SHADY LANE HOME INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SHADY LANE HOME INC (EIN 39-0829541)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-05-16
IRS object ID
201641379349307819
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-16T15:07:17-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390829541EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHADY LANE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHADBusinessNameControlTxt
Phone9206828254PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11235 SOUTH 24TH STREETAddressLine1Txt
CityMANITOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP542205516ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKASANDRA PAIDERPersonNm
Person TitleCFOPersonTitleTxt
Phone9206828254PhoneNum
Signature2016-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
Preparation2016-03-17PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKASANDRA PAIDERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11235 SOUTH 24TH STREETAddressLine1Txt
CityMANITOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP542205516ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,557,467GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SHADYLANEINC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1950FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionNURSING CARE FOR THE AGED AND DISABLED.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee320TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,838PYContributionsGrantsAmt
CY Contributions Grants$8,463CYContributionsGrantsAmt
PY Program Service Revenue$9,964,651PYProgramServiceRevenueAmt
CY Program Service Revenue$9,465,340CYProgramServiceRevenueAmt
PY Investment Income$97,040PYInvestmentIncomeAmt
CY Investment Income$43,164CYInvestmentIncomeAmt
PY Other Revenue$278,301PYOtherRevenueAmt
CY Other Revenue$12,945CYOtherRevenueAmt
PY Total Revenue$10,348,830PYTotalRevenueAmt
CY Total Revenue$9,529,912CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,416,780PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,675,107CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,116,333PYOtherExpensesAmt
CY Other Expenses$4,097,150CYOtherExpensesAmt
PY Total Expenses$10,533,113PYTotalExpensesAmt
CY Total Expenses$10,772,257CYTotalExpensesAmt
PY Revenues Less Expenses-$184,283PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,242,345CYRevenuesLessExpensesAmt
Total Assets BOY$19,472,099TotalAssetsBOYAmt
Total Assets EOY$13,669,745TotalAssetsEOYAmt
Total Liabilities BOY$5,243,929TotalLiabilitiesBOYAmt
Total Liabilities EOY$886,672TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,228,170NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,783,073NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSHADY LANE STRIVES TO PROVIDE OLDER ADULTS IN MANITOWOC COUNTY THE HIGHEST QUALITY RESIDENTIAL CARE AT A REASONABLE COST. RESIDENTS OF SHADY LANE CAN EXPECT TO ENJOY A HOME-LIKE SETTING WITH A SUPPORTIVE ATMOSPHERE THAT RESPECTS INDIVIDUALITY, PROMOTES PHYSICAL AND EMOTIONAL WELL BEING, AND ENCOURAGES INDEPENDENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,420,195ExpenseAmt
Revenue$7,156,057RevenueAmt
DescSKILLED NURSING SERVICES ARE OFFERED TO THE SENIOR POPULATION. THESE ARE THE HIGHER ACUITY POPULATION NEEDING THE MOST INTENSE SKILLED NURSING SERVICES. RESIDENTS TREATED CAN INCLUDE THE PRIVATE PAY RESIDENTS, AND THE RESIDENTS ON GOVERNMENT FUNDING (MEDICARE AND MEDICAID). NUMBER OF RESIDENTS TREATED IN PLAN YEAR WERE 280.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,149,365ExpenseAmt
Revenue$2,072,854RevenueAmt
DescASSISTED LIVING SERVICES ARE OFFERED TO THE LIGHTER CARE ASSISTED LIVING POPULATION. THESE RESIDENTS CAN MAINTAIN AN AMOUNT OF INDEPENDENCE WHILE STILL RECEIVING THE NECESSARY NURSING SERVICE TO MAINTAIN A QUALITY OF LIFE. RESIDENTS IN THE ASSISTED LIVING CAN INCLUDE THE PRIVATE PAY RESIDENTS AND RESIDENTS RECEIVING GOVERNMENT FUNDING. NUMBER OF RESIDENTS TREATED IN PLAN YEAR WERE 76.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$9,569,560TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee320EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KASANDRA PAIDERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9206828254PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11235 S 24TH STREETAddressLine1Txt
CityMANITOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54220ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JIM NOFFKE
BOARD CHAIR0.50Yes (X)Yes (X)$0$0$0
TOM MUELLER
BOARD VICE CHAIR0.50Yes (X)Yes (X)$0$0$0
KATHERINE REYNOLDS
BOARD SECRETARY0.50Yes (X)Yes (X)$0$0$0
DR JOSEPH DIRAIMONDO
BOARD MEMBER0.50Yes (X)$0$0$0
MARILYN KAUFMANN
BOARD MEMBER0.50Yes (X)$0$0$0
MIKE SCHAUS
BOARD MEMBER0.50Yes (X)$0$0$0
SCOTT MCMEANS
BOARD MEMBER0.50Yes (X)$0$0$0
JUDY CAREY
BOARD MEMBER0.50Yes (X)$0$0$0
DENNIS TIENOR
BOARD MEMBER0.50Yes (X)$0$0$0
DON KARMAN
BOARD MEMBER0.50Yes (X)$0$0$0
RONALD HINZ
BOARD MEMBER0.50Yes (X)$0$0$0
SANDY HARDRATH
BOARD MEMBER0.50Yes (X)$0$0$0
STANLEY JOHNSON
BOARD MEMBER0.50Yes (X)$0$0$0
RHONDA TRADER
BOARD MEMBER0.50Yes (X)$0$0$0
JEREMY SEHLOFF
BOARD MEMBER0.50Yes (X)$0$0$0
TODD MEERDINK
CEO40.00Yes (X)$150,450$0$30,749
KASANDRA PAIDER
CFO40.00Yes (X)$49,260$0$10,070
FieldValueIRS element (for citing)
Total Reportable Comp From Org$199,710TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$40,819TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HOLY FAMILY REHAB SERVICE
2100 WESTERN AVEMANITOWOCWI54220THERAPY SERVICES$485,424
OMNICARE
PO BOX 78000DETROITMI48278PHARMACY SERVICES$193,572
WEATHER-TITE EXTERIORS
1533 7TH STREETGREEN BAYWI54304BUILDING SERVICES$185,642
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$8,463AllOtherContributionsAmt
Total Contributions$8,463TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
SKILLED NURSING FACILI623000$7,156,057$7,156,057
ASSISTED LIVING FACILI623000$2,072,854$2,072,854
CAFETERIA REVENUES623000$195,779$195,779
OTHER623000$26,617$26,617
BEAUTY & BARBER SHOP623000$14,033$14,033
FieldValueIRS element (for citing)
Total Program Service Revenue$9,465,340TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,164TotalRevenueColumnAmt
Exclusion$43,164ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$40,500RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$27,555RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$12,945RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,945TotalRevenueColumnAmt
Exclusion$12,945ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,529,912TotalRevenueColumnAmt
Related Or Exempt Func Income$9,228,911RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$292,538ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$240,529TotalAmt
Management And General$240,529ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,224,408TotalAmt
Program Services$4,875,186ProgramServicesAmt
Management And General$349,222ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$78,300TotalAmt
Program Services$69,847ProgramServicesAmt
Management And General$8,453ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$727,573TotalAmt
Program Services$649,120ProgramServicesAmt
Management And General$78,453ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$404,297TotalAmt
Program Services$360,653ProgramServicesAmt
Management And General$43,644ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,179TotalAmt
Management And General$11,179ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,350TotalAmt
Management And General$26,350ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$611,695TotalAmt
Program Services$539,355ProgramServicesAmt
Management And General$72,340ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$126,185TotalAmt
Management And General$126,185ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,581,491TotalAmt
Program Services$1,444,903ProgramServicesAmt
Management And General$136,588ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$303,570TotalAmt
Program Services$285,366ProgramServicesAmt
Management And General$18,204ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,272TotalAmt
Program Services$1,869ProgramServicesAmt
Management And General$403ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,588TotalAmt
Program Services$3,588ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$802,139TotalAmt
Program Services$754,037ProgramServicesAmt
Management And General$48,102ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$213,248TotalAmt
Program Services$194,819ProgramServicesAmt
Management And General$18,429ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BED ASSESSMENT$241,400$241,400
BAD DEBT EXPENSE$70,000$70,000
REPAIRS AND MAINTENANCE$47,578$47,578

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$56,455TotalAmt
Program Services$31,839ProgramServicesAmt
Management And General$24,616ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,772,257TotalAmt
Program Services$9,569,560ProgramServicesAmt
Management And General$1,202,697ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$363,616BOYAmt
EOY$207,660EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$62,813BOYAmt
EOY$66,973EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$795,828BOYAmt
EOY$647,138EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$34,770BOYAmt
EOY$31,270EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$112,249BOYAmt
EOY$83,581EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,884,601LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,784,833LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,040,374BOYAmt
EOY$7,099,768EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,955,192BOYAmt
EOY$4,592,970EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$107,257BOYAmt
EOY$940,385EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,472,099BOYAmt
EOY$13,669,745EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$823,732BOYAmt
EOY$868,932EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$20,197BOYAmt
EOY$17,740EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,400,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,243,929BOYAmt
EOY$886,672EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,203,170BOYAmt
EOY$12,758,073EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$25,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,228,170BOYAmt
EOY$12,783,073EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,472,099BOYAmt
EOY$13,669,745EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,242,345ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$125,397NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$77,355OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$746CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,702CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,838CurrentTaxYearMinus1YearAmt
Current Tax Year$8,463CurrentTaxYearAmt
Total$28,749TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,538,152CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,550,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,229,343CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,010,778CurrentTaxYearMinus1YearAmt
Current Tax Year$9,228,911CurrentTaxYearAmt
Total$51,557,696TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212,907CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$243,988CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$299,415CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$217,255CurrentTaxYearMinus1YearAmt
Current Tax Year$236,429CurrentTaxYearAmt
Total$1,209,994TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,751,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,795,246CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,539,460CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,236,871CurrentTaxYearMinus1YearAmt
Current Tax Year$9,473,803CurrentTaxYearAmt
Total$52,796,439TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$16,434CurrentTaxYearAmt
Total$16,434TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$16,434CurrentTaxYearAmt
Total$16,434TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$52,780,005PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$169,995CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$143,056CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$128,891CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$137,540CurrentTaxYearMinus1YearAmt
Current Tax Year$83,664CurrentTaxYearAmt
Total$663,146TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$169,995CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$143,056CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$128,891CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$137,540CurrentTaxYearMinus1YearAmt
Current Tax Year$83,664CurrentTaxYearAmt
Total$663,146TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,921,054CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,938,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,668,351CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,374,411CurrentTaxYearMinus1YearAmt
Current Tax Year$9,557,467CurrentTaxYearAmt
Total$53,459,585TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98730PublicSupportCY509Pct
Public Support PY5090.98570PublicSupportPY509Pct
Investment Income CY0.01240InvestmentIncomeCYPct
Investment Income PY0.01430InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,000BeginningYearBalanceAmt
Investment Earnings Or Losses$18InvestmentEarningsOrLossesAmt
Other Expenditures$18OtherExpendituresAmt
End Year Balance$25,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,000BeginningYearBalanceAmt
Investment Earnings Or Losses$15InvestmentEarningsOrLossesAmt
Other Expenditures$15OtherExpendituresAmt
End Year Balance$25,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,000BeginningYearBalanceAmt
Investment Earnings Or Losses$50InvestmentEarningsOrLossesAmt
Other Expenditures$50OtherExpendituresAmt
End Year Balance$25,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,000BeginningYearBalanceAmt
Investment Earnings Or Losses$73InvestmentEarningsOrLossesAmt
Other Expenditures$73OtherExpendituresAmt
End Year Balance$25,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,000BeginningYearBalanceAmt
Investment Earnings Or Losses$50InvestmentEarningsOrLossesAmt
Other Expenditures$50OtherExpendituresAmt
End Year Balance$25,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$216,216OtherCostOrOtherBasisAmt
Book Value$216,216BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,430,003OtherCostOrOtherBasisAmt
Depreciation$7,446,180DepreciationAmt
Book Value$4,983,823BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,238,382OtherCostOrOtherBasisAmt
Depreciation$1,338,653DepreciationAmt
Book Value$1,899,729BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,099,768TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN LAKESHORE COMMUNITY FOUNDATION$922,645
RESIDENT FUNDS HELD IN TRUST$17,740
FieldValueIRS element (for citing)
Total Book Value Other Assets$940,385TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$9,350,413TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$125,397NetUnrealizedGainsInvstAmt
Other Revenue-$77,355OtherRevenueAmt
Revenue Not Reported-$202,752RevenueNotReportedAmt
Revenue Subtotal$9,553,165RevenueSubtotalAmt
Other Revenues Not Included-$23,253OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$23,253RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,529,912TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,795,510TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$27,555OtherExpensesIncludedAmt
Expenses Not Reported$27,555ExpensesNotReportedAmt
Expenses Subtotal$10,767,955ExpensesSubtotalAmt
Other Expenses Not Included$4,302OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,302ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,772,257TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:RESIDENTS' FUNDS HELD IN TRUST CONSIST OF AMOUNTS ON DEPOSIT WITH THE ORGANIZATION BY RESIDENTS FOR SAFEKEEPING. THESE FUNDS CAN BE WITHDRAWN AT ANY TIME BY THE RESIDENTS.
PART V, LINE 4:PERMANENTLY RESTRICTED NET ASSETS AT SEPTEMBER 30, 2015 REPRESENT A DONOR-RESTRICTED ENDOWMENT FUND. THE INCOME FROM THE ENDOWMENT FUND IS EXPENDABLE TO SUPPORT INCIDENTAL EXPENSES OF RESIDENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN LAKESHORE COMMUNITY FOUNDATION -77,355.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS 4,302. RENTAL EXPENSES -27,555.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 27,555.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS 4,302.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonTODD MEERDINKPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$145,450BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$5,000BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$4,858DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$25,891NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$181,199TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE ORGANIZATIONS' BOARD OF DIRECTORS EXECUTIVE COMMITTEE BEFORE IT WAS FILED AND IS AVAILABLE TO ALL BOARD MEMBERS UPON REQUEST. THE EXECUTIVE COMMITTEE DESIGNATES THE DETAIL REVIEW OF THE FORM 990 TO MANAGEMENT, BUT HAS FINAL APPROVAL OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS AUTHORIZES THE OFFICERS OF THE ORGANIZATION TO PERIODICALLY, BUT NOT LESS THAN ANNUALLY, SURVEY THE BOARD MEMBERS REGARDING ANY POTENTIAL CONFLICTS, TO MAINTAIN SUCH INFORMATION AND REPORT BACK TO THE BOARD REGARDING ANY POTENTIAL CONFLICTS OF INTEREST. BOARD MEMBERS HAVE THE DUTY TO FULLY DISCLOSE TO THE BOARD, PRIOR TO DELIBERATIONS, THE NATURE AND EXTENT OF ANY INTEREST IN ANY TRANSACTION BEING CONSIDERED. AFTER THE DISCLOSURE IS MADE AND THE INTERESTED PARTY ANSWERS ALL APPROPRIATE QUESTIONS, HE SHALL DEPART FROM THE PORTION OF THE MEETING IN WHICH THE TRANSACTION IS BEING CONSIDERED AND SHALL NOT PARTICIPATE IN FURTHER DISCUSSION OF OR VOTE ON THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION FOR THE OFFICERS AND OTHER KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) REVIEW AND APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS (THOSE WITHOUT CONFLICT); 2) USE OF DATA AS TO COMPARABLE COMPENSATION; AND 3) CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION BELIEVES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE THE PROPERTY OF THE ORGANIZATION AND DOES NOT MAKE THEM AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:CHANGE IN BENEFICIAL INTEREST IN LAKESHORE COMMUNITY FOUNDATION -77,355.
FORM 990, PART XII, LINE 2C:FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE AUDIT FIRM. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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