2014-11-17T13:58:08-06:00 2013-12-31 351476702 BRADY WARE & SCHOENFELD INC 10 WEST BROAD SUITE 1500 COLUMBUS OH 43215 990 2013-01-01 341200331 CHAMPAIGN RESIDENTIAL SERVICES INC CHAM 9376531320 1150 SCIOTO STREET NO 100 URBANA OH 43078 SCOTT A DELONG PRESIDENT 9376531320 2014-11-14 1 BETTY COLLINS P00602371 6148857407 2014-11-10 2013 2015-11-30 17:44:51Z SCOTT A DELONG 1150 SCIOTO ST SUITE 100 URBANA OH 43078 38688175 0 X WWW.CRSI-OH.COM X 1977 OH 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. 18 18 1874 0 0 0 71825 252968 38126067 38338449 71581 55409 0 10655 38269473 38657481 0 0 0 0 28922428 28568984 0 0 22726 8260798 8813912 37183226 37382896 1086247 1274585 22001010 24051507 5388555 6161753 16612455 17889754 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 32669335 38395060 PROVIDED 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 719 DISABLED INDIVIDUALS RESIDING IN 28 OHIO COUNTIES THROUGH STATE LICENSED HOMES AND SUPPORTED LIVING ARRANGEMENTS. ALSO PROVIDED ADULT DAY SERVICES FOR 96 INDIVIDUALS IN CHAMPAIGN COUNTY AND PROVIDED SOCIAL AND VOCATIONAL SERVICES TO 96 OTHER INDIVIDUALS IN 6 COUNTIES. NONE 32669335 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 1 107 0 1 1874 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 750 0 0 JOANNE PETTY BOARD CHAIRMAN 2.00 X 0 0 0 CHRISTINE GLESSNER TRUSTEE 2.00 X 875 0 0 MARY ANN METHERD BOARD SECRETARY 2.00 X 750 0 0 JEFF MCCULLA BOARD TREASURER 2.00 X 625 0 0 WILLIAM DENKEWALTER TRUSTEE 2.00 X 0 0 0 JERRY SCHLAEGEL TRUSTEE 2.00 X 750 0 0 BRIAN NICOL TRUSTEE 2.00 X 750 0 0 EDWIN CORWIN BOARD CHAIRMAN 2.00 X 875 0 0 ALICE SCHLEMMER TRUSTEE 2.00 X 750 0 0 TERRY HOWELL TRUSTEE 2.00 X 750 0 0 RICHARD DIETZ DDS BOARD VICE CHAIRMAN 2.00 X 750 0 0 PHYLLIS WHITE TRUSTEE 2.00 X 750 0 0 DAN STOWE DDS TRUSTEE 2.00 X 625 0 0 ROSEMARY SAUNDERS TRUSTEE 2.00 X 875 0 0 JORJA WOODWARD TRUSTEE 2.00 X 875 0 0 ED KAUFMAN EX OFFICIO 2.00 X 875 0 0 MIKE CAREY EX OFFICIO 2.00 X 0 0 0 THAN JOHNSON CEO 40.00 X 275999 0 767 SCOTT DELONG PRESIDENT 40.00 X 182642 0 1198 470266 0 1965 2 0 1 0 HARP CONTRACTORS INC 201 EAST ANDRUS NORTHWOOD OH 43619 HOME CONSTRUCTION 446474 PERRY PROTECT PO BOX 809 URBANA OH 45802 BUSINESS TECHNOLOGY 347016 KAPP CONSTRUCTION INC PO BOX 629 SPRINGFIELD OH 45501 CONSTRUCTION 250114 MATCO SERVICES PO BOX 533 LONDON OH 43140 SERVICES FOR ELDERLY AND PERSONS WITH DI 150150 CDW DIRECT LLC PO BOX 75723 CHICAGO IL 60675 IT 138552 5 28908 224060 252968 RESIDENTIAL SERVICES 623000 38199905 38199905 RENT FROM 501(C)3 623000 96050 96050 TRANSPORTATION 623000 42494 42494 38338449 10993 10993 56910 12494 44416 44416 44416 16660 28908 18200 -1540 -1540 OTHER REVENUE 900099 12195 12195 12195 38657481 38395060 0 9453 458641 146114 312527 23657907 22030075 1616341 11491 2207857 1974506 232154 1197 2244579 2166593 76887 1099 323356 123634 199722 76548 24750 51798 913556 907492 6064 61891 4070 57821 261328 73964 187364 392069 4772 387297 1360409 976767 383642 697625 694378 3247 248878 114238 134640 102304 32854 69450 1153342 754588 398754 288676 219412 69264 DIETARY 753892 753892 GOV'T FRANCHISE FEE 730252 730252 PROGRAM SUPPLIES 478856 471099 984 6773 TELEPHONE 400095 196742 203353 570835 269143 299526 2166 37382896 32669335 4690835 22726 6945978 7469319 890994 933204 33204 34653 4544465 4393424 260158 290557 19249179 9525689 8220664 9723490 8447 11738 1097100 1195122 22001010 24051507 3176996 3355081 1813124 2363058 398435 443614 5388555 6161753 X 16581862 17866191 30593 23563 16612455 17889754 22001010 24051507 1274585 2714 0 X X 1 X 1 X 1 0 X 56446 284134 78753 71825 252968 744126 35890880 36525329 38147180 38178840 38395060 187137289 35947326 36809463 38225933 38250665 38648028 187881415 0 0 0 187881415 28053 24378 16372 18808 10993 98604 28053 24378 16372 18808 10993 98604 35975379 36833841 38242305 38269473 38659021 187980019 0.99950 0.99870 0.00050 0.00130 X 0 0 0 0 0 0 1 50232 0 0 50232 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. 1 56110 4859 51251 0 754608 754608 10193509 3074176 7119333 1308253 1304846 3407 6897960 5146667 1751293 94849 94849 9723490 457B PLAN 443614 443614 X 38685425 2714 7030 9744 38675681 -18200 -18200 38657481 37401096 18200 18200 37382896 0 37382896 PART IV, LINE 1B: RESIDENT FUNDS PART X, LINE 2: BASED ON ITS REVIEW, MANAGEMENT DOES NOT BELIEVE CRSI HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS, INCLUDING ANY POSITION THAT WOULD PLACE CRSI'S EXEMPT STATUS IN JEOPARDY AS OF DECEMBER 31, 2013. 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 45568 28908 16660 18200 0 45568 28908 16660 18200 18200 -1540 X 0 0 0 0 0 0 0 0 0 THAN JOHNSON CEO 275999 0 0 0 0 0 0 0 767 0 276766 0 0 0 SCOTT DELONG PRESIDENT 182642 0 0 0 0 0 0 0 1198 0 183840 0 0 0 X RE - RENTAL 2 33205 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 CHAIRMAN IS AN OFFICER OF A BANK THAT WAS OWED $40,500 AT DECEMBER 31,2013 FOR A MASTERCARD BALANCE. CRSI ALSO HAS A DEPOSITORY RELATIONSHIP WITH THE BANK TOTALING $921,709 AT DECEMBER 31,2013. THE BOARD TREASURER IS AN OFFICER OF ANOTHER BANK THAT HAS A DEPOSITORY RELATIONSHIP OF $120,923 WITH CRSI AT DECEMBER 31,2013. CRSI MANAGEMENT BELIEVES THE LOANS AND DEPOSITIORY 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.