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GOOD SHEPHERD HOME FOR THE AGED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD HOME FOR THE AGED (EIN 34-0835584)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201241369349304729
Schema version
2010v3.4
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)
Timestamp2012-05-15T12:44:36-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340835584EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE GOOD SHEPHERD HOME FOR THE AGED INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGOODNameControl
Phone6142285200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 W WILSON BRIDGE RD NO 245AddressLine1
CityWORTHINGTONCity
StateOHState
ZIP Code43085ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePHILIP HELSERName
TitleCFOTitle
Phone6142285200Phone
Date Signed2012-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLARRY CROWELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 W WILSON BRIDGE RD NO 245AddressLine1
CityWORTHINGTONCity
StateOHState
ZIP Code43085ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9055484GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteLSSCO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees166TotalNbrEmployees
Total Nbr Volunteers1548TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year361115ContributionsGrantsPriorYear
Contributions Grants Current Year175000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9107434ProgramServiceRevenuePriorYear
Program Service Revenue CY8852831ProgramServiceRevenueCY
Investment Income Prior Year426InvestmentIncomePriorYear
Investment Income Current Year163InvestmentIncomeCurrentYear
Other Revenue Prior Year97344OtherRevenuePriorYear
Other Revenue Current Year27490OtherRevenueCurrentYear
Total Revenue Prior Year9566319TotalRevenuePriorYear
Total Revenue Current Year9055484TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5205371SalariesEtcPriorYear
Salaries Etc Current Year4667141SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4460614OtherExpensePriorYear
Other Expenses Current Year3966047OtherExpensesCurrentYear
Total Expenses Prior Year9665985TotalExpensesPriorYear
Total Expenses Current Year8633188TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-99666RevenuesLessExpensesPriorYear
Revenues Less Expenses CY422296RevenuesLessExpensesCY
Total Assets BOY9284998TotalAssetsBOY
Total Assets EOY8084933TotalAssetsEOY
Total Liabilities BOY5849712TotalLiabilitiesBOY
Total Liabilities EOY3778025TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3435286NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4306908NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8042813Expense
Grants0Grants
Revenue8880321Revenue
DescriptionTHE PURPOSE OF THE ORGANIZATION IS TO PROVIDE HEALTHCARE TO THE ELDERLY OF THE COMMUNITY.Description
Total Program Service Expense8042813TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees166NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PHILIP HELSERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6142285200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 W WILSON BRIDGE RD STE 245AddressLine1
CityWORTHINGTONCity
StateOHState
ZIP Code43085ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT R SLAVEN
CHAIR1.00XX000
DAN BAILEY
SECRETARY/TREASURER1.00XX000
KIMBERLY K ZAVISLAK
FINANCE COMMITTEE CHAIR1.00XX000
REV DR JAMES E WILSON
PLANNING COMMITTEE CHAIR1.00XX000
BECKY SUTHERLAND CORNETT
MEMBER1.00X000
REV DR KEVIN DUDLEY
MEMBER1.00X000
LEONARD GENDERS
MEMBER1.00X000
DR JAMES L GINTER
MEMBER1.00X000
TIMOTHY G GLASSER
MEMBER1.00X000
NELS HENDRICKSON
INTERIM PRESIDENT/CEO (JUL-FEB)1.00XX0576920
THEODORE J HILL
MEMBER1.00X000
REV AARON LAYNE
MEMBER1.00X000
OSCAR MGAYA
MEMBER1.00X000
GARY L PRACHAR
MEMBER1.00X000
DOUG TIETZ
MEMBER1.00X000
ANN WURSTER
MEMBER1.00X000
THOMAS J STOFAC
PRESIDENT/CEO (JUL)1.00X02252324372
PHILIP HELSER
CFO1.00X010398914486
LARRY CROWELL
PRESIDENT/CEO (MAR-JUN)1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs386913TotalReportableCompFrmRltdOrgs
Total Other Compensation18858TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ENDURACARE TMI INC
PO BOX 53064PHOENIXAZ85072THERAPY SERVICES1072636
SKILLED CARE PHARMACY
PO BOX 65HAMILTONOH45012MEDICAL SUPPLIES292617
SYSCO FOOD SERVICES
PO BOX 94570CLEVELANDOH44101FOOD/BEVERAGE SERVICES220429
PHARMED CORPORATION
24340 SHERRY DRIVEWESTLAKEOH44145MEDICAL SUPPLIES131722
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations175000RelatedOrganizations
Total Contributions175000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column8852831TotalRevenueColumn
Related Or Exempt Function Income8852831RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8852831TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column163TotalRevenueColumn
Exclusion$163ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
WELLNESS PROGRAM90009972487248
BEAUTY BARBER INCOME90009935083508

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16734TotalRevenueColumn
Related Or Exempt Function Income16734RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue27490TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9055484TotalRevenueColumn
Related Or Exempt Function Income8880321RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$163ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3683566Total
Program Services3326961ProgramServices
Management And General356605ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22315Total
Management And General22315ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total688669Total
Program Services658788ProgramServices
Management And General29881ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total272591Total
Program Services238800ProgramServices
Management And General33791ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3627Total
Program Services2031ProgramServices
Management And General1596ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2850Total
Program Services1589ProgramServices
Management And General1261ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1207578Total
Program Services1191287ProgramServices
Management And General16291ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total34880Total
Program Services34880ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1093489Total
Program Services1051761ProgramServices
Management And General41728ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2463Total
Program Services2463ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total263870Total
Program Services223093ProgramServices
Management And General40777ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4786Total
Program Services4516ProgramServices
Management And General270ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11497Total
Program Services10388ProgramServices
Management And General1109ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total194746Total
Program Services187346ProgramServices
Management And General7400ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total364166Total
Program Services326815ProgramServices
Management And General37351ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total103069Total
Program Services103069ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FRANCHISE TAXES569400569400
BAD DEBT EXPENSE7200072000
TRAINING & STAFF AWARDS2346723467
DUES AND SUBSCRIPTIONS1209512095
EMPLOYEE RECRUITMENT20642064

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8633188Total
Program Services8042813ProgramServices
Management And General590375ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY999BOY
EOY83865EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY144243BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3759183BOY
EOY4069460EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY22883BOY
EOY28897EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22449BOY
EOY5123EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10447276LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7217290LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4115592BOY
EOY3229986EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY145964EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1219649BOY
EOY521638EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9284998BOY
EOY8084933EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY871477BOY
EOY643266EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3190000BOY
EOY3095000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1746090BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY42145BOY
EOY39759EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5849712BOY
EOY3778025EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3433786BOY
EOY4306908EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1500BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3435286BOY
EOY4306908EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9284998BOY
EOY8084933EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses422296ReconcilationRevenueExpenses
Reconcilation Other Changes449326ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years344129CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year361115CurrentTaxYearMinus1Year
Current Tax Year175000CurrentTaxYear
Total880244Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8740213CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9070934CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9319766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9204778CurrentTaxYearMinus1Year
Current Tax Year8880321CurrentTaxYear
Total45216012Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8740213CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9415063CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9319766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9565893CurrentTaxYearMinus1Year
Current Tax Year9055321CurrentTaxYear
Total46096256Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50946096256PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24262CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4168CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year426CurrentTaxYearMinus1Year
Current Tax Year163CurrentTaxYear
Total74990Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24262CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4168CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year426CurrentTaxYearMinus1Year
Current Tax Year163CurrentTaxYear
Total74990Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8786184CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9439325CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9323934CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9566319CurrentTaxYearMinus1Year
Current Tax Year9055484CurrentTaxYear
Total46171246Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99840PublicSupportPercentage509
Investment Income Percentage0.00160InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis54902OtherCostOrOtherBasis
Book Value54902BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9047040OtherCostOrOtherBasis
Depreciation6275346Depreciation
Book Value2771694BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis137320OtherCostOrOtherBasis
Depreciation83039Depreciation
Book Value54281BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1208014OtherCostOrOtherBasis
Depreciation858905Depreciation
Book Value349109BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3229986TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
ESCROW AND OTHER DEPOSITS1000
RESIDENT FUNDS29632
BOND FUND (PRINCIPAL AND INTEREST)50048
REPLACEMENT RESERVE150000
DEBT SERVICE RESERVE290958
FieldValueIRS element (for citing)
Total Book Value Other Assets521638TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITY DEPOSITS LIABILITYDescription
Amount$39,759Amount
FieldValueIRS element (for citing)
Total Of Amounts39759TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationACCOUNTING 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTHOMAS J STOFACNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs120232CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs105000OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs1984DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs2388NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs229604TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4ATHOMAS J. STOFAC RECEIVED SEVERANCE PAYMENTS TOTALING $105,000. SEVERANCE WAS PAID IN 2 EQUAL INSTALLMENTS IN JULY 2010 AND OCTOBER 2010.
PART IIIPART 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.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 11FORM 990 IS PREPARED BY OUR OUTSIDE AUDITING FIRM AND SUBMITTED TO THE ACCOUNTING MANAGER AND CFO FOR REVIEW.
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 12C
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 B, LINE 15
FORM 1023 AND FORM 990 ARE AVAILABLE UPON WRITTEN REQUEST.FORM 990, PART VI, SECTION C, LINE 18
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO INTERESTED INDIVIDUALS AND CORPORATIONS UPON WRITTEN REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:BEGINNING NET ASSETS OF GOOD SHEPHERD VILLA (FORMERLY DISREGARDED ENTITY) 449,326. TOTAL TO FORM 990, PART XI, LINE 5: 449,326.FORM 990, PART XI, LINE 5:
THE FINANCE COMMITTEE OF LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, THE PARENT ORGANIZATION, OVERSEES THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRMFORM 990, PART XI, LINE 2C:
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
500 W WILSON BRIDGE ROAD STE 245WORTHINGTONOH43085314412586HOUSINGOH501(C)(3)LINE 1N/A0
LUTHERAN SENIOR CITY INC
935 NORTH CASSADY AVENUECOLUMBUSOH43219310678736HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GOOD SHEPHERD FOUNDATION
500 W WILSON BRIDGE ROAD STE 245WORTHINGTONOH43085341590049INVESTMENTSOH501(C)(3)LINE 11A, I1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
ASHLAND ASSISTED LIVING INC
330 DAVIS ROADASHLANDOH44805341908342HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
KENSINGTON PLACE INC
1001 PARKVIEW BLVDCOLUMBUSOH43219311311288HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
FAITH MISSION INC
315 E LONG STREETCOLUMBUSOH43215310809759HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
CENTERBURG HOUSING INC
164 WEST HOUCK STREETCENTERBURGOH43011311579303HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
DELAWARE HOUSING INC
2178 BRUCE ROADDELAWAREOH43105311399590HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVE CITY HOUSING INC
4301 STONER DRIVEGROVE CITYOH43123311367737HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVEWOOD II HOUSING INC
4301 STONER DRIVEGROVE CITYOH43123311488730HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVEPORT HOUSING INC
283 GREEN AVENUEGROVEPORTOH43125311450961HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
HAMILTON HOUSING INC
3565 CLIME ROADCOLUMBUSOH43228311367736HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LANCASTER HOUSING INC
963 PRESTIGE BLVDLANCASTEROH43130311320304HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LANSING HOUSING INC
54385 NATIONAL ROADBRIDGEPORTOH43912311320303HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LITTLE BROOK HOUSING INC
5911 LITTLE BROOK WAYCOLUMBUSOH43232311488733HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MANSFIELD HOUSING INC
1665 EXECUTIVE COURTMANSFIELDOH44907311642747HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
PLEASANT VIEW HOUSING INC
1690 CHARTWELL STREETLANCASTEROH43130311717116HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MARION PLACE I HOUSING INC
1401 WELLNESS ROADMARIONOH43302300151342HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MARION PLACE II HOUSING INC
1401 WELLNESS ROADMARIONOH43302300151099HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
NORTH COMMUNITY HOUSING
120 MORSE ROADCOLUMBUSOH43214300245617HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MANSFIELD HOUSING II INC
1680 EXECUTIVE COURTMANSFIELDOH44907203208737HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
VILLAGE HOUSING INC
1489 OCTOBER RIDGE COURTCOLUMBUSOH43223311488740HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
SULLIVANT HOUSING INC
383 INAH AVENUECOLUMBUSOH43228300060654HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
TUBMAN TOWERS
17 JOHNSON AVENUESPRINGFIELDOH45506200282722HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LUTHERAN HOUSING SERVICES OF HOWLAND
3880 NORTH RIVER ROADWARRENOH44484300263695HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LUTHERAN SOCIAL SERVICES OF MAHONING VALLEY
500 W WILSON BRIDGE ROAD STE 245WARRENOH43085421566593TERMINATEDOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MARION PLACE III HOUSING INC
1401 WELLNESS ROADMARIONOH43302274533938HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
THE GOOD SHEPHERD VILLA INC
622 CENTER STREETASHLANDOH44805272836988HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
O218199ALLOCATION OF COSTS
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
L870564FEES CHARGED PER UNIT PER MONTH
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
N715404ALLOCATION OF COSTS
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
D248816LOAN AMOUNT FOR GOODS & SVCS
THE GOOD SHEPHERD FOUNDATION
C175000CASH TRANSFER