2012-06-28T15:14:58-05:00 2011-12-31 363990892 Capin Crouse LLP 972 Emerson Parkway STE A Greenwood IN 46143 990 2011-01-01 201344722 Shepherds Foundation Inc SHEP 2628785620 1805 Fifteenth Avenue Union Grove WI 53182 Dr William Amstutz 2628785620 2012-06-28 1 David C Moja P00747006 3178852620 2011 2016-02-24 21:20:13Z Dr William Amstutz 1805 Fifteenth Avenue Union Grove WI 53182 4359662 0 X www.shepherdsministries.org X 2004 WI Supporting organization for Shepherds Baptist Ministries 10 9 10 1019 0 0 7143053 4348406 0 0 35466 11256 0 0 7178519 4359662 6163849 5180851 0 0 751943 849437 3350 0 559029 762955 426103 7682097 6456391 -503578 -2096729 5397295 3239427 760701 788449 4636594 2450978 Supporting organization to Shepherds Baptist Ministries, Inc. 0 0 5180851 5180851 To support the ministry of Shepherds Baptist Ministries. 5180851 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 1 0 0 0 0 1 0 0 0 0 1 0 0 10 1 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 1 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 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 X X 0 0 0 Dr William Amstutz 1.00 X X 0 49309 54261 John Matthiesen 1.00 X X 0 0 0 Dr David Gower 1.00 X X 0 0 0 Rev Wm K Bernhard Jr 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 X 0 0 0 Rev Sam Polson 1.00 X 0 0 0 Rev Tom Price 1.00 X 0 0 0 Dan DiDonato 40.00 X 95682 0 4495 Michael Lowstetter 1.00 X 0 75680 5410 95682 124989 64166 0 0 0 0 0 4348406 106110 4348406 11256 11256 4359662 0 0 11256 5180851 5180851 100177 40071 60106 507669 304601 203068 15655 9393 6262 202905 121743 81162 23031 12355 10676 13807 13807 69728 69728 14793 14793 146887 58755 88132 32011 32011 94830 94830 3959 3959 Bad debt expense 50018 50018 Other operations 70 70 6456391 5180851 716511 559029 536253 218561 4861042 3020866 5397295 3239427 760701 788449 760701 788449 X -1469057 -2287093 4938618 3633547 1167033 1104524 4636594 2450978 5397295 3239427 X -2096729 -88887 X X 0 1 1 X 0 X X X 0 0 0 Shepherds Baptist Ministries 390988997 7 1 1 1 5180151 1 5180151 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 387374 1170 388544 347030 40344 387374 282638 67289 2897 347030 350000 -64423 2939 282638 0.64300 0.35700 0 0 0 Assets held under split interest agreements 1683853 Assets restricted for property acquisition 93945 Beneficial interest in third party trust 854524 Assets restricted for endowment 388544 3020866 Annuity obligations 559861 Discount for future interest in pooled income fund 228588 788449 Description of Intended Use of Endowment Funds: Part V, Line 4: Endowment funds will be used according to donor imposed restrictions. Description of Uncertain Tax Positions Under FIN 48: Part X: 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, 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) 5180851 0 N/A N/A Ministry support 1 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. X 2 106110 Stock market price 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): The number of contributors represents the number of donors. 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 employee. The organization has chosen to report the diversion on the 2011 return to be consistent with the disclosure in the organizations 2011 audited financial statements. At the time of filing this return the investigation process is not complete and all of the facts regarding the diversion are not known. The organization has retained legal counsel and outside accountants to look into the matter and is reviewing its oversight procedures. The organization plans to pursue ameliorative actions, including seeking restitution, identifying appropriate legal actions and updating policies and procedures. 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 of interest on an annual basis. Form 990, Part VI, Section B, line 15 The President's compensation is reviewed and approved on an annual basis by the independent Board Executive Committee. They use comparable data for similar organizations in their review and document their decision in the Executive Committee minutes. Officer compensation other than the President is reviewed and approved on an annual basis by the independent Board Chair and Finance Committee Chair. They use comparable data for similar organizations in their review and document their decision in a memo to the Finance Dept. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -8,059. Change in value- net -80,828. Total to Form 990, Part XI, Line 5: -88,887. 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 mentally disabled adults WI 501(c)(3) Line 7 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0