2015-05-15T09:31:36-05:00 2014-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2014-01-01 300021977 LITTLE STAR CENTER INC LITT 3172492242 12726 HAMILTON CROSSING BLVD CARMEL IN 46032 WILLIAM BOWER CHAIRMAN OF THE BOARD 3172492242 2015-05-11 1 SCOTT A SCHUSTER P00019243 3175802000 2015-05-11 2014 2016-02-25 16:41:14Z WILLIAM BOWER 12726 HAMILTON CROSSING BLVD CARMEL IN 46032 9722478 0 X WWW.LITTLESTARCENTER.ORG X 2001 IN 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. 5 5 182 0 0 0 18468 44038 5894412 6829448 166512 261525 13405 11705 6092797 7146716 0 0 0 0 4465990 5465656 0 0 27141 1704923 1880797 6170913 7346453 -78116 -199737 3374576 2993884 93930 106755 3280646 2887129 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 6169765 6841153 PROVIDE YEAR-ROUND THERAPEUTIC INTERVENTION FOR CHILDREN DIAGNOSED WITH AUTISM SPECTRUM DISORDER BASED ON THE SCIENCE OF APPLIED BEHAVIOR ANALYSIS (ABA). 6169765 1 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 182 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 12726 HAMILTON CROSSING BLVD CARMEL IN 46032 WILLIAM BOWER CHAIRMAN 5.00 X X 0 0 0 WILLIAM BRUNNER BOARD MEMBER 1.00 X 0 0 0 ROSE WOLFIN BOARD MEMBER 1.00 X 0 0 0 MICHELE TRIVEDI BOARD MEMBER 1.00 X 0 0 0 JULIA CARPENTER BOARD MEMBER 2.00 X 0 0 0 MARY ROSSWURM EXECUTIVE DIRECTOR 50.00 X 225299 0 0 WILLIAM T COURTNEY CLINICAL DIRECTOR 45.00 X 100788 0 0 326087 0 0 2 0 1 0 0 44038 44038 THERAPEUTIC SERVICES 621400 6829448 6829448 6829448 29033 29033 2808254 2575762 232492 232492 232492 OTHER INCOME 900099 11705 11705 11705 7146716 6841153 0 261525 225299 30138 193152 2009 4888720 4453412 424166 11142 351637 294948 55392 1297 13098 13098 9868 9868 6000 6000 11046 11046 62513 52501 9782 230 27675 23241 4331 103 485772 437195 48577 51046 45941 5105 111551 100396 11155 468058 252497 214451 1110 MARKETING & AWARENESS 124037 110836 12897 304 CONTRACT SERVICES 83571 76422 7149 GIFTS & RECOGNITION 74429 62508 11646 275 CENTER SUPPLIES 73960 73960 278173 155770 111732 10671 7346453 6169765 1149547 27141 82250 140397 868413 1052937 11539 16793 1047782 307333 489157 740449 1923217 1043308 3374576 2993884 93930 106755 93930 106755 X 3280646 2887129 3280646 2887129 3374576 2993884 -199737 -193780 0 X 1 X 0 0 0 X 20800 21302 5536 18468 44038 110144 2730487 5119712 6196418 5894412 6829448 26770477 2751287 5141014 6201954 5912880 6873486 26880621 0 0 0 26880621 8398 18128 45659 41067 29033 142285 8398 18128 45659 41067 29033 142285 29944 1103 3684 13405 11705 59841 2789629 5160245 6251297 5967352 6914224 27082747 0.99250 0.99190 0.00530 0.00560 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME 739750 210380 529370 124941 41107 83834 183091 55846 127245 740449 X PART X, LINE 2: THE CENTER 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, THE CENTER 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 2014 AND 2013. THE CENTER FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION TAX RETURNS. THE CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. X X 1 0 0 0 0 0 0 0 0 MARY ROSSWURM EXECUTIVE DIRECTOR 200000 0 0 0 25299 0 0 0 0 0 225299 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE REVIEWED BY THE CHAIRMAN OF THE BOARD AND EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C IN ORDER TO MONITOR AND ENFORCE THE CONFLICT OF INTEREST POLICY, LITTLE STAR CENTER OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A CERTIFICATION AND DISCLOSURE FORM ANNUALLY. SPECIFICALLY, EACH PERSON IS CERTIFYING THAT HE/SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THAT LITTLE STAR CENTER IS A CHARITABLE ORGANIZATION AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION STATUS IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES AND 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, TRANSACTIONS 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 FILES. 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 ALL DOCUMENTS ARE PROVIDED UPON REQUEST.