2018-11-01T16:31:50-05:00 2017-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2017-01-01 300021977 LITTLE STAR CENTER INC LITT 3172492242 12650 HAMILTON CROSSING BLVD CARMEL IN 46032 WILLIAM BOWER CHAIRMAN OF THE BOARD 3172492242 2018-10-01 1 CASSE TATE P01271193 3175802000 2018-10-01 64.132.79.19 2018-10-01 10:56:40 ED P 60E14920F41D3C02D83E168B1DBF774EC709E375 4352D34B295DE2E0C9076555063E87B27933E229 2017 2019-02-21 02:37:17Z WILLIAM BOWER 12650 HAMILTON CROSSING BLVD CARMEL IN 46032 16990129 0 X WWW.LITTLESTARCENTER.ORG X 2001 IN TO INSPIRE, SERVE, AND GUIDE ALL THOSE TOUCHED BY AUTISM TO ACHIEVE A BETTER REALITY. 5 5 490 4 0 0 98155 109409 12774344 15404745 21521 81771 27725 26118 12921745 15622043 0 0 0 0 9006668 11680625 0 0 72842 3069578 4414118 12076246 16094743 845499 -472700 4327904 4561140 105671 800378 4222233 3760762 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 13668570 15433645 PROVIDE YEAR-ROUND THERAPEUTIC INTERVENTION FOR CHILDREN AND YOUNG ADULTS DIAGNOSED WITH AUTISM SPECTRUM DISORDER BASED ON THE SCIENCE OF APPLIED BEHAVIOR ANALYSIS (ABA). 13668570 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 490 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 0 0 IN X DWAYNE MCCOY 3172492242 12650 HAMILTON CROSSING BLVD CARMEL IN 46032 WILLIAM BOWER CHAIRMAN 6.00 X X 0 0 0 MIKE BOATRIGHT BOARD MEMBER 1.00 X 0 0 0 ROSE WOLFIN 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 EXECUTIVE DIRECTOR 50.00 X 189403 0 18000 DWAYNE MCCOY CHIEF FINANCIAL OFFICER 50.00 X 96484 0 6825 WILLIAM T COURTNEY CHIEF OPERATING OFFICER 50.00 X 122545 0 8454 BREANNE HARTLEY SENIOR CLINICAL DIRECTOR 45.00 X 105535 0 5424 DORRON FARRIS COMMUNITY OUTREACH 40.00 X 106562 0 5467 VINCENT LAMARCA SENIOR CLINICAL DIRECTOR 45.00 X 102624 0 5572 723153 0 49742 5 0 1 0 0 19915 89494 109409 THERAPEUTIC SERVICES 621400 15404745 15404745 15404745 18466 18466 1428609 1365304 63305 63305 63305 0 19915 2782 -2782 -2782 OTHER INCOME 900099 28900 28900 28900 15622043 15433645 0 78989 310712 20740 269271 20701 10605412 9684262 891794 29356 764501 627635 134183 2683 25386 25386 31299 31299 9958 9958 95455 95455 114185 95734 18085 366 159115 133408 25200 507 1092827 983544 109283 169044 152140 16904 14818 14818 317097 285388 31709 853444 516276 334961 2207 CONTRACT SERVICES 439923 423470 16453 MARKETING & AWARENESS 199972 179680 19890 402 BAD DEBT EXPENSE 181278 181278 MILEAGE REIMBURSEMENT 172918 138336 34582 537399 413139 107640 16620 16094743 13668570 2353331 72842 778586 242320 1228677 1298058 35656 44862 71713 58801 3092732 845770 930894 2246962 1282378 670137 4327904 4561140 105671 164548 635830 105671 800378 X 4222233 3760762 4222233 3760762 4327904 4561140 -472700 11229 0 X 1 X 0 0 0 X 18468 44038 70827 98155 109409 340897 5894412 6829448 9563360 12774344 15404745 50466309 5912880 6873486 9634187 12872499 15514154 50807206 0 0 0 50807206 41067 29033 8175 21223 18466 117964 41067 29033 8175 21223 18466 117964 13405 11705 16934 31875 28900 102819 5967352 6914224 9659296 12925597 15561520 51027989 0.99570 0.99470 0.00230 0.00350 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 13,405. 2014 AMOUNT: $ 11,705. 2015 AMOUNT: $ 16,934. 2016 AMOUNT: $ 31,875. 2017 AMOUNT: $ 28,900. 2522715 703253 1819462 220904 96923 123981 349113 45594 303519 2246962 X PART X, LINE 2: LITTLE STAR IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. 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 2017 AND 2016. LITTLE STAR FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION TAX RETURNS. LITTLE STAR IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2014. BOARD BREAKFAST 19915 19915 2089 693 19915 19915 2089 693 2782 -2782 X X 1 0 0 0 0 0 0 0 0 MARY ROSSWURM EXECUTIVE DIRECTOR 189403 0 0 0 0 0 0 0 18000 0 207403 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY THE CHAIRMAN OF THE BOARD AND EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C LITTLE STAR CENTER, INC. HAS THEM 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 15A THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE MARKET RATE COMPARABLE TO OTHER SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.