13 Program services (from tine 44, column (B)) 14 Management and general (from line 44, column (C)) 75 Fundraising (from line 44, column (D)) n

u'S 16 Payments to affiliates (attach schedule) SEE STATEMENT 2

iB Excess or (delta) for the year (subtract line 17 from line 12) 19 Net assets or fund balances at beginning of year (from line 13, column (A)) 20 Other changes in net assets or fund balances (attach explanation) SEE STATEMENT 3

(A)Total (D) Fundraising

22 Grants and allocations (attach schedule) oiu,h $2457375 . nonoio,i, s 59,752

23 Specific assistance to individuals (attach schedule) 24 Benefits paid to or for members (attach schedule) 25 Compensation of officers, directors, etc 26 Other salaries and wages 27 Pension plan contributions 28 Other employee benefits 29 Payroll faxes 30 Professional fundratsing fees 37 Accounting lees 32 Legal fees 93 Supplies 34 Telephone 35 Postage and shipping 36 Occupancy 37 Equipment rental and maintenance 98 Printing and publications 39 Travel 40 Conferences, conventions, and meetings 47 Interest 42 Depreciation, depletion, etc (attach schedule) 43 Other expenses not covered above (itemize)

s PROFESS20NAL & b CONTRACT SERV FEES e DUES & SUBSCRIPTIONS d ADVERTISING eMSSCSLLANEOUS

Form 990 (2002)

Part II Statement or ' All c D Functional Expenses and is and section

required for section 501(c)(3) I Page 2

Joint Costs Check 1 U d you are following SOP 98-2 Are any point costs from a combined educational campaign and IunOraisinp solicitation reported in (B) Program services? Yes [11 No If'Yes,' enter jfi) the aggregate amount of these pmt costs $ , (n) the amountallocated to Program services $

What is the organization's primary exempt purposes Program Service

Nlvpn1u11onamust ESyombe tl,enexsnpt purpdeethievamantamaclearendcmCxmann>SteteNenumbsoldien4saved,0uCliWionslwsd,alcDUa~ss Epenses ediiwenanbNalf" notmaas~vaEle(Sx1bn501(c)(3)enE(4)u(pnirahonaMd4747( "Xl)nmexanpldisllaEl" QUahmustalaosilrihaamouniOlpwtgand (R4Qr~'enE11G~73)o ailoralbns 10 omen ) gusts aeu ~opeonN In of a GRANTS AND ALLOCATIONS TO TAX EXEMPT ORGANIZATIONS

b

c

and

Note Where required, attached schedules end amounts within the description column (p) (g) shou ld be (or end-of-year amounts only Beginning of year End of year

i

47 a Accounts receivable b Less allowance for doubtful accounts

io- D cost EE Fmv

60 Accounts payable and accrued expenses 61 Grants payable

62 Deterred revenue m

63 Loans tram officers, directors, trustees, and key employees a 64 a Tax-exempt bond liabilities

b Mortgages and other notes payable

65 Other liabilities (describe IN-

Organizations that follow SFAS 111, check here " LXf and complete tines 67 through 69 and lines 73 and 74 x

67 Unrestricted A 68 Temporarily restricted m 69 Permanency restricted v

Organizations that do not follow SFAS 117, check here " 0 and complete lines 0 70 through 74

70 Capital stock trust principal, or current funds 9 m 77 Paid-in or capital surplus, or land, building, and equipment fund

72 Retained earnings, endowment, accumulated income, or other funds 73 Total net assets or fund beleneea (add lines 61 through 69 or lines 70 through 72,

column (A) must equal line 19, column (B) must equal line 27)

zxsozi 01 22 03

Form 990(2002) 'UNITED WAY OF LAKE COUNTY, INC . 34-1105038' Page 3

Part N balance Sheets

15 Cash-non interest-bearing 16 Savings and temporary cash investments

IB a Pledges receivable b Less allowance for doubtful accounts

49 Grants receivable 50 Recervables from officers, directors, trustees,

and key employees 0 51 a Other notes and loans receivable m

b Less allowance tar doubtful accounts 52 Inventories for sale or use 53 Prepaid expenses and deferred charges 54 Investments - securities 55a Investments - land, buildings, and

equipment basis

b Less accumulated deprecation 58 Investments - other 57 a Land, buildings, and equipment basis

6 Less accumulated deprecation 58 Other assets (describe

Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information shout a particular organization How the public perceives an organization in such cases may be determined by the information presented on d5 return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations? If 'Yes,' attach schedule 0~ 0 Yes [2] No Form 990 (2002)

223031 01-23-03

orm990 2002 'UNITED WAY OF LAKE COUNTY INC . 34-1105038' Part IV-A Reconciliation of Revenue per Audited Part IV-B Reconciliation of Expenses per Audited

Financial Statements with Revenue per Financial Statements with Expenses per Return Return

Total revenue, pains, and other support a Total expenses and losses per peraudited financial statements " a 2 , 977 , 574 . audeedfinancial statements " a 3 . 600 . 8

b Amounts included on line a but not an b Amounts included on line a but not an line 77, Form 990:

line 12, Form 990 (t) Donated services (1) Netunrealized gains and use of facilities =

on investments = -372 .183 . (2) Prior year adjustments (2) Donated services reported on line 20,

and use of facilities $ Form 990 $ (9) Recoveries of prior (3) Losses reported on

year grants $ line 20, Form 990 $ (4) Other (specify) (4) Other (specify)

Add amounts on lines (7)through (4) 1 b -372 .183 .1 Add amounts on lines (1) through (4) 1 c Line a minus line b " c 3 349 757 . e Line e minus line b t d Amounts included on line 12, Form d Amounts included on line 17, Form

990 but not on line a 990 but not on line o

(1) Investment expenses (1) Investment expenses not included on not included on line 66, Form 990 $ line 6b, Form 990 $

(2) Other (specify) (2) Other (specify)

Add amounts on lines (1) and (2) " d 0 . 1 Add amounts on lines (1) and (2) 1 e Total revenue per line 12, Form 990 a Total expenses per line 17, Form 990

(line c plus line d e 3 349 , 757 . line a plus line d) F f ist of Officem, Directors, Trustees, and Key Employees (List each one even if not compensated) Part V L

(B) Title and average hours C) Compensation (D~~~ (A) Name and address per week devoted to SII not gel , enter o�°�;

position -O- mm

DEBORAH FOLEY EXECUTIVE DIRECTOR 7333 PINEHILL CONCORD OH 44077 40 HOURS 95 , 979 . 8 R . RONALD KOZMA ICE PRESIDE 104 BIRCH RD . ---------------------- PAINESVILLE OH 44077 40 HOURS 53 , 633 . 4 SEE -STATEMENT -13 ---------------------------------

S NEEDED 0 . --------------------------------- ---------------------------------

--------------------------------- ---------------------------------

--------------------------------- ---------------------------------

--------------------------------- ---------------------------------

--------------------------------- ---------------------------------

--------------------------------- ---------------------------------

fair rental value? b II Yes; you may indicate the value of these items here Do not include this amount as revenue in Part I or as an

expense in Part II (See instructions in Part III ) 82b

83 a Did the organization compty with the public inspection requirements for returns and exemption applications?

b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 84 a Did the organization solicit any contributions or gifts that were not tax deductible?

b II Yes; did the organization include with every solicitation an egress statement that such contributions or gifts were not N/A N/A N/A

tax deductible? 85 501(c)(4), (5J, or (6) organizations a Were substantially all dues nondeducGhle by members?

b Did the organization make only in-house lobbying expenditures of $2,000 or less

d Section 162(e) lobbying and political expenditures BSd N A

e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices BSe N / A I Taxable amount of lobbying and political expenditures (line 85d less 85e) 851 N IA p Does the organization elect to pay the section 6033(e) tax on the amount on line 85f! N/A

h II section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line BSf to it reasonable estimate of dues

allocable to nondeductible lobbying and political expenditures for the following tax year! N/A 86 501(c)(7) organizations Enter a Initiation lees and capital contributions included on line 12 88e N/ A

b Gross receipts, included on line 12, for public use of club facilities B6b N/A 87 507(c)(12) organizations Enter a Gross income from members or shareholders ~78 N A

b Grass income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them ) B7h N/A

BB At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 3017701-2 and 3017701-3? If Yes; complete Part IX

89 a 507(c)(3) organaahons Enter Amount of tax imposed on the orpanizaLOn during the year under section 4911 . 0 . , section 49t2 . 0 . , section 4655 . 0 .

b 507(c)(3) end 501(c)(4) organizations did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior yeas?

II Yes; attach a statement explaining each transaction c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under

sections 4912, 4955, and 4958 d Enter Amount of tax on line 89c, above, reimbursed by the organization

90 a List the slates with which a copy of this return is fled " OHIO b Number of employees employed in the pay period that includes March 12, 2002 90t

97 The books are in care of " DEBORAH FOLEY Telephone no

11. 0 . 110 . 0 .

Located at " 9285 PROGRESS PARKWAY MENTOR, OH ZIP +4 . 44060

92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 m lieu of Form 1011-Check here

Form 990 (2002)

990

78 Did the organization engage in any activity not previously reported to the IRS? It "Yes,' attach a detailed description of each activity

77 Were any changes made in the organizing or governing documents but not reported to the IRS? If Yes; attach a conformed copy of the changes

78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered 6y this return b If 'Yes,' has it fled a tax return on Form 990-T far this year? N/A

79 Was there a liquidation, dissolution, termination, or substantial conVachon during the year?

If Yes,' attach a statement 80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,

governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization? b If Yes; enter the name of the organization 1111~

and check whether it is 0 exempt or D nonexempt

81 a Enter direct or indirect political expenditures See line 87 instructions ~ B7e ~ 0

b Did the organization file Farm 7120-POL for this year? 82 a Did the organization receive donated serves or the use of materials, equipment or facilities at no charge or at substantially less than

If Yes'vras answered to either BSa or 85b, do not complete 85c through B5h below unless the organization received a waiver for proxy tax

owed for the prior year c Dues, assessments, and similar amounts from members

" 0

Note Enter grow amounts unless otherwise indicated

93 Program service revenue

b e d e 1 Medicare/Medicaid payments p Fees and contracts from government agencies

94 Membership dues and assessments 95 Interest on whops and temporary cash investments BB Dividends and interest from securities 97 Net rental income or (loss) from real estate

o debt-financed property b not debt-financed property

98 Net rental income or (loss) from personal property 99 Other investment income 100 Gain or (loss) from sales of assets

other than inventory 101 Net income or (loss) ham special events 102 Gross profit or (loss) from sales of inventory 109 Other revenue

e OTHER INCOME b c d e

104 Subtotal (add columns (B), (D), and (E)) 705 Total (add line 104, columns (B), (D), and (E)) Note Line 105 plus line 1d . Part l. should equal the am

' Amount ' Related or exempt

function income

(B) Amount

of the

of I Nature

Paid Preparer's signature 1 CRm A' PreDsrere F� m,� ,o� , �, "S . R . SN GRASS A Use only m~~PLaywil '5840 HEISLEY ROAD

zzsie, edam, wa 01 2M, ZIP .+ MENTOR . OH 44060-

Form 990

Pert VIII �eianonsnip of Aciiw[ies to ine r+ccompiisnment of t:cempt Purposes (Seepage 32 of the instructions ) Line No Explain how each acWiry for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's

exempt purposes (other than 6y providing funds far such purposes)

(e) Did the organization, during the year, receive any funds, directly or indirectly, is (b) Did the organization, during the year, pay premiums, directly or indirectly, an a Note if 'Yes' to b file Form 8870 and Form 4720 see instructions)

unea pwWh ry I dadma m esw1~ a tnie rat nduamp eocanF Please ~re~t yi pine ec~aretpi fM spas Mfr lien ofl~m bevel m Yl In Sign ~/~i ( Here , Sip re of officer ° Dale

of the Five Highest Paid Independent are none, enter 'None

(b) Type of service I (c) Compensation

Total number of others receiving over $50,000 far professional services " I 0 zxaioiA,-xz-oa LHA For Paperwork Reduction Act Notice . tea the Instructions for Form 990 end Form 990-EZ Schedule A (Form 990 or 990-EZ) 2002

SCHEDULE A ' Organization Exempt Under Section 501(c)(3) Ova N0'1515-0W7

(Form 980 or 980-12) (EuaOtPnnta Foundation) end Section d01(e), 501(Q, 501(k), 507(n), or Section 4917(a)(1) Nonexempt Charitable Trust

Dap~~oo

m~�,M� T��,y Supplementary Information-(See separate instructions.) Mv~.i A".we s~ go. MUST 6a completed 6y the above organizations end attached to their Form 890 or 990-EZ Name of the organization Employer identification number

:ompensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees See papa 1 0l the instructions List each one If there are none, enter 'None') (e) Name and address of each employee paid (b)

Title and average hours em co~mn~n~o~. ~o

mare than $50,000 Peg Weoo devoted tad to (c) Compensa4on p°"'P, '°b ~ m accoE

NONE

---------------------------------

---------------------------------

---------------------------------

---------------------------------

Tatal number of other employees paid

(a) Name and address of each independent contractor paid more than 550,000

NONE

--------------------------------------------

--------------------------------------------

--------------------------------------------

--------------------------------------------

Part III 'Statements About Activities (See page 2 0l the instructions ) - - Yes No

1 During the year, has the organization attempted to influence national, slate, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If Yes; enter the total expenses paid or intoned in connection with the

(Must equal amounts on line 38, Part VI-A, lobbying activities 110, $ or line i of Part VI-B )

3 Does the organization make grants for scholarships, fellowships, student loans, etc.7 (See Note below 4 Do you have a section 403(b) annuity plan for your employees? Note Attach e statement to explain how the organization determines that indrviduals or organaahons raceiwng grants orloans from it m furtherance of it charitable programs 'quality' to receive payments

of the

13 El M organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in

5 of the instructions

M oroan¢ation oroan¢ed and Operated to test for Schedule A (Form 990 or 9i 2002

zxa, n 01 22 13

Schedule A (Form 990 Or 990-EZ) 2002 i7N2TED WAY OF LAKE COLiNTY . INC . 34-

Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A_ Other organizations checking Yes; must complete Part VI-B AND attach a statement giving a detailed description of the lobbying aclrvNes During the year, has the organization, either directly or indirectly, engaged m any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their homilies, or with any fable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (if the answer to any question is 'Yes,' attach a detailed statement explaining the transactions)

e Sale, exchange, or leasing of property

6 Lending of money or other extension of credit?

c Furnishing of goods, services, or facilities?

d Payment of compensation (or payment or reimbursement of expenses d more than $1,000)? $EE PART V, FORM 99 0

e Transfer of any part of it income or assets?

The orOanQahon is not a private foundation because it is (Please check only ONE applicable box) 5 0 A church, convention of churches, or association of churches Section 170(b)(1)(A)(i) fi ~ A school Section 170(b)(1)(A)(u) (Also complete Pan V ) 7 0 Ahospital oracooperative hospital service organization Section 170(b)(1)(A)(111) 8 0 A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v) 9 ~ A medical research organization operated in conjunchon with a hospital Section 170(b)(1)(A)(ni) Enter the hospital's name, city,

end coca DO-to ~ M organization operated for the benefit of a college or unrversiry, owned or operated by a governmental unit Section 170(b)(1)(A)(N)

(Also complete the Support Schedule in Part IV-A) 77e ~ An organization that normally receives a substantial part of its support from a governmental unit or from the general public

Section 110(b)(1)(A)(w) (Also complete the Support Schedule in Part FVF-A) 11b 0 A community trust Section 170(b)(1)(A)(w) (Also complete the Support Schedule in Part IV-A) 12 ED M organization that normally receives (1) more then 33 7/3% of its support from contributions, membership fees, and gross

receipts from acti vities related to its charitable, etc , functions -subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (1e55 section 511 tax) ham businesses acquired by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A)

Provide the following information about the

(s) Name(s) of supported organization(s) (b) Line number

from above

r rt you checked a box on line 10. 11, or 12 ) Use cash method of m the instructions for comertna from the accrue/ to the rash met

1998 I (el Total 15 Bins, grants, ano contnounans

received (Do not include unusual

19 Net income from unrelated business activities not included in line 18

pp Tax revenues levie d for the organization's benefit and either paid to it or expended on its behalf

21 The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of services or halides generally tarnished to

12 22

23 Total of lines 15 through 22 24 Line 23 minus line 17

28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 1998 through 2001, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your retain Do not include these grants in line 15

223121 o,-zzoa NONE s&.mn. a (c~ 9110 Q wa¢i 2002

Schedule A (Form 990 0} 990-EZ) 2002 iiNTTRI'I WAY nF T~ARR ('(1TT19TY . 7N(` _ i d _ 1 1 !1 S (1 'A R Page 3

year

17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities m any acimry that is related to the organization's charitable, etc , purpose

18 Gross income from interest, dividends, amounts received from payments on securities loans (sec- ton 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization otter June 30, 1975

or

25 Enter 75'eotline 23 . . . . . . . ~

_ 1 31,327 . 16,251 . 37,779 . 24,5 26 Organizations described onlines 10 or 11 i Enter 2% of amount m column (e), line 24 b Prepare a list for your records to show the name o1 and amount contributed by each person (other than a governmental

unit or publicly supported organization) whose total gifts for 1998 through 2001 exceeded the amount shown in line 26a Do not file this list With your return Enter the sum of all these excess amounts

e Total support for section 509(a)(1) test Enter line 24, column (e) e Add amounts from column (e) tar dines 18 404 , 379 . t9

22 43 .953 . 261a 108,542 . e Public support (line 26c minus tine 26d total)

21 Orpeniza4one described on line 12 a For amounts included in lines 15, 16, and 17 that were received from a'disqualdied person,* prepare a list for your records to show the name of, and total amounts received in each year from, each 'disqualified person' Do not file this list with your return Enter the sum of such amounts far each year N/A (2001) (2000) (1999) (1998)

b For any amount included m line 17 that was reserved from each person (other than 'disqualified persons'), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines S through 11, as well as indmduals) Do not file this list With your return After computing the difference between the amount received and the larger amount described in (t) or (2), enter the sum of these differences (the excess amounts) for each year N/A (2001) (2000) (1999) (1998)

e Add Amounts from column (e) for lines 15 16 17 20 21 . 27e N/ A

d Add Line 27a total and line 27b total " 27d N/A e Public support (line 27c total minus line 27d total) " 27e N/A I Total support for section 509(a)(2) test Enter amount on line 23, column (e) " 1 271' ~ N/A I I p Public support percentage (line 27e (numerator) drvidad by line 27f (denominator)) W 27 N/A

zzau, o,-zz4)a

Schedule A (Form 990 of 99o-EZ) 2002 =TED WAY OF LAKE COUNTY INC . 34-1105038 rape e

Part V Peals School Questionnaire (See page 7 of the instructions) N/A (To be completed ONLY by schools that checked the box on line 6 in Part IV)

28 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing Yes No

instrument, or in a resolution of its governing hods? 29 90 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,

and other written communications with the public dealing with student admissions, programs, and scholarships? 30 31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of

solicitation for students, or during the registration period d it has no solicrtabon program, in a way that makes the policy known to all parts of the general community it serves? 31 II Yes; please describe, if 'No,' please explain (If you need more space, attach a separate statement)

92 Does the organization maintain the following e Records indicating the racial composition of the student body, faculty, and administrative stafPl b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student

admissions, programs, and scholarships? d Copies of all material used by the organization or on its behalf to solicit contributions?

If you answered 'NO'to any of the above, please explain (If you need more space, attach a separate statement)

33 Does the organization discriminate by race in any way with respect to e Students' rights or privileges? b Admissions policies? e Employment of faculty or administrative staff? d Scholarships or other financial assistance? e Educational policies? f Use of facilities? p Athletic programs? h Other extracurricular activities?

I1 you answered Nes'to any of the above, please explain (II you need more space, attach a separate statement)

34 a Does the organization receive any financial aid or assistance ham a governmental agency? b Has the organization's right to such aid ever been revoked or susDended9

If you answered Yes' to either 34a or b, please explain using an attached statement 35 Does the organization certify that h has complied with the applicable requirements of sections 4 01 through 4 OS of Rev Proc 75-50,

1975-2 C B 587, covering octal nondiscrimination? If 'No,' attach an explanation Schedule A (Form 990 or 990-EZ) 2002

Schedule A (Form 990 or C, 11Y1. . 0%-

(See page 9 of the instructions )

if you checked 'a' and 'limited contror pi (a)

Affiliated group totals

N/A

If theta is en amount on ether line 43 or line 44, you must rile Form 4720

(e) Total

46 Lobbying ceiling amount (150% of line 45(e))

47 Total lobbying expenditures

48 Grassroots nontaxable amount

49 Grassroots ceiling amount (150% of line 48(e))

50 Grassroots lobbying

I Part VI-B I Lobbying Activity by Nonelecting Public Charities (For reporting only by organizations that did not complete Part VI-A) (See gape 11 0l the instructions ) N A

During the year, did the organization attempt to influence national, slate or local legislation, including any attempt to Yes No Amount influence public opinion on a legislative matter or referendum, through the use of e Volunteers b Paid staff or management (Include compensation in expenses reported on lines e through h ~ e Media advertisements d Mailings to members, legislators, or the public e Publications, or published or broadcast statements f Grants to other organizations for lobbying purposes p Direct contact with legislators, then staffs, government officials, or a legislative body h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means i Total lobbying expenditures (Add linese through h ) 0

If Yes'to any of the above, also attach a statement giving a detailed description of the lobbying activities

o?-'ii oa Schedule A (Form 990 or 990-EZ) 2002

Expenditures by Electing Public C Led ONLY 6v an elinible oraan¢ation that filed Form

Limits on Lobbying Expenditures

term 'expenditures' means amounts paid or incur

36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 37 Total lobbying expenditures to influence a legislative body (direct lobbying) 38 Total lobbying expenditures (add lines 36 and 37) 39 Other exempt purpose expenditures 40 Total exempt purpose expenditures (add lines 38 and 39) 41 Lobbying nontaxable amount Enter the amount from the following table-

If the amount on line 40 is - The lobbying nontaxable amount is -Not ova $500 OW 20% W the mount m line IO

over 5500 000 Wt not ws 51,000,000 5700,000 plus 75% of the sawm ovr $500,000

Ovr 31 000 000 but net ws $1,500,000 $175,000 plus 1M of the pimci ovs $l 000 000

Over 31 500,000 but not ove S77,UOO,OOU f335,000 glue 5% of the eacnv ovQ $1 500,000

Cv. S17,000,000 $1000 am

42 Grassroots nontaxable amount (enter 250/6 of line 41) 49 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 44 Subtract line 41 from line 38 Enter -0- d line 41 is more than line 38

1-YeorAverepinp Period Under Section 507(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns

below See the instructions for lines 45 through 50 on page 11 of the instructions

Lobbying Expenditures During 4-Year Averaging Period

Calendar year (or (a) (b) (c) (d) fiscal year beginning m) ~ 2002 2001 2000 1999

45 Lobbying nontaxable I

N/A

(6) To be completed for ALL electing organizations

Schedule A (Form 990 or 99o-EZ) 2002 SITED WAY OF LAKE COUNTY INC . 34-1105038 Page

Part VII ' Information Regarding Transfers To and Transactions end Relationships With Noncharitable Exempt Organizations (See Page 12 of the instructions )

51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 507(c)(3) organizations) or m section 527, relati to political organizations?

a Transfers from the reporting organization to a noncharilable exempt organization of Yes No 51e(1) X (i) Cash

(ii) Other assets 8111X

b Other transactions (Q Sales or exchanges of assets with a noncharitable exempt organization b(i) X (u) Purchases of assets from a noncharitahle exempt organization b(u X (m) Rental of facilities, equipment or other assets b(m) X (iv) Reimbursement arrangements h(rv X (v) Loans or loan guarantees b(v ) X (n) Performance of services or membership or fundraising solicitations b(vi) X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees C X d If the answer to any of the above is Yes; complete the following schedule Column (b) should always show the fair market value of the

goods, other assets, or services given by the reporting organization If the organization received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received N/ A

a b e d Line no Amount involved Name of noncharimble~exempt organization Description of transfers, transactions, and sharing arrangements

52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 5277 1 D Yes ~ No

y It Yes; complete the following schedule N/A (b)

Type of organization (e)

Name of organization

Schedule A (form 990 or 990-EZ) 2002

Description of relationship

UNITED WAY OF LAKE COUNTY, INC . 34-1105038

LAND, BUILDING AND EQUIPMENT AND DEPRECIATION

NET ASSETS - PART IV, LINE 57

STATEMENT S) 1

FOOTNOTES STATEMENT 1

LAND AND IMPROVEMENTS BUILDING OFFICE FURNITURE AND EQUIPMENT EQUIPMENT UNDER CAPITAL LEASE

4SS ACCUMULATED DEPRECIATION

200,500 . 781,489 . 162,383 . 26,535 .

389,033 .

781,874 .

STATEMENT S) 1

UNITED WAY OF LAKE COUNTY, INC . 34-1105038

SCHEDULE OF GRANT AND ALLOCATIONS LAKE COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION 300,095 . AMERICAN RED CROSS, LAKE COUNTY CHAPTER 276,120 . LAKE COUNTY SOCIETY FOR REHABILITATION OF CHILDREN AND ADULTS 194, 537 .

CATHOLIC SOCIAL SERVICES OF LAKE COUNTY 154,861 . NORTHEAST OHIO COUNCIL, BOY SCOUTS OF AMERICA 136,500 . LAKE COUNTY COMMITTEE ON FAMILY VIOLENCE, INC ., DBA FORHES HOUSE 106,889 .

WESTERN RESERVE COUNSELING SERVICE, INC . 103,643 . LAKE COUNTY FREE MEDICAL CLINIC 112,800 . LAKE GEAUGA CENTER ON ALCOHOLISM & DRUG ABUSE 86,628 . BIG BROTHERS/BIG SISTERS OF NORTHEAST OHIO 90,201 . HOSPICE OF WESTERN RESERVE, INC . 77,000 . NEIGHBORING : SUPPORTIVE SERVICES FOR MENTAL HEALTH 119,682 . LIFELINE TO ECONOMICALLY DISADVANTAGED CONSUMERS, INC . 64,361 . LAKE ERIE GIRL SCOUT COUNCIL 33,030 . CHILD CARE ON THE SQUARE, INC . 57,824 . SALVATION ARMY SERVICE EXTENSION PROGRAM 43,143 . CAMP SUE OSBORN, INC 35,000 . CROSSROADS : LAKE COUNTY ADOLESCENT COUNSELING SERVICES 68,014 . KIDNEY FOUNDATION OF OHIO, LAKE COUNTY CHAPTER 26,500 . FINE ARTS ASSOCIATION OPERATING THE SCHOOL OF FINE ARTS 30,201 . TAK E COUNTY COUNCIL ON AGING 8,000 . NEW DIRECTIONS FOR LIVING 41,057 . ICIRTLAND AREA SERVICE COUNCIL, INC . 6,000 . ARTHRITIS FOUNDATION 16,600 . PAINESVILLE AREA SENIOR CITIZENS CENTER 6,825 . FAIRPORT HARBOR SENIOR CENTER 6,750 . MENTOR SENIOR CITIZEN CENTER 7,750 . SALVATION ARMY CITADEL 146,527 . WILLOWICK SENIOR CITIZENS CENTER 3,000 . MADISON SENIOR CITIZEN CENTER 6,000 . TAKE COUNTY COMMUNITY DEVELOPMENT CORPORATION 28,000 . PROJECT HOPE 50,500 . STARTING POINT 2,500 . EASTLAKE SENIOR CENTER 5,750 . WILLOWICK SENIOR CENTER 5,087 .

TOTAL GRANTS AND ALLOCATIONS 2,457,375 .

34-1105038 UNITED WAY OF LAKE COUNTY INC .

FORM 990 PAYMENTS TO AFFILIATES STATEMENT 2

AFFILIATE'S ADDRESS

31,160 . TOTAL TO FORM 990, PART I, LINE 16

FORM 990 OTHER CHANGES IN NET ASSETS OR FUND BALANCES STATEMENT 3

-372,183 . TOTAL TO FORM 990, PART 2, LINE 20

STATEMENT S) 2, 3, 4, 5

AFFILIATE'S NAME

UNITED WAY OF AMERICA

PURPOSE OF PAYMENT

DUES

AMOUNT

31,160 .

DESCRIPTION

UNREALIZED LOSS

AMOUNT

-372,183 .

FORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE STATEMENT 4 PART III

EXPLANATION

VOLUNTARY COMMUNITY EFFORT TO IDENTIFY, EVALUATE AND SUPPORT CURRENT AND EMERGING NEEDS IN HUMAN SERVICES IN LAKE COUNTY

FORM 990 CASH GRANTS AND ALLOCATIONS STATEMENT 5

DONEE'S CLASSIFICATION DONEE'S NAME DONEE'S ADDRESS RELATIONSHIP AMOUNT

SEE ATTACHED NONE LIST 2457375 .

TOTAL INCLUDED ON FORM 990, PART II, LINE 22 2457375 .

CLASS OF ACTIVITY DONIIE'S NAME DONEE'S ADDRESS

VARIOUS VARIOUS VARIOUS

RELATIONSHIP OF DONEE DESCRIPTION OF PROPERTY DATE OF GIFT

NONE VARIOUS ITEMS 12/31/02

METHOD USED TO DETERMINE BOOK VALUE

FAIR MARKET VALUE METHOD USED TO

CATALOG

TOTAL INCLUDED ON FORM 990, PART II, LINE 22

STATEMENT 7 FORM 990 NON-GOVERNMENT SECURITIES

STATEMENT S) 6, 7, 8

UNITED WAY QF LAKE COUNTY, INC . ,34-1105038

FORM 990 NONCASH GRANTS AND ALLOCATIONS STATEMENT 6

BOOK VALUE AMOUNT GIVEN

0 . 59,752 .

59,752 .

OTHER PUBLICLY TOTAL

CORPORATE CORPORATE TRADED OTHER NON-GOV'T SECURITY DESCRIPTION STOCKS BONDS SECURITIES SECURITIES SECURITIES

NCB TRUST ACCT 1,127,236 . 1,127,236 . NCB TRUST ACCT 75,100 . 75,100 . NCB TRUST ACCT 675,043 . 675,043 .

TO 990, LN 54 COL B 1,127,236 . 75,100 . 675,043 . 1,877,379 .

FORM 990 GOVERNMENT SECURITIES STATEMENT B

U .S . STATE AND TOTAL GOV T DESCRIPTION GOVERNMENT LOCAL GOVT SECURITIES

NATIONAL CITY TRUST ACCOUNT 0 .

TOTAL TO FORM 990, LINE 54, COL B 0 .

UNITED WAY QF LA)CE COUNTY, INC . .34-1105038

FORM 990 OTHER ASSETS STATEMENT 9

TOTAL TO FORM 990, PART IV, LINE 58, COLUMN B

STATEMENT S) 9

DESCRIPTION

OTHER RECEIVABLE - UNITED WAY SERVICES CASH SURRENDER VALUE OF LIFE INSURANCE POLICY

AMOUNT

487,175 . 6,712 .

493,887 .

NONE FMV OF

DESCRIPTION OF CONSIDERATION CONSIDERATION BALANCE DUE

COPIER 0 . 8,193 .

TOTAL INCLUDED ON FORM 990, PART IV, LINE 64, COLUMN B 8,193 .

OTHER LIABILITIES FORM 990

DESCRIPTION

DUE TO DESIGNATED AGENCIES LINE OF CREDIT

TOTAL TO FORM 990, PART IV, LINE 65, COLUMN B

AMOUNT

259,096 . 300,000 .

559,096 .

SCHEDULE A OTHER INCOME STATEMENT 12

1998 AMOUNT

21,362 .

21,362 .

2001 AMOUNT

1,079 .

1,079 .

1999 AMOUNT

10,163 .

10,163 .

2000 AMOUNT

11,349 .

11,349 .

DESCRIPTION

MISCELLANEOUS

TOTAL TO SCHEDULE A, LINE 22

STATEMENT S) 10, 11, 12

UNITED WAY OF LAKE COUNTY, INC . 34-1105038

FORM 990 OTHER NOTES AND LOANS PAYABLE STATEMENT 10

LENDER'S NAME TERMS OF REPAYMENT

STEPHEN'S DIVERSIFIED, MONTHLY

DATE OF MATURITY ORIGINAL INTEREST NOTE DATE LOAN AMOUNT RATE

06/ /00 05/ /04 26,535 . 5 .05$

SECURITY PROVIDED BY BORROWER PURPOSE OF LOAN

COPIER CAPITAL LEASE

RELATIONSHIP OF LENDER

STATEMENT 11

AND ST FORM 990 LIST OF

United Way of Lake County 2002 BOARD OF DIRECTORS

By-Laws Chair Melissa H Ferguson 10075 Hobby Horse Lane Concord, OH 44060 Melvm R House, Jr

Willoughby Fire Department 37000 Euclid Avenue Willoughby, OH 44094

KEY EMPLOYEES

Officers Chair Austin J Mulhem 10630 Wyndtree Dr Concord, OH 44077

Ist Vice Chair Thomas W Benda The Lubrizol Corporation 29400 Lakeland Blvd Wickliffe, OH 44092

1^d Vice Chair Joseph A Cocoao 10530 Wyndtree Drive Concord Township, OH 44077

Treasurer John C Redmond, CPA Redmond & Company LLC 170 N St Clau St Pamesville, OH 44077

Campaign Chair George MiIboum 8262 Whitney Lane Pamesville, OH 44077

Planning Committee Chair Barbara A Shore FirstMent Services Division 295 FirstMent Circle Akron, OH 44307

Allocations Chair

Human Resource Chair Keith Hamilton People Effectiveness, Inc 11360 South Forest Drive Concord, OH 44077

Leadership Development Chair Thomas W Ferguson State Farm Insurance 33203 Euclid Avenue Willoughby, OH 44094

Board Member Emeritus Richard H Gehnng 10270-10 Hoose Road Concord Township, OH 44060

Board Member Emeritus Benedict A Kolrta Kolita & Co, CPA's 8300 Tyler Blvd , Suite #101 Mentor, OH 44060

Communications Chair David W Aldrup (ABB Automation, Inc ) 10362 Misty Ridge Drive Concord, OH 44077

Glenn L Gilbert T'he News-Herald 7085 Mentor Avenue Willoughby, OH 44094

William P Flynn KeyHank National Association 5915 Landerbrook Drive, #310 Mayfield Hts, OH 44124

Marc Moresky Eaton Corporation 34899 Cums Blvd Eastlake, OH 44095

FORM 990 ' LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND STATEMENT 13 KEY EMPLOYEES

Members at Large

Clare Hnlla Bank One 30 S Park Place Pamesville, OH 44077

Abraham Cantor Attorney at Law 9930 Johnnycake Ridge Road, Suite 4F Concord, OH 44060

James J Caruso UFCW Local 880-Business Representative 7082 Brandywine Drive Mentor, OH 44060

Ann M DiDonaro The Illuminating Company 7757 Auburn Road Concord Township, OH 44077

Robert E Fines Avery Dennison 7670 Auburn Road Pamesville, ON 44077

Wr!liam A. Fitzgerald 7255 Hunting Lake Drive Pauierville, OH 44077 Leave of Absence from Board

Michael P Hanlon, Jr, Superintendent Pamesville City Schools 58 Jefferson Street Painesville, OH 44077

Catherine C Haworth Lake County Economic Development Ctr Lake Erie College 391 W Washington St Pamesville, OH 44077

Thomas D Hill Legg Mason Wood Walker, Inc 7445 Center Street Mentor, OH 44060

Theodore R Klammer Klammer & Trebeu 6690 Lindsay Drive, #7 Mentor, OH 44060

Steven La1'ourette U S House of Representatives I Victoria Place #320 Pamesville, OH 44077

Rata McMahon Manager-City of Pamesville POBox601 Pamesville, OH 44077

Richard W Wilson, Jr Matrix Tool & Machine 7870 Division Dnve Mentor, OH 44060

FORM 990 ' LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND STATEMENT 1 : KEY EMPLOYEES

Aaron Phillips STERIS Corporation Agency Representatives

5960 Heisley Road Mentor, OH 44060 Philip R Cassella

3020 Blue Spruce Ct

Robert G Schiebli Perry, OH 44081

P O Box 788 Grand River, OH 44045-0788

William J Horvath 187 Grenney Lane Pamesville, OH 44077

Carol Schmdel Kolna & Co, CPA's Thomas Roseum

8300 Tyler Blvd , Suite #101 TASCO, Inc

Mentor, OH 44060 38335 Apollo Parkway Willoughby, OH 44094

Paul E Shope Great Lakes Power Products 7455 Tyler Blvd Mentor, OH 44060

Paul C Svko Parker Hannifin 30240 Lakeland Blvd Wickliffe, OH 44092

Thomas W Thielman 29655 Grand Blvd Wickliffe, OH 44092

Richard Tnvisonno Lincoln Elecmc Company 22801 St Clair Avenue Cleveland, OH 44117-1199

Judge William W Weaver Juvenile Court Judge 53 East Ene Street Pamesville, OH 44077

Under penalties of penury, I declare that I have examined this loan, including accompanying schedules and statements, and to the best of my knowledge and ticket, it is true, correct, and complete, and that I am d to prepare this loan

Si g nature ~/ 7,7 °r'\ -Tittle IN- CPA Date t

zaawi aS-0,-0Z

7000 /G yo 0007 085 X303

Form 8868 , Application for Extension of Time To File an I ^ (Decembel2000) Exempt Organization Return J OMB No 1545 7709 aawnwl m m. rrosury i~t.,~a a ..e,ue s.wa 10- File a separate application for each return

" K you are filing for an Automatic 3-Month Extension, complete only Part 1 and cheek this box 1 " If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this forth) Note Do not complete Pert II unless you have already been granted en automatic 3-month extension on a previously filed Form 8888

Part I Automatic 3-Month Extension of Time - Only submit onginal ono copies needed)

Note Form 990-7 corporations requesting en automatic 6-month extension - check this box and complete Part I only 1 0 All other corporations (ncludmg Form 990-C filers) must use Form 7004 to request en extension of lime to rile income tax returns Partnerships, REMICs end hosts must use Forth 8736 to request en extension o1 time to file Form 1065, 1066, or 7047

Type or Name of Exempt Organization Employer Identification number print

UNITED WAY OF LAKE COUNTY , INC . 34-1105038 Fi4 by N. Number, street, and room or soda no If a P O box, see instructions a~ . ae. ~ "'"g Y°w 9285 PROGRESS PARKWAY realm Ses inwueime City, town or post office, state, and ZIP code For a foreign address, see instructions

MENTOR OH 44060

Cheek type of return to be filed (file a separate application for each return)

M Form 990 0 Form 990 T (corporation) 0 Form 4720 C] Form 990~BL 0 Form 99aT (sec 401(a) or 408(a) trust) 0 Form 5227 0 Form 990.Q 0 Form 9907 (trust other than above) 0 Form 6069

Forth 990-PF 0 Form 1041 A 0 Form 8870

0 If the organization does not have an office or place of business in the United States, check this box 1 D 0 If this is for a Group Return, enter the organization's tour digit Group Exemption Number (GEM If this is for the whole group, check this box 1 =1 If it is for part of the group, check this box 00- = and attach a list with the names and EINs of all members the extension will cover

t I request an automatic 3 month (Gmonth, for eso-7 corporation ) extension of nine unto AUGUST 15, 2003 to file the exempt organization return for we organization named above me extension is for the organization's return for " [f] calendar year 2 0 0 2 or 1 D tax year beginning , and ending

2 H this tax year is for less than 12 months, check reason ~ Initial return ~ Final return ~ Change in accounting penod

3a It this application is for Form 99O-BL. 990.PF, 99UT, 4720, or 6069, enter the tentative tax. less any nonrefundable credits See instructions

b If this application is for Form 99PPF or g9pT, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit

c Balance Due Subtract line 3b from line 3a Include your payment with this form, or, K required, deposit with FM coupon or, if requited, by using EFfPS (Electronic Federal Tax Payment System) Sae instructions $ N/A

Signature and Verification

LHA For Paperwork RakiluclIjon Act Form 8888 (12-2000)