2012-05-15T12:44:36-05:00 2011-06-30 PLANTE & MORAN PLLC 65 EAST STATE STREET SUITE 600 COLUMBUS OH 43215 990 2010-07-01 311311288 KENSINGTON PLACE INC KENS 6142285200 500 W WILSON BRIDGE RD NO 245 WORTHINGTON OH 43085 PHILIP HELSER 6142285200 2012-05-11 1 BERNIE OSTROWSKI 6148493000 2010 2016-02-24 21:20:13Z LARRY CROWELL 500 W WILSON BRIDGE RD NO 245 WORTHINGTON OH 43085 3341700 0 X LSSCO.ORG X 1990 OH TO PROVIDE HEALTHCARE, INDEPENDENT AND AFFORDABLE HOUSING FOR THE ELDERLY, TRANSITIONAL SHELTERS FOR THE HOMELESS, KITCHENS, FOOD PANTRIES, AND DISASTER RESPONSE AID FOR RESIDENTS OF OHIO. 16 15 63 15 0 0 0 0 3219618 3234142 2498 1945 108440 105613 3330556 3341700 0 0 0 0 944625 920575 0 0 0 2067359 2072013 3011984 2992588 318572 349112 6885414 6685190 7964397 7787452 -1078983 -1102262 TO PROVIDE HEALTHCARE, INDEPENDENT AND AFFORDABLE HOUSING FOR THE ELDERLY, TRANSITIONAL SHELTERS FOR THE HOMELESS, KITCHENS, FOOD PANTRIES, AND DISASTER RESPONSE AID FOR RESIDENTS OF OHIO. 0 0 2816386 0 3339755 TO PROVIDE INDEPENDENT LIVING FOR THE COMMUNITY TO SERVE THE NEEDS OF PEOPLE; TO PROVIDE RESIDENTS WITH DIGNITY, SAFETY, AND A CARING ENVIRONMENT; TO MAKE AVAILABLE SERVICE COORDINATORS TO LINK RESIDENTS WITH SERVICES ALLOWING THEM TO MAINTAIN THEIR INDEPENDENCE. 2816386 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 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 12 0 1 63 1 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X PHILIP HELSER 6142285200 500 W WILSON BRIDGE RD NO 245 WORTHINGTON OH 43085 ROBERT R SLAVEN 1.00 X X 0 0 0 DAN BAILEY 1.00 X X 0 0 0 KIMBERLY K ZAVISLAK 1.00 X X 0 0 0 REV DR JAMES E WILSON JR 1.00 X X 0 0 0 BECKY SUTHERLAND CORNETT PHD CHC 1.00 X 0 0 0 REV DR KEVIN DUDLEY 1.00 X 0 0 0 LEONARD GENDERS 1.00 X 0 0 0 DR JAMES L GINTER 1.00 X 0 0 0 TIMOTHY G GLASSER 1.00 X 0 0 0 NELS HENDRICKSON 1.00 X X 0 57692 0 THEODORE J HILL 1.00 X 0 0 0 REV AARON LAYNE 1.00 X 0 0 0 OSCAR MGAYA 1.00 X 0 0 0 GARY L PRACHAR 1.00 X 0 0 0 DOUG TIETZ 1.00 X 0 0 0 ANN WURSTER 1.00 X 0 0 0 THOMAS STOFAC 1.00 X 0 225232 4372 PHILIP HELSER 1.00 X 0 103989 14486 LARRY CROWELL 1.00 X 0 0 0 0 386913 18858 0 0 1 0 SYSCO FOOD SERVICES PO BOX 94570 CLEVELAND OH 44101 FOOD & BEVERAGE SERVICES 209124 1 RENTAL INCOME 532000 3234142 3234142 3234142 1945 1945 TELEPHONE INCOME 900099 38664 38664 CATERING INCOME 900099 33159 33159 APPLICATION FEES 900099 11500 11500 22290 22290 105613 3341700 3339755 0 1945 743635 743635 8285 8285 116276 116276 52379 52379 168227 168227 1275 1275 6700 6700 151086 151086 131864 131864 123158 123158 45222 45222 481468 481468 711 711 1684 1684 353982 353982 305532 305532 34068 34068 FOOD AND DIETARY 253293 253293 RESIDENT ACTIVITIES 13410 13410 BAD DEBT EXPENSE 211 211 STAFF AWARDS 122 122 2992588 2816386 176202 0 200 328638 357375 5990 9510 7821 8524 74754 76545 10516827 5095533 5619853 5421294 154799 148188 664622 692491 6885414 6685190 268373 266020 7378863 7204996 317161 316436 7964397 7787452 X -1078983 -1102262 -1078983 -1102262 6885414 6685190 X 349112 -372391 X X 0 1 1 X 1 1 X 2843226 2976510 3107656 3328058 3339755 15595205 2843226 2976510 3107656 3328058 3339755 15595205 0 0 0 15595205 33790 25417 8202 2498 1945 71852 33790 25417 8202 2498 1945 71852 2877016 3001927 3115858 3330556 3341700 15667057 0.99540 0.00460 X 7345 7345 9185875 4187739 4998136 73158 41943 31215 1250449 865851 384598 5421294 SECURITY DEPOSITS 294175 TAX & INSURANCE ESCROW 77739 REPLACEMENT RESERVE 319587 WORKERS COMPENSATION DEPOSITS 990 692491 SECURITY DEPOSITS 280426 CAPITAL LEASE PAYABLE 36010 316436 3341700 2992588 349112 -372391 -372391 -23279 3366455 0 3366455 -24755 -24755 3341700 3017343 24755 24755 2992588 0 2992588 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANGAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: SURPLUS CASH DISTRIBUTED TO LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC. -372,391. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BEAUTY/BARBER EXPENSES -21,626. RECLASS OF GENERAL STORE EXPENSES -3,129. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF BEAUTY/BARBER EXPENSES 21,626. RECLASS OF GENERAL STORE EXPENSES 3,129. 1 0 0 0 0 0 0 0 0 THOMAS STOFAC 0 120232 0 0 0 105000 0 1984 0 2388 0 229604 0 0 PART I, LINE 4A THOMAS J. STOFAC RECEIVED SEVERANCE PAYMENTS TOTALING $105,000. SEVERANCE WAS PAID IN 2 EQUAL INSTALLMENTS IN JULY 2010 AND OCTOBER 2010 SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: THE ORGANIZATION'S CEO IS COMPENSATED BY A RELATED ORGANIZATION. HIS PERFORMANCE IS EVALUATED ANNUALLY BY OTHER MANAGEMENT AS WELL AS THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MAKES COMPENSATION RECOMMENDATIONS THAT ARE APPROVED BY THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO APPROVE OR RATIFY THE DECISIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY OUR OUTSIDE AUDITING FIRM AND SUBMITTED TO THE ACCOUNTING MANAGER AND CFO FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS AND MANAGEMENT STAFF ANNUALLY REVIEW AND ACKNOWLEDGE THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY SITUATIONS OF POTENTIAL CONFLICT OF INTEREST. AT NEW-HIRE ORIENTATION, ALL PERSONNEL ACKNOWLEDGE THAT THEY UNDERSTAND THE CONFLICT OF INTEREST POLICY. THE COMPLIANCE OFFICER MONITORS FOR POTENTIAL CONFLICTS OF INTEREST AND AT LEAST ANNUALLY UPDATES ALL DISCLOSURES. RESTRICTIONS IMPOSED, SUCH AS PARTICIPATION RIGHTS, ARE BASED ON THE TYPE OF CONFLICT THAT EXISTS. FORM 990, PART VI, SECTION B, LINE 15 A RELATED ORGANIZATION PREPARES AN ANNUAL PERFORMANCE EVALUATION FOR EACH MANAGEMENT OFFICIAL. THE TOP MANAGEMENT OFFICIAL IS EVALUATED BY THE REST OF MANAGEMENT AS WELL AS THE BOARD OF DIRECTORS THROUGH ITS EXECUTIVE COMMITTEE. THE FULL BOARD APPROVES THE RECOMMENDATIONS OF THE EXECUTIVE COMMITTEE. THE TOP MANAGEMENT OFFICIAL EVALUATES REMAINING MANAGEMENT. SALARY SURVEYS ARE REFERENCED AS APPROPRIATE TO ESTABLISH COMPENSATION, WITH CONSIDERATION OF THE SIZE, GEOGRAPHIC REACH, COMPLEXITY, AND BREADTH OF SERVICES OF THE ORGANIZATION. THE LAST REVIEW WAS COMPLETED IN 2011. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO INTERESTED INDIVIDUALS AND CORPORATIONS UPON WRITTEN REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: SURPLUS CASH DISTRIBUTED TO LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC. -372,391. TOTAL TO FORM 990, PART XI, LINE 5: -372,391. FORM 990, PART XI, LINE 2C: THE FINANCE COMMITTEE OF LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, THE PARENT ORGANIZATION, OVERSEES THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. FORM 990, PART VII: THE OFFICERS LISTED PRIMARILY SPEND TIME WITH THE PARENT ORGANIZATION, LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS IS 40. LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO INC 500 W WILSON BRIDGE ROAD STE 245 WORTHINGTON OH 43085 314412586 HOUSING OH 501(C)(3) LINE 1 N/A 0 LUTHERAN SENIOR CITY INC 935 N CASSADY AVENUE COLUMBUS OH 43219 310678736 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 GOOD SHEPHERD HOME FOR THE AGED INC 622 CENTER STREET ASHLAND OH 44805 340835584 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 GOOD SHEPHERD FOUNDATION 500 W WILSON BRIDGE ROAD STE 245 WORTHINGTON OH 43085 341590049 INVESTMENTS OH 501(C)(3) LINE 11A, I LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 ASHLAND ASSISTED LIVING INC 330 DAVIS ROAD ASHLAND OH 44805 341908342 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 CENTERBURG HOUSING INC 164 W HOUCK STREET CENTERBURG OH 43011 311579303 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 DELAWARE HOUSING INC 2178 BRUCE ROAD DELAWARE OH 43105 311399590 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 FAITH MISSION INC 315 E LONG STREET COLUMBUS OH 43215 310809759 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 GROVE CITY HOUSING INC 4301 STONER DRIVE GROVE CITY OH 43123 311367737 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 GROVEPORT HOUSING INC 283 GREEN AVENUE GROVEPORT OH 43125 311450961 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 GROVEWOOD II HOUSING INC 4301 STONER DRIVE GROVE CITY OH 43123 311488730 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 HAMILTON HOUSING INC 3565 CLIME ROAD COLUMBUS OH 43228 311367736 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 LANCASTER HOUSING INC 963 PRESTIGE BLVD LANCASTER OH 43130 311320304 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 LANSING HOUSING INC 54385 NATIONAL ROAD BRIDGEPORT OH 43912 311320303 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 LITTLE BROOK HOUSING INC 5911 LITTLE BROOK WAY COLUMBUS OH 43232 311488733 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 LUTHERAN HOUSING SERVICES OF HOWLAND 3880 NORTH RIVER ROAD WARREN OH 44484 300263695 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 LUTHERAN SOCIAL SERVICES OF MAHONING VALLEY 500 W WILSON BRIDGE ROAD STE 245 WORTHINGTON OH 43085 421566593 TERMINATED OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 MANSFIELD HOUSING II INC 1680 EXECUTIVE COURT MANSFIELD OH 44907 203208737 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 MANSFIELD HOUSING INC 1665 EXECUTIVE COURT MANSFIELD OH 44907 311642747 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 MARION PLACE I HOUSING INC 1401 WELLNESS ROAD MARION OH 43302 300151342 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 MARION PLACE II HOUSING INC 1401 WELLNESS ROAD MARION OH 43302 300151099 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 NORTH COMMUNITY HOUSING 120 MORSE ROAD COLUMBUS OH 43214 300245617 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 PLEASANT VIEW HOUSING INC 1690 CHARTWELL STREET LANCASTER OH 43130 311717116 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 SULLIVANT HOUSING INC 383 INAH AVENUE COLUMBUS OH 43228 300060654 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 TUBMAN TOWERS 17 JOHNSON AVENUE SPRINGFIELD OH 45506 200282722 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 VILLAGE HOUSING INC 1489 OCTOBER RIDGE COURT COLUMBUS OH 43223 311488740 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 MARION PLACE III HOUSING INC 1401 WELLNESS ROAD MARION OH 43302 274533938 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 THE GOOD SHEPHERD VILLA INC 622 CENTER STREET ASHLAND OH 44805 272836988 HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO L 168227 FEE CHARGED PER UNIT PER MONTH LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO O 845653 ALLOCATION OF COSTS LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO Q 372391 ACTUAL TRANSFER-SURPLUS CASH