2021-09-30T19:23:39-05:00 2020-12-31 351476702 BRADY WARE & SCHOENFELD INC 3 EASTON OVAL SUITE 300 COLUMBUS OH 43219 990 2020-01-01 341200331 CHAMPAIGN RESIDENTIAL SERVICES INC CHAM 9376531320 1150 SCIOTO STREET NO 100 URBANA OH 43078 SCOTT A DELONG PRESIDENT 9376531320 2021-09-30 1 SCOTT DELONG 999009999 MELESSA L BEHYMER P01380154 6148857407 2021-09-30 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SCOTT A DELONG 1150 SCIOTO ST SUITE 100 URBANA OH 43078 42129183 0 X WWW.CRSI-OH.COM X 1977 OH THE CRSI MISSION AND PHILOSOPHY IS TO EMPOWER AND SUPPORT INDIVIDUALS WITH CHALLENGES TO PROVIDE AN OPPORTUNITY TO DEVELOP THEIR MAXIMUM LEVEL OF INDEPENDENCE AS THEY CHOOSE. IT IS THE INTENT OF CRSI TO VALUE LIFESTYLES AND CHOICES BY ALL INDIVIDUALS SERVED. 14 14 1321 0 0 0 27765 1725460 36462242 40066885 68573 81492 226269 239894 36784849 42113731 0 0 0 0 26550890 29617291 0 0 0 9588260 9626007 36139150 39243298 645699 2870433 28627787 30345593 7943809 6788781 20683978 23556812 X TO PROVIDE RESIDENTIAL AND HABILITATION SERVICES FOR INDIVIDUALS WITH CHALLENGES. TO PROVIDE VOCATIONAL, RESIDENTIAL AND ASSOCIATED SERVICES TO THOSE IN NEED. TO EMPOWER AND SUPPORT INDIVIDUALS WITH CHALLENGES TO PROVIDE AN OPPORTUNITY TO DEVELOP THEIR MAXIMUM LEVEL OF INDEPENDENCE AS THEY CHOOSE. INHERENT IN THIS COMMITMENT IS THE ESTABLISHMENT OF QUALITY SUPPORT SYSTEMS FOR THOSE AT RISK THAT ENHANCE PHYSICAL, INTELLECTUAL, EMOTIONAL, COMMUNICATION, VOCATIONAL AND SOCIAL SKILLS ACCORDING TO THE INDIVIDUAL'S NEEDS, ABILITIES AND CHOICES. 0 0 35109987 40339431 PROVIDED RESIDENTIAL AND HABILITATION SERVICES FOR INDIVIDUALS WITH CHALLENGES IN OHIO. LONG-TERM CARE FACILITIES AND SEMI-INDEPENDENT LIVING APARTMENTS ARE OPERATED PROVIDING DIETARY, HABILITATION, MEDICAL AND OTHER DAILY LIVING SERVICES. SERVED APPROXIMATELY 473 DISABLED INDIVIDUALS RESIDING IN 25 OHIO COUNTIES THROUGH STATE LICENSED HOMES AND SUPPORTED LIVING ARRANGEMENTS. ALSO PROVIDED ADULT DAY SERVICES FOR 60 INDIVIDUALS IN 3 COUNTRIES. 35109987 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 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 1 129 0 1 1321 1 0 0 0 0 0 0 0 1 1 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 OH X SCOTT DELONG 9376531320 1150 SCIOTO STREET SUITE 100 URBANA OH 43078 PHILLIP EDWARDS BOARD TREASURER 2.00 X X 875 0 0 JOANNE PETTY SECRETARY 2.00 X X 1000 0 0 CHRISTINE GLESSNER TRUSTEE 2.00 X 1000 0 0 JEFF MCCULLA TRUSTEE 2.00 X X 875 0 0 JERRY SCHLAEGEL TRUSTEE 2.00 X 875 0 0 BRIAN NICOL BOARD VICE CHAIRMAN 2.00 X X 1000 0 0 EDWIN CORWIN BOARD CHAIRMAN 2.00 X X 875 0 0 ALICE SCHLEMMER TRUSTEE 2.00 X 1000 0 0 RICHARD DIETZ DDS TRUSTEE 2.00 X 1000 0 0 PHYLLIS WHITE TRUSTEE 2.00 X 1000 0 0 ROSEMARY SAUNDERS TRUSTEE 2.00 X 1000 0 0 JORJA WOODWARD TRUSTEE 2.00 X 1000 0 0 TODD MICHAEL TRUSTEE 2.00 X 875 0 0 RICHARD A MEYER TRUSTEE 2.00 X 875 0 0 SCOTT DELONG PRESIDENT 40.00 X 186371 0 20830 199621 0 20830 1 0 1 0 0 1709 1721699 2052 1725460 RESIDENTIAL SERVICES 623000 40062925 40062925 TRANSPORTATION FEE 623000 3960 3960 40066885 48798 48798 99600 0 99600 99600 99600 45338 12644 32694 32694 32694 2850 1709 2808 42 42 MISCELLANEOUS REVENUE 900099 140252 140252 140252 42113731 40339431 0 48840 231801 69936 161865 24925379 23704885 1220494 2194963 2069355 125608 2265148 2255802 9346 113888 35525 78363 95825 44230 51595 734536 724129 10407 10516 181 10335 107806 49846 57960 703783 55433 648350 1441905 1054518 387387 442085 430924 11161 230252 43538 186714 164573 164573 947226 700058 247168 352390 278032 74358 PROGRAM SUPPLIES 1160185 1159450 735 GOV'T FRANCHISE FEE 1101973 1101973 DIETARY 717748 717748 TELEPHONE 447770 310163 137607 853546 139688 713858 39243298 35109987 4133311 0 8344304 10302373 915075 927286 5175836 4938747 583157 550856 27422496 15166631 12239693 12255865 16245 18646 1353477 1351820 28627787 30345593 3584601 2706119 38556 36308 3551931 3264848 768721 781506 7943809 6788781 X 20679921 23554379 4057 2433 20683978 23556812 28627787 30345593 2870433 2401 0 X X 0 1 X 1 1 1 X 436762 202349 17719 27765 1725460 2410055 39456598 38652181 37474378 36462242 40066885 192112284 39893360 38854530 37492097 36490007 41792345 194522339 0 0 0 194522339 96658 102947 109397 116442 148398 573842 96658 102947 109397 116442 148398 573842 144602 357283 86714 111238 140252 840089 40134620 39314760 37688208 36717687 42080995 195936270 0.99280 0.99400 0.00290 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1349036 1349036 15721961 5978885 9743076 1516236 1343344 172892 8731463 7829402 902061 103800 15000 88800 12255865 457B PLAN 781506 781506 X 42120563 2401 4431 6832 42113731 0 42113731 39246106 2808 2808 39243298 0 39243298 PART IV, LINE 1B: RESIDENT FUNDS PART IV, LINE 2B: RESIDENT SOCIAL SECURITY ADMINISTRATION FUNDS ARE CONSIDERED RESTRICTED CASH AND ARE MAINTAINED IN SEPARATE ACCOUNTS AS REQUIRED BY THE SOCIAL SECURITY ADMINISTRATION AND OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES (DODD) ON BEHALF OF MEDICAID RECIPIENTS. PART X, LINE 2: ACCOUNTING STANDARDS REQUIRE THE EVALUATION OF TAX POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, IN THE COURSE OF PREPARING THE ORGANIZATION'S TAX RETURNS, TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. THIS STATEMENT PROVIDES THAT A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED IN THE FINANCIAL STATEMENTS ONLY WHEN IT IS "MORE-LIKELY-THAN-NOT" THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED UPON THE TECHNICAL MERITS AND CONSIDERATION OF ALL AVAILABLE INFORMATION. ONCE THE RECOGNITION THRESHOLD IS MET, THE PORTION OF THE TAX BENEFIT THAT IS RECORDED REPRESENTS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50 PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT WITH A TAXING AUTHORITY. BASED ON ITS REVIEW, MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS, INCLUDING ANY POSITION THAT WOULD PLACE THE ORGANIZATION'S EXEMPT STATUS IN JEOPARDY, AS OF DECEMBER 31, 2020. PART XI LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS AND AMOUNT OF DIRECT FUNDRAISING EXPENSE REPORTED WITH REVENUE PART XII LINES 2D AMOUNT OF DIRECT FUNDRAISING EXPENSE REPORTED WITH REVENUE X 0 0 0 0 0 0 0 0 0 SCOTT DELONG PRESIDENT 186371 0 0 0 0 0 19500 0 1330 0 207201 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE OFFICERS OF THE ORGANIZATION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE ASKED TO DISCLOSE CONFLICTS PRIOR TO ANY VOTE AND RECLUSE THEMSELVES IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15A COMPARABLE SALARY DATA IS OBTAINED AND ANALYZED IN SETTING OF EXECUTIVE COMPENSATION. THE OFFICER'S SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST. FORM 990, PART XII, LINE 2C: NO CHANGES IN THE OVERSIGHT PROCESS OR SELECTION PROCESS. FORM 990 ADDITIONAL INFORMATION: RELATED PARTY TRANSACTIONS THE BOARD TREASURER IS AN OFFICER WITH A BANK THAT HAD A DEPOSITORY RELATIONSHIP OF $128,477 AND $126,305 WITH CRSI AT DECEMBER 31, 2020 AND 2019. A BOARD MEMBER IS AN OFFICER OF A BANK THAT WAS OWED $59,880 AND $44,856 AT DECEMBER 31, 2020 AND 2019 FOR MASTERCARD BALANCES, AND $183,327 AND $252,381 AT DECEMBER 31, 2020 AND 2019 FOR NOTES PAYABLE. CRSI'S PRESIDENT IS A BOARD MEMBER OF THE RELATED BANK. CRSI ALSO HAD DEPOSITORY RELATIONSHIPS WITH THE BANK TOTALING $7,714,283 AND $4,783,300 AT DECEMBER 31, 2020 AND 2019. MANAGEMENT BELIEVES THE LOANS AND DEPOSITORY RELATIONSHIPS HAVE BEEN MADE ON SUBSTANTIALLY THE SAME TERMS AND CONDITIONS, INCLUDING INTEREST RATES AND COLLATERAL, AS THOSE PREVAILING AT THE TIME FOR COMPARABLE TRANSACTIONS WITH OTHER CUSTOMERS.