2017-08-11T09:14:21-05:00 2016-12-31 474526160 EFPR GROUP CPAS PLLC 280 KENNETH DRIVE ROCHESTER NY 14623 990 2016-01-01 161548940 LUTHERAN SOCIAL SERVICES GROUP INC LUTH 7166654905 715 FALCONER STREET JAMESTOWN NY 14701 THOMAS E HOLT PRESIDENT/CEO 7166654905 2017-08-04 1 JENNIFER ARBORE P00893012 5854278900 2017-08-04 67.97.247.231 2017-08-04 09:32:48 ED P 686D3FDA2483D0C8E235A6419B36E432E9EF45B7 BCA4A186520948849B62E9CCC4098196F3123881 2016 2021-01-29 14:40:06Z THOMAS E HOLT 715 FALCONER STREET JAMESTOWN NY 14701 2522985 0 9386 X WWW.LUTHERAN-JAMESTOWN.ORG X 1998 NY LUTHERAN SOCIAL SERVICES GROUP, INC (LSS) PROVIDES ADMINISTRATIVE SUPPORT SERVICES, INCLUDING FINANCE, HUMAN RESOURCES, AND MANAGEMENT INFORMATION SYSTEMS FOR ITS 501(C)3 SUBSIDIARIES. LSS ALSO PROVIDES STRATEGIC PLANNING SERVICES AND PROVIDES PAYROLL SERVICES FOR THE ORGANIZATION AND ITS SUBSIDIARIES. 14 14 29 185 0 0 0 4000 2215123 2430427 0 0 281367 88558 2496490 2522985 0 0 0 0 1949148 2034351 0 0 0 545527 464462 2494675 2498813 1815 24172 2039383 2436642 1339110 1711840 700273 724802 X LUTHERAN SOCIAL SERVICES GROUP, INC (LSS) PROVIDES ADMINISTRATIVE SUPPORT SERVICES, INCLUDING FINANCE, HUMAN RESOURCES, AND MANAGEMENT INFORMATION SYSTEMS FOR ITS 501(C)3 SUBSIDIARIES. LSS ALSO PROVIDES STRATEGIC PLANNING SERVICES AND PROVIDES PAYROLL SERVICES FOR THE ORGANIZATION AND ITS SUBSIDIARIES. 0 0 2498813 2518985 LUTHERAN SOCIAL SERVICES GROUP, INC (LSS) PROVIDES ADMINISTRATIVE SUPPORT SERVICES, INCLUDING FINANCE, HUMAN RESOURCES, AND MANAGEMENT INFORMATION SYSTEMS FOR ITS 501(C)3 SUBSIDIARIES. LSS ALSO PROVIDES STRATEGIC PLANNING SERVICES AND PROVIDES PAYROLL SERVICES FOR THE ORGANIZATION AND ITS SUBSIDIARIES. 2498813 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 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 1 1 0 0 1 X 15 0 1 29 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X JASON BECKWITH 7166654905 715 FALCONER STREET JAMESTOWN NY 14701 X GARY M JOHNSON TREASURER 0.50 X X 0 0 0 DEAN WEAVER DIRECTOR 0.50 X 0 0 0 BRIGETTA OVERCASH SECRETARY 0.50 X X 0 0 0 KAREN RINE VICE CHAIR 0.50 X X 0 0 0 R MICHAEL GOLDMAN DIRECTOR 0.50 X 0 0 0 TERRY HAVENS-TURNER DIRECTOR 0.50 X 0 0 0 KIM PETERSON DIRECTOR 0.50 X 0 0 0 REV ALAN W ANDERSON DIRECTOR 0.50 X 0 0 0 TED BOGDAN DIRECTOR 0.50 X 0 0 0 CLARK POPPLETON CHAIR 0.50 X X 0 0 0 TIMOTHY MAGNUSON DIRECTOR 0.50 X 0 0 0 J ERIC LIVENGOOD DIRECTOR 0.50 X 0 0 0 ROSLIN NEWTON DIRECTOR 0.50 X 0 0 0 JOHN MACHOLZ BISHOP DIRECTOR 0.50 X 0 0 0 THOMAS E HOLT PRESIDENT/CEO 40.75 4.25 X 390744 0 13304 JASON BECKWITH CFO 42.75 2.25 X 198341 0 17743 KEVIN SAFF DIRECTOR - SENIOR HOUSING 40.00 X 101124 0 13327 KATRINA JONES VICE PRESIDENT - HR 40.00 X 122649 0 14084 KARL L WIGGINS VICE PRESIDENT OF GA 40.00 X 148952 0 11440 RICK SHICK CHIEF INFORMATION OFFICER 40.00 X 118581 0 14345 PAM NORDIN ASSISTANT ADMINISTRATOR - 40.00 X 108160 0 13197 1188551 0 97440 7 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 MAINTENANCE/HOUSEKEEPING MANAGEMENT & SU 433364 COOL INSURANCE AGENCY PO BOX 2153 GLEN FALLS NY 12801 INSURANCE 361802 INSURANCE MANAGEMENT COMPANY 123 WEST 9TH STREET ERIE PA 16512 WORKERS COMP INSURANCE 268925 SYNERGY GLOBAL SOLUTIONS INC PO BOX 8000 BUFFALO NY 14267 COMPUTER SUPPORT, MAINT, LICENSES, ETC. 122331 ADP INC PO BOX 842875 BOSTON MA 02284 PAYROLL PROCESSING 107890 5 4000 4000 AGENCY ADMISTRATION FE 561000 2426767 2426767 RENTAL INCOME 531110 3660 3660 2430427 OTHER INCOME 561499 88558 88558 88558 2522985 2518985 0 0 620132 620132 1071959 1071959 56504 56504 206937 206937 78819 78819 11040 11040 14375 14375 166117 166117 9137 9137 46626 46626 49260 49260 5043 5043 11401 11401 1838 1838 76780 76780 2405 2405 EQUIPMENT RENTAL & MAIN 33858 33858 OTHER ADMINISTRATION EX 28672 28672 TRAVEL & EDUCATION 4697 4697 DUES & SUBSCRIPTIONS 3213 3213 2498813 2498813 0 0 1000963 1521356 80862 31178 224940 153137 41290 45400 382363 326508 126680 55855 564648 629716 2039383 2436642 851331 1173416 45573 31507 442206 506917 1339110 1711840 X 577831 602003 122442 122799 700273 724802 2039383 2436642 X 24172 357 X X 0 1 X 1 0 X X 5 LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK INC 160765309 10 1 994453 0 LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP INC 161548942 10 1 84015 0 GRACE LUTHERAN RESIDENTIAL SERVICES INC 161554927 10 1 242964 0 GUSTAVUS ADOLPHUS CHILD AND FAMILY SERVICES INC 311610580 10 1 737049 0 LUTHERAN HOUSING REALTY INC 201991970 10 1 315449 0 5 2373930 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 PART VI, SECTION E, LINE 3A: THE ORGANIZATION'S OFFICERS AND DIRECTORS ARE THE SAME FOR THE SUPPORTING ORGANIZATIONS. PART VI, SECTION E, LINE 3B: THE ORGANIZATION ESTABLISHES AND OVERSEES ALL OF THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTING ORGANIZATIONS. 382363 326508 55855 55855 457 CUSTODIAL ACCOUNT 506917 INTEREST IN NET ASSETS OF LSS FOUNDATION 122799 629716 DEFERRED COMPENSATION 506917 506917 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH ASC 740-10-50, THE ORGANIZATION RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE ORGANIZATION IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE EXEMPT ORGANIZATION'S INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. X X X X X 0 0 0 0 0 0 0 0 0 THOMAS E HOLT PRESIDENT/CEO 349821 0 0 0 40923 0 13174 0 130 0 404048 0 0 0 JASON BECKWITH CFO 194651 0 0 0 3690 0 9954 0 7789 0 216084 0 0 0 KARL L WIGGINS VICE PRESIDENT OF GA 141164 0 0 0 7788 0 7088 0 4352 0 160392 0 0 0 FORM 990, PART V, LINE 2A: THE TOTAL NUMBER OF EMPLOYEES OF THE ORGANIZATION IS 29 WHICH IS CALCULATED AS FOLLOWS: TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 (763) LESS NUMBER OF EMPLOYEES PAID BY AFFILIATED ORGANIZATIONS (734). FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE CFO & CONTROLLER PRIOR TO FILING. IN ADDITION, A COPY IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW ONE WEEK PRIOR TO THEIR MEETING WITH THE CEO & CFO. ONCE THE FINANCE COMMITTEE HAS APPROVED FORM 990, A COPY IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AT LEAST ONE WEEK PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING IS PERFORMED ON AN ONGOING BASIS AS WELL AS ANNUALLY WITH SIGNED CONFLICT OF INTEREST DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 15 THE CEO REPORTS DIRECTLY TO THE BOARD OF DIRECTORS WHO APPOINT 4-5 MEMBERS TO SERVE ON A COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR PERFORMING THE CEO'S ANNUAL EVALUATION, ESTABLISHING GOALS AND SETTING THE CEO'S COMPENSATION INCLUDING FRINGE BENEFITS. THE COMPENSATION COMMITTEE MEETS AT LEAST 2 TIMES PER YEAR AND REPORTS TO THE FULL BOARD AT LEAST ANNUALLY, IN EXECUTIVE SESSION, WITHOUT THE CEO PRESENT. APPROXIMATELY EVERY THREE TO FIVE YEARS, THE COMPENSATION COMMITTEE ENGAGES A THIRD PARTY CONSULTANT TO PERFORM AN EXECUTIVE COMPENSATION STUDY. THE CONSULTANT'S STUDY INCORPORATES LIKE ORGANIZATIONS, INDUSTRY SPECIFIC SALARY SURVEYS, AVAILABLE 990 INFORMATION AND THE SCOPE OF RESPONSIBILITIES GIVEN THE HORIZONTALLY DIVERSE MAKEUP OF LUTHERANS SERVICES AND MULTIPLE CORPORATE STRUCTURE. THE STUDY PROVIDES GUIDELINES FOR BOTH SALARY AND FRINGE BENEFITS FOR THE COMMITTEE TO USE. THIS STUDY ALSO INCORPORATES OTHER KEY POSITIONS, WHICH ARE REVIEWED BY THE COMMITTEE. THE CEO IS RESPONSIBLE FOR PERFORMING THE OTHER KEY EMPLOYEE'S ANNUAL EVALUATION, ESTABLISHING GOALS AND SETTING COMPENSATION. THE CEO ALSO UTILIZES THE THIRD PARTY COMPENSATION STUDY IN ESTABLISHING COMPENSATION LEVELS FOR KEY EMPLOYEES. FROM TIME TO TIME, THE CEO INFORMS THE COMPENSATION COMMITTEE OF THESE INDIVIDUAL'S SALARY AND FRINGE BENEFITS. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION REPLIES TO REQUESTS ON AN AS REQUESTED BASIS, SUBJECT TO PRIVACY LAWS AND REGULATIONS. FORM 990, PART VII: KEVIN SAFF IS DIRECTOR OF LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP, INC., KARL WIGGINS IS VICE PRESIDENT OF GUSTAVUS ADOLPHUS CHILD AND FAMILY SERVICES, INC. AND PAM NORDIN IS ASSISTANT ADMINISTRATOR OF LUTHERAN RETIREMENT HOME. ALL OF WHICH ARE SUBSIDIARY ORGANIZATIONS OF LUTHERAN SOCIAL SERVICES GROUP, INC. (LSS) WHICH ARE PART OF THE LSS CONSOLIDATED PAYROLL AND W-2S. FORM 990, PART XI, LINE 9: CHANGES IN INTEREST OF NET ASSETS OF RELATED FOUNDATION 357. FORM 990, PART XII, LINE 2C: NO CHANGES IN THE OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. LUTHERAN SOCIAL SERVICES FOUNDATION OF UPSTATE NEW YORK INC 715 FALCONER STREET JAMESTOWN NY 14701 311598005 FOUNDATION SUPPORT NY 501(C)(3) LINE 12C, III-FI 0 LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK INC 715 FALCONER STREET JAMESTOWN NY 14701 160765309 SKILLED NURSING NY 501(C)(3) LINE 10 1 GUSTAVUS ADOLPHUS CHILD AND FAMILY SERVICES INC 715 FALCONER STREET JAMESTOWN NY 14701 311610580 RESIDENTIAL, FOSTER CARE & EDUCATION FOR AT-RISK YOUTH NY 501(C)(3) LINE 10 1 LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP INC 715 FALCONER STREET JAMESTOWN NY 14701 161548942 INDEPENDENT SENIOR HOUSING NY 501(C)(3) LINE 10 1 GRACE LUTHERAN RESIDENTIAL SERVICES INC 715 FALCONER STREET JAMESTOWN NY 14701 161554927 DEVELOPMENTAL DISABILITIES NY 501(C)(3) LINE 10 1 LUTHERAN HOUSING REALTY INC 715 FALCONER STREET JAMESTOWN NY 14701 201991970 ASSISTED LIVING NY 501(C)(3) LINE 10 1 CHANDLER LUTHERAN HOUSING DEVELOPMENT FUND CO INC 737 FALCONER STREET JAMESTOWN NY 14701 222811682 HUD SUBSIDIZED HOUSING FOR THE ELDERLY NY 501(C)(3) LINE 10 0 CHAUTAUQUA LUTHERAN HOUSING DEVELOPMENT FUND CO INC 737 FALCONER STREET JAMESTOWN NY 14701 222611575 HUD SUBSIDIZED HOUSING FOR THE ELDERLY NY 501(C)(3) LINE 10 0 FALCONER LUTHERAN HOUSING DEVELOPMENT FUND CO INC 737 FALCONER STREET JAMESTOWN NY 14701 223017087 HUD SUBSIDIZED HOUSING FOR THE ELDERLY NY 501(C)(3) LINE 10 0 JAMESTOWN LUTHERAN HOUSING DEVELOPMENT FUND CO INC 737 FALCONER STREET JAMESTOWN NY 14701 222279148 HUD SUBSIDIZED HOUSING FOR THE ELDERLY NY 501(C)(3) LINE 10 0 WILLOW LUTHERAN HOUSING DEVELOPMENT FUND CO INC 737 FALCONER STREET JAMESTOWN NY 14701 223026259 HUD SUBSIDIZED HOUSING FOR THE ELDERLY NY 501(C)(3) LINE 10 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 LUTHERAN HOUSING REALTY INC D 3688772 BALANCE OUTSTANDING LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK INC Q 994453 ACTUAL COST GUSTAVUS ADOLPHUS CHILD AND FAMILY SERVICES INC Q 737049 ACTUAL COST GRACE LUTHERAN RESIDENTIAL SERVICES INC Q 242964 ACTUAL COST LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP INC Q 84015 ACTUAL COST LUTHERAN HOUSING REALTY INC Q 315449 ACTUAL COST LUTHERAN SOCIAL SERVICES FOUNDATION OF UPSTATE NEW YORK INC C 4000 ACTUAL LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP INC D 893500 BALANCE OUTSTANDING