2013-05-13T13:53:30-05:00 2012-12-31 363990892 Capin Crouse LLP 972 Emerson Parkway STE A Greenwood IN 46143 990 2012-01-01 201344722 Shepherds Foundation Inc SHEP 2628785620 1805 Fifteenth Avenue Union Grove WI 53182 Dr William Amstutz 2628785620 2013-05-13 1 David C Moja P00747006 3178852620 2012 2016-02-25 16:41:14Z Dr William Amstutz 1805 Fifteenth Avenue Union Grove WI 53182 3307417 0 X www.shepherdsministries.org X 2004 WI Supporting organization for Shepherds Baptist Ministries 10 9 12 75 0 0 4348406 3155034 0 23469 11256 93286 0 0 4359662 3271789 5180851 2205274 0 0 849437 747276 0 0 0 426103 288578 6456391 3241128 -2096729 30661 3239427 3253365 788449 761913 2450978 2491452 Supporting organization to Shepherds Baptist Ministries, Inc. 0 0 2666464 2205274 23469 To support the ministry of Shepherds Baptist Ministries. 2666464 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 12 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 1 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 AL AK AR AZ CA CT FL GA HI IL KS KY LA ME MD MA MI MN MS NH NJ NM NY NC OH OK OR PA RI SC TN UT VA WV WI X Cindy Rabbitt 2628785620 1805 Fifteenth Ave Union Grove WI 53182 Robert L Cone 1.00 1.00 X X 0 0 0 Dr William Amstutz 1.00 40.00 X X 0 52291 48383 John Matthiesen 1.00 1.00 X X 0 0 0 Dr David Gower 1.00 1.00 X X 0 0 0 Rev Wm K Bernhard Jr 1.00 1.00 X 0 0 0 John Treiber 1.00 X 0 0 0 Janis Hansen 1.00 X 0 0 0 Dr Paul Dixon 1.00 1.00 X 0 0 0 Rev Sam Polson 1.00 1.00 X 0 0 0 Rev Tom Price 1.00 1.00 X 0 0 0 Michael Lowstetter 1.00 X 0 38642 21983 0 90933 70366 0 0 0 0 0 3155034 7660 3155034 Other revenue 900099 23469 23469 23469 10825 10825 118089 35628 82461 82461 82461 3271789 23469 0 93286 2205274 2205274 649450 280510 368940 72999 29200 43799 24827 11448 13379 14628 14628 36489 36489 2427 2427 116244 69746 46498 43026 43026 66830 66830 1715 1029 686 7219 7219 3241128 2666464 574664 0 93945 643 11702 3441 218561 184982 376842 429113 2538377 2635186 3239427 3253365 788449 761913 788449 761913 X -2287093 -1106797 3633547 2452462 1104524 1145787 2450978 2491452 3239427 3253365 X 30661 -47496 57309 X X 0 1 X 1 0 X X X 0 0 0 Shepherds Baptist Ministries 390988997 7 1 1 1 2205274 1 2205274 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 388544 44009 432553 387374 1170 388544 347030 40344 387374 282638 67289 2897 347030 350000 -64423 2939 282638 0.11370 0.57800 0.30830 0 0 0 Assets held under split interest agreements 1739399 Beneficial interest in third party trust 895787 2635186 Annuity obligations 521535 Discount for future interest in pooled income fund 240378 761913 X Description of Intended Use of Endowment Funds: Part V, Line 4: The Foundation holds the endowment for the purpose of supporting the mission of Shepherds Baptist Ministries, Inc. Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The financial statement effects of a tax position taken or expected to be taken are recognized in the consolidated financial statements when it is more likely than not, based on the technical merits, that the position will be sustained upon examination. Interest and penalties, if any, are included in expenses in the consolidated statements of activities. As of December 31, 2012 and 2011, Shepherds had no uncertain tax positions that qualify for recognition or disclosure in the consolidated financial statements. 1 Shepherds Baptist Ministries Inc 1805 Fifteenth Ave Union Grove WI 53182 390988997 501(C)(3) 2205274 N/A N/A Ministry support 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The Foundation exists to support Shepherds Baptist Ministries, Inc. and its affiliates. Grants are made for such assistance. The Foundation relies on the board of Shepherds Baptist Ministries, a related organization, to monitor the use of funds and ensure they are used for the intended purpose. Form 990, Part VI, Section A, line 5 In April 2012 the organization became aware of a significant diversion of assets through misappropriation of funds by a former officer of the corporation. The organization initially reported this diversion on the 2011 return to be consistent with the disclosure in the organizational audited financial statements. At the time of filing this return, the organization has recouped $300,000 through general liability insurance coverage. Shepherds recorded both a receivable and an allowance for the estimated $150,000 in additional misappropriated funds on the 2012 financial statements and tax return. Under the direction of legal counsel, a full forensic audit was conducted and an outside, independent consultant was retained to review all internal controls, policies and procedures. Corrective measures have been taken to insure the potential for reoccurrence of such misappropriations does not exist. The investigation and prosecution is currently being handled by the FBI and the US Attorney, Eastern Division, Milwaukee, WI. Form 990, Part VI, Section A, line 6 Shepherds Baptist Ministry is the sole member of Shepherds Foundation. Form 990, Part VI, Section A, line 7a Shepherds Baptist Ministry elects the members of Shepherds Foundation's board of directors. Then the Foundation Board governs. Form 990, Part VI, Section B, line 11 The Form 990 is prepared and reviewed by an independent CPA firm, reviewed and approved by certain members of the organization's board and management, and a final copy of the return as filed with the IRS is presented to the full board before filing with the IRS. Form 990, Part VI, Section B, line 12c Board members and officers are required to disclose potential conflicts on an annual basis. The board chairman and board secretary monitor the process. It is the responsibility of each board member to state if a matter is a conflict of interest for them and either abstain from voting or leave the room for that discussion. The Foundation does not compensate these persons. This question has been marked "no" in accordance with the instructions. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request. Executive Committee Form 990, Part VI, Section A, Line 1a The Executive Committee shall include all officers of the corporation who are directors of the corporation, the chairperson of each of the standing committees, except the Board Development Committee, and additional members of the Board who shall be known as Members at Large and who shall be elected annually at the time of election of officers. The Executive Committee shall conduct the business of the Corporation between regular Board of Directors meetings within the general policies set by the Board of Directors. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in value of annuities 5,881. Change in value of trusts 10,165. Change in value of beneficial interests 41,263. Explanation of Responsibility: Form 990, Part XII, Line 2c: The organization has an audit committee that assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. This process has not changed since the prior year. Explanation for Number of Employees: Form 990, Part V, Line 2a: The Shepherds Foundation, Inc. is related to the Shepherds Baptist Ministries, Inc. Shepherds Baptist Ministries files the information returns for both organizations. The number of employees reported is pursuant to IRS instructions for related organizations who share employees. Shepherds Baptist Ministries Inc 1805 Fifteenth Avenue Union Grove WI 53182 390988997 Care for intellectually disabled adults WI 501(c)(3) Line 7 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0