STRATEGY STUDIO / PUBLIC DATA EXPLORER

HAVEN PARK CHRISTIAN HOUSING AND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HAVEN PARK CHRISTIAN HOUSING AND (EIN 38-3026594)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349309472
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

FieldValueIRS element (for citing)
Timestamp2012-11-15T15:09:27-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383026594EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HAVEN PARK CHRISTIAN HOUSING ANDBusinessNameLine1
Business Name Line2NURSING ASSOCIATION OF ZEELANDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHAVENameControl
Phone7083428100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118601 NORTH CREEK DRIVEAddressLine1
CityTINLEY PARKCity
StateILState
ZIP Code60477ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM DEYOUNGName
TitleCFO - MGMT COTitle
Phone7083428100Phone
Date Signed2012-11-14DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2012-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts11533890GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHAVENPARK.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionCARE OF THE ELDERLY AND SICKActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees249TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year11993ContributionsGrantsPriorYear
Contributions Grants Current Year11901ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10292012ProgramServiceRevenuePriorYear
Program Service Revenue CY10755738ProgramServiceRevenueCY
Investment Income Prior Year111780InvestmentIncomePriorYear
Investment Income Current Year72478InvestmentIncomeCurrentYear
Other Revenue Prior Year743637OtherRevenuePriorYear
Other Revenue Current Year693773OtherRevenueCurrentYear
Total Revenue Prior Year11159422TotalRevenuePriorYear
Total Revenue Current Year11533890TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5946187SalariesEtcPriorYear
Salaries Etc Current Year5909256SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5728785OtherExpensePriorYear
Other Expenses Current Year5541061OtherExpensesCurrentYear
Total Expenses Prior Year11674972TotalExpensesPriorYear
Total Expenses Current Year11450317TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-515550RevenuesLessExpensesPriorYear
Revenues Less Expenses CY83573RevenuesLessExpensesCY
Total Assets BOY17978243TotalAssetsBOY
Total Assets EOY17736849TotalAssetsEOY
Total Liabilities BOY10616204TotalLiabilitiesBOY
Total Liabilities EOY10599056TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7362039NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7137793NetAssetsOrFundBalancesEOY
Mission DescriptionCARE OF THE ELDERLY AND SICKMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10696748Expense
DescriptionTO PROVIDE THE GENERAL PUBLIC LONG-TERM HEALTHCARE FACILITIES AND SERVICES FOR THE SICK, INJURED &/OR AGED. THE FACILITY HAS 153 LICENSED NURSING HOME BEDS, FOR A TOTAL OF 55,845 ANNUAL PATIENT DAYS. THE FACILITY ACTUAL PATIENT DAYS WERE 46,287 WHICH IS AN OCCUPANCY OF 83%.Description
Total Program Service Expense10696748TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included7NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees249NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE MGMTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7083428100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118601 NORTH CREEK DRIVEAddressLine1
CityTINLEY PARKCity
StateILState
ZIP Code60477ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

Average Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationTitleTitleOfficerOfficer
BING KEN
1.00X000
MANNES DON
1.00X000SECRETARY
SNOEK DEAN
1.00X000TREASURER
VAN KOEVERING PAUL
1.00X000
VACANT
0.00X000VICE PRES
VAN ZOEREN KEITH
1.00X000PRESIDENT
ELLENS GARY
1.00X000
DEBOER JAN
1.00X000
SCHUTT RICHARD
60.000452204119315CFOX
HOLWERDA DAN
60.00027264539334COOX
DEYOUNG WILLLIAM
026435049550CFOX
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs989199TotalReportableCompFrmRltdOrgs
Total Other Compensation208199TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PRIORITY HEALTH
3915 MOMEMTUM PLACECHICAGOIL60689HEALTH INS510163
PROVIDENCE MANAGEMENT & DEVELOPMENT
18601 NORTH CREEK DRTINLEY PARKIL60477MANAGEMENT446446
AGILITY HEALTH PROFESSIONALS
PO BOX 5805DETROITMI48279REHAB393976
GORDON FOOD SERVICE
520 79TH ST SEGRAND RAPIDSMI49508FOOD & SUPPLY359332
PROVIDENCE LIFE SERVICES
18601 NORTH CREEK DRTINLEY PARKIL60477MARKETING&EDUC274297
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
All Other Contributions11901AllOtherContributions
Total Contributions11901TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHEALTHCAREDescription
Total Revenue Column10755738TotalRevenueColumn
Related Or Exempt Function Income10755738RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10755738TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column36415TotalRevenueColumn
Exclusion$36,415ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities36063Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities36063Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column36063TotalRevenueColumn
Related Or Exempt Function Income36063RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionRENTAL INCOMEDescription
Total Revenue Column693773TotalRevenueColumn
Related Or Exempt Function Income693773RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue693773TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11533890TotalRevenueColumn
Related Or Exempt Function Income11485574RelatedOrExemptFunctionIncome
Exclusion$36,415ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4852820Total
Program Services4852820ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35738Total
Program Services35738ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total661039Total
Program Services661039ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total359659Total
Program Services359659ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total753569Total
Management And General753569ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24691Total
Program Services24691ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5710Total
Program Services5710ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total63974Total
Program Services63974ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total106189Total
Program Services106189ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total32193Total
Program Services32193ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total168942Total
Program Services168942ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total514350Total
Program Services514350ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total577107Total
Program Services577107ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total133873Total
Program Services133873ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROVIDER TAXES982510982510
NURSING SUPPLIES773803773803
BAD DEBT EXPENSE410000410000
DIETARY372660372660

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total621490Total
Program Services621490ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11450317Total
Program Services10696748ProgramServices
Management And General753569ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY59939BOY
EOY338283EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1090269BOY
EOY1085220EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2386005BOY
EOY2266620EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11724BOY
EOY12628EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3173BOY
EOY4435EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19028468LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8299240LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11083841BOY
EOY10729228EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3226719BOY
EOY3196810EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY116573BOY
EOY103625EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17978243BOY
EOY17736849EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1979962BOY
EOY2186791EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5406626BOY
EOY5283622EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3229616BOY
EOY3128643EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10616204BOY
EOY10599056EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7357768BOY
EOY7133522EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4271BOY
EOY4271EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7362039BOY
EOY7137793EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17978243BOY
EOY17736849EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses83573ReconcilationRevenueExpenses
Reconcilation Other Changes-307819ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20522CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18964CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11993CurrentTaxYearMinus1Year
Current Tax Year11901CurrentTaxYear
Total83280Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11275108CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10903186CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10746468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11035649CurrentTaxYearMinus1Year
Current Tax Year11449511CurrentTaxYear
Total55409922Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11295630CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10923086CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10765432CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11047642CurrentTaxYearMinus1Year
Current Tax Year11461412CurrentTaxYear
Total55493202Total
FieldValueIRS element (for citing)
Public Support Total50955493202PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years221907CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91748CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45445CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39737CurrentTaxYearMinus1Year
Current Tax Year36415CurrentTaxYear
Total435252Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years221907CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91748CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45445CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39737CurrentTaxYearMinus1Year
Current Tax Year36415CurrentTaxYear
Total435252Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11517537CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11014834CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10810877CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11087379CurrentTaxYearMinus1Year
Current Tax Year11497827CurrentTaxYear
Total55928454Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99220PublicSupportPercentage509
Prior Year Support Percentage0.99160PriorYearSupportPercentage
Investment Income Percentage0.01000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis750814OtherCostOrOtherBasis
Book Value750814BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15695360OtherCostOrOtherBasis
Depreciation6103406Depreciation
Book Value9591954BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis269877OtherCostOrOtherBasis
Depreciation172828Depreciation
Book Value97049BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2312417OtherCostOrOtherBasis
Depreciation2023006Depreciation
Book Value289411BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10729228TotalOfBookValueLandBuildings

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SCHUTT RICHARD
3915875196086578237536940571519524077
HOLWERDA DAN
236930312504465980029534311979260935
DEYOUNG WILLLIAM
21927634438106361950630044313900315138

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN STATEGIC FUNDBusinessNameLine1
Business Name Line2SERIES 2004ABusinessNameLine2
FieldValueIRS element (for citing)
Issuer EIN521417332IssuerEIN
CUSIP Number59469YAF2CUSIPNumber
Date Issued2004-11-18DateIssued
Issue Price9585000IssuePrice
Description Of PurposePROCEEDS USED TO REFUND PRIOR ISSUE.DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6PROVIDE LIMITED ASSISTANCE TO RESIDENTS MAINLY IN RELATION TO RESIDENT ACTIVITIES.
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3RESPONSIBILITIES PAID THROUGH MANAGEMENT FEES TO PROVIDENCE MANAGEMENT AND DEVELOPMENT.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BA DRAFT OF THE 990 WAS PRPEARED AND AN INITIAL REVIEW WAS MADE BY THE CONTROLLER, CFO AND CEO. UPON REVIEW AND APPROVAL, A COMPLETED COPY OF THE 990 IS PROVIDED TO THE FULL BOARD AT THE SUBSEQUENT BOARD MEETING, AFTER FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS ANNUALLY REVIEW AND UPDATE THEIR CONFLICT OF INTEREST STATEMENTS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE LIFE SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118601 N CREEK DRIVEAddressLine1
CityTINLEY PARKCity
StateILState
ZIP Code60477ZIPCode
FieldValueIRS element (for citing)
EIN362382853EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE MANAGMENT & DEVELOPMENTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118601 N CREEK DRAddressLine1
CityTINLEY PARKCity
StateILState
ZIP Code60477ZIPCode
FieldValueIRS element (for citing)
EIN363774205EIN
Primary ActivityMGMT & ITPrimaryActivity
Legal Domicile StateILLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE MGMT & DEVELOPMENTBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved753569AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination