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WINFIELD GOOD SAMARITAN HOUSING INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WINFIELD GOOD SAMARITAN HOUSING INC (EIN 20-1115155)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-23
IRS object ID
201122669349300707
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)
Timestamp2011-09-23T08:33:51-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 EAST 10TH STREET SUITE 500AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code57104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201115155EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WINFIELD GOOD SAMARITAN HOUSING INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWINFNameControl
Phone6053623100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET PO BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAYE NAE NYLANDERName
TitleTREASURERTitle
Phone6053623100Phone
Date Signed2011-09-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameN DEAN BUCKNEBERGName
Phone6053391999Phone
Date Prepared2011-09-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1WHEAT RIDGE HEIGHTSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYE NAE NYLANDERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET PO BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode
FieldValueIRS element (for citing)
Gross Receipts104777GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GOOD-SAM.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileSDStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8895ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year108720ProgramServiceRevenuePriorYear
Program Service Revenue CY104535ProgramServiceRevenueCY
Investment Income Prior Year300InvestmentIncomePriorYear
Investment Income Current Year242InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year117915TotalRevenuePriorYear
Total Revenue Current Year104777TotalRevenueCurrentYear
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 Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year162299OtherExpensePriorYear
Other Expenses Current Year164154OtherExpensesCurrentYear
Total Expenses Prior Year162299TotalExpensesPriorYear
Total Expenses Current Year164154TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-44384RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-59377RevenuesLessExpensesCY
Total Assets BOY1776443TotalAssetsBOY
Total Assets EOY1707095TotalAssetsEOY
Total Liabilities BOY31479TotalLiabilitiesBOY
Total Liabilities EOY21508TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1744964NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1685587NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense116799Expense
Revenue104535Revenue
DescriptionTO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS. 6,545 RESIDENT DAYS IN 2010.Description
Total Program Service Expense116799TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RAYE NAE NYLANDERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053623100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET PO BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVID J HORAZDOVSKY
PRES, VICE PRES, AND CHAIR1.00XX052150112669
SUSAN E NICKERSON
FIRST VICE CHAIRPERSON1.00XX000
PAUL R BINDER
SECOND VICE CHAIRPERSON1.00XX000
SCOTT N PETERS
THIRD VICE CHAIRPERSON1.00XX000
PATRICIA K HAUGEN
MEMBER1.00X000
REV JOHN F HOLT
MEMBER1.00X000
BECKY LONG
MEMBER1.00X000
MIKE MILDFELT
MEMBER1.00X000
DON ZIEGLER
MEMBER1.00X000
JOHN C PENN
MEMBER TIL JUNE 101.00X000
LARRY W WALTER
MEMBER TIL JUNE 101.00X000
RAYE NAE NYLANDER
TREASURER AND SECRETARY1.00X025966316369
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs781164TotalReportableCompFrmRltdOrgs
Total Other Compensation29038TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENTAL CHARGES624100102057102057
ANCILLARY CHARGES62410024782478
FieldValueIRS element (for citing)
Total Program Service Revenue104535TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column242TotalRevenueColumn
Exclusion$242ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column104777TotalRevenueColumn
Related Or Exempt Function Income104535RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$242ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total11012Total
Management And General11012ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total528Total
Management And General528ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5600Total
Management And General5600ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6171Total
Program Services6171ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total2382Total
Management And General2382ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7012Total
Program Services250ProgramServices
Management And General6762ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total28084Total
Program Services28084ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3164Total
Management And General3164ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total69586Total
Program Services69586ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total6296Total
Program Services6296ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTS - PERSONNEL S23946641217534
MISC EXPENSES286286
BAD DEBT8787

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total164154Total
Program Services116799ProgramServices
Management And General47355ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11642BOY
EOY4871EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY126BOY
EOY8EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY35BOY
EOY402EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1934273LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec287695LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1715822BOY
EOY1646578EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY48818BOY
EOY55236EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1776443BOY
EOY1707095EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18939BOY
EOY9982EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY45BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY6977BOY
EOY6977EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5518BOY
EOY4549EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY31479BOY
EOY21508EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-233936BOY
EOY-293313EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1978900BOY
EOY1978900EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1744964BOY
EOY1685587EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1776443BOY
EOY1707095EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-59377ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Minus1 Year8895CurrentTaxYearMinus1Year
Total8895Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1234CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46360CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88069CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108720CurrentTaxYearMinus1Year
Current Tax Year104535CurrentTaxYear
Total348918Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1234CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46360CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88069CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117615CurrentTaxYearMinus1Year
Current Tax Year104535CurrentTaxYear
Total357813Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year5871CurrentTaxYearMinus1Year
Current Tax Year9062CurrentTaxYear
Total14933Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year5871CurrentTaxYearMinus1Year
Current Tax Year9062CurrentTaxYear
Total14933Total
FieldValueIRS element (for citing)
Public Support Total509342880PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year300CurrentTaxYearMinus1Year
Current Tax Year242CurrentTaxYear
Total978Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year300CurrentTaxYearMinus1Year
Current Tax Year242CurrentTaxYear
Total978Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1239CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88377CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117915CurrentTaxYearMinus1Year
Current Tax Year104777CurrentTaxYear
Total358791Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95570PublicSupportPercentage509
Investment Income Percentage0.00270InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis91203OtherCostOrOtherBasis
Book Value91203BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1725778OtherCostOrOtherBasis
Depreciation262126Depreciation
Book Value1463652BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis37271OtherCostOrOtherBasis
Depreciation11158Depreciation
Book Value26113BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis80021OtherCostOrOtherBasis
Depreciation14411Depreciation
Book Value65610BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1646578TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionTENANT SECURITY DEPOSITSDescription
Amount$4,549Amount
FieldValueIRS element (for citing)
Total Of Amounts4549TotalOfAmounts
Total Revenue104777TotalRevenue
Total Expenses164154TotalExpenses
Excess Or Deficit For Year-59377ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-59377ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt104777TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal104777RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990104777TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt164154TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal164154ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990164154TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE PROJECT HAS ADOPTED THE PROVISIONS OF FASB ACCOUNTING STANDARDS CODIFICATION TOPIC ASC 740-10 (PREVIOUSLY FINANCIAL INTERPRETATION NO. 48 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES), ON JANUARY 1, 2009. THE PROJECT UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS, ASSESSING THE LIKELIHOOD OF THOSE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHORITIES. THE PROJECT IS SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID J HORAZDOVSKY
040084200012065900016404053790500
RAYE NAE NYLANDER
01855930007407000018357027802000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE MANAGEMENT DUTIES OF THE PROJECT HAVE BEEN DELEGATED TO THE PROJECT'S SPONSOR, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (TELGSS). TELGSS IS PAID A MANAGEMENT FEE EQUAL TO A PERCENTAGE OF REVENUE OTHER THAN INVESTMENT AND GIFT INCOME. THE FEE HAS BEEN APPROVED BY THE US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD MEMBERS ARE APPOINTED BY THE DIRECTORS OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
FORM 990, PART VI, SECTION A, LINE 7BARTICLES OF INCORPORATION AND BY-LAW CHANGES REQUIRE THE APPROVAL OF THE BOARD OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11ACCOUNTANTS WITH THE MANAGING AGENT, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, REVIEW THE 990 IN DETAIL PRIOR TO IT BEING FILED. ANY QUESTIONS ARE RESOLVED WITH THE TREASURER AND/OR THE PRESIDENT OF THE CORPORATION PRIOR TO THE 990 BEING FILED. A COPY OF THE 990 IS PROVIDED TO THE CORPORATION'S OFFICERS PRIOR TO IT BEING FILED.
THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT COVERS SUBSTANTIALLY ALL EMPLOYEES. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS TO THE APPROPRIATE INDIVIDUAL AS INDICATED IN THE POLICY. ALL POTENTIAL CONFLICTS ARE INVESTIGATED TO DETERMINE IF A CONFLICT EXISTS. IF APPROVAL IS GIVEN TO PROCEED WITH THE ACTION, A COPY OF THE APPROVAL IS DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILE. THE ORGANIZATION ASKS THAT ALL OFFICERS AND DIRECTORS COMPLY WITH THE IRS CONFLICT OF INTEREST AND DISCLOSURE CERTIFICATION, BUT HAVE NOT REQUIRED THE INDIVIDUAL TO PROVIDE A SIGNED COPY TO THE CORPORATION'S MAIN OFFICE. THE ORGANIZATION IS ADOPTING A CHANGE IN POLICY IN 2011 THAT WILL PROVIDE FOR ANNUAL UPDATES TO THE CONFLICT OF INTEREST AND DISCLOSURE CERTIFICATION.FORM 990, PART VI, SECTION B, LINE 12
THE PROJECT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
COLUMN (B), AVERAGE HOURS PER WEEKDAVID J. HORAZDOVSKY AND RAYE NAE NYLANDER WORK APPROXIMATELY 55 HOURS PER WEEK FOR RELATED ORGANIZATIONS AS LISTED ON SCHEDULE R.FORM 990, PART VII
THE ORGANIZATION DOES NOT EMPLOY A CEO, AN EXECUTIVE DIRECTOR, A TOP MANAGEMENT OFFICIAL, OR ANY KEY EMPLOYEES. THE MANAGEMENT FUNCTIONS OF THE ORGANIZATION HAVE BEEN OUTSOURCED TO THE ORGANIZATION'S SPONSOR, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.FORM 990, PART VI, LINES 15A AND 15B

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GOOD SAMARITAN HOLDINGS LLC
4800 W 57TH STREETSIOUX FALLSSD57117752979560OWNER OF GOOD SAMARITAN HERITAGE, LLCSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
GOOD SAMARITAN SOCIETY INC
4800 W 57TH STREETSIOUX FALLSSD57117460349951PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
BOISE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117363370371PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)PFTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
SIOUX FALLS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460385187PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
LOVINGTON GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460392944PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
PROPHETSTOWN GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460392943PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
MILLARD GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460396332PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
OLATHE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460396398GENERAL PARTNER OF OLATHE GOOD SAMARITAN HOUSING, LPSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
JASONVILLE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460396355PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
KEARNEY GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460421846PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)PFTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
HASTINGS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460434693PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
BROOKINGS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460439509PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
GRANTS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460439511PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
EL PASO GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117272876627PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
VALENTINE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117911751139PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
JEFFERSONTOWN GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117911751137PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
GOLDBECK TOWERS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117911751135PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
WISCONSIN GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460447338PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
SOUTH DAYTONA BEACH GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460461264PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117760789504PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
LEMARS GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117204714415PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
ALLIANCE GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117204714573PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
SIOUX FALLS 57 GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117204714647PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
4800 W 57TH STREETSIOUX FALLSSD57117460422866ASSIST TELGSS IN PROVIDING SENIOR CAREMN501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
4800 W 57TH STREETSIOUX FALLSSD57117450228055PROVIDE SENIOR CAREND501(C)(3)LINE 90
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117271212446GENERAL PARTNER OF HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING, LPSD501(C)(3)LINE 11A, ITHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0
GREELEY GOOD SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460456087PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)LINE 9THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY0

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
OLATHE GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
4800 W 57TH STREETSIOUX FALLSSD57117205297369PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A
HOBBS GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
4800 W 57TH STREETSIOUX FALLSSD57117261817167PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP
4800 W 57TH STREETSIOUX FALLSSD57117271212511PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A
MILLARD GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
4800 W 57TH STREETSIOUX FALLSSD57117271212324PROVIDE HOUSING FOR LOW-INCOME TENANTSSDN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
GOOD SAMARITAN HUMANITARIAN SERVICE INC
4800 W 57TH STREETSIOUX FALLSSD57117205533741MANAGEMENT AND UNBUNDLED SERVICES; UNRELATED BUSINESS ACTIVITIESSDN/AC
GOOD SAMARITAN SOCIETY INSURANCE LTD
4800 W 57TH STREETSIOUX FALLSSD57117INSURANCEN/ACCJ
IDAHO SAMARITAN HOUSING INC
4800 W 57TH STREETSIOUX FALLSSD57117460424311PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDN/AC
HOBBS GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STREETSIOUX FALLSSD57117261817059PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDN/AC
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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs0PerformOfServicesByOtherOrgs
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