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EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION (EIN 46-0422866)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-14
IRS object ID
201142579349301004
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)
Timestamp2011-09-14T15:48:04-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460422866EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEVANNameControl
Phone6053623100Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJIM KREKELBERGName
TitleTREASURERTitle
Phone6053623100Phone
Date Signed2011-09-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES HIATTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5566784GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionPROVIDING SUPPORT, ASSISTANCE, AND AID FOR THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (ELGSS).ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3191846ContributionsGrantsPriorYear
Contributions Grants Current Year3866288ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-26722InvestmentIncomePriorYear
Investment Income Current Year1106406InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3165124TotalRevenuePriorYear
Total Revenue Current Year4972694TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year433718GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1341528GrantsAndSimilarAmntsCY
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 Year1001933TotalFundrsngExpCurrentYear
Other Expense Prior Year1647402OtherExpensePriorYear
Other Expenses Current Year1373252OtherExpensesCurrentYear
Total Expenses Prior Year2081120TotalExpensesPriorYear
Total Expenses Current Year2714780TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1084004RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2257914RevenuesLessExpensesCY
Total Assets BOY15828094TotalAssetsBOY
Total Assets EOY19040697TotalAssetsEOY
Total Liabilities BOY112255TotalLiabilitiesBOY
Total Liabilities EOY116678TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15715839NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18924019NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMISSION:THE MISSION OF THE GOOD SAMARITAN FOUNDATION IS TO SUPPORT THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY'S MISSION OF SHARING GOD'S LOVE IN WORD AND DEED BY PROVIDING SHELTER AND SUPPORTIVE SERVICES TO OLDER PERSONS AND OTHERS IN NEED WELL INTO THE FUTURE. THE FOUNDATION GATHERS, GROWS AND PROVIDES THE CHANNELS THROUGH WHICH GIFTS AND GRANTS FLOW TO SUPPORT AND TO IMPROVE THE QUALITY OF LIFE FOR THOSE IN OUR CARE.VISION:THE GOOD SAMARITAN FOUNDATION SUPPORTS THE SOCIETY'S VISION "TO CREATE AN ENVIRONMENT WHERE PEOPLE ARE LOVED, VALUED AND AT PEACE" BY INVITING DONORS TO HELP US SHOW WHAT SENIOR CARE CAN BE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1341528Expense
Grants1341528Grants
Revenue0Revenue
DescriptionTHE FOUNDATION SUPPORTS THE FOUR HALLMARK VALUES OF THE SOCIETY:(1) CHRIST-CENTERED, (2) RESIDENT-CENTERED, (3) STAFF-CENTERED AND (4) COMMUNITY-CENTERED BY SEEKING MAJOR GIFTS WITH INTEGRITY, INNOVATION AND FAITH.THE LEGACY PROMISE:DAY BY DAY, LET'S MAKE A DIFFERENCE;MONTH BY MONTH, LET'S MOTIVATE OTHERS TO SEIZE OPPORTUNITY;YEAR BY YEAR, SEE THINGS CHANGE; ANDIN A LIFETIME OF WORK, LEAVE A LASTING LEGACY WHICH ADVANCESTHE MISSION AND MINISTRY OF GOOD SAMARITAN SOCIETY ANDGOOD SAMARITAN FOUNDATION;SHOWING GOD'S LOVE IN WORD AND DEED.Description
Total Program Service Expense1341528TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
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 Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JIM KREKELBREG TREASURERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053623100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14800 W 57TH STREETAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVID J HORAZDOVSKY
CHAIRPERSON1.00XX052150112669
JOHN C PENN
VICE CHAIRPERSON1.00XX000
SUSAN NICKERSON
VICE CHAIRPERSON1.00XX000
RICHARD W FRIESS MD
DIRECTOR1.00X000
DANIEL L HAMES
DIRECTOR1.00X012570631565
RICHARD J HAUBENSAK
DIRECTOR1.00X000
CLAYTON E JENSEN MD
DIRECTOR1.00X000
ORVAL JOHNSON
DIRECTOR1.00X000
ROBERT P O'CONNOR
DIRECTOR1.00X000
SHARON A ST MARY
DIRECTOR1.00X013589216369
DENNIS STENE
DIRECTOR1.00X000
LISA MELBY
DIRECTOR1.00X010832329196
JIM SEWICK
DIRECTOR1.00X09203419373
DR CHARLES M HIATT
EXECUTIVE DIRECTOR40.00X015115213369
RAYE NAE NYLANDER
TREASURER & CFO1.00X025966316369
SYLVIA GAUSE
SECRETARY1.00X05720517472
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1451476TotalReportableCompFrmRltdOrgs
Total Other Compensation156382TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations3659474RelatedOrganizations
All Other Contributions206814AllOtherContributions
Noncash Contributions7732NoncashContributions
Total Contributions3866288TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column374850TotalRevenueColumn
Exclusion$374,850ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1325646Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities594090Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities731556Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column731556TotalRevenueColumn
Exclusion$731,556ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4972694TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,106,406ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1300065Total
Program Services1300065ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total41463Total
Program Services41463ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total45041Total
Management And General39526ManagementAndGeneral
Fundraising5515Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1140Total
Management And General870ManagementAndGeneral
Fundraising270Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19790Total
Management And General3740ManagementAndGeneral
Fundraising16050Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total145Total
Fundraising145Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total138698Total
Management And General13918ManagementAndGeneral
Fundraising124780Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7591Total
Management And General7031ManagementAndGeneral
Fundraising560Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total36Total
Management And General36ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
ALLOCATED SALARIES1113803270592843211
OTHER EXPENSES1520015200
STAFF DEVELOPMENT1164289142728
LICENSE & FEES620062000
DUES27657382027

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11201Total
Management And General4554ManagementAndGeneral
Fundraising6647Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2714780Total
Program Services1341528ProgramServices
Management And General371319ManagementAndGeneral
Fundraising1001933Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8507BOY
EOY5984EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1722874BOY
EOY2632018EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis712LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec68LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY679BOY
EOY644EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14092993BOY
EOY16402051EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3041BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15828094BOY
EOY19040697EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19325BOY
EOY24556EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY92930BOY
EOY92122EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY112255BOY
EOY116678EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5304621BOY
EOY6530272EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY377226BOY
EOY983944EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10033992BOY
EOY11409803EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15715839BOY
EOY18924019EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15828094BOY
EOY19040697EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2257914ReconcilationRevenueExpenses
Reconcilation Other Changes950266ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1TELGSSBusinessNameLine1
FieldValueIRS element (for citing)
EIN450228055EIN
Type Of Organization9TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$1,300,065Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1300065SumOfAmounts

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance12476733BeginningOfYearBalance
Contributions1375811Contributions
Investment Earnings Or Losses828395InvestmentEarningsOrLosses
Other Expenditures36267OtherExpenditures
End Of Year Balance14644672EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance11256062BeginningOfYearBalance
Contributions616000Contributions
Investment Earnings Or Losses820000InvestmentEarningsOrLosses
Other Expenditures215329OtherExpenditures
End Of Year Balance12476733EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11231052BeginningOfYearBalance
Contributions1277693Contributions
Investment Earnings Or Losses-1027867InvestmentEarningsOrLosses
Other Expenditures224816OtherExpenditures
End Of Year Balance11256062EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.15700BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.77900PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.06400TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis712OtherCostOrOtherBasis
Depreciation68Depreciation
Book Value644BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings644TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionANNUITY OBLIGATIONDescription
Amount$92,122Amount
FieldValueIRS element (for citing)
Total Of Amounts92122TotalOfAmounts
Total Revenue4972694TotalRevenue
Total Expenses2714780TotalExpenses
Excess Or Deficit For Year2257914ExcessOrDeficitForYear
Net Unrealized GL On Investments950266NetUnrealizedGLOnInvestments
Total Adjustments950266TotalAdjustments
Excess Or Deficit Per FS3208180ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2263486TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments950266NetUnrealizedGainsInvestments
Revenue Not Rptd F990950266RevenueNotRptdF990
Revenue Subtotal1313220RevenueSubtotal
Other Revenues Not Included3659474OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3659474RevenueNotRptdOnFinStmt
Total Revenue Per Form9904972694TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1414715TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1414715ExpensesSubtotal
Other Expenses Not Included1300065OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1300065ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902714780TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE FOUNDATION'S ENDOWMENT FUNDS WILL BE USED AS DIRECTED BY THE DONOR'S RESTRICTIONS OR THE BOARD'S DESIGNATION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE FOUNDATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE FOUNDATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINAITON BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE FOUNDATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE TAX RETURNS FOR THE YEARS 2007-2009 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL AND STATE AUTHORITIES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GIFTS TRANSFFERED FROM AFFILIATE 1,298,996. EXPENSES PAID BY AFFILIATE 2,360,478.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:TRANSFERS TO AFFILIATE 1,300,065.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14800 W 57TH STAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code57108ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient450228055EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1300065AmountOfCashGrant
Purpose Of GrantGIFTS TRANSFERRED TO THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients27NumberOfRecipients
Amount Of Cash Grant41463AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE FOUNDATION COMMUNICATES A LIST OF RESTRICTIONS TO EACH CENTER AT THE TIME OF DISTRIBUTION. THE ADMINISTRATOR AT EACH LOCATION IS RESPONSIBLE FOR ENSURING THAT THE FUNDS ARE USED IN ACCORDANCE WITH THE FOUNDATION'S DIRECTION. THE ORGANIZATION PROVIDES SCHOLARSHIPS TO EMPLOYEES OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY WHO ARE ENROLLED IN A QUALIFIED EDUCATION PROGAM. THE ORGANIZATION PAYS THE SCHOLARSHIP DIRECTLY TO THE EDUCATION INSTITUTION WHERE THE EMPLOYEE IS ENROLLED. IF THE EMPLOYEE HAS ALREADY PAID THE EXPENSES, THE ORGANIZATION REQUIRES RECEIPT OF PAYMENT BEFORE REIMBURSEMENT IS MADE TO THE EMPLOYEE.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 (5 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
DANIEL L HAMES
0863790003932708311032572016658900
SHARON A ST MARY
0889180004697400017494015338600
DR CHARLES M HIATT
01053380004581400014651016580300
RAYE NAE NYLANDER
01855930007407000018357027802000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationTHE COMPENSATION OF THE FOUNDATION'S EXECUTIVE DIRECTOR IS DETERMINED BY THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, THE FOUNDATION'S SOLE MEMBER. THE FOLLOWING WERE USED BY THE SOCIETY TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION: 1. INDEPENDENT COMPENSATION CONSULTANT 2. COMPENSATION SURVEY OR STUDYExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY IS THE SOLE MEMBER OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY BOARD OF DIRECTORS APPROVES THE BOARD MEMBER APPOINTMENTS OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY BOARD OF DIRECTORS APPROVES THE BOARD MEMBER APPOINTMENTS OF THE FOUNDATION AND ANY AMENDMENTS TO THE BY-LAWS.
FORM 990, PART VI, SECTION B, LINE 11ACCOUNTANTS WITH THE ORGANIZATION REVIEWED THE 990 IN DETAIL PRIOR TO IT BEING FILED. ANY QUESTIONS WERE RESOLVED WITH THE TREASURER AND/OR PRESIDENT OF THE ORGANIZATION PRIOR TO THE 990 BEING FILED. A COPY OF THE 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE 990 BEING FILED FOR THEIR REVIEW AND APPROVAL.
OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. ALL POTENTIAL DIRECTOR CONFLICTS ARE INVESTIGATED BY THE ORGANIZATION'S CHIEF LEGAL OFFICER. THE CHIEF LEGAL OFFICER REPORTS HIS FINDINGS TO THE BOARD CHAIRPERSON. THE BOARD ULTIMATELY DETERMINES WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS AND THE REMEDIAL STEPS NECESSARY BASED UPON SUCH LEGAL OPINION. 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.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION DOES NOT PAY THE OFFICERS OR EXECUTIVE DIRECTOR. THEY ARE COMPENSATED BY A RELATED ORGANIZATION.FORM 990, PART VI, SECTION B, LINE 15
THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAIN ON INVESTMENTS 950,266. TOTAL TO FORM 990, PART XI, LINE 5: 950,266.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
4800 W 57TH STSIOUX FALLSSD57108450228055LONG-TERM CARE, AL, SENIOR HOUSING & HOME AND COMMUNITY BASED SERVICESND501(C )(3)9N/A0
GOOD SAMARITAN SOCIETY INC
4800 W 57TH STSIOUX FALLSSD57108460349951LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
BOISE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108363370371LOW-INCOME SENIOR HOUSINGSD501(C )(3)PF0THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
LOVINGTON GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460392944LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
PROPHETSTOWN GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460392943LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
JASONVILLE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460396355LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
OLATHE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460396398LOW-INCOME SENIOR HOUSINGSD501(C )(3)11 - TYPE 10THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
MILLARD GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460396332LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
SIOUX FALLS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460385187LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
KEARNEY GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460421846LOW-INCOME SENIOR HOUSINGSD501(C )(3)PF0THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
HASTINGS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460434693LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
BROOKINGS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460439509LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
GRANTS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460439511LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
VALENTINE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108911751139LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
JEFFERSONTOWN GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108911751137LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
GOLDBECK TOWERS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108911751135LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
WISCONSIN GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460447338LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
GREELEY GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460456087LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
SOUTH DAYTONA BEACH GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460461264LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
WINFIELD GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108201115155LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108760789504LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
LEMARS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108204714415LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
ALLIANCE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108204714573LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
SIOUX FALLS 57 GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108204714647LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP
4800 W 57TH STSIOUX FALLSSD57108271212446LOW-INCOME SENIOR HOUSINGSD501(C )(3)11 - TYPE 10THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
EL PASO GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108272876627LOW-INCOME SENIOR HOUSINGSD501(C )(3)90THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
OLATHE GOOD SAMARITAN HOUSING LP
4800 W 57TH STSIOUX FALLSSD57108205297369SENIOR HOUSINGSDN/A
HOBBS GOOD SAMARITAN HOUSING LP
4800 W 57TH STSIOUX FALLSSD57108261817167SENIOR HOUSINGSDN/A
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP
4800 W 57TH STSIOUX FALLSSD57108271212511SENIOR HOUSINGSDN/A
MILLARD GOOD SAMARITAN HOUSING LP
4800 W 57TH STSIOUX FALLSSD57108271212324SENIOR HOUSINGSDN/A
GOOD SAMARITAN HERITAGE COMMUNITIES LLC
4800 W 57TH STSIOUX FALLSSD57108203709355SENIOR HOUSINGSDN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
IDAHO SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460424311LOW-INCOME SENIOR HOUSINGSDN/AC
GOOD SAMARITAN SOCIETY INSURANCE LTD
980379099INSURANCEN/ACPO BOX 69 GTGRAND CAYMEN, FCCJCJ
GOOD SAMARITAN HUMANITARIAN SERVICES INC
4800 W 57TH STSIOUX FALLSSD57108205533741MANAGEMENT SERVICES, UNBUNDLED SERVICES, UNRELATED BUSINESS ACTIVITIESSDN/AC
HOBBS GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STSIOUX FALLSSD57108261817059LOW-INCOME SENIOR HOUSINGSDN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
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 Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg