FULFILLING HOUSING INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FULFILLING HOUSING INC (EIN 45-0577994)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-01-30
- IRS object ID
- 201410309349300426
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-01-30T13:07:10-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341827159 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILMORE JASION MAHLER LTD | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1715 INDIAN WOOD CIRCLE 100 | AddressLine1 |
| City | MAUMEE | City |
| State | OH | State |
| ZIP Code | 43537 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450577994 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FULFILLING HOUSING INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FULF | NameControl |
| Phone | 4195926451 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | N-160 SR 108 | AddressLine1 |
| City | NAPOLEON | City |
| State | OH | State |
| ZIP Code | 43545 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DON WUKOTICH | Name |
| Title | CEO | Title |
| Phone | 4195926451 | Phone |
| Date Signed | 2014-01-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HEIDI FERGUSON | Name |
| PTIN | P00410007 | PTIN |
| Phone | 4197942000 | Phone |
| Date Prepared | 2014-01-30 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DON WUKOTICH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | N-160 SR 108 | AddressLine1 |
| City | NAPOLEON | City |
| State | OH | State |
| ZIP Code | 43545 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 71715 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FILLINGHOME.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O.RECOGNIZING THAT WE ARE ALL CREATED IN GOD'S IMAGE, OUR MISSION IS TO SUPPORT PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN REACHING THEIR GREATEST LEVEL OF INDEPENDENCE IN A CARING COMMUNITY OF RESPECT, DIGNITY AND PARTNERSHIP. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 29289 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 33151 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 35312 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 38456 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 204 | InvestmentIncomePriorYear |
| Investment Income Current Year | 108 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1205 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 66010 | TotalRevenuePriorYear |
| Total Revenue Current Year | 71715 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 14282 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 114295 | OtherExpensePriorYear |
| Other Expenses Current Year | 109855 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 114295 | TotalExpensesPriorYear |
| Total Expenses Current Year | 124137 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -48285 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -52422 | RevenuesLessExpensesCY |
| Total Assets BOY | 1505555 | TotalAssetsBOY |
| Total Assets EOY | 1469450 | TotalAssetsEOY |
| Total Liabilities BOY | 163458 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 179775 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1342097 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1289675 | NetAssetsOrFundBalancesEOY |
| Mission Description | RECOGNIZING THAT WE ARE ALL CREATED IN GOD'S IMAGE, OUR MISSION IS TO SUPPORT PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN REACHING THEIR GREATEST LEVEL OF INDEPENDENCE IN A CARING COMMUNITY OF RESPECT, DIGNITY AND PARTNERSHIP. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 80167 | Expense |
| Revenue | 38456 | Revenue |
| Description | IT IS THE PURPOSE OF THE FULFILLING HOUSING CORPORATION TO PROVIDE APPROPRIATE, SAFE AND AFFORDABLE HOUSING OPTIONS FOR PEOPLE WITH MENTAL AND PHYSICAL DISABILITIES THROUGH THE APPLICATION, COMPLETION AND MANAGEMENT OF GRANTS THROUGH THE FEDERAL HOUSING AND URBAN DEVELOPMENT (HUD) PROGRAM. THE NUMBER OF PERSONS IN NEED OF SUCH ASSISTANCE CONTINUES TO GROW, BUT THE AVAILABILITY OF ADEQUATE HOUSING OPTIONS IS NOT KEEPING PACE. THROUGH THE EFFORTS OF FULFILLING HOUSING, MORE PERSONS WILL BE PROVIDED WITH FULLY ACCESSIBLE AND AFFORDABLE HOUSING THAT WILL PROVIDE FOR EACH PERSON'S HEALTH, SAFETY AND WELL-BEING. | Description |
| Total Program Service Expense | 80167 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL OEHRTMAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4195926451 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | N-160 STATE HIGHWAY 108 | AddressLine1 |
| City | NAPOLEON | City |
| State | OH | State |
| ZIP Code | 43545 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|---|
| PAUL E OEHRTMAN | |||||||
| PRESIDENT | 1.00 | 40.00 | X | X | 0 | 125561 | 5299 |
| DWIGHT HUDDLE | |||||||
| VICE PRESIDENT | 1.00 | 1.00 | X | X | 0 | 0 | 0 |
| NANCY HELMKE | |||||||
| TREASURER | 1.00 | 0.00 | X | X | 0 | 0 | 0 |
| LORI BEAKAS | |||||||
| SECRETARY | 1.00 | 0.00 | X | X | 0 | 62014 | 750 |
| CHRIS PALMER | |||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| JANET MEYER | |||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| CHRIS PEPER | |||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| ANN SCHROEDER | |||||||
| TRUSTEE | 1.00 | 0.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 187575 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 6049 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 26344 | GovernmentGrants |
| All Other Contributions | 6807 | AllOtherContributions |
| Noncash Contributions | 6807 | NoncashContributions |
| Total Contributions | 33151 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RENTAL INCOME | Description |
| Business Code | 531110 | BusinessCode |
| Total Revenue Column | 38456 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38456 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 38456 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 108 | TotalRevenueColumn |
| Exclusion | $108 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71715 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38456 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $108 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13189 | Total |
| Management And General | 13189 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1093 | Total |
| Management And General | 1093 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6048 | Total |
| Management And General | 6048 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8400 | Total |
| Management And General | 8400 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6947 | Total |
| Program Services | 6879 | ProgramServices |
| Management And General | 68 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34021 | Total |
| Program Services | 23554 | ProgramServices |
| Management And General | 10467 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48931 | Total |
| Program Services | 48931 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4456 | Total |
| Management And General | 4456 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MISC. TAXES, LICENSES, | 803 | 803 | |
| MISC. ADMIN | 249 | 249 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124137 | Total |
| Program Services | 80167 | ProgramServices |
| Management And General | 43970 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27725 | BOY |
| EOY | 26520 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15988 | BOY |
| EOY | 21638 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2902 | BOY |
| EOY | 2976 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1541306 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 125711 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1456219 | BOY |
| EOY | 1415595 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2721 | BOY |
| EOY | 2721 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1505555 | BOY |
| EOY | 1469450 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1486 | BOY |
| EOY | 1568 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161972 | BOY |
| EOY | 178207 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163458 | BOY |
| EOY | 179775 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -88503 | BOY |
| EOY | -140925 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1430600 | BOY |
| EOY | 1430600 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1342097 | BOY |
| EOY | 1289675 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1505555 | BOY |
| EOY | 1469450 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -52422 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 351349 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1133246 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 29289 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33151 | CurrentTaxYear |
| Total | 1547035 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 351349 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1133246 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 29289 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33151 | CurrentTaxYear |
| Total | 1547035 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 1547035 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1287 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 204 | CurrentTaxYearMinus1Year |
| Current Tax Year | 108 | CurrentTaxYear |
| Total | 1599 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 1205 | CurrentTaxYearMinus1Year |
| Total | 1205 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1549839 | TotalSupport |
| Gross Receipts From Admissions Etc | 85805 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99820 | PublicSupportPertcentage170 |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75000 | OtherCostOrOtherBasis |
| Book Value | 75000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1412521 | OtherCostOrOtherBasis |
| Depreciation | 100638 | Depreciation |
| Book Value | 1311883 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17179 | OtherCostOrOtherBasis |
| Depreciation | 6442 | Depreciation |
| Book Value | 10737 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36606 | OtherCostOrOtherBasis |
| Depreciation | 18631 | Depreciation |
| Book Value | 17975 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1415595 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| TENANT SECURITY DEPOSITS | $2,721 |
| PAYABLES TO AFFILIATES | $175,486 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 178207 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 71715 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 71715 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 71715 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 124137 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 124137 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 124137 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE PROJECT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT OF THE PROJECT IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE PROJECT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT OF THE PROJECT IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. HOWEVER, MANAGEMENT'S CONCLUSIONS MAY BE SUBJECT TO REVIEW AND ADJUSTMENT AT A LATER DATE BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, NEW TAX LAWS, REGULATIONS, AND ADMINISTRATIVE INTERPRETATIONS (INCLUDING RELEVANT COURT DECISIONS). THE PROJECT'S FEDERAL TAX RETURNS FOR THE THREE PRIOR FISCAL YEARS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | SOME MANAGERIAL DUTIES ARE PERFORMED BY FILLING MEMORIAL HOME OF MERCY (PARENT ORGANIZATION.) | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S SIGNING OFFICER REVIEWS THE FORM 990 FOR COMPLETENESS PRIOR TO SIGNATURE AND PROVIDES A COPY TO THE GOVERNING BODY PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO ALL EXECUTIVE AND MANAGEMENT STAFF. THESE INDIVIDUALS ARE REQUIRED TO RESPOND TO CONFLICT OF INTEREST STATEMENTS AND RETURN COMPLETED FORMS TO THE AGENCY'S ADMINISTRATIVE ASSISTANT. | |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE COMPENSATION SURVEYS DERIVED FROM LUTHERAN SERVICES IN AMERICA DISABILITY NETWORK AND LUTHERAN SERVICES IN AMERICA WERE REVIEWED BY COMMITTEE MEMBERS OF THE BOARD OF TRUSTEES FOR FISCAL YEAR 2009. AN ALL POSITION SURVEY DERIVED FROM OHIO PROVIDER RESOURCE ASSOCIATION MEMBERSHIP FOR 2009 WAS ALSO REVIEWED BY THE AGENCY'S PERSONNEL COMMITTEE. THESE SURVEYS ARE MADE PART OF DETERMINATION OF EXECUTIVE COMPENSATION PROVIDED BY FILLING MEMORIAL HOME OF MERCY. FOR ALL CHANGES TO EXECUTIVE COMPENSATION, THE ABOVE SURVEYS ALONG WITH INDEPENDENT DATA FROM OTHER NOT-FOR-PROFITS ARE CONSULTED WHEN SALARY INCREASES OCCUR, MOST RECENTLY FOR FISCAL YEAR 2013. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. | FINANCIAL STATEMENTS AND REPORTING |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| FILLING HOME FOUNDATION | ||||||||||
| N-160 SR 108 | NAPOLEON | OH | 43545 | 341747447 | SUPPORT FILLING MEMORIAL HOME OF MERCY | OH | 501(C)(3) | LINE 11A, I | N/A | 0 |
| FMHM COMMUNITY LIVING | ||||||||||
| N-160 SR 108 | NAPOLEON | OH | 43545 | 208597755 | PROVIDE RESIDENTIAL CARE | OH | 501(C)(3) | LINE 9 | N/A | 0 |
| FULFILLING HOUSING II INC | ||||||||||
| N-160 SR 108 | NAPOLEON | OH | 43545 | 320272307 | PROVIDE RESIDENTIAL CARE | OH | 501(C)(3) | LINE 9 | N/A | 0 |
| FULFILLING HOUSING III INC | ||||||||||
| N-160 SR 108 | NAPOLEON | OH | 43545 | 320272309 | PROVIDE RESIDENTIAL CARE | OH | LINE 9 | N/A | 0 | |
| FULFILLING HOUSING IV INC | ||||||||||
| N-160 SR 108 | NAPOLEON | OH | 43545 | 320272312 | PROVIDE RESIDENTIAL CARE | OH | 501(C)(3) | LINE 9 | N/A | 0 |
| FMHM HOUSING CORP | ||||||||||
| N-160 SR 108 | NAPOLEON | OH | 43545 | 208599973 | PROVIDE RESIDENTIAL CARE | OH | 501(C)(3) | LINE 9 | N/A | 0 |
| FILLING MEMORIAL HOME OF MERCY | ||||||||||
| N-160 SR 108 | NAPOLEON | OH | 43545 | 344481347 | PROVIDE RESIDENTIAL CARE | OH | 501(C)(3) | LINE 9 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |