2020-11-10T09:23:02-06:00 2019-12-31 861065772 DELOITTE TAX LLP 50 S 6TH STREET MINNEAPOLIS MN 55402 990 2019-01-01 371834045 SANFORD-GOOD SAMARITAN COMMUNITY HEALTH SERVICES LLC SANF 6053623100 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 BILL MARLETTE CFO & TREASURER 6053331000 2020-11-10 1 CHRIS MESKIMEN P01314196 6123974000 206.208.222.33 2020-11-10 09:22:34 CS P C1502F742FBB08DBAEB35CA595018D81FCD22E5F E5BC8B5E57121AB33B8A1607D3C50835A925FFE9 2019 2021-01-29 14:40:06Z X PROSPERA NATHAN SCHEMA 4800 W 57TH ST SIOUX FALLS SD 57108 50033524 0 X WWW.PROSPERACARES.COM X LLC 2016 ND OPERATE, FINANCE AND DEVELOP LONG-TERM CARE, SENIOR LIVING, AND POST-ACUTE FACILITIES. 3 0 1079 99 110070 -35642 41574 34851 48864912 49814860 8826 -37982 257355 174600 49172667 49986329 0 0 0 0 29551310 31152267 0 0 0 19666774 19170003 49218084 50322270 -45417 -335941 50831919 42246559 29105784 3128622 21726135 39117937 OPERATE, FINANCE AND DEVELOP LONG-TERM CARE, SENIOR LIVING, AND POST-ACUTE FACILITIES IN A MANNER CONSISTENT WITH THE MEMBERS' CHARITABLE PURPOSES. 0 0 48578307 0 49814860 PROVIDE LONG-TERM CARE, SENIOR LIVING AND POST ACUTE SERVICES FOR OLDER PERSONS AND OTHERS IN NEED. 48578307 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 44 0 1 1079 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X BILL MARLETTE CFO & TREASURER 6053331000 2301 EAST 60TH STREET SIOUX FALLS SD 57104 NATHAN SCHEMA BEGIN 112019 CHAIRPERSON, PRESIDENT 0.10 54.90 X X 0 199828 24576 THOMAS SYVERSON THRU 102019 CHAIRPERSON, PRESIDENT 0.10 54.90 X X 0 341279 29960 CRAIG LAMBRECHT THRU 12019 VICE CHAIRPERSON, VICE PRESIDENT 0.10 59.90 X X 0 265501 12022 KIRK CHRISTY THRU 52019 DIRECTOR 0.10 54.90 X 0 382130 21025 MICHAEL DEUTH BEGIN 112019 DIRECTOR 0.10 54.90 X 0 148571 4920 JAMES DROPPERS 62019-102019 DIRECTOR 0.10 54.90 X 0 178486 20000 CLINT GRAYBILL THRU 52019 DIRECTOR 0.10 54.90 X 0 296958 19085 BERGEN PETERSON THRU 12019 DIRECTOR 0.10 54.90 X 0 392441 20752 ERIC VANDEN HULL BEGIN 62019 DIRECTOR 0.10 54.90 X 0 447915 29711 BILL MARLETTE TREASURER 0.10 59.90 X 0 1391177 1355 BILL MARLETTE DEF COMP TREASURER 0.10 59.90 X 0 0 221323 0 4044286 404729 0 0 1 0 THE EVANGELICAL LUTHERAN GOOD SAMARITAN 4800 WEST 57TH ST SIOUX FALLS SD 57108 MANAGEMENT FEES & SHARED EMPLOYEES 2518647 INFINITY REHAB 25117 SW PARKWAY STE D WILSONVILLE OR 970709697 CONTRACT THERAPY SERVICES 1918031 DTN STAFFING INC 1200 COLLINS AVENUE MANDAN ND 58554 POOL STAFF SERVICES 1119246 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET OMAHA NE 681545260 POOL STAFF SERVICES 106510 SANFORD PHARMACY 300 N 7TH STREET BISMARCK ND 58501 PHARMACY CONSULTANT 106440 5 34851 34851 HOUSING AND RESIDENT S 623000 49814860 49814860 49814860 9213 9213 3000 0 3000 3000 3000 47195 -47195 -47195 -47195 CAFETERIA/VENDING 722514 155732 110070 45662 EMPLOYEE MEALS 721000 16538 16538 OTHER NON-OPERATING 900099 -670 -670 171600 49986329 49814860 110070 26548 25268775 25268775 521154 521154 3327110 3327110 2035228 2035228 508060 508060 39869 39869 3592162 3592162 79518 79518 186199 186199 3731326 3731326 51000 51000 81761 81761 655590 655590 1960974 1960974 197541 197541 MEDICAL SUPPLIES 3690420 3690420 PURCHASED SERVICES 2518279 2518279 LOSS ON EXTINGUISHMENT 930317 930317 BAD DEBT RECOVERY 710622 710622 236365 236365 50322270 48578307 1743963 0 9083691 10310357 30960 4409031 4313457 96487 89670 19618 31025 32318153 4845721 29192001 27472432 8000131 0 0 29618 50831919 42246559 8186628 2924416 19453230 30960 204206 1434966 0 29105784 3128622 X 21711415 39117937 14720 0 21726135 39117937 50831919 42246559 X -335941 17727743 X 0 1 X 1 0 X X X 2 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 450228055 10 1 0 0 SANFORD LIVING CENTERS 450416454 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART I, LINE 12G, COLUMN V SANFORD-GOOD SAMARITAN COMMUNITY HEALTH SERVICES, LLC, IS AN INTEGRAL PART OF AND PROVIDES SUPPORT TO EACH OF THE ORGANIZATIONS LISTED. HOWEVER, SUCH SERVICES CANNOT EASILY BE QUANTIFIED IN DOLLAR-BASED TERMS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3572946 3572946 24125817 3188332 20937485 259987 83530 176457 4359403 1573859 2785544 27472432 X PART IV, LINE 2B: AS SET FORTH BY FEDERAL AND STATE REGULATIONS, SANFORD-GOOD SAMARITAN COMMUNITY HEALTH SERVICES PROVIDES RESIDENT TRUST ACCOUNT (RTA) SERVICES FOR RESIDENTS. THESE RTA FUNDS ARE NOT COMMINGLED WITH THE ORGANIZATION'S FUNDS, ARE ACCESSIBLE FOR RESIDENTS' USE, HAVE DETAILED ACCOUNTING RECORDS MAINTAINED ON AN INDIVIDUAL RESIDENT BASIS, AND FOLLOW BOTH FEDERAL AND STATE REGULATIONS REGARDING THE HANDLING AND DOCUMENTATION OF ACTIVITY. AS RTA FUNDS ARE HELD IN TRUST FOR RESIDENTS, A RESIDENT MAY AUTHORIZE THAT THEIR RTA FUNDS BE RETURNED TO THE RESIDENT OR THEIR DESIGNEE (REPRESENTATIVE PAYEE, FINANCIAL POWER OF ATTORNEY, GUARDIAN, ETC...) AT THAT TIME. ADDITIONALLY, WHEN A RESIDENT IS DISCHARGED FROM A FACILITY, THEIR RTA FUNDS ARE RETURNED TO THE RESIDENT OR THEIR AUTHORIZED DESIGNEE. IF A RESIDENT EXPIRES WITH RTA FUNDS ON HAND, SPECIFIC STATE REGULATIONS ALONG WITH STATE AND/OR FEDERAL AGENCIES GUIDELINES ARE REVIEWED TO ENSURE THESE RTA FUNDS ARE MANAGED APPROPRIATELY. PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT LIMITED LIABILITY CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. 1 1 0 0 0 0 0 0 0 NATHAN SCHEMA BEGIN 112019 CHAIRPERSON, PRESIDENT 0 182843 0 16877 0 108 0 0 0 24576 0 224404 0 0 THOMAS SYVERSON THRU 102019 CHAIRPERSON, PRESIDENT 0 337055 0 3642 0 582 0 0 0 29960 0 371239 0 0 CRAIG LAMBRECHT THRU 12019 VICE CHAIRPERSON, VICE PRESIDENT 0 141716 0 91800 0 31985 0 0 0 12022 0 277523 0 0 KIRK CHRISTY THRU 52019 DIRECTOR 0 321155 0 10300 0 50675 0 0 0 21025 0 403155 0 0 MICHAEL DEUTH BEGIN 112019 DIRECTOR 0 146046 0 1721 0 804 0 0 0 4920 0 153491 0 0 JAMES DROPPERS 62019-102019 DIRECTOR 0 176302 0 1581 0 603 0 0 0 20000 0 198486 0 0 CLINT GRAYBILL THRU 52019 DIRECTOR 0 261638 0 300 0 35020 0 0 0 19085 0 316043 0 0 BERGEN PETERSON THRU 12019 DIRECTOR 0 13556 0 379 0 378506 0 0 0 20752 0 413193 0 0 ERIC VANDEN HULL BEGIN 62019 DIRECTOR 0 350348 0 50300 0 47267 0 0 0 29711 0 477626 0 0 BILL MARLETTE TREASURER 0 1019856 0 172511 0 198810 0 0 0 1355 0 1392532 0 0 BILL MARLETTE DEF COMP TREASURER 0 0 0 0 0 0 0 221323 0 0 0 221323 0 0 PART I, LINES 4A-B PART I, LINE 4A: THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SEVERANCE ARRANGEMENT AND RECEIVED PAYMENTS DURING THE YEAR: BERGEN PETERSON $378,425 PART I, LINE 4B: CERTAIN EXECUTIVES PARTICIPATE IN A DEFINED CONTRIBUTION SERP PLAN. PART I, LINE 1A CERTAIN ITEMS LISTED ON LINE 1A ARE PROVIDED BY RELATED ORGANIZATIONS. PART I, LINE 3 THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENATION ARRANGEMENT OF THE CEO AND REPOT THE FINDINGS TOO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF TEH SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2019. PART I, LINE 4B CERTAIN EXECUTIVES PARTICIPATE IN A DEFINED BENEFIT SERP PLAN. THERE WERE NO INDIVIDUALS WHO RECEIVED PAYMENTS DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING OFFICERS, AND BOARD MEMBERS ARE EMPLOYEES OF RELATED ORGANIZATIONS OF THIS ENTITY. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED BOARDS, OR HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THAT SPAN THE ORGANIZATION AS A WHOLE: NATHAN SCHEMA, THOMAS SYVERSON, CRAIG LAMBRECHT, KIRK CHRISTY, MICHAEL DEUTH, JAMES DROPPERS, CLINT GRAYBILL, BERGEN PETERSON, ERIC VANDEN HULL AND BILL MARLETTE. FORM 990, PART VI, SECTION A, LINE 4 NO CHANGES TO THE ARTICLES OF ORGANIZATION OCCURRED IN 2019. EFFECTIVE APRIL 1 ,2019, THE COMPANY'S OPERATING AGREEMENT WAS REVISED TO REFLECT THE WITHDRAWAL OF SANFORD LIVING CENTERS AS A MEMBER OF THE COMPANY. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY BECAME THE SOLE MEMBER OF THE COMPANY WITH THE ABILITY TO APPOINT A THREE-PERSON BOARD OF DIRECTORS TO OVERSEE THE OPERATIONS OF THE COMPANY. FORM 990, PART VI, SECTION A, LINE 6 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY ("THE SOCIETY") AND SANFORD LIVING CENTERS WERE 50/50 OWNERS OF THIS ENTITY AS OF JANUARY 1, 2019. ON MARCH 31, 2019 SANFORD LIVING CENTERS WITHDREW AS A MEMBER. AS A RESULT, THE SOCIETY BECAME THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE COMPANY IS APPOINTED BY THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS RESERVED POWERS TO REVIEW AND APPROVE THE ANNUAL BUDGET AND CAPITAL EXPENDITURES; APPROVE THE SALE OR DISPOSITION OF SUBSTANTIALLY ALL THE ASSETS OF THE COMPANY; APPROVE THE COMPANY'S INCURRENCE OF ANY MORTGAGE SECURED INDEBTEDNESS; APPROVAL ALL SALES OF, OR THE GRANTING OF ANY LIENS AGAINST ANY REAL PROPERTY OWNED BY THE COMPANY; AND ANY MERGER OR DISSOLUTION OF THE COMPANY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPRED INTERNALLY THE BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. AN EXTERNAL ACCOUNTING FIRM REVIEWS THE RETURN. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDED TO THE CURRENT BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS IS MANAGED BY THE CHIEF COMPLIANCE OFFICER (CCO). THE CCO IS RESPONSIBLE FOR ASSURING THAT ALL COMPLETED FORMS ARE RETURNED IN A TIMELY AND COMPLETE MANNER. CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO THE BOARD OF TRUSTEES, OFFICERS AND KEY EMPLOYEES FOR ALL ENTITIES SUBJECT TO THE IRS FORM 990 FILINGS. THE DISCLOSURES ARE SUMMARIZED FOR REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES PURSUANT TO POLICY. THIS REVIEW ALLOWS: 1) THE BOT TO ACQUIRE AN AWARENESS OF FINANCIAL RELATIONSHIPS OF BOARD MEMBERS AND KEY MANAGEMENT EMPLOYEES AND CAN INVOKE THE RECUSAL PROCESS ON A CASE BY CASE BASIS IF POTENTIAL CONFLICTS ARE IMPLICATED IN BOARD DECISIONS AND DELIBERATIONS AND 2) GIVES THE BOARD THE OPPORTUNITY TO SEEK ADDITIONAL INFORMATION AND CLARIFICATION ABOUT DISCLOSURES TO DETERMINE POTENTIAL CONFLICTS OF INTEREST AND HOW TO MANAGE THEM. FORM 990, PART VI, SECTION B, LINE 15A SANFORD AS THE PARENT ORGANIZATION DOES HAVE A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII SECTION A, INCLUDING A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION FOR SUCH COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE CEO AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN TEH MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 ALTHOUGH THE ORGANIZATION DOES NOT MAINTAIN A WEBSITE WHERE THE PUBLIC CAN ACCESS THESE DOCUMENTS, IT WOULD RESPOND INDIVIDUALLY TO ANY REQUESTS OR INQUIRIES FROM THE PUBLIC FOR THESE DOCUMENTS. FORM 990, PART XI, LINE 9: PAYOFF OF TAX EXEMPT BONDS BY RELATED ORGANIZATION 20,107,498. WRITE-OFF OF GOODWILL DUE TO ACQUISITION -8,000,131. TRANSFER FROM RELATED ORGANIZATION FOR PAYROLL AND OPERATING EXPENSES 5,585,841. NET ASSET RELEASE PPE 35,471. TRANSFER OF TEMP RESTRICTED TO FOUNDATION -936. SCH K: TAXPAYER DID A CURRENT REFUNDING IN NOVEMER 2019. SANFORD (ULTIMATE PARENT OF TAXPAYER) ISSUED NEW BONDS AT THAT TIME AND TAXPAYER BECAME PART OF SANFORD'S OBLIGATED GROUP. SANFORD P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271218956 SUPPORTING ORGANIZATION ND 501(C)(3) 12-II 0 SANFORD HEALTH FOUNDATION P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363297853 FOUNDATION SD 501(C)(3) 12-II SANFORD HEALTH 1 F-M AMBULANCE SERVICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450344371 EMT ND 501(C)(4) SANFORD NORTH 1 SANFORD HEALTH FOUNDATION NORTH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450398104 FOUNDATION ND 501(C)(3) 7 SANFORD NORTH 1 SANFORD HEALTH FOUNDATION HILLSBORO P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363542187 FOUNDATION ND 501(C)(3) 7 SANFORD HEALTH NETWORK NORTH 1 SANFORD HEALTH FOUNDATION WEST P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450397196 FOUNDATION ND 501(C)(3) 7 SANFORD BISMARCK 1 SANFORD HEART OF AMERICA HEALTH PLAN P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450346132 INSURANCE ND 501(C)(4) SANFORD HEALTH PLAN 1 SANFORD HEALTH FOUNDATION THIEF RIVER FALLS P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 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571175039 363370371 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 BROOKINGS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460439509 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 COLLISTER DRIVE HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 300872973 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 EL PASO GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 272876627 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GOOD SAMARITAN HOLDINGS LLC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 752979560 DEVELOPMENT OF SENIOR HOUSING AND ASSISTED LIVING SERVICES SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GOOD SAMARITAN SOCIETY INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460349951 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GRANTS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460439511 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GREELEY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460456087 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HASTINGS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460434693 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271212446 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HOWARD LAKE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 364885253 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 INDIANOLA COUNTY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 461328052 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 760789504 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 JASONVILLE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460396355 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 JEFFERSONTOWN GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 911751137 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 KEARNEY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460421846 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LEA COUNTY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 453946645 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LEMARS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 204714415 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 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