2017-11-14T13:24:37-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 610 NORTH 39TH AVENUE YAKIMA WA 98902 990 2016-01-01 910854445 COMMUNITY LIVING INC COMM 5099661998 4301 TIETON DRIVE YAKIMA WA 98908 RANDY HAUCK EXECUTIVE DIRECTOR 5099661998 2017-11-13 1 RALPH A CONNER CPA P00185729 5098232910 2017-11-13 67.137.57.251 2017-11-13 11:55:11 PS P E49AB45AF12B1BB25434C7612008407C4465D4D7 9C59EE6D3CCD21689CFBADFF7A4DB800BA897A92 2016 2018-03-14 21:41:22Z RANDY HAUCK 4301 TIETON DRIVE YAKIMA WA 98908 15894267 0 X WWW.COMMUNITY-LIVING.ORG X 1969 WA TO EMPOWER PARTICIPANTS TO LIVE INDEPENDENTLY IN THE COMMUNITY 8 8 720 7 0 0 18512 151376 14484581 15290476 48969 26308 153449 19025 14705511 15487185 0 0 0 0 13408730 14172947 0 0 0 934387 1053001 14343117 15225948 362394 261237 5689992 6042568 2650561 2652503 3039431 3390065 X TO EMPOWER PARTICIPANTS TO LIVE INDEPENDENTLY IN THE COMMUNITY THROUGH THE CONSISTENT PROVISION OF INSTRUCTION AND SUPPORT SERVICES BASED UPON INDIVIDUAL WANTS, NEEDS, AND DESIRES. INSTRUCTION AND SUPPORT SERVICES WILL BE PROVIDED IN A MANNER THAT RECOGNIZES THAT PARTICIPANTS ARE PEOPLE FIRST, WITH UNIQUE INDIVIDUAL ABILITIES AND PERSONALITIES. 0 0 14112237 15309501 SUPPORTIVE LIVING: DURING THE YEAR 2016, SUPPORT WAS PROVIDED FOR APPROXIMATELY 158 ADULTS WITH VARYING DEGREES OF DEVELOPMENTAL DISABILITIES SO THEY MAY LIVE AND EXPERIENCE LIFE OUTSIDE OF INSTITUTIONS. THE GOALS OF COMMUNITY LIVING INCLUDE ENABLING PEOPLE TO ASSUME PRIMARY RESPONSIBILITY FOR THEIR LIVES BY PROVIDING SUPPORT SERVICES, WHICH PROMOTE AND ENHANCE SELF-ESTEEM, INTERDEPENDENCE, DECISION-MAKING, AND THE EXERCISING OF CIVIL AND PERSONAL RIGHTS. 14112237 1 1 0 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 720 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X RANDY HAUCK 5099661998 125 N 50TH AVENUE YAKIMA WA 98908 NANCY KOKENGE PRESIDENT 1.00 X X 0 0 0 TONIA PATNODE VICE PRESIDENT 1.00 X X 0 0 0 LYLE COLLINS BOARD HISTORIAN 1.00 X X 0 0 0 GREG KNOEBEL TREASURER 1.00 X X 0 0 0 SANDY HARGREAVES SECRETARY 1.00 X 0 0 0 ARLENE AMIS DIRECTOR 1.00 X 0 0 0 KATHY MILLER PARRISH DIRECTOR 1.00 X 0 0 0 CINDY PRATER DIRECTOR 1.00 X 0 0 0 RANDY HAUCK EXECUTIVE DIRECTOR 40.00 X 180780 0 4365 TODD MORROW CONTROLLER 40.00 X 63838 0 2603 LINDA SHOOT PRIOR CONTROLLER 40.00 X 59196 0 1409 303814 0 8377 1 0 1 0 0 151376 151376 CONTRACT - STAFF CENTER 623990 12315932 12315932 CONTRACT - NON STAFF 623990 2578931 2578931 CONTRACT - LPN 621610 228574 228574 CONTRACT - PRIVATE 623990 167039 167039 15290476 36161 36161 139180 258049 150706 256376 -11526 1673 -9853 -9853 OTHER REVENUE 900099 19025 19025 19025 15487185 15309501 0 26308 251586 251586 11440104 11009769 430335 81639 70853 10786 995573 974670 20903 1404045 1356265 47780 66761 1443 65318 24333 24333 4062 4062 177446 98460 78986 33155 9166 23989 267143 251761 15382 30191 29693 498 71794 49206 22588 91145 29400 61745 REPAIRS AND MAINTENANCE 193534 162354 31180 STAFF EXPENSE 24197 23097 1100 DUES AND SUBSCRIPTIONS 9080 1111 7969 DONOR RESTRICTED 7783 7783 52377 33144 19233 15225948 14112237 1113711 0 193 607 2649872 2730068 1529988 1605559 95351 215685 705096 437012 433881 268084 980707 1222565 5689992 6042568 2650561 2652503 2650561 2652503 X 3008325 3246548 31106 143517 3039431 3390065 5689992 6042568 261237 89397 0 X 1 X 0 0 0 X 11312 9133 24106 18512 151376 214439 10363908 11377934 11712116 14484581 15290476 63229015 10375220 11387067 11736222 14503093 15441852 63443454 0 0 0 63443454 33584 34643 32669 40788 36161 177845 33584 34643 32669 40788 36161 177845 10408804 11421710 11768891 14543881 15478013 63621299 0.99720 0.99700 0.00280 0.00300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 0 0 0 0 PART II-B, LINE 1: EXECUTIVE DIRECTOR, RANDY HAUCK, IS A MEMBER OF CRSA (COMMUNITY RESIDENTIAL SERVICES ASSOCIATION OF WASHINGTON) AND IS INVOLVED WITH LOBBYING EFFORTS THROUGHOUT THE YEAR WITH STATE LEGISLATORS. 63386 4200 59186 641710 432812 208898 268084 X PART X, LINE 2: UNDER PROVISIONS OF SECTION 501(C)(3) OF THE IRC, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS ACTIVITIES. AS OF DECEMBER 31, 2016, THE ORGANIZATION HAD NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO FEDERAL INCOME TAXES. THE ORGANIZATION HAS NOT IDENTIFIED ANY UNCERTAINTY IN INCOME TAX POSITIONS THAT WOULD JEOPARDIZE THE ENTITY'S STATUS AS A TAX-EXEMPT ORGANIZTION. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. X 0 0 0 0 0 0 0 0 0 RANDY HAUCK EXECUTIVE DIRECTOR 138045 0 42735 0 0 0 0 0 4365 0 185145 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B LINE 11A EXPLANATION - THE BOARD REVIEWS THE 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL QUESTIONNAIRE FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED AND APPROVED BY BOARD MEMBERS ANNUALLY. THE LAST REVIEW WAS PERFORMED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ASSOCIATION FOR COMMUNITY LIVING 125 N 50TH AVE YAKIMA WA 98908 911224878 PROVIDE AFFORDABLE HOUSING TO INDIVIDUALS WITH DEVELOP. DISABILITIES WA 501(C)(3) 509(A)(2) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0