HOMESURA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOMESURA INC (EIN 20-2013846)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-13
IRS object ID
201332259349302903
Schema version
2012v2.0
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)
Timestamp2013-08-13T13:05:48-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Romer & Company PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12318 First Avenue SouthAddressLine1
CityMinneapolisCity
StateMNState
ZIP Code55404ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202013846EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SERVICE MANAGEMENT GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSERVNameControl
Phone9529353515Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 1ST ST SAddressLine1
CityHOPKINSCity
StateMNState
ZIP Code55343ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN DAHMName
TitleExecutive DirectorTitle
Date Signed2013-08-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCRAIG FORSBERGName
PTINP00426298PTIN
Phone6128720012Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN DAHMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11011 1ST STREET SOUTH 315AddressLine1
CityHOPKINSCity
StateMNState
ZIP Code55343ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4079813GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.CFCACCRA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionPROVIDE MANAGEMENT SERVICES TO OTHER NONPROFIT ORGANIZATIONSActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees48TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3817638ProgramServiceRevenuePriorYear
Program Service Revenue CY4020456ProgramServiceRevenueCY
Investment Income Current Year59357InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3817638TotalRevenuePriorYear
Total Revenue Current Year4079813TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY105780GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2704642SalariesEtcPriorYear
Salaries Etc Current Year2443197SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1092996OtherExpensePriorYear
Other Expenses Current Year1530836OtherExpensesCurrentYear
Total Expenses Prior Year3817638TotalExpensesPriorYear
Total Expenses Current Year4079813TotalExpensesCurrentYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY5468428TotalAssetsBOY
Total Assets EOY7027696TotalAssetsEOY
Total Liabilities BOY5352861TotalLiabilitiesBOY
Total Liabilities EOY6912129TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY115567NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY115567NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE MANAGEMENT SERVICES TO OTHER NONPROFIT ORGANIZATIONSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1486031Expense
Revenue4020456Revenue
DescriptionPROVIDED MANAGEMENT SERVICES TO FIVE OTHER NONPROFIT ORGANIZATIONS.Description
Total Program Service Expense1486031TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees48NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN DAHMNamePerson
Telephone Number9529353515TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11011 1ST ST S 315AddressLine1
CityHOPKINSCity
StateMNState
ZIP Code55343ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
AL BIER
BOARD CHAIR1.000.00X300000
TONI FLAHERTY
BOARD MEMBER1.000.00X300000
STEVE WILLIAMS
BOARD MEMBER1.000.00X300000
ROBERT GORDON
BOARD MEMBER1.000.00X300000
JOHN DAHM
Executive Dir.40.000.00X23941300X
JACK HENDRICKSON
BOARD MEMBER1.000.00X300000
KATHY HENDRICKSON
BOARD MEMBER1.000.00X00149857
LEANN FRETTE
OPERATIONS MANAGER40.000.001249060862X
SUSAN MORGAN
PROGRAM DIRECTOR40.000.001515500885X
CARA BENSON
PROGRAM DIRECTOR40.000.00812910709X
DIANE KLIMOWICZ
RN CASE MANAGER40.000.00884270717X
FieldValueIRS element (for citing)
Total Reportable Comp From Org700587TotalReportableCompFromOrg
Total Other Compensation153030TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Business Code561000BusinessCode
Total Revenue Column4020456TotalRevenueColumn
Related Or Exempt Function Income4020456RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4020456TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column59357TotalRevenueColumn
Exclusion$59,357ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4079813TotalRevenueColumn
Related Or Exempt Function Income4020456RelatedOrExemptFunctionIncome
Exclusion$59,357ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total105780Total
Program Services105780ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total404270Total
Management And General404270ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1825873Total
Program Services669043ProgramServices
Management And General1156830ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total213054Total
Program Services63916ProgramServices
Management And General149138ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total53185Total
Management And General53185ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32750Total
Management And General32750ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total41128Total
Management And General41128ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total53909Total
Management And General53909ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total72831Total
Management And General72831ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total116079Total
Management And General116079ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total103724Total
Program Services82979ProgramServices
Management And General20745ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total58258Total
Management And General58258ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total591290Total
Program Services478945ProgramServices
Management And General112345ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BACKGROUND CHECKS4087240872
TELEPHONE4365943659
Postage and Shipping556204449611124
CONTRACTED SERVICES184229184229

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total83302Total
Management And General83302ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4079813Total
Program Services1486031ProgramServices
Management And General2593782ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2776731BOY
EOY3135084EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY494756BOY
EOY229485EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1581664LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec434960LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY64245BOY
EOY1146704EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1496276BOY
EOY1667633EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY48056EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY636420BOY
EOY800734EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5468428BOY
EOY7027696EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY108742BOY
EOY170367EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5244119BOY
EOY6741762EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5352861BOY
EOY6912129EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY115567BOY
EOY115567EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY115567BOY
EOY115567EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5468428BOY
EOY7027696EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2425919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2707590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2766686CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3817638CurrentTaxYearMinus1Year
Current Tax Year4020456CurrentTaxYear
Total15738289Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2425919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2707590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2766686CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3817638CurrentTaxYearMinus1Year
Current Tax Year4020456CurrentTaxYear
Total15738289Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50915738289PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years44187CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47740CurrentTaxYearMinus2Years
Current Tax Year59357CurrentTaxYear
Total151284Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years44187CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47740CurrentTaxYearMinus2Years
Current Tax Year59357CurrentTaxYear
Total151284Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years38022CurrentTaxYearMinus2Years
Total38022Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2425919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2751777CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2852448CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3817638CurrentTaxYearMinus1Year
Current Tax Year4079813CurrentTaxYear
Total15927595Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98810PublicSupportPercentage509
Prior Year Support Percentage0.99060PriorYearSupportPercentage
Investment Income Percentage0.00950InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00670PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis100000OtherCostOrOtherBasis
Book Value100000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis761772OtherCostOrOtherBasis
Depreciation9498Depreciation
Book Value752274BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis84487OtherCostOrOtherBasis
Depreciation8449Depreciation
Book Value76038BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis444014OtherCostOrOtherBasis
Depreciation307375Depreciation
Book Value136639BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis191391OtherCostOrOtherBasis
Depreciation109638Depreciation
Book Value81753BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1146704TotalOfBookValueLandBuildings
Total Of Book Value Securities1667633TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM ACCRA HOME HEALTH INC571369
DUE FROM ACCRA HOME CARE, INC229365
FieldValueIRS element (for citing)
Total Book Value Other Assets800734TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Rounding$1
DUE TO CONSUMER CHOICE SERVICES INC$1,652,740
DUE TO CHOICES FOR CHILDREN, INC.$789,797
DUE TO ACCRA CARE INC$4,299,224
FieldValueIRS element (for citing)
Total Of Amounts6741762TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
THE ARC MINNESOTA
800 TRANSFER ROAD SUITE 7AST PAULMN5511441079525455000GENERAL OPERATIONS
RED WING AREA FOOD SHELF
1755 OLD WEST MAIN STREETRED WINGMN55066411415594100000FOOD SHELF
OUTREACH FOOD SHELF
PO BOX 1324ALEXANDRIAMN56308202556435100000FOOD SHELF
MOUND LODGE #320 AF & AM
2372 COMMERCE BLVDMOUNDMN55364411645058100000FOOD SHELF
EMPTY BOWLS
1111 MAIN STREETHOPKINSMN55343416008248200000FOOD SHELF
CROSS
12915 WEINAND CIRCLEROGERSMN55374411314577100000FOOD SHELF
BEMIDJI COMMUNITY FOOD SHELF
PO BOX 3118BEMIDJIMN56619411494430100000FOOD SHELF
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
SUSAN MORGAN
PROGRAM DIRECTOR151550885152435
JOHN DAHM
Executive Dir.239413239413

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGOVERNMENT DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS MAY BE OBTAINED UPON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesA COMPENSATION COMMITTEE CONSISTING OF AT LEAST TWO DIRECTORS FAMILIAR WITH COMPENSATION MATTERS, NAMED BY THE BOARD, WILL RECOMMEND EXECUTIVE COMPENSATION AND REPORT ITS RESULTS TO THE BOARD FOR FURTHER APPROVAL. ANY PERSON WITH A MATERIAL FINANCIAL INTEREST SHALL ABSTAIN FROM RECOMMENDING AND/OR VOTING ON A COMPENSATION MATTER.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementA COMPENSATION COMMITTEE CONSISTING OF AT LEAST TWO DIRECTORS FAMILIAR WITH COMPENSATION MATTERS, NAMED BY THE BOARD, WILL RECOMMEND EXECUTIVE COMPENSATION AND REPORT ITS RESULTS TO THE BOARD FOR FURTHER APPROVAL. ANY PERSON WITH A MATERIAL FINANCIAL INTEREST SHALL ABSTAIN FROM RECOMMENDING AND/OR VOTING ON A COMPENSATION MATTER.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsDIRECTORS AND OFFICERS HAVE A DUTY TO DISCLOSE ANY POTENTIAL CONFLICT ON INTEREST TO THE CONFLICTS COMMITTEE PRIOR TO ANY CONSIDERATION BY THE BOARD OR ANY COMMITTEE OF THE BOARD. AFTER CONSIDERATION, THE DISINTERESTED MEMBERS OF THE CONFLICTS COMMITTEE SHALL DETERMINE WHETHER A CONFLICT EXISTS. IF THE CONFLICTS COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A DIRECTOR OR OFFICER IS IN VIOLATION OF THE POLICY, THE DIRECTOR OR OFFICER WILL BE INFORMED AND AFFORDED AN OPPORTUNITY TO RESPOND TO THE ALLEGED FAILURE TO DISCLOSE. UPON HEARING THE RESPONSE, THE CONFLICTS COMMITTEE WILL DETERMINE IF A FAILURE TO DISCLOSE DID INDEED OCCUR AND IF SO, WILL RECOMMEND THE BOARD TAKES DISCIPLINARY AND CORRECTIVE ACTION.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessA PDF COPY OF THE 990 IS SUBMITTED TO THE BOARD OF DIRECTORS VIA E-MAIL PRIOR TO FILING. THE EXECUTIVE DIRECTOR OR A BOARD MEMBER REVIEW AND SIGN THE FILING COPY AFTER THE PDF IS SENT TO THE BOARD.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtFORMER EXECUTIVE DIRECTOR AND CURRENT BOARD MEMBER, KATHY HENDRICKSON, AND FORMER COO AND CURRENT BOARD MEMBER, JACK HENDRICKSON, ARE MARRIED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ACCRA HOME CARE INC
1011 1ST ST SOUTHHOPKINSMN55343454846425HIGH QUALITY PATIENT CARE TO THE HOMEBODMN501(C)(3)9NAfalse
ACCRA HOME HEALTH INC
1011 1ST ST S 315HOPKINSMN55343271442271HIGH QUALITY PATIENT CARE TO THE HOMEBOUNDMN501(C)(3)9NAfalse
CONSUMER CHOICE SERVICES INC
1011 1ST ST SHOPKINSMN55343202014073TO ALLOW CONSUMERS TO RECRUIT, HIRE AND TRAIN PCA'SMN501(C)(3)9NAfalse
CHOICES FOR CHILDREN INC
1011 1ST ST SHOPKINSMN55343411727930SUPPORT BRAIN INJURED CHILDRENMN501(C)(3)9NAfalse
ACCRA CARE INC
1011 1ST ST SHOPKINSMN55343411935027PROVIDE ASSISTED LIVING CARE TO DESABLED INDIVIDUALSMN501(C)(3)9NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ACCRA HOME CARE INC
r229365ACTUAL ADVANCES
ACCRA HOME CARE INC
l53669ACTUAL BILLINGS
ACCRA HOME CARE INC
d229365ACTUAL RECEIVAB
ACCRA HOME HEALTH INC
s65051ACTUAL REIMB
ACCRA HOME HEALTH INC
l104756ACTUAL BILLINGS
ACCRA HOME HEALTH INC
d571369ACTUAL RECEIVAB
CONSUMER CHOICE SERVICES INC
s576748ACTUAL REIMB
CONSUMER CHOICE SERVICES INC
l743990ACTUAL BILLINGS
CONSUMER CHOICE SERVICES INC
e1652740ACTUAL PAYABLE
CHOICES FOR CHILDREN INC
s740968ACTUAL REIMB
CHOICES FOR CHILDREN INC
l661822ACTUAL BILLINGS
CHOICES FOR CHILDREN INC
e789797ACTUAL PAYABLE
ACCRA CARE INC
s179926ACTUAL REIMB
ACCRA CARE INC
l2397147ACTUAL BILLINGS
ACCRA CARE INC
e4299224ACTUAL PAYABLE

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.