2011-05-16T13:11:07-05:00 2010-06-30 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2009-07-01 340835584 THE GOOD SHEPHERD HOME FOR THE AGED INC GOOD 6142285200 500 W WILSON BRIDGE RD No 245 WORTHINGTON OH 43085 NELS HENDRICKSON 6142285200 2011-04-28 1 6148493000 2009 2016-02-24 21:20:13Z LARRY CROWELL 500 W WILSON BRIDGE RD No 245 WORTHINGTON OH 43085 9566319 0 X LSSCO.ORG X 1956 OH TO 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. 16 16 165 19 0 0 150632 361115 9160313 9107434 4168 426 8821 97344 9323934 9566319 0 0 5276040 5205371 0 0 3735431 4460614 9011471 9665985 312463 -99666 9001639 9284998 5466687 5849712 3534952 3435286 TO 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. 0 0 8855577 0 9204778 THE PURPOSE OF THE ORGANIZATION IS TO PROVIDE HEALTHCARE AND RESIDENTIAL LIVING (HUD SECTION 202) TO THE ELDERLY OF THE COMMUNITY. 8855577 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 29 0 1 165 1 0 0 0 0 0 0 0 0 0 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X PHIL HELSER 6142285200 500 W WILSON BRIDGE RD STE 245 WORTHINGTON OH 43085 X ROBERT R SLAVEN 1.00 X X 0 0 0 DAN BAILEY 1.00 X X 0 0 0 KIMBERLY K ZAVISLAK 1.00 X X 0 0 0 REV DR JAMES E WILSON 1.00 X X 0 0 0 JENNETTE B BRADLEY 1.00 X 0 0 0 BECKY SUTHERLAND CORNETT 1.00 X 0 0 0 REV DR KEVIN DUDLEY 1.00 X 0 0 0 LEONARD GENDERS 1.00 X 0 0 0 DR JAMES L GINTER 1.00 X 0 0 0 TIMOTHY G GLASSER 1.00 X 0 0 0 NELS HENDRICKSON 1.00 X 0 0 0 THEODORE J HILL 1.00 X 0 0 0 REV AARON LAYNE 1.00 X 0 0 0 STEPHEN LUNDREGAN 1.00 X 0 0 0 OSCAR MGAYA 1.00 X 0 0 0 GARY L PRACHAR 1.00 X 0 0 0 WILLIAM SPARKS JR 1.00 X 0 0 0 DOUG TIETZ 1.00 X 0 0 0 ANN WURSTER 1.00 X 0 0 0 THOMAS J STOFAC 1.00 X 0 238019 8743 PHILIP HELSER 1.00 X 0 78409 14053 0 316428 22796 0 0 1 0 ENDURACARE TMI INC PO BOX 53064 PHOENIX AZ 85072 THERAPY SERVICES 863559 SKILLED CARE PHARMACY PO BOX 65 HAMILTON OH 45012 MEDICAL SUPPLIES 263862 SYSCO FOOD SERVICES PO BOX 44466 COLUMBUS OH 43204 FOOD/BEVERAGE SERVICES 201913 GULF SOUTH MEDICAL SUPPLY PO BOX 841968 DALLAS TX 75284 MEDICAL SUPPLIES 143140 4 356115 5000 361115 RESIDENT SERVICES 623000 9107434 9107434 9107434 426 426 97344 97344 97344 9566319 9204778 0 426 4031343 3641070 390273 4390 4390 861697 824308 37389 307941 269768 38173 21648 21648 11121 6201 4920 6298 6298 1249209 1232356 16853 58566 58566 944875 908818 36057 1264506 1069095 195411 11109 10482 627 24392 22040 2352 305314 293713 11601 494456 443742 50714 BAD DEBT EXPENSE 62716 62716 MANAGER/RENT FREE UNITS 1625 1625 4779 4779 9665985 8855577 810408 0 1000 999 204448 144243 3660943 3759183 29247 22883 7543 22449 12424641 8309049 4318349 4115592 780109 1219649 9001639 9284998 1040532 871477 3280000 3190000 1134537 1746090 11618 42145 5466687 5849712 X 3534952 3433786 1500 3534952 3435286 9001639 9284998 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 104163 104163 9340577 7282656 2057921 1663999 74225 1589774 1315902 952168 363734 4115592 DEFERRED FINANCING COSTS, NET 305401 ESCROW AND OTHER DEPOSITS 14775 SECURITY DEPOSITS 13432 RESIDENT FUNDS 25769 BOND FUND (PRINCIPAL AND INTEREST) 47626 REPLACEMENT RESERVE 521687 DEBT SERVICE RESERVE 290959 1219649 SECURITY DEPOSITS LIABILITY 42145 42145 9566319 9665985 -99666 -99666 0 0 0 0 0 0 0 0 0 THOMAS J STOFAC 0 238019 0 0 0 0 0 0 0 8743 0 246762 0 0 Supplemental Information Part III PART 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. Form 990, Part VI, Section B, line 11 FORM 990 IS PREPARED BY OUR OUTSIDE AUDITING FIRM AND SUBMITTED TO THE ACCOUNTING MANAGER AND CFO FOR REVIEW. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15 AN ANNUAL PERFORMANCE EVALUATION IS PREPARED 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. Form 990, Part VI, Section C, line 18 FORM 1023 AND FORM 990 ARE AVAILABLE UPON WRITTEN REQUEST. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO INTERESTED INDIVIDUALS AND CORPORATIONS UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 2C: THE FINANCE COMMITTEE OF LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, THE PARENT ORGANIZATION, OVERSEES THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. 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. GOOD SHEPHERD VILLA 726 CENTER STREET ASHLAND OH 44805 340214487 HOUSING OH 543040 1354832 N/A LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 500 W WILSON BRIDGE ROAD STE 245 WORTHINGTON OH 43085 314412586 HOUSING OH 501(C)(3) Line 1 N/A LUTHERAN SENIOR CITY INC 935 NORTH CASSADY AVENUE COLUMBUS OH 43219 310678736 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO GOOD SHEPHERD FOUNDATION 500 W WILSON BRIDGE ROAD STE 245 WORTHINGTON OH 43085 341590049 INVESTMENTS OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO ASHLAND ASSISTED LIVING INC 330 DAVIS ROAD ASHLAND OH 44805 341908342 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO KENSINGTON PLACE INC 1001 PARKVIEW BLVD COLUMBUS OH 43219 311311288 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO FAITH MISSION INC 315 E LONG STREET COLUMBUS OH 43215 310809759 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO CENTERBURG HOUSING INC 164 WEST HOUCK STREET CENTERBURG OH 43011 311579303 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO DELAWARE HOUSING INC 2178 BRUCE ROAD DELAWARE OH 43105 311399590 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO GROVE CITY HOUSING INC 4301 STONER DRIVE GROVE CITY OH 43123 311367737 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO GROVEWOOD II HOUSING INC 4301 STONER DRIVE GROVE CITY OH 43123 311488730 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO GROVEPORT HOUSING INC 283 GREEN AVENUE GROVEPORT OH 43125 311450961 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO HAMILTON HOUSING INC 3565 CLIME ROAD COLUMBUS OH 43228 311367736 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO LANCASTER HOUSING INC 963 PRESTIGE BLVD LANCASTER OH 43130 311320304 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO LANSING HOUSING INC 54385 NATIONAL ROAD BRIDGEPORT OH 43912 311320303 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO LITTLE BROOK HOUSING INC 5911 LITTLE BROOK WAY COLUMBUS OH 43232 311488733 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO MANSFIELD HOUSING INC 1665 EXECUTIVE COURT MANSFIELD OH 44907 311642747 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO PLEASANT VIEW HOUSING INC 1690 CHARTWELL STREET LANCASTER OH 43130 311717116 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO MARION PLACE I HOUSING INC 1401 WELLNESS ROAD MARION OH 43302 300151342 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO MARION PLACE II HOUSING INC 1401 WELLNESS ROAD MARION OH 43302 300151099 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO NORTH COMMUNITY HOUSING 120 MORSE ROAD COLUMBUS OH 43214 300245617 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO MANSFIELD HOUSING II INC 1680 EXECUTIVE COURT MANSFIELD OH 44907 203208737 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO VILLAGE HOUSING INC 1489 OCTOBER RIDGE COURT COLUMBUS OH 43223 311488740 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO SULLIVANT HOUSING INC 383 INAH AVENUE COLUMBUS OH 43228 300060654 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO TUBMAN TOWERS 17 JOHNSON AVENUE SPRINGFIELD OH 45506 200282722 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO LUTHERAN HOUSING SERVICES OF HOWLAND 3880 NORTH RIVER ROAD WARREN OH 44484 300263695 HOUSING OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO LUTHERAN SOCIAL SERVICES OF MAHONING VALLEY 500 W WILSON BRIDGE ROAD STE 245 WARREN OH 43085 421566593 TERMINATED OH 501(C)(3) Line 1 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO L 2386551 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO O 205834