2022-10-26T10:11:23-05:00 2021-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2021-01-01 300021977 LITTLE STAR CENTER INC LITT 3172492242 550 CONGRESSIONAL BLVD SUITE 220 CARMEL IN 46032 WILLIAM BOWER BOARD CHAIR 3172492242 2022-10-06 1 WILLIAM BOWER 999009999 CASSE TATE P01271193 3175802000 2022-10-06 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z WILLIAM BOWER 550 CONGRESSIONAL BLVD SUITE 220 CARMEL IN 46032 23180469 0 X WWW.LITTLESTARCENTER.ORG X 2001 IN TO INSPIRE, SERVE, AND GUIDE ALL THOSE TOUCHED BY AUTISM TO ACHIEVE A BETTER REALITY. 4 4 651 4 0 0 10453 2545621 19264038 20608853 0 0 12438 25995 19286929 23180469 0 0 0 0 14587461 17290903 0 0 43717 5178129 5830784 19765590 23121687 -478661 58782 7270422 4849265 3554480 1074541 3715942 3774724 X TO PROVIDE A STRUCTURED, SENSORY-FRIENDLY FACILITY WHERE CHILDREN WITH AUTISM RECEIVE INDIVIDUALIZED THERAPEUTIC INTERVENTION. BASED ON THE FUNDAMENTAL PRINCIPLES OF APPLIED BEHAVIOR ANALYSIS (ABA), LITTLE STAR PROVIDES AN ATMOSPHERE WHERE CHILDREN, THERAPISTS, AND FAMILIES CAN INTERACT, SUPPORT EACH OTHER AND RECEIVE ON-GOING TRAINING SO THAT EACH CHILD CAN REACH THEIR FULL POTENTIAL AT HOME AND IN A VARIETY OF SETTINGS OUTSIDE OF THERAPY. 0 0 17142820 20634848 PROVIDE YEAR-ROUND THERAPEUTIC INTERVENTION FOR CHILDREN AND YOUNG ADULTS DIAGNOSED WITH AUTISM SPECTRUM DISORDER BASED ON THE SCIENCE OF APPLIED BEHAVIOR ANALYSIS (ABA). 17142820 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 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 0 0 0 0 1 6 0 1 651 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 IN X WILLIAM BRUNNER 3179757196 550 CONGRESSIONAL BLVD SUITE 220 CARMEL IN 46032 WILLIAM BOWER CHAIRMAN 6.00 X X 0 0 0 MIKE BOATRIGHT BOARD MEMBER 1.00 X 0 0 0 MICHELE TRIVEDI BOARD MEMBER 2.00 X 0 0 0 JULIA CARPENTER BOARD MEMBER 1.00 X 0 0 0 MARY ROSSWURM CHIEF EXECUTIVE OFFICER 60.00 X 253732 0 21562 WILLIAM BRUNNER CHIEF FINANCIAL OFFICER 40.00 X 80386 0 10180 BREANNE HARTLEY CHIEF CLINICAL OFFICER 45.00 X 174378 0 8387 DORRON FARRIS CHIEF EXPERIENCE OFFICER 40.00 X 160066 0 11704 JESSE LOGUE VP CLINICAL OPERATIONS 40.00 X 116644 0 14491 JANE TROUT CHIEF HUMAN RESOURCES OFFI 50.00 X 116301 0 7084 LAUREN LOGUE VP PSYCHOLOGICAL SERVICES 40.00 X 104549 0 1914 CHRISTOPHER KIRK VP INSURANCE/COMPLIANCE 45.00 X 120174 0 11795 1126230 0 87117 7 0 1 0 0 2500000 45621 2545621 THERAPEUTIC SERVICES 621400 20608853 20608853 20608853 CONFERENCE INCOME 611430 5720 5720 20275 20275 25995 23180469 20634848 0 0 668564 255396 404360 8808 15401729 12075980 3298267 27482 1220610 872680 344459 3471 90260 90260 41035 41035 326987 197793 129194 757210 757210 344514 307208 37033 273 566401 419991 145339 1071 1714907 1509568 205206 133 308291 255483 52808 508023 450195 57828 833110 558950 271936 2224 REPAIRS & MAINTENANCE 107035 94851 12184 DUES AND SUBSCRIPTIONS 55949 41487 14357 105 GIFTS & RECOGNITION 45556 33780 11690 86 TRAINING 44552 42397 2155 86954 27061 59829 64 23121687 17142820 5935150 43717 2303312 1544555 3013174 1759273 136157 116623 3829496 2427682 1793779 1401814 24000 27000 7270422 4849265 1054480 1074541 2500000 0 3554480 1074541 X 3715942 3774724 3715942 3774724 7270422 4849265 58782 0 X X 0 1 X 1 0 X 109409 158753 103160 10453 2545621 2927396 15404745 17978817 24188539 19264038 20608853 97444992 15514154 18137570 24291699 19274491 23154474 100372388 0 0 0 100372388 18466 0 0 0 0 18466 18466 18466 28900 64389 36702 12348 25995 168334 15561520 18201959 24328401 19286839 23180469 100559188 0.99810 0.99760 0.00020 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 28,900. 2018 AMOUNT: $ 64,389. 2019 AMOUNT: $ 36,702. 2020 AMOUNT: $ 12,348. 2021 AMOUNT: $ 25,995. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2900295 2097192 803103 407035 280399 126636 522166 50091 472075 1401814 X 23177520 0 23177520 2949 2949 23180469 23118738 0 23118738 2949 2949 23121687 PART X, LINE 2: LITTLE STAR IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE INTERNAL REVENUE CODE. IN ADDITION, LITTLE STAR HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME DURING 2021 AND 2020. LITTLE STAR FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION RETURNS. LITTLE STAR IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2018. MANAGEMENT BELIEVES THAT LITTLE STAR'S INCOME TAX FILING POSITION WILL BE SUSTAINED ON AUDIT AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WILL RESULT IN MATERIAL CHANGE. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS OF THE SALE OF ASSETS 2,949. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON THE SALE OF ASSETS 2,949. X X 0 0 0 0 0 0 0 0 0 MARY ROSSWURM CHIEF EXECUTIVE OFFICER 245801 0 5000 0 2931 0 9776 0 11786 0 275294 0 0 0 BREANNE HARTLEY CHIEF CLINICAL OFFICER 163077 0 5000 0 6301 0 6933 0 1454 0 182765 0 0 0 DORRON FARRIS CHIEF EXPERIENCE OFFICER 147788 0 5000 0 7278 0 0 0 11704 0 171770 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS ISSUED TO THE CHAIRMAN OF THE BOARD AND EXECUTIVE DIRECTOR TO REVIEW WITH THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C LITTLE STAR CENTER, INC. HAS BOARD MEMBERS SIGN A FORM STATING THEY WILL NOT ENGAGE IN ACTIVITIES AND TRANSACTIONS THAT PROVIDE IMPERMISSIBLE BENEFITS TO INDIVIDUALS OR ENTITIES. FURTHER, THE CERTIFICATION AND DISCLOSURE FORM REQUIRES THAT EACH INDIVIDUAL EITHER CERTIFY THAT HE/SHE HAS NO ACTUAL OR POSSIBLE CONFLICT OF INTEREST TO REPORT OR TO DESCRIBE ANY RELATIONSHIP, TRANSACTION OR OTHER CIRCUMSTANCES, INCLUDING THOSE OF AN IMMEDIATE FAMILY MEMBER, THAT COULD RESULT IN A CONFLICT BETWEEN THE ORGANIZATION'S INTERESTS AND HIS/HER PERSONAL FINANCIAL OR OTHER INTERESTS. THESE FORMS ARE RETAINED IN THE ORGANIZATION'S FILE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD SETS THE CHEIF EXECUTIVE OFFICER'S COMPENSATION WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION EXPERT. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. PART XII, LINE 2C THE ORGANIZATION'S OVERSIGHT HAS NOT CHANGED FROM THE PRIOR YEAR.