2011-09-27T15:17:33-05:00 2010-12-31 GILMORE JASION & MAHLER LTD 1715 INDIAN WOOD CIRCLE STE 100 MAUMEE OH 43537 990 2010-01-01 450577994 FULFILLING HOUSING INC FULF 4195926451 N-160 SR 108 NAPOLEON OH 43545 PAUL OEHRTMAN 4195926451 2011-09-27 1 HEIDI FERGUSON 4197942000 2011-09-27 2010 2016-03-07 17:11:31Z X PAUL OEHRTMAN N-160 SR 108 NAPOLEON OH 43545 1038628 0 X WWW.FILLINGHOME.ORG X 2007 OH SEE SCHEDULE O.RECOGNIZING THAT WE ARE ALL CREATED IN GOD'S IMAGE, OUR MISSION IS TO SUPPORT PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN REACHING THEIR GREATEST LEVEL OF INDEPENDENCE IN A CARING COMMUNITY OF RESPECT, DIGNITY AND PARTNERSHIP. 8 7 0 7 0 0 351349 1038033 0 595 0 351349 1038628 0 0 0 0 0 3401 24480 3401 24480 347948 1014148 531754 1525594 183806 163498 347948 1362096 RECOGNIZING THAT WE ARE ALL CREATED IN GOD'S IMAGE, OUR MISSION IS TO SUPPORT PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN REACHING THEIR GREATEST LEVEL OF INDEPENDENCE IN A CARING COMMUNITY OF RESPECT, DIGNITY AND PARTNERSHIP. 0 0 14336 0 IT IS THE PURPOSE OF THE FULFILLING HOUSING CORPORATION TO PROVIDE APPROPRIATE, SAFE AND AFFORDABLE HOUSING OPTIONS FOR PEOPLE WITH MENTAL AND PHYSICAL DISABILITIES THROUGH THE APPLICATION, COMPLETION AND MANAGEMENT OF GRANTS THROUGH THE FEDERAL HOUSING AND URBAN DEVELOPMENT (HUD) PROGRAM. THE NUMBER OF PERSONS IN NEED OF SUCH ASSISTANCE CONTINUES TO GROW, BUT THE AVAILABILITY OF ADEQUATE HOUSING OPTIONS IS NOT KEEPING PACE. THROUGH THE EFFORTS OF FULFILLING HOUSING, MORE PERSONS WILL BE PROVIDED WITH FULLY ACCESSIBLE AND AFFORDABLE HOUSING THAT WILL PROVIDE FOR EACH PERSON'S HEALTH, SAFETY AND WELL-BEING. 14336 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 0 0 OH X PAUL OEHRTMAN 4195926451 N-160 STATE HIGHWAY 108 NAPOLEON OH 43545 X PAUL E OEHRTMAN 1.00 X X 2264 110933 4773 DWIGHT HUDDLE 1.00 X X 0 0 0 NANCY HELMKE 1.00 X X 0 0 0 LORI BEAKAS 1.00 X X 0 0 0 CHRIS PALMER 1.00 X 0 0 0 JANET MEYER 1.00 X 0 0 0 CHRIS PEPER 1.00 X 0 0 0 ANN SCHROEDER 1.00 X 0 0 0 2264 110933 4773 0 0 0 0 THE DOTSON COMPANY 6848 PROVIDENCE STREET WHITEHOUSE OH 43571 GENERAL CONTRACTOR 1033444 1 43477 994556 1038033 595 595 1038628 0 0 595 243 243 249 249 3031 3031 4656 662 3994 13674 13674 MISC ADMIN EXPENSE 1568 1568 MISC TAX, LICENSE, PERM 1059 1059 24480 14336 10144 0 18135 53302 8373 249457 7150 1394 1454375 264162 1454375 0 1000 531754 1525594 138691 75454 5115 5115 40000 82929 183806 163498 X 347948 1362096 347948 1362096 531754 1525594 1014148 0 X X 0 0 0 X 351349 1038033 1389382 351349 1038033 1389382 1389382 595 595 1389977 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1238897 1238897 215478 215478 1454375 DUE TO/FROM ASO 81929 INVESTMENT FROM FOUNDATION 1000 82929 FORM 990, PART VI, SECTION A, LINE 3 SOME MANAGERIAL DUTIES ARE PERFORMED BY FILLING MEMORIAL HOME OF MERCY (PARENT ORGANIZATION.) FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S SIGNING OFFICER SCANS THE FORM 990 FOR COMPLETENESS PRIOR TO SIGNATURE, IN ADDITION TO RELYING UPON THE INDEPENDENT ACCOUNTANT FOR ACCURACY. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO ALL EXECUTIVE AND MANAGEMENT STAFF. THESE INDIVIDUALS ARE REQUIRED TO RESPOND TO CONFLICT OF INTEREST STATEMENTS AND RETURN COMPLETED FORMS TO THE AGENCY'S ADMINISTRATIVE ASSISTANT. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE COMPENSATION SURVEYS DERIVED FROM LUTHERAN SERVICES IN AMERICA DISABILITY NETWORK AND LUTHERAN SERVICES IN AMERICA WERE REVIEWED BY COMMITTEE MEMBERS OF THE BOARD OF TRUSTEES FOR FISCAL YEAR 2009. AN ALL POSITION SURVEY DERIVED FROM OHIO PROVIDER RESOURCE ASSOCIATION MEMBERSHIP FOR 2009 WAS ALSO REVIEWED BY THE AGENCY'S PERSONNEL COMMITTEE. THESE SURVEYS ARE MADE PART OF DETERMINATION OF EXECUTIVE COMPENSATION PROVIDED BY FILLING MEMORIAL HOME OF MERCY. FOR ALL CHANGES TO EXECUTIVE COMPENSATION, THE ABOVE SURVEYS ALONG WITH INDEPENDENT DATA FROM OTHER NOT-FOR-PROFITS ARE CONSULTED WHEN SALARY INCREASES OCCUR. THERE WERE NO SALARY INCREASES FOR FISCAL YEAR 2010. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A PAUL OEHRTMAN IS COMPENSATED BY FILLING MEMORIAL HOME OF MERCY FOR SERVICES PROVIDED TO FILLING MEMORIAL HOME OF MERCY, FILLING HOME FOUNDATION, FMHM COMMUNITY LIVING, FULFILLING HOUSING I-IV INC. AND FMHM HOUSING CORP. PAUL OEHRTMAN IS COMPENSATED FOR 35 HOURS OF SERVICE A WEEK FOR FILLING MEMORIAL HOME OF MERCY, 10 HOURS FOR FMHM COMMUNITY LIVING, 4 HOURS FOR FILLING HOME FOUNDATION, AND 1 HOUR FOR FULFILLING HOUSING INC. FINANCIAL STATEMENTS AND REPORTING FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. FILLING HOME FOUNDATION N-160 SR 108 NAPOLEON OH 43545 341747447 SUPPORT FILLING MEMORIAL HOME OF MERCY OH 501(C)(3) LINE 11A, I N/A 0 FMHM COMMUNITY LIVING N-160 SR 108 NAPOLEON OH 43545 208597755 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 9 N/A 0 FULFILLING HOUSING II INC N-160 SR 108 NAPOLEON OH 43545 320272307 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 9 N/A 0 FULFILLING HOUSING III INC N-160 SR 108 NAPOLEON OH 43545 320272309 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 9 N/A 0 FULFILLING HOUSING IV INC N-160 SR 108 NAPOLEON OH 43545 320272312 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 9 N/A 0 FMHM HOUSING CORP N-160 SR 108 NAPOLEON OH 43545 208599973 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 9 N/A 0 FILLING MEMORIAL HOME OF MERCY N-160 SR 108 NAPOLEON OH 43545 344481347 PROVIDE RESIDENTIAL CARE OH 501(C)(3) LINE 9 N/A 0 0 0 1 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0