STRATEGY STUDIO / PUBLIC DATA EXPLORER

WAYNEDALE APARTMENTS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
WAYNEDALE APARTMENTS INC (EIN 35-1972197)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-01-12
IRS object ID
202320129349302827
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-01-12T12:26:10-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN562353893PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AGRESTA STORMS & O'LEARY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15140 COMMERCE CIRCLEAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351972197EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAYNEDALE APARTMENTS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWAYNBusinessNameControlTxt
Phone2604812700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1909 EAST STATE BLVDAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46550ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES CLARKPersonNm
Person TitlePARK CENTER CEOPersonTitleTxt
Phone2604812700PhoneNum
Signature2022-12-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHARLESPersonFirstNm
Person LastCLARKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH SULLIVAN CPAPreparerPersonNm
PTINP01417600PTIN
Phone3177809850PhoneNum
Preparation2022-12-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1WAYNEDALE APARTMENTSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCHARLES CLARKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1909 EAST STATE BLVDAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46550ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$142,247GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDE HOUSING TO HANDICAPPED INDIVIDUALS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$119,608PYProgramServiceRevenueAmt
CY Program Service Revenue$141,564CYProgramServiceRevenueAmt
PY Investment Income$8PYInvestmentIncomeAmt
CY Investment Income$11CYInvestmentIncomeAmt
PY Other Revenue$1,114PYOtherRevenueAmt
CY Other Revenue$672CYOtherRevenueAmt
PY Total Revenue$120,730PYTotalRevenueAmt
CY Total Revenue$142,247CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,232PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,598CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$152,208PYOtherExpensesAmt
CY Other Expenses$154,144CYOtherExpensesAmt
PY Total Expenses$171,440PYTotalExpensesAmt
CY Total Expenses$173,742CYTotalExpensesAmt
PY Revenues Less Expenses-$50,710PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$31,495CYRevenuesLessExpensesAmt
Total Assets BOY$668,496TotalAssetsBOYAmt
Total Assets EOY$634,083TotalAssetsEOYAmt
Total Liabilities BOY$1,474,638TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,471,720TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$806,142NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$837,637NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HOUSING TO HANDICAPPED INDIVIDUALSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$136,248ExpenseAmt
Revenue$142,236RevenueAmt
DescTHE ORGANIZATION PROVIDES AFFORDABLE HOUSING TO HANDICAPPED INDIVIDUALSDesc
Total Program Service Expenses$136,248TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUSTUS PROPERTY MANAGEMENT INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3178344756PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 S MAIN ST STE 101AddressLine1Txt
CityWHITESTOWNCityNm
State AbbreviationINStateAbbreviationCd
ZIP46075ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRET CLAGHORN
SECRETARY/TREASURER1.0040.00Yes (X)Yes (X)$0$214,449$48,128
TIM GALL
DIRECTOR1.001.00Yes (X)$0$0$0
CHARLES CLARK
DIRECTOR1.0040.00Yes (X)$0$602,426$94,276
CONNIE KERRIGAN
VICE PRESIDENT1.0040.00Yes (X)Yes (X)$0$131,748$34,472
THOMAS MINNICH
PRESIDENT1.0040.00Yes (X)Yes (X)$0$184,223$36,140
CLARK JONES
DIRECTOR1.000.00Yes (X)$0$0$0
SCOTT BURCROFF
DIRECTOR1.0040.00Yes (X)$0$128,818$45,116
RICHARD HITE
PARTIAL YEAR PRESIDENT1.0040.00Yes (X)Yes (X)$0$113,659$8,278
CLYDE NIX
FORMER OFFICER1.0040.00$0$216,921$12,321Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,592,244TotReportableCompRltdOrgAmt
Total Other Compensation$278,731TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TENANT ASSISTANCE PAYM531110$81,310$81,310
RENTAL RECEIPTS531110$60,254$60,254
FieldValueIRS element (for citing)
Total Program Service Revenue$141,564TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11TotalRevenueColumnAmt
Exclusion$11ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLAUNDRY AND VENDING INDesc
Business812300BusinessCd
Total Revenue Column$672TotalRevenueColumnAmt
Related Or Exempt Func Income$672RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$672OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$142,247TotalRevenueColumnAmt
Related Or Exempt Func Income$142,236RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,824TotalAmt
Program Services$17,824ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,774TotalAmt
Program Services$1,774ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$23,904TotalAmt
Management And General$23,904ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,386TotalAmt
Management And General$10,386ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$74,032TotalAmt
Program Services$74,032ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,998TotalAmt
Program Services$31,998ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,647TotalAmt
Program Services$5,647ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$4,963$4,963
ADMINISTRATIVE EXPENSES$3,204$3,204
TAXES AND PERMITS$10$10

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$173,742TotalAmt
Program Services$136,248ProgramServicesAmt
Management And General$37,494ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$132BOYAmt
EOY$451EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$456BOYAmt
EOY$295EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,669BOYAmt
EOY$360EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,416,686LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$806,582LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$642,102BOYAmt
EOY$610,104EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,137BOYAmt
EOY$22,873EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$668,496BOYAmt
EOY$634,083EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,936BOYAmt
EOY$47,129EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,418,400BOYAmt
EOY$1,418,400EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,302BOYAmt
EOY$6,191EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,474,638BOYAmt
EOY$1,471,720EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$806,142BOYAmt
EOY-$837,637EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$806,142BOYAmt
EOY-$837,637EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$668,496BOYAmt
EOY$634,083EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$31,495ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$159,171CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,360CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$119,608CurrentTaxYearMinus1YearAmt
Current Tax Year$141,564CurrentTaxYearAmt
Total$675,579TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$159,171CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,360CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$119,608CurrentTaxYearMinus1YearAmt
Current Tax Year$141,564CurrentTaxYearAmt
Total$675,579TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$675,579PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8CurrentTaxYearMinus1YearAmt
Current Tax Year$11CurrentTaxYearAmt
Total$59TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8CurrentTaxYearMinus1YearAmt
Current Tax Year$11CurrentTaxYearAmt
Total$59TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$528CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$627CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$802CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,114CurrentTaxYearMinus1YearAmt
Current Tax Year$672CurrentTaxYearAmt
Total$3,743TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$159,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$131,002CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,687CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$120,730CurrentTaxYearMinus1YearAmt
Current Tax Year$142,247CurrentTaxYearAmt
Total$679,381TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99440PublicSupportCY509Pct
Public Support PY5090.99360PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceOTHER INCOME-LAUNDRY AND VENDING, INTEREST, AND MANAGEMENT FFormAndLineReferenceDesc
Explanation2017- $528 2018- $627 2019- $802 2020- $1,114 2021- $672ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,000OtherCostOrOtherBasisAmt
Book Value$78,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,245,943OtherCostOrOtherBasisAmt
Depreciation$713,839DepreciationAmt
Book Value$532,104BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,743OtherCostOrOtherBasisAmt
Depreciation$92,743DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$610,104TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SECURITY DEPOSITS$4,424
DEFERRED REVENUE$1,767
FieldValueIRS element (for citing)
Total Liability$6,191TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$142,247TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$142,247RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$142,247TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$173,742TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$173,742ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$173,742TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. IF THE CORPORATION WERE TO INCUR AN INCOME TAX LIABILITY IN THE FUTURE, INTEREST ON ANY INCOME TAX LIABILITY WOULD BE REPORTED AS INTEREST EXPENSE, AND PENALTIES ON ANY INCOME TAX WOULD BE REPORTED AS PENALTIES. MANAGEMENT'S CONCLUSIONS REGARDING UNCERTAIN TAX POSITIONS MAY BE SUBJECT TO REVIEW AND ADJUSTMENT AT A LATER DATE BASED ON ONGOING ANALYSIS OF TAX LAWS, REGULATIONS, AND INTERPRETATIONS THEREOF, AS WELL AS OTHER FACTORS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATION'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2019.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES CLARK
DIRECTOR$0$231,940$0$36,260$0$334,226$0$69,695$0$24,581$0$696,702$0$324,171
BRET CLAGHORN
SECRETARY/TREASURER$0$187,279$0$24,086$0$3,084$0$15,363$0$32,765$0$262,577$0$0
CLYDE NIX
FORMER OFFICER$0$6,565$0$0$0$210,356$0$1,207$0$11,114$0$229,242$0$0
THOMAS MINNICH
PRESIDENT$0$156,691$0$20,334$0$7,198$0$13,130$0$23,010$0$220,363$0$0
SCOTT BURCROFF
DIRECTOR$0$111,815$0$10,896$0$6,107$0$14,735$0$30,381$0$173,934$0$0
CONNIE KERRIGAN
VICE PRESIDENT$0$113,842$0$11,958$0$5,948$0$7,943$0$26,529$0$166,220$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationTHE FOLLOWING INDIVIDUALS RECEIVED A SERERANCE PAYMENT. CLYDE NIX $193,385 THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): CHARLES CLARK $324,171 AMOUNTS LISTED ABOVE THAT HAVE BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990 WILL ALSO BE REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FOR EXAMPLE, THE AMOUNT OF $324,171 REPORTED AS REQUIRED FOR MR. CLARK WAS A RESULT OF THE VESTING OF SUCH AMOUNT UNDER THE TERMS OF THE RESPECTIVE PLANS. HOWEVER, THESE AMOUNTS WERE PREVIOUSLY REPORTED IN MR. CLARK'S DEFERRED COMPENSATION AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: CHARLES CLARK $39,678ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE APARTMENTS ARE MANAGED BY JUSTUS PROPERTY MANAGEMENT, INC.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION HAS NO COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY BOARD AT BOARD MEETING PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICTS OF INTEREST ARE REVIEWED AT ANNUAL BOARD MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PARK CENTER INC
909 E STATE BLVDFORT WAYNEIN46805351135451PROVIDE MENTAL HEALTH SERVICESIN501(C)(3)LINE 10PARKVIEW HEALTH SYSTEM INC0
RICHARDVILLE APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN46805050543940PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INC0
RICHARDVILLE APARTMENTS II INC
909 E STATE BLVDFORT WAYNEIN46805861077255PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INC0
SEDDLEMEYER APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN46805352067590PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INC0
WAYNEDALE II APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN46805223972135PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INC0
WOODSIDE APARTMENTS INC
909 E STATE BLVDFORT WAYNEIN46805351937426PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INC0
OUABACHE VILLAGE INC
909 E STATE BLVDFORT WAYNEIN46805020731922PROVIDE HOUSING TO HANDICAPPED INDIVIDUALSIN501(C)(3)LINE 10PARK CENTER INC0
PARKVIEW HEALTH SYSTEMS INC
1450 PRODUCTION RDFORT WAYNEIN46808351972384HEALTH CAREIN501(C)(3)LINE 12C, III-FI0N/A
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE RDLAGRANGEIN46761202401676HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER RDKENDALLVILLEIN46755352089183FUND MANAGEMENTIN501(C)(3)LINE 12A, ICOMMUNITY HOSPITAL OF NOBLE COUNTY INC0
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 SAWYER RDKENDALLVILLEIN46755352087092HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0
DEKALB MEMORIAL HOSPITAL INC
1316 E SEVENTH STAUBURNIN46706351064295HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0
HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS RDHUNTINGTONIN46750351970706HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STBRYANOH43506341045870PHYSICIANSOH501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0
PARK CENTER HOLDINGS INC
909 E STATE BLVDFORT WAYNEIN46805843684074TO SUPPORT PARK CENTER INCIN501(C)(3)LINE 12D, III-OPARKVIEW HEALTH SYSTEM INC0
PARKVIEW DEKALB HOSPITAL FOUNDATION INC
1316 E SEVENTH STAUBURNIN46706356047817FUND MANAGEMENTIN501(C)(3)LINE 12A, IDEKALB MEMORIAL HOSPITAL INC0
PARKVIEW FOUNDATION INC
3844 NEW VISION DRFORT WAYNEIN46845237220589FUND MANAGEMENTIN501(C)(3)LINE 12A, IPARKVIEW HOSPITAL INC0
PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DRFORT WAYNEIN46845350868085HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS RDHUNTINGTONIN46750320012095FUND MANAGEMENTIN501(C)(3)LINE 12A, IHUNTINGTON MEMORIAL HOSPITAL INC0
PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC
207 N TOWNLINE RDLAGRANGEIN46761833347115FUND MANAGEMENTIN501(C)(3)LINE 12A, IHOSPITAL OF LAGRANGE COUNTY INC0
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
1450 PRODUCTION RDFORT WAYNEIN46808352064353OCCUPATIONAL HEALTHIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0
PARKVIEW WABASH HOSPITAL FOUNDATION INC
10 JOHN KISSINGER DRWABASHIN46992351921445FUND MANAGEMENTIN501(C)(3)LINE 12A, IPARKVIEW WABASH HOSPITAL INC0
PARKVIEW WABASH HOSPITAL INC
10 JOHN KISSINGER DRWABASHIN46992471753440HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE RD 205COLUMBIA CITYIN46725311190239FUND MANAGEMENTIN501(C)(3)LINE 12A, IWHITLEY MEMORIAL HOSPITAL INC0
WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE RD 205COLUMBIA CITYIN46725351967665HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
1450 PRODUCTION RDFORT WAYNEIN46808260143823ORTHO HOSPITALINN/AN/A00
MANAGED CARE SERVICES LLC
1450 PRODUCTION RDFORT WAYNEIN46808351996535HEALTH PLAN ADMININN/AN/A00
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
1450 PRODUCTION RDFORT WAYNEIN46808201394120SURGICAL SERVICESINN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PARKVIEW PROFESSIONAL PROGRAMS INC
1450 PRODUCTION RDFORT WAYNEIN46808351668888REFERENCE LABINN/AC0
PLAZA MEDICAL PARK CONDO ASSOC INC
202 W BERRY ST SUITE 800FORT WAYNEIN46802352058340CONDO MANAGEMENTINN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationNAME OF RELATED ORGANIZATION: PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC DIRECT CONTROLLING ENTITY: COMMUNITY HOSPITAL OF LAGRANGE COUNTY INCExplanationTxt