2014-11-13T12:46:20-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC 1111 SUPERIOR AVE SUITE 1250 CLEVELAND OH 441142553 990 2013-01-01 310993382 RESIDENTIAL OPTIONS INC RESI 6148952517 41 WEST COLLEGE AVE WESTERVILLE OH 43081 MIKE KROTZ BOARD PRESIDENT 6148952517 2014-10-28 1 JEREMY S HERMAN P00745789 2165231010 2013 2015-11-30 17:44:51Z MIKE KROTZ 4119 WINTERGREEN BLVD GAHANNA OH 43230 1031232 0 X N/A X 1980 OH TO PROVIDE RESIDENTIAL, HABILITATIVE AND TRAINING SERVICES FOR MENTALLY CHALLENGED AND/OR DEVELOPMENTALLY DISABLED INDIVIDUALS WHILE ASSISTING THEM TO BECOME AS INDEPENDENT AS POSSIBLE. 7 7 50 7 0 0 0 1030845 997867 0 638 387 0 0 998505 1031232 0 0 0 0 482048 472788 0 0 0 477456 486086 959504 958874 39001 72358 319137 455591 304182 368278 14955 87313 TO PROVIDE RESIDENTIAL, HABILITATIVE, AND TRAINING SERVICES FOR MENTALLY CHALLENGED AND/OR DEVELOPMENTALLY DISABLED INDIVIDUALS TO ASSIST THE INDIVIDUALS TO ACHIEVE THE HIGHEST QUALITY OF LIFE WITH THE GREATEST AMOUNT OF INDEPENDENCE. 0 0 831625 0 0 RESIDENTIAL OPTIONS OPERATES TWO GROUP HOMES FOR MENTALLY CHALLENGED AND DEVELOPMENTALLY DISABLED INDIVIDUALS WITH A CAPACITY OF TEN RESIDENTS. RESIDENTIAL OPTIONS ASSISTS THE INDIVIDUALS IN DAILY LIVING WITH A FOCUS ON ACHIEVING THEIR GREATEST LEVEL OF INDEPENDENCE. MOST OF OUR RESIDENTS PARTICIPATE IN DAY PROGRAMS AND WORKSHOPS. ADDITIONALLY, RESIDENTIAL OPTIONS ENCOURAGES AND SUPPORTS VOLUNTEERISM AND COMMUNITY ACTIVITIES. 831625 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 50 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 OH X ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED 6146077750 350 EAST WILSON BRIDGE RD WORTHINGTON OH 43085 X DEAN CLARK TREASURER 1.00 X X 0 0 0 MIKE KROTZ PRESIDENT 1.00 X X 0 0 0 NANCY BEVERAGE SECRETARY 1.00 X X 0 0 0 JOHN CAMERON VICE PRESIDENT 1.00 X X 0 0 0 ROGER PULLEY DIRECTOR 1.00 X 0 0 0 FRANK HANCE DIRECTOR 1.00 X 0 0 0 KAREN HOGGARTH DIRECTOR 1.00 X 0 0 0 SID GELLER INTERIM EXEC DIRECTOR 4.00 X 0 0 0 ANTHONY HARTLEY PRESIDENT/CEO 4.00 X 0 0 0 BILL WERSHING VP/CFO 1/1 - 6/30 4.00 X 0 0 0 GREG SNYDER VP/CFO 8/19 - CURRENT 4.00 X 0 0 0 0 0 0 0 0 0 0 ADD 350 E WILSON BRIDGE RD WORTHINGTON OH 43085 PATIENT CARE 940793 1 1030845 1030845 387 387 1031232 0 0 387 X 408698 408698 33702 33702 30388 30388 119087 119087 8162 8162 132918 132918 844 844 18428 18428 30009 30009 7862 7862 12822 12822 26586 26586 1627 1627 FRANCHISE TAX 65689 65689 DIETARY SUPPLIES 34600 34600 MEDICAL SUPPLIES 13470 13470 DAY ACTIVE TREATMENT 13440 13440 542 542 958874 831625 127249 0 7579 71162 114725 114725 75579 161838 0 1692 488870 382696 121254 106174 319137 455591 175772 248134 128410 120144 304182 368278 X 0 0 0 0 14955 87313 14955 87313 319137 455591 72358 0 X 0 0 0 X 931466 951476 927979 997867 1030845 4839633 931466 951476 927979 997867 1030845 4839633 4839633 2492 3419 1685 638 387 8621 4848254 0.99820 0.99680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 45000 45000 378837 324481 54356 16388 16388 0 48645 41827 6818 106174 FORM 990, PART VI, SECTION A, LINE 3 ADD (THE ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED) CORPORATION PROVIDED MANAGEMENT SERVICES, WHICH INCLUDED CLIENT SERVICES AND FINANCIAL ADMINISTRATION. THE FOLLOWING ADD EMPLOYEES SERVED THE LISTED POSITIONS FOR RESIDENTIAL OPTIONS INC. WITH THE CORRESPONDING COMPENSATION: SID GELLAR - INTERIM EXECUTIVE DIRECTOR UNTIL MAY 20, 2013 - $6,390 ANTHONY HARTLEY - PRESIDENT/CEO - $9,251 BILL WERSHING - VP/CFO UNTIL JUNE 30, 2013 - $8,392 GREG SNYDER - CURRENT VP/CFO - $3,711 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WAS INITIALLY PREPARED AND REVIEWED BY PLANTE MORAN, PLLC USING FINANCIAL RECORDS PREPARED BY THE ORGANIZATION'S MANAGEMENT COMPANY FOR FY 2013, THE ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED. THE TAX RETURN IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE IT IS REVIEWED AND SIGNED BY THE PRESIDENT OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS AND STAFF WITH SIGNIFICANT DECISION-MAKING AUTHORITY. PERSONS COVERED UNDER THIS POLICY, AS WELL AS THEIR RELATIVES AND ASSOCIATES. AN INTERESTED PARTY IS UNDER A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST AS SOON AS IT IS KNOWN OR REASONABLY SHOULD BE KNOWN. AN INTERESTED PARTY SHALL COMPLETE THE DISCLOSURE QUESTIONNAIRE TO FULLY AND COMPLETELY DISCLOSE THE MATERIAL FACTS ABOUT ANY POTENTIAL CONFLICTS OF INTEREST. THE DISCLOSURE STATEMENT AND AFFIRMATION OF COMPLIANCE SHALL BE SUBMITTED UPON HIS/HER ASSOCIATION WITH ROI AND SHALL BE REVIEWED ANNUALLY THEREAFTER. AN ADDITIONAL DISCLOSURE STATEMENT SHALL BE FILED WHENEVER A POTENTIAL CONFLICT ARISES. DISCLOSURE STATEMENTS WILL BE SUBMITTED AS FOLLOWS. FOR BOARD MEMBERS, THE DISCLOSURE STATEMENTS SHALL BE PROVIDED TO THE CHAIR OF THE BOARD. THE CHAIR'S DISCLOSURE STATEMENT SHALL BE PROVIDED TO THE SECRETARY OF THE BOARD. COPIES ALSO SHALL BE PROVIDED TO THE CHAIRMAN OR DESIGNEE FOR ROI. IN THE CASE OF MANAGEMENT AND STAFF WITH SIGNIFICANT DECISION-MAKING AUTHORITY, THE DISCLOSURE STATEMENTS SHALL BE PROVIDED TO ROI. IN THE CASE OF A MEMBER, THE DISCLOSURE STATEMENT SHALL BE PROVIDED TO THE CHAIRMAN OF THE BOARD. IN ALL CASES, THE RECIPIENT IS THE DESIGNATED REVIEWING OFFICIAL RESPONSIBLE FOR BRINGING POTENTIAL CONFLICTS TO THE ATTENTION OF THE APPROPRIATE AUTHORITIES. THE SECRETARY OF THE BOARD OF TRUSTEES SHALL FILE COPIES OF ALL DISCLOSURE STATEMENTS IN THE OFFICIAL CORPORATE RECORDS OF ROI. WHENEVER THERE IS REASON TO BELIEVE THAT A POTENTIAL CONFLICT OF INTEREST EXISTS BETWEEN ROI AND A BOARD MEMBER, THE DIRECTOR OR OTHER INTERESTED PARTY, THE BOARD OF TRUSTEES SHALL DETERMINE THE APPROPRIATE RESPONSE. THIS SHALL INCLUDE BUT NOT NECESSARILY BE LIMITED TO INVOKING THE PROCEDURES DESCRIBED BELOW WITH RESPECT TO A SPECIFIC PROPOSED ACTION, POLICY OR TRANSACTION. THE DESIGNATED REVIEWING OFFICIAL HAS A RESPONSIBILITY TO BRING A POTENTIAL CONFLICT OF INTEREST TO THE ATTENTION OF THE BOARD PROMPTLY FOR ACTION AT THE NEXT REGULAR MEETING OF THE BOARD OR DURING A SPECIAL MEETING CALLED SPECIFICALLY TO REVIEW THE POTENTIAL CONFLICT OF INTEREST. WHERE THE POTENTIAL CONFLICT INVOLVES A BOARD MEMBER, MANAGEMENT CONTRACTOR OR STAFF THE CHAIRMAN SHALL BE RESPONSIBLE FOR REVIEWING THE MATTER AND MAY TAKE APPROPRIATE ACTION AS NECESSARY TO PROTECT THE INTERESTS OF ROI. THE CHAIRMAN SHALL REPORT THE RESULTS OF ANY REVIEW AND THE ACTION TAKEN TO THE FULL BOARD. THE BOARD SHALL DETERMINE WHETHER ANY FURTHER REVIEW OR ACTION IS REQUIRED. WHERE A POTENTIAL CONFLICT EXISTS BETWEEN THE INTERESTS OF ROI AND AN INTERESTED PARTY WITH RESPECT TO A SPECIFIC PROPOSED ACTION, POLICY OR TRANSACTION, THE BOARD OF TRUSTEES SHALL CONSIDER THE MATTER DURING A MEETING OF THE BOARD. ROI SHALL REFRAIN FROM ACTING UNTIL THE PROPOSED ACTION, POLICY OR TRANSACTION HAS BEEN APPROVED BY THE DISINTERESTED MEMBERS OF THE BOARD OF TRUSTEES OF ROI. THE FOLLOWING PROCEDURES SHALL APPLY: AN INTERESTED PARTY WHO HAS A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED ACTION, POLICY OR TRANSACTION OF THE CORPORATION SHALL NOT PARTICIPATE IN ANY WAY IN, OR BE PRESENT DURING, THE DELIBERATIONS AND DECISION-MAKING VOTE OF ROI WITH RESPECT TO SUCH ACTION, POLICY OR TRANSACTION. HOWEVER, THE INTERESTED PARTY SHALL HAVE AN OPPORTUNITY TO PROVIDE INFORMATION ABOUT THE PROPOSED CONFLICT AND/OR ACTION, POLICY OR TRANSACTION. IN ADDITION, THE BOARD MAY REQUEST THAT THE INTERESTED PARTY BE AVAILABLE TO ANSWER QUESTIONS. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G DAY ACTIVE TREATMENT - CONTRACT: PROGRAM SERVICE EXPENSES 116,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,678. PSYCHOLOGIST - CONTRACT: PROGRAM SERVICE EXPENSES 5,963. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,963. PHYSICAL THERAPIST - CONTRACT: PROGRAM SERVICE EXPENSES 2,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,600. DIETARY PERSONNEL - CONTRACT: PROGRAM SERVICE EXPENSES 272. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272. HOUSEKEEPING - CONTRACT: PROGRAM SERVICE EXPENSES 7,405. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,405. FORM 990, PART V, LINE 2A: ALL EMPLOYEE SERVICES TO DISABLED PERSONS ARE PROVIDED BY EMPLOYEES OF ADD CORPORATION.