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WINFIELD GOOD SAMARITAN HOUSING INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WINFIELD GOOD SAMARITAN HOUSING INC (EIN 20-1115155)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-12
IRS object ID
201342249349300734
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

FieldValueIRS element (for citing)
Timestamp2013-08-12T08:46:20-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN450250958EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 EAST 10TH STREET SUITE 500AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code57104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201115155EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WINFIELD GOOD SAMARITAN HOUSING INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWINFNameControl
Phone6053623100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET PO BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAYE NAE NYLANDERName
TitleTREASURERTitle
Phone6053623100Phone
Date Signed2013-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURIE HANSONName
PTINP00851848PTIN
Phone6053391999Phone
Date Prepared2013-08-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1WHEAT RIDGE HEIGHTSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYE NAE NYLANDERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET PO BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode
FieldValueIRS element (for citing)
Gross Receipts118765GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GOOD-SAM.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileSDStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year106070ProgramServiceRevenuePriorYear
Program Service Revenue CY118614ProgramServiceRevenueCY
Investment Income Prior Year149InvestmentIncomePriorYear
Investment Income Current Year151InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year106219TotalRevenuePriorYear
Total Revenue Current Year118765TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year165322OtherExpensePriorYear
Other Expenses Current Year162357OtherExpensesCurrentYear
Total Expenses Prior Year165322TotalExpensesPriorYear
Total Expenses Current Year162357TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-59103RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-43592RevenuesLessExpensesCY
Total Assets BOY1644545TotalAssetsBOY
Total Assets EOY1604600TotalAssetsEOY
Total Liabilities BOY18061TotalLiabilitiesBOY
Total Liabilities EOY21708TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1626484NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1582892NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense99457Expense
Revenue118614Revenue
DescriptionTO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS. 6,995 RESIDENT DAYS IN 2012.Description
Total Program Service Expense99457TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RAYE NAE NYLANDERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053623100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET PO BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVID J HORAZDOVSKY
PRES, VICE PRES, AND CHAIR1.0055.00XX063830724154
PATRICIA K HAUGEN
FIRST VICE CHAIRPERSON1.00XX000
SUSAN E NICKERSON
FIRST VICE CHAIRPERSON TIL JUNE 121.00XX000
NEIL L GULSVIG
SECOND VICE CHAIRPERSON1.00XX000
REV JOHN F HOLT
THIRD VICE CHAIRPERSON1.00XX000
SCOTT N PETERS
THIRD VICE CHAIRPERSON TIL JUNE 121.00XX000
CYNTHIA R GOERTZ
MEMBER1.00X000
ELWIN L BROWN
MEMBER1.00X000
CHRISTOPHER JOHNSON
MEMBER1.00X000
STANLEY ABEL
MEMBER1.00X000
ALICIA EARLY
MEMBER1.00X000
DON ZIEGLER
MEMBER TIL JUNE 20121.00X000
RAYE NAE NYLANDER
TREASURER AND SECRETARY1.0055.00X031520615844
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs953513TotalReportableCompFrmRltdOrgs
Total Other Compensation39998TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENTAL CHARGES624100115671115671
ANCILLARY CHARGES62410029432943
FieldValueIRS element (for citing)
Total Program Service Revenue118614TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column151TotalRevenueColumn
Exclusion$151ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column118765TotalRevenueColumn
Related Or Exempt Function Income118614RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$151ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total12178Total
Management And General12178ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total984Total
Management And General984ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6229Total
Management And General6229ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6641Total
Program Services6641ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total3639Total
Management And General3639ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6698Total
Program Services43ProgramServices
Management And General6655ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total30611Total
Program Services30611ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2280Total
Management And General2280ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total60489Total
Program Services60489ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total6548Total
Management And General6548ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTS- SERVICE PERS25020167323347
BAD DEBT129129

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total911Total
Management And General911ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total162357Total
Program Services99457ProgramServices
Management And General62900ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3008BOY
EOY10879EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY601BOY
EOY391EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY585BOY
EOY661EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1945555LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec416363LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1584506BOY
EOY1529192EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY55845BOY
EOY63477EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1644545BOY
EOY1604600EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5409BOY
EOY9402EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY923BOY
EOY231EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11729BOY
EOY12075EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18061BOY
EOY21708EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-352416BOY
EOY-396008EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1978900BOY
EOY1978900EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1626484BOY
EOY1582892EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1644545BOY
EOY1604600EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-43592ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years8895CurrentTaxYearMinus3Years
Total8895Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years88069CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years108720CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104535CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106070CurrentTaxYearMinus1Year
Current Tax Year118614CurrentTaxYear
Total526008Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years88069CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years117615CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104535CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106070CurrentTaxYearMinus1Year
Current Tax Year118614CurrentTaxYear
Total534903Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years5871CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9062CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14334CurrentTaxYearMinus1Year
Current Tax Year15975CurrentTaxYear
Total45242Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years5871CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9062CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14334CurrentTaxYearMinus1Year
Current Tax Year15975CurrentTaxYear
Total45242Total
FieldValueIRS element (for citing)
Public Support Total509489661PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years308CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years242CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year149CurrentTaxYearMinus1Year
Current Tax Year151CurrentTaxYear
Total1150Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years308CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years242CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year149CurrentTaxYearMinus1Year
Current Tax Year151CurrentTaxYear
Total1150Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years88377CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years117915CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104777CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106219CurrentTaxYearMinus1Year
Current Tax Year118765CurrentTaxYear
Total536053Total
FieldValueIRS element (for citing)
Public Support Percentage5090.91350PublicSupportPercentage509
Prior Year Support Percentage0.93450PriorYearSupportPercentage
Investment Income Percentage0.00210InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00240PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis91203OtherCostOrOtherBasis
Book Value91203BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1730861OtherCostOrOtherBasis
Depreciation378021Depreciation
Book Value1352840BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis41405OtherCostOrOtherBasis
Depreciation16379Depreciation
Book Value25026BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis82086OtherCostOrOtherBasis
Depreciation21963Depreciation
Book Value60123BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1529192TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
TENANT SECURITY DEPOSITS$5,098
RELATED PARTY PAYABLE$6,977
FieldValueIRS element (for citing)
Total Of Amounts12075TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt118765TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal118765RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990118765TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt162357TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal162357ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990162357TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE PROJECT EVALUATES ITS TAX EXEMPT POSITIONS ON AN ANNUAL BASIS. MANAGEMENT HAS DETERMINED THERE ARE NO UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012 AND 2011, THAT MEET THE CRITERIA FOR RECOGNITION IN THE FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2012, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO. THE PROJECT WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IF INCURRED. THE PROJECT IS SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID J HORAZDOVSKY
PRES, VICE PRES, AND CHAIR048850200014980500024999066330600
RAYE NAE NYLANDER
TREASURER AND SECRETARY02191230009608300016689033189500

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE MANAGEMENT DUTIES OF THE PROJECT HAVE BEEN DELEGATED TO THE PROJECT'S SPONSOR, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (TELGSS). TELGSS IS PAID A MANAGEMENT FEE EQUAL TO A PERCENTAGE OF REVENUE OTHER THAN INVESTMENT AND GIFT INCOME. THE FEE HAS BEEN APPROVED BY THE US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD MEMBERS ARE APPOINTED BY THE DIRECTORS OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
FORM 990, PART VI, SECTION A, LINE 7BARTICLES OF INCORPORATION AND BY-LAW CHANGES REQUIRE THE APPROVAL OF THE BOARD OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11ACCOUNTANTS WITH THE MANAGING AGENT, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, REVIEW THE 990 IN DETAIL PRIOR TO IT BEING FILED. ANY QUESTIONS ARE RESOLVED WITH THE TREASURER AND/OR THE PRESIDENT OF THE CORPORATION PRIOR TO THE 990 BEING FILED. A COPY OF THE 990 IS PROVIDED TO THE CORPORATION'S OFFICERS PRIOR TO IT BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT COVERS SUBSTANTIALLY ALL EMPLOYEES. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS TO THE APPROPRIATE INDIVIDUAL AS INDICATED IN THE POLICY. ALL POTENTIAL CONFLICTS ARE INVESTIGATED TO DETERMINE IF A CONFLICT EXISTS. IF APPROVAL IS GIVEN TO PROCEED WITH THE ACTION, A COPY OF THE APPROVAL IS DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILE. THE ORGANIZATION ASKS THAT ALL OFFICERS AND DIRECTORS COMPLY WITH THE IRS CONFLICT OF INTEREST AND DISCLOSURE CERTIFICATION. THE ORGANIZATION ADOPTED A POLICY CHANGE IN 2011 AND NOW REQUIRES ALL OFFICERS AND DIRECTORS TO PROVIDE A SIGNED COPY TO THE CORPORATION'S MAIN OFFICE ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE PROJECT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINES 15A AND 15BTHE ORGANIZATION DOES NOT EMPLOY A CEO, AN EXECUTIVE DIRECTOR, A TOP MANAGEMENT OFFICIAL, OR ANY KEY EMPLOYEES. THE MANAGEMENT FUNCTIONS OF THE ORGANIZATION HAVE BEEN OUTSOURCED TO THE ORGANIZATION'S SPONSOR, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GOOD SAMARITAN HOLDINGS LLC
4800 W 57TH STREETSIOUX FALLSSD57117752979560DEVELOP SENIOR HOUSING AND ASSISTED LIVING SERVICESSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
GOOD SAMARITAN SOCIETY INC
4800 W 57TH STREETSIOUX FALLSSD57117460349951PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
BOISE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117363370371PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)PFTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
SIOUX FALLS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460385187PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
LOVINGTON GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460392944PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
PROPHETSTOWN GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460392943PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
MILLARD GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117460396332GENERAL PARTNER OF MILLARD GOOD SAMARITAN HOUSING, LPSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
OLATHE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460396398GENERAL PARTNER OF OLATHE GOOD SAMARITAN HOUSING, LPSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
JASONVILLE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460396355PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
KEARNEY GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460421846PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)PFTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
HASTINGS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460434693PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
BROOKINGS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460439509PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
GRANTS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460439511PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
EL PASO GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117272876627PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
VALENTINE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117911751139PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
JEFFERSONTOWN GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117911751137PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
GOLDBECK TOWERS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117911751135PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
WISCONSIN GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460447338PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
SOUTH DAYTONA BEACH GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460461264PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117760789504PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
LEMARS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117204714415PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
ALLIANCE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117204714573PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
SIOUX FALLS 57 GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117204714647PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
4800 W 57TH STREETSIOUX FALLSSD57117460422866ASSIST TELGSS IN PROVIDING SENIOR CAREMN501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
4800 W 57TH STREETSIOUX FALLSSD57117450228055PROVIDE SENIOR CAREND501(C)(3)LINE 90
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117271212446GENERAL PARTNER OF HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING, LPSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
GREELEY GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460456087PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
LEA COUNTY GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117453946645PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117452473519FUTURE GENERAL PARTNER OF LIHTC LIMITED PARTNERSHIPSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
PRESCOTT GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117275114421GENERAL PARTNER OF PRESCOTT GOOD SAMARITAN HOUSING, LPSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
OLATHE GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
4800 W 57TH STREETSIOUX FALLSSD57117205297369PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A
SIOUX FALLS DOWNTOWN GOOD SAMARITAN LIMITED PARTNERSHIP
4800 W 57TH STREETSIOUX FALLSSD57117320377442PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP
4800 W 57TH STREETSIOUX FALLSSD57117271212511PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A
MILLARD GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
4800 W 57TH STREETSIOUX FALLSSD57117271212324PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A
PRESCOTT GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
4800 W 57TH STREETSIOUX FALLSSD57117275115281PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A
INDIANOLA GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
4800 W 57TH STREETSIOUX FALLSSD57117300755780PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgLegal Domicile Foreign CountryLegalDomicileForeignCountry
GOOD SAMARITAN HUMANITARIAN SERVICE INC
4800 W 57TH STREETSIOUX FALLSSD57117205533741MANAGEMENT AND UNBUNDLED SERVICES; UNRELATED BUSINESS ACTIVITIESSDN/AC0
GOOD SAMARITAN SOCIETY INSURANCE LTD
4800 W 57TH STREETSIOUX FALLSSD57117980379099INSURANCEN/AC0CJ
IDAHO SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460424311PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDN/AC0
INDIANOLA GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117461328052PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDN/AC0
ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117461495572PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDN/AC0
WELD COUNTY GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117461591360PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDN/AC0
RAPID CITY GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117461579750PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg