2018-10-22T06:36:15-05:00 2017-12-31 351476702 BRADY WARE & SCHOENFELD INC 4249 EASTON WAY SUITE 100 COLUMBUS OH 43219 990 2017-01-01 341200331 CHAMPAIGN RESIDENTIAL SERVICES INC CHAM 9376531320 1150 SCIOTO STREET NO 100 URBANA OH 43078 SCOTT A DELONG PRESIDENT 9376531320 2018-10-01 1 BETTY COLLINS CPA P00602371 6148857407 2018-09-29 64.141.187.4 2018-10-01 09:05:34 ED P 39E90CBB44B41E0C3D082B7A69A63BDC1055460A 5C64EF8315A89EAD83949600754324CEAA9C923D 2017 2018-06-14 16:35:46Z SCOTT A DELONG 1150 SCIOTO ST SUITE 100 URBANA OH 43078 39403682 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. 18 18 1585 0 0 0 436762 202349 39456598 38652181 46646 57263 246568 454105 40186574 39365898 0 0 0 0 29499283 29368628 0 0 33176 9758658 9733088 39257941 39101716 928633 264182 28975529 29467512 8769514 8994765 20206015 20472747 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 35117543 39108180 ALS IN 3 COUNTRIESPROVIDED 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 632 DISABLED INDIVIDUALS RESIDING IN 25 OHIO COUNTIES THROUGH STATE LICENSED HOMES AND SUPPORTED LIVING ARRANGEMENTS. ALSO PROVIDED ADULT DAY SERVICES FOR 95 INDIVIDUALS IN 3 COUNTRIES 35117543 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 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 0 0 0 0 1 127 0 1 1585 1 0 0 0 0 0 0 0 1 1 0 X 18 18 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 TRUSTEE 2.00 X 625 0 0 JOANNE PETTY TRUSTEE 2.00 X 625 0 0 CHRISTINE GLESSNER TRUSTEE 2.00 X 750 0 0 MARY ANN METHERD BOARD SECRETARY 2.00 X X 875 0 0 JEFF MCCULLA BOARD TREASURER 2.00 X X 0 0 0 JERRY SCHLAEGEL TRUSTEE 2.00 X 875 0 0 BRIAN NICOL BOARD VICE CHAIRMAN 2.00 X X 875 0 0 EDWIN CORWIN BOARD CHAIRMAN 2.00 X X 875 0 0 ALICE SCHLEMMER TRUSTEE 2.00 X 0 0 0 TERRY HOWELL TRUSTEE 2.00 X 625 0 0 RICHARD DIETZ DDS TRUSTEE 2.00 X 875 0 0 PHYLLIS WHITE TRUSTEE 2.00 X 0 0 0 DAN STOWE DDS TRUSTEE 2.00 X 0 0 0 ROSEMARY SAUNDERS TRUSTEE 2.00 X 875 0 0 JORJA WOODWARD TRUSTEE 2.00 X 0 0 0 ED KAUFMAN EX OFFICIO 2.00 X 875 0 0 TODD MICHAEL TRUSTEE 2.00 X 625 0 0 RICHARD A MEYER TRUSTEE 2.00 X 625 0 0 THAN JOHNSON CEO 40.00 X 237506 0 23374 SCOTT DELONG PRESIDENT 40.00 X 205361 0 1138 452867 0 24512 2 0 1 0 STEP BACK LEADERSHIP CONSULTING 3414 LEDGE LN COLUMBUS OH 43221 CONSULTING 132500 ASSOCIATION OF RETARDED CITIZENS 1335 DUBLIN RD STE 100-A COLUMBUS OH 43215 SERVICES FOR PEOPLE WITH INTELLECTUAL DI 110000 NURSE STAFFING OF DAYTON 8401 CLAUDE THOMAS RD SUITE 17 FRANKLIN OH 45005 STAFFING 105196 SENGISTIX LLC 1444 NORTHLAND DR STE 200 MEDOTA HEIGHTS MN 55120 MONITORING SERVICES 100404 4 49 188406 13894 202349 RESIDENTIAL SERVICES 623000 38643171 38643171 TRANSPORTATION FEE 623000 9010 9010 38652181 30747 30747 72200 0 72200 72200 72200 49935 23419 26516 26516 26516 38987 49 14365 24622 24622 MISCELLANEOUS REVENUE 900099 357283 357283 357283 39365898 39108180 0 55369 477379 149561 327818 23840205 22639693 1177553 22959 2811784 2629875 179714 2195 2239260 2161155 75714 2391 139222 6754 132468 101490 42450 59040 1189030 1177392 11638 32713 814 31899 152614 75879 76735 499962 15881 484081 1516288 1109990 406298 558962 534300 24662 253553 38009 215544 242406 223131 19275 1196437 924313 272124 379892 316878 63014 GOV'T FRANCHISE FEE 953709 953709 DIETARY 818372 818372 PROGRAM SUPPLIES 605900 600097 172 5631 TELEPHONE 459911 297124 162787 632627 402166 230461 39101716 35117543 3950997 33176 7609664 8538951 943223 894738 22774 0 4739305 4956278 459092 433180 26433873 13038025 13783965 13395848 12691 15241 1404815 1233276 28975529 29467512 3171835 3661199 24107 23172 5094937 4783675 478635 526719 8769514 8994765 X 20196504 20465110 9511 7637 20206015 20472747 28975529 29467512 264182 2550 0 X X 0 1 X 1 0 X 252968 30136 28716 436762 202349 950931 38395060 37787460 35925094 39456598 38652181 190216393 38648028 37817596 35953810 39893360 38854530 191167324 0 0 0 191167324 10993 14612 10854 96658 102947 236064 10993 14612 10854 96658 102947 236064 144602 357283 501885 38659021 37832208 35964664 40134620 39314760 191905273 0.99620 0.99840 0.00120 0.00080 X 0 0 0 0 0 0 1 47480 0 0 47480 0 PART II-B, LINE 1: CONTACT WITH LEGISLATORS INVOLVING STATE BUDGETING ACTIONS AS IT RELATES TO THE RESIDENTIAL AND HABILITATION SERVICES FOR INDIVIDUALS WITH CHALLENGES. 0 1 X 1293137 1293137 15291656 4822046 10469610 1373802 1269816 103986 8452011 6931163 1520848 23267 15000 8267 13395848 457B PLAN 526719 526719 X 39384687 2550 16239 18789 39365898 0 39365898 39116081 14365 14365 39101716 0 39101716 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, 2017. PART XI LINE 2D AND PART XII LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS PART XI AND XII LINES 4B AND 2D AMOUNT OF DIRECT FUNDRAISING EXPENSE REPORTED WITH REVENUE. GOLF OUTING 39036 49 38987 564 6889 5873 1039 0 39036 49 38987 564 6889 5873 1039 14365 24622 X 0 0 0 0 0 0 0 0 0 THAN JOHNSON CEO 237506 0 0 0 0 0 0 0 23374 0 260880 0 0 0 SCOTT DELONG PRESIDENT 205361 0 0 0 0 0 0 0 1138 0 206499 0 0 0 X RE - RENTAL 2 22774 FAIR MARKET VALUE 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 $123,647 AND $122,846 WITH CRSI AT DECEMBER 31, 2017 AND 2016. A BOARD MEMBER IS AN OFFICER OF A BANK THAT WAS OWED $58,337 AND $58,050 AT DECEMBER 31, 2017 AND 2016 FOR MASTERCARD BALANCES, AND $383,602 AND $445,924 AT DECEMBER 31, 2017 AND 2016 FOR NOTES PAYABLE. CRSI ALSO HAD DEPOSITORY RELATIONSHIPS WITH THE BANK TOTALING $5,647,221 AND $4,737,973 AT DECEMBER 31, 2017 AND 2016. 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.