50 NORTH: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- 50 NORTH (EIN 23-7083593)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-07-06
- IRS object ID
- 201211889349300301
- Schema version
- 2011v1.2
- 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 | 2012-07-06T07:51:48-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMAS AND RIDGE CPAS INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 314 W HARDIN STREET | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237083593 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANCOCK COUNTY AGENCY ON AGING INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HANC | NameControl |
| Phone | 4194234980 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 339 E MELROSE AVE | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN URBANSKI | Name |
| Title | EXEC. DIRECTOR | Title |
| Phone | 4194234980 | Phone |
| Date Signed | 2012-06-22 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBIN L RIDGE CPA | Name |
| Phone | 4194241835 | Phone |
| Date Prepared | 2012-06-22 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1680605 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HANCOCKSENIORS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | TO ENHANCE AND SUPPORT THE QUALITY OF LIFE OF AND RESPECT FOR OLDER ADULTS BY PROMOTING INDEPENDENCE, PERSONAL GROWTH AND COMMUNITY CONNECTIONS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 25 | TotalNbrEmployees |
| Total Nbr Volunteers | 503 | TotalNbrVolunteers |
| Total Gross UBI | -42932 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -23076 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1853910 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1175279 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 324548 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 357403 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5484 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3938 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -50147 | OtherRevenuePriorYear |
| Other Revenue Current Year | -29675 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2133795 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1506945 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 321072 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 316382 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 623516 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 741660 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 105108 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 355085 | OtherExpensePriorYear |
| Other Expenses Current Year | 385967 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1299673 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1444009 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 834122 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 62936 | RevenuesLessExpensesCY |
| Total Assets BOY | 3397674 | TotalAssetsBOY |
| Total Assets EOY | 3487937 | TotalAssetsEOY |
| Total Liabilities BOY | 1156023 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1186526 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2241651 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2301411 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO ENHANCE AND SUPPORT THE QUALITY OF LIFE OF AND RESPECT FOR OLDER ADULTS BY PROMOTING INDEPENDENCE, PERSONAL GROWTH AND COMMUNITY CONNECTIONS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 161802 | Expense |
| Grants | 57400 | Grants |
| Revenue | 814 | Revenue |
| Description | THE OUTREACH PROGRAM PROVIDES PERSONAL CONTACT WITH HOMEBOUND OR ISOLATED ADULTS WHO HAVE NEEDS THAT MUST BE MET. VISITS ARE CONDUCTED BY LICENSED SOCIAL WORKERS. 1,408 UNITS OF SERVICE WERE PROVIDED THIS YEAR. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 90679 | Expense |
| Grants | 5308 | Grants |
| Revenue | 22995 | Revenue |
| Description | THE FITNESS/WELLNESS PROGRAM PROVIDES A VARIETY OF FITNESS EQUIPMENT FOR USE BY THE SENIORS AT A MINIUMN COST OR FREE TO SILVERSNEAKERS ELIGIBLE SENIORS. SILVERSNEAKERS ALSO PROVIDES THE BENEFIT OF CUSTOM-DESIGNED CLASSES TAUGHT BY CERTIFIED INSTRUCTORS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 259783 | Expense |
| Grants | 104564 | Grants |
| Revenue | 126472 | Revenue |
| Description | ACTIVITIES ARE PROVIDED FOR THE ENJOYMENT OF SENIOR CITIZENS AND INCLUDES BUT IS NOT LIMITED TO CONCERTS, CRAFT & COMPUTER CLASSES, DANCES, TRIPS, CARD CLUBS, BAZAARS, BILLIARDS AND BINGO. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 664436 | Expense |
| Grants | 149110 | Grants |
| Revenue | 220585 | Revenue |
| Description | THE CHORE SERVICES PROVIDES SIMPLE HOUSEHOLD REPAIRS AND HEAVY DUTY HOUSE CLEANING FOR ADULTS AGES 60 AND OLDER. SOME OF THE TASKS INCLUDE WINDOW WASHING, GROCERY DELIVERY AND SEASONAL MAINTENANCE. 6,037 UNITS OF SERVICE WERE PROVIDED THIS YEAR. TOTAL EXPENSES FOR THE YEAR WERE 252,033, INCLUDING GRANTS OF 46,221. PROGRAM SERVICE REVENUE WAS 67,763. THE MOBILE MEALS PROVIDES SHORT TERM MEAL DELIVERY FOR PERSONS RECOVERING FROM SURGERY OR ILLNESS. MEALS ARE DELIVERED BY VOLUNTEER DRIVERS AT THE NOON HOUR AND INCLUDE BOTH A HOT LUNCH AND BAG LUNCH FOR THE EVENING. SPECIAL DIETARY NEEDS CAN BE MET. A FEE IS CHARGED FOR THIS SERVICE AND A SLIDING FEE SCALE IS AVAILABLE. THE AGENCY ALSO RUNS A SENIOR CAFE AT THE SENIOR BUILDING AND LUNCH IS SERVED MONDAY - FRIDAY FOR A MINIMAL FEE. THESE TWO SERVICES ARE COMBINED FOR FINANCIAL REPORTING PURPOSES. 41,106 MEALS WERE PROVIDED DURING THE YEAR BETWEEN THESE TWO SERVICES AND TOTAL EXPENSES FOR THE YEAR WERE 358,565, INCLUDING GRANTS OF 102,889. PROGRAM SERVICE REVENUE WAS 150,650. IN 2009, THE GUARDIANSHIP PROGRAM AND THE VOLUNTEER EXPENSES WERE COMBINED INTO ONE EXPENSE CATEGORY ON THE BOOKS OF THE AGENCY ON AGING. THE GUARDIANSHIP PROGRAM PROVIDES A GUARDIAN FOR PERSONS WHO HAVE BEEN FOUND IMCOMPETENT BY THE PROBATE COURT. GUARDIANS CAN BE GUARDIANS OF THE ESTATE, THE PERSON OR BOTH. THEY ARE TRAINED TO SERVE SENIORS IN THE COMMUNITY WHO HAVE NO ONE ELSE AVAILABLE TO HELP THEM WITH BASIC LIFE DECISIONS INCLUDING, BUT NOT LIMITED TO, LIVING ARRANGEMENTS AND MEDICAL CARE. VOLUNTEER EXPENSES ARE EXPENSES THAT RELATE TO THE RECRUITING OR WORK OF VOLUNTEERS. THERE WERE 503 VOLUNTEERS DURING 2011 AND THE HOURS VOLUNTEERED TOTALED MORE THAN 23,474. VOLUNTEER HOURS INLUDED BUT WEREN'T LIMITED TO THE COUNTY TRUSTEE PROGRAM, HELPING WITH THE SENIOR CAFE, MANNING THE RECEPTIONIST DESK, DELIVERING MOBILE MEALS AND GROCERIES AND HELPING WITH DANCES. THIS EXPENSE CATEGORY ALSO INCLUDES THE EXPENSES OF VOLUNTEER PROJECTS THAT DO NOT FALL UNDER ANY OTHER CATEGORY AND EXPENSES SUCH AS SMALL GIFTS OR THE ANNUAL DINNER PARTY TO THANK THE VOLUNTEERS. TOTAL EXPENSES FOR BOTH THE GUARDIANSHIP PROGRAM AND VOLUNTEERS FOR THE YEAR WERE 53,838, INCLUDING GRANTS OF -0- AND PROGRAM SERVICE REVENUE OF 2,172. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 664436 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 149110 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 220585 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1176700 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | true | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 25 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TRACY DUNN | NamePerson |
| Telephone Number | 4194238496 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 339 E MELROSE AVE | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| SGT MIKE MARTIEN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DENNIS KUMMERER | ||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | X |
| RUTHELLEN ONDRUS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JIM BAKER | ||||||
| PAST PRESID | 2.00 | X | 0 | 0 | 0 | X |
| JAMES FLECHTNER | ||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X |
| ANN MOORE | ||||||
| PRESIDENT | 2.00 | X | 0 | 0 | 0 | X |
| DONNA RUSE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| STEVE WILSON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CLIFF BIDDINGER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BEVERLY RAREY | ||||||
| V. PRESIDENT | 2.00 | X | 0 | 0 | 0 | X |
| LYDIA MIHALIK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| REBECCA NOACK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BOB RUSTIC | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| PASTOR DAN HRACH | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SANDY KOZLEVCAR | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| TOM SEFFRIN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JOHN T URBANSKI | ||||||
| EXEC. DIREC. | 40.00 | 72531 | 0 | 5021 | X | |
| TRACY DUNN | ||||||
| FISCAL COORD | 40.00 | 36974 | 0 | 919 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 109505 | TotalReportableCompFromOrg |
| Total Other Compensation | 5940 | TotalOtherCompensation |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GORDON FOOD SERVICE | BusinessNameLine1 |
| Business Name Line2 | PAYMENT PROCESSING CENTER | BusinessNameLine2 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | DEPT CH 10490 | AddressLine1 |
| City | PALATINE | City |
| State | IL | State |
| ZIP Code | 600550490 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | FOOD/ SUPPLIES | DescriptionOfServices |
| Compensation | 110502 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 30549 | FundraisingEvents |
| Government Grants | 1024396 | GovernmentGrants |
| All Other Contributions | 120334 | AllOtherContributions |
| Noncash Contributions | 17723 | NoncashContributions |
| Total Contributions | 1175279 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|
| FOOD SERVICE | 150564 | 150564 | |
| ACTIVITIES | 114524 | 114524 | |
| CHORE AND OUTREACH | 64168 | 64168 | |
| FITNESS/WELLNESS | 22911 | 22911 | |
| BINGO CONCESSIONS | 3064 | $3,064 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2172 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2172 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 357403 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3938 | TotalRevenueColumn |
| Exclusion | $3,938 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 29379 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 72311 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -42932 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -42932 | TotalRevenueColumn |
| Unrelated Business Revenue | -42932 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 109943 | GrossIncomeGaming |
| Gaming Direct Expenses | 101349 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8594 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8594 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| INSURANCE LOSS REIMBURSEMENT | 4194 | 4194 |
| MISCELLANEOUS | 469 | 469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4663 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1506945 | TotalRevenueColumn |
| Related Or Exempt Function Income | 367596 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -42932 | UnrelatedBusinessRevenue |
| Exclusion | $7,002 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70981 | Total |
| Program Services | 70981 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245401 | Total |
| Program Services | 245401 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109505 | Total |
| Program Services | 86884 | ProgramServices |
| Management And General | 13316 | ManagementAndGeneral |
| Fundraising | 9305 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 531212 | Total |
| Program Services | 421476 | ProgramServices |
| Management And General | 64595 | ManagementAndGeneral |
| Fundraising | 45141 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57616 | Total |
| Program Services | 38253 | ProgramServices |
| Management And General | 13827 | ManagementAndGeneral |
| Fundraising | 5536 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43327 | Total |
| Program Services | 29501 | ProgramServices |
| Management And General | 10689 | ManagementAndGeneral |
| Fundraising | 3137 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7085 | Total |
| Program Services | 2401 | ProgramServices |
| Management And General | 4655 | ManagementAndGeneral |
| Fundraising | 29 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5324 | Total |
| Program Services | 1805 | ProgramServices |
| Management And General | 3498 | ManagementAndGeneral |
| Fundraising | 21 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7751 | Total |
| Program Services | 7319 | ProgramServices |
| Management And General | 243 | ManagementAndGeneral |
| Fundraising | 189 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28673 | Total |
| Program Services | 27154 | ProgramServices |
| Management And General | 1519 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31561 | Total |
| Program Services | 30271 | ProgramServices |
| Management And General | 1151 | ManagementAndGeneral |
| Fundraising | 139 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15291 | Total |
| Program Services | 4535 | ProgramServices |
| Management And General | 9559 | ManagementAndGeneral |
| Fundraising | 1197 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34717 | Total |
| Program Services | 33481 | ProgramServices |
| Management And General | 1236 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63295 | Total |
| Program Services | 59217 | ProgramServices |
| Management And General | 4078 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13920 | Total |
| Program Services | 11805 | ProgramServices |
| Management And General | 2115 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| RENTAL & MAINTENANCE | 46317 | 41996 | 4310 | 11 |
| SUPPLIES | 37106 | 31712 | 4996 | 398 |
| SPECIAL EVENTS | 26992 | 3228 | 70 | 23694 |
| BAD DEBT EXPENSE | 13512 | 2422 | 11090 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54423 | Total |
| Program Services | 26858 | ProgramServices |
| Management And General | 22344 | ManagementAndGeneral |
| Fundraising | 5221 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1444009 | Total |
| Program Services | 1176700 | ProgramServices |
| Management And General | 162201 | ManagementAndGeneral |
| Fundraising | 105108 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 783612 | BOY |
| EOY | 812448 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222563 | BOY |
| EOY | 240589 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 452778 | BOY |
| EOY | 306836 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35991 | BOY |
| EOY | 65260 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17466 | BOY |
| EOY | 20581 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2318055 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 276209 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1884887 | BOY |
| EOY | 2041846 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 377 | BOY |
| EOY | 377 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3397674 | BOY |
| EOY | 3487937 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61679 | BOY |
| EOY | 81961 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79325 | BOY |
| EOY | 79698 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8829 | BOY |
| EOY | 33840 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000000 | BOY |
| EOY | 980487 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6190 | BOY |
| EOY | 10540 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1156023 | BOY |
| EOY | 1186526 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2028705 | BOY |
| EOY | 2249005 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 212946 | BOY |
| EOY | 52406 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2241651 | BOY |
| EOY | 2301411 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3397674 | BOY |
| EOY | 3487937 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 62936 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3176 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
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 Minus4 Years | 95658 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 105397 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 272331 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 862650 | CurrentTaxYearMinus1Year |
| Current Tax Year | 194814 | CurrentTaxYear |
| Total | 1530850 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 640240 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 976237 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 965874 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 991260 | CurrentTaxYearMinus1Year |
| Current Tax Year | 980465 | CurrentTaxYear |
| Total | 4554076 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 735898 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1081634 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1238205 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1853910 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1175279 | CurrentTaxYear |
| Total | 6084926 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 77556 | AmountsSubstContributorsTotal |
| Public Support Total170 | 6007370 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29272 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27259 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13929 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6010 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3938 | CurrentTaxYear |
| Total | 80408 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1879 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 147 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2681 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2740 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2172 | CurrentTaxYear |
| Total | 9619 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 6174953 | TotalSupport |
| Gross Receipts From Admissions Etc | 468945 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.97290 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.94820 | PublicSupportPertcentPriorYear |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 65000 | OtherCostOrOtherBasis |
| Book Value | 65000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1910525 | OtherCostOrOtherBasis |
| Depreciation | 121880 | Depreciation |
| Book Value | 1788645 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 342530 | OtherCostOrOtherBasis |
| Depreciation | 154329 | Depreciation |
| Book Value | 188201 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2041846 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEPOSITS HELD | Description |
| Amount | $10,540 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10540 | TotalOfAmounts |
| Total Revenue | 1506945 | TotalRevenue |
| Total Expenses | 1444009 | TotalExpenses |
| Excess Or Deficit For Year | 62936 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -3176 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -3176 | TotalAdjustments |
| Excess Or Deficit Per FS | 59760 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1677429 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -3176 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -3176 | RevenueNotRptdF990 |
| Revenue Subtotal | 1680605 | RevenueSubtotal |
| Other Revenues Not Included | -173660 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -173660 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1506945 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1617669 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 1617669 | ExpensesSubtotal |
| Other Expenses Not Included | -173660 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -173660 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1444009 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | BINGO EXPENSES 101,348 RENTAL EXPENSES 72,312 BINGO EXPENSES -101,348 RENTAL EXPENSES -72,312 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | BINGO EXPENSES -101,348 RENTAL EXPENSES -72,312 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 4B | BINGO EXPENSES -101,348 RENTAL EXPENSES -72,312 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 990PTVIII1C | NameOfEvent1 |
| Gross Receipts Event1 | 30549 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 30549 | CharitableContributionsEvent1 |
| Gross Receipts Total | 30549 | GrossReceiptsTotal |
| Charitable Contributions Total | 30549 | CharitableContributionsTotal |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Bingo | 60053 | GrossRevenueBingo |
| Cash Prizes Bingo | 54080 | CashPrizesBingo |
| Other Direct Expenses Bingo | 10207 | OtherDirectExpensesBingo |
| Volunteer Labor Bingo | true | VolunteerLaborBingo |
| Volunteer Labor Percentage Bingo | 1.00000 | VolunteerLaborPercentageBingo |
| Gross Revenue Pull Tabs | 49890 | GrossRevenuePullTabs |
| Cash Prizes Pull Tabs | 37062 | CashPrizesPullTabs |
| Volunteer Labor Pull Tabs | true | VolunteerLaborPullTabs |
| Volunteer Labor Prcntage Pull Tabs | 1.00000 | VolunteerLaborPrcntagePullTabs |
| Volunteer Labor Other Gaming | false | VolunteerLaborOtherGaming |
| Gross Revenue Total Gaming | 109943 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 91142 | CashPrizesTotalGaming |
| Other Direct Expenses Total Gaming | 10207 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 101349 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 8594 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | OH | StatesWhereGamingConducted |
| Licensed | true | Licensed |
| License Suspended Etc | false | LicenseSuspendedEtc |
| Gaming With Nonmembers | true | GamingWithNonmembers |
| Member Of Other Entity | false | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 1.00000 | PercentageOfGamingOwnFacility |
| Name Of Gaming Rec Keeper Person | TRACY DUNN | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 339 E MELROSE AVE | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | false | ContractWith3rdPartyForGamRev |
| Gaming Manager Name Person | JOHN URBANSKI | GamingManagerNamePerson |
| Gaming Manager Services Provided | RECORDKEEPING,SUPERVISE VOLUNTEERS,MONEY | GamingManagerServicesProvided |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | false | CharitableDistribRequired |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| HHWP COMMUNITY ACTION COMMISSION | |||||||
| 122 JEFFERSON STREET | FINDLAY | OH | 45839 | 340979444 | 3 | 32497 | TRANSPORTATION SVCS |
| CENTURY HEALTH INC | |||||||
| 1918 N MAIN STREET | FINDLAY | OH | 45840 | 341207678 | 3 | 20063 | MENTAL HEALTH SVCS |
| PSA 3 AGENCY ON AGING | |||||||
| 892-A SOUTH CABLE ROAD | LIMA | OH | 45805 | 341160526 | 3 | 15000 | EMERGENCY HOME REPAI |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 5 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)
| Type Of GrantTypeOfGrant | Amount Of Cash GrantAmountOfCashGrant |
|---|---|
| OUTREACH | 949 |
| ACTIVITIES | 90834 |
| FOOD SERVICE | 102889 |
| CHORE | 45421 |
| FITNESS/WELLNESS | 5308 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | HHWP - MONTHLY INVOICES ARE SENT THAT PROVIDE DETAILS OF SERVICES PROVIDED AND DOLLARS USED. CENTURY HEALTH - QUARTERLY INVOICES ARE SENT THAT PROVIDE DETAILS OF THE SERVICES PROVIDED AND DOLLARS USED. PSA3 - REPORTS ARE SENT MONTHLY THAT NOTE THE SERVICES PROVIDED AND NUMBER OF UNITS USED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS | FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS ARE USED TO STAFF BINGO, DANCES, THE RECEPTIONIST DESK, AND THE SENIOR CAFE. THEY ARE ALSO USED TO HELP DELIVER MOBILE MEALS AND GROCERIES. THE BOARD OF TRUSTEES AND COMMITTEES ALONG WITH THE COUNTY TRUSTEE PROGRAM IS ALL VOLUNTEER. THESE ARE THE AREAS WHERE VOLUNTEERS HAVE VESTED THE MOST TIME BUT THERE ARE SEVERAL OTHER AREAS SUCH AS TEACHING CLASSES, LEADING GROUPS, AND HELPING IN THE MANY OUTREACH AREAS THAT COULDN'T HAPPEN WITHOUT THE HELP OF VOLUNTEERS. |
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | THE CHORE SERVICES PROVIDES SIMPLE HOUSEHOLD REPAIRS AND HEAVY DUTY HOUSE CLEANING FOR ADULTS AGES 60 AND OLDER. SOME OF THE TASKS INCLUDE WINDOW WASHING, GROCERY DELIVERY AND SEASONAL MAINTENANCE. 6,037 UNITS OF SERVICE WERE PROVIDED THIS YEAR. TOTAL EXPENSES FOR THE YEAR WERE 252,033, INCLUDING GRANTS OF 46,221. PROGRAM SERVICE REVENUE WAS 67,763. THE MOBILE MEALS PROVIDES SHORT TERM MEAL DELIVERY FOR PERSONS RECOVERING FROM SURGERY OR ILLNESS. MEALS ARE DELIVERED BY VOLUNTEER DRIVERS AT THE NOON HOUR AND INCLUDE BOTH A HOT LUNCH AND BAG LUNCH FOR THE EVENING. SPECIAL DIETARY NEEDS CAN BE MET. A FEE IS CHARGED FOR THIS SERVICE AND A SLIDING FEE SCALE IS AVAILABLE. THE AGENCY ALSO RUNS A SENIOR CAFE AT THE SENIOR BUILDING AND LUNCH IS SERVED MONDAY - FRIDAY FOR A MINIMAL FEE. THESE TWO SERVICES ARE COMBINED FOR FINANCIAL REPORTING PURPOSES. 41,106 MEALS WERE PROVIDED DURING THE YEAR BETWEEN THESE TWO SERVICES AND TOTAL EXPENSES FOR THE YEAR WERE 358,565, INCLUDING GRANTS OF 102,889. PROGRAM SERVICE REVENUE WAS 150,650. IN 2009, THE GUARDIANSHIP PROGRAM AND THE VOLUNTEER EXPENSES WERE COMBINED INTO ONE EXPENSE CATEGORY ON THE BOOKS OF THE AGENCY ON AGING. THE GUARDIANSHIP PROGRAM PROVIDES A GUARDIAN FOR PERSONS WHO HAVE BEEN FOUND IMCOMPETENT BY THE PROBATE COURT. GUARDIANS CAN BE GUARDIANS OF THE ESTATE, THE PERSON OR BOTH. THEY ARE TRAINED TO SERVE SENIORS IN THE COMMUNITY WHO HAVE NO ONE ELSE AVAILABLE TO HELP THEM WITH BASIC LIFE DECISIONS INCLUDING, BUT NOT LIMITED TO, LIVING ARRANGEMENTS AND MEDICAL CARE. VOLUNTEER EXPENSES ARE EXPENSES THAT RELATE TO THE RECRUITING OR WORK OF VOLUNTEERS. THERE WERE 503 VOLUNTEERS DURING 2011 AND THE HOURS VOLUNTEERED TOTALED MORE THAN 23,474. VOLUNTEER HOURS INLUDED BUT WEREN'T LIMITED TO THE COUNTY TRUSTEE PROGRAM, HELPING WITH THE SENIOR CAFE, MANNING THE RECEPTIONIST DESK, DELIVERING MOBILE MEALS AND GROCERIES AND HELPING WITH DANCES. THIS EXPENSE CATEGORY ALSO INCLUDES THE EXPENSES OF VOLUNTEER PROJECTS THAT DO NOT FALL UNDER ANY OTHER CATEGORY AND EXPENSES SUCH AS SMALL GIFTS OR THE ANNUAL DINNER PARTY TO THANK THE VOLUNTEERS. TOTAL EXPENSES FOR BOTH THE GUARDIANSHIP PROGRAM AND VOLUNTEERS FOR THE YEAR WERE 53,838, INCLUDING GRANTS OF -0- AND PROGRAM SERVICE REVENUE OF 2,172. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | AN ELECTRONIC COPY OF THE RETURN WAS PROVIDED TO THE FINANCE COMMITTEE AFTER THE FILING OF THE 990 WITH THE IRS. THIS COMMITTEE REVIEWS THE FORM AND GIVES APPROVAL TO THE BOARD OF TRUSTEES THAT IT HAS BEEN REVIEWED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | EMPLOYEES, STAFF AND BOARD MEMBERS ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. IF ANY CONFLICTS ARE NOTED, THOSE INDIVIDUALS DO NOT PARTICIPATE IN ANY DISCUSSION AND/OR VOTING OF ITEMS INVOLVING IDENTIFIED CONFLICT. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC. |