FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN HOUSING SERVICES 9 INCORPORATED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOUSING SERVICES 9 INCORPORATED (EIN 34-1801635)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201333169349305903
Schema version
2012v2.3
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)
Timestamp2013-11-12T18:25:45-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341801635EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOUSING SERVICES 9 INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone4198614990Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12021 NORTH MCCORD ROADAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43615ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY M SHURTSName
TitleTREASURERTitle
Phone4198614990Phone
Date Signed2013-11-12DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID ROBERTSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12021 NORTH MCCORD ROADAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43615ZIPCode
FieldValueIRS element (for citing)
Gross Receipts665965GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LHSOH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDES HOUSING UNITS, MANAGEMENT AND DEVELOPMENT SERVICES, AND OVERSEES 80 INDEPENDENT LIVING UNITS FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1832ContributionsGrantsPriorYear
Contributions Grants Current Year820ContributionsGrantsCurrentYear
Program Service Revenue Prior Year822546ProgramServiceRevenuePriorYear
Program Service Revenue CY629090ProgramServiceRevenueCY
Investment Income Current Year2707InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year824378TotalRevenuePriorYear
Total Revenue Current Year632617TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year702062OtherExpensePriorYear
Other Expenses Current Year449141OtherExpensesCurrentYear
Total Expenses Prior Year702062TotalExpensesPriorYear
Total Expenses Current Year449141TotalExpensesCurrentYear
Revenues Less Expenses Prior Year122316RevenuesLessExpensesPriorYear
Revenues Less Expenses CY183476RevenuesLessExpensesCY
Total Assets BOY7518787TotalAssetsBOY
Total Assets EOY7134255TotalAssetsEOY
Total Liabilities BOY10151354TotalLiabilitiesBOY
Total Liabilities EOY9583110TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-2632567NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2448855NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES HOUSING UNITS, MANAGEMENT AND DEVELOPMENT SERVICES, AND OVERSEES 80 INDEPENDENT LIVING UNITS FOR THE ELDERLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense407865Expense
Revenue629090Revenue
DescriptionPROVIDES HOUSING UNITS, MANAGEMENT AND DEVELOPMENT SERVICES, AND OVERSEES 80 INDEPENDENT LIVING UNITS FOR THE ELDERLY PER OUR MISSION STATEMENT AS FOLLOWS: AS FOLLOWERS OF CHRIST, WE ARE CALLED TO DO WHAT LIES WITHIN OUR POWER TO SHARE BURDENS THAT WEIGH UPON THE YOUNG AND THE OLD AND TO ALLEVIATE SORROW AND MISERY IN HIS NAME.Description
Total Program Service Expense407865TotalProgramServiceExpense
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 SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
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
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY SHURTSNamePerson
Telephone Number4198614905TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12021 NORTH MCCORDAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43615ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
DAVID ROBERTS - LHS INC
ASST. SEC./T1.00X053278550510
LYNN OLMAN
CHAIR0.25X000X
DANIEL KUNOS
VICE CHAIR0.25X000X
JANET DORR
SECRETARY0.25X000X
REV DOUGLAS MEILANDER
DIRECTOR0.25X000
MICHAEL HOLLIE
DIRECTOR0.25X000
ROBIN BURKETT
DIRECTOR0.25X000
JENNIFER FEHNRICH
DIRECTOR0.25X000
REV KEITH HUNSINGER
DIRECTOR0.25X000
NATALIE JACKSON
DIRECTOR0.25X000
LORI JOHNSTON
DIRECTOR0.25X000
KATHY MARTIN
DIRECTOR0.25X000
REV RICHARD RENTNER
DIRECTOR0.25X000
PHILIP MEUSER
DIRECTOR0.25X000
REV DALE SCHAEFER
DIRECTOR0.25X000
ALLEN SCHROEDER
DIRECTOR0.25X000
REV CHRYSANNE TIMM
DIRECTOR0.25X000
ROSE THOMSON
DIRECTOR0.25X000
MARY SHURTS - LHS INC
TREASURER1.00024147933287X
JOAN UHL BROWNE
DIRECTOR0.25000X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs774264TotalReportableCompFrmRltdOrgs
Total Other Compensation83797TotalOtherCompensation
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Related Organizations820RelatedOrganizations
Total Contributions820TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Total Revenue Column629090TotalRevenueColumn
Related Or Exempt Function Income629090RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue629090TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other36055Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other33348Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other2707Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2707TotalRevenueColumn
Related Or Exempt Function Income2707RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column632617TotalRevenueColumn
Related Or Exempt Function Income631797RelatedOrExemptFunctionIncome

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11830Total
Management And General11830ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1800Total
Management And General1800ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2181Total
Management And General2181ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total48413Total
Program Services42758ProgramServices
Management And General5655ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total365107Total
Program Services365107ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2409Total
Management And General2409ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
ALLOCATED SALARIES/WAGES80498049
MANAGEMENT FEES60006000
ALLOCATED PR TAX/BENEFITS24592459
BANK CHARGES AND FEES643643

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total250Total
Management And General250ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total449141Total
Program Services407865ProgramServices
Management And General41276ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY190195BOY
EOY111984EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1836BOY
EOY3515EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12209444LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5259335LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7258343BOY
EOY6950109EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY68413BOY
EOY68647EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7518787BOY
EOY7134255EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1546112BOY
EOY1555024EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8605242BOY
EOY8028086EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10151354BOY
EOY9583110EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-2634768BOY
EOY-2451292EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2201BOY
EOY2437EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-2632567BOY
EOY-2448855EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7518787BOY
EOY7134255EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses183476ReconcilationRevenueExpenses
Reconcilation Other Changes236ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
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)
Current Tax Year Minus4 Years990CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years201CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1832CurrentTaxYearMinus1Year
Current Tax Year820CurrentTaxYear
Total16420Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years561476CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years639234CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years623802CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year822546CurrentTaxYearMinus1Year
Current Tax Year629090CurrentTaxYear
Total3276148Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years562466CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years639435CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years636379CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year824378CurrentTaxYearMinus1Year
Current Tax Year629910CurrentTaxYear
Total3292568Total
FieldValueIRS element (for citing)
Public Support Total5093292568PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years567CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75CurrentTaxYearMinus3Years
Total642Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years567CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75CurrentTaxYearMinus3Years
Total642Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year2707CurrentTaxYear
Total2707Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years563033CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years639510CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years636379CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year824378CurrentTaxYearMinus1Year
Current Tax Year632617CurrentTaxYear
Total3295917Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99900PublicSupportPercentage509
Prior Year Support Percentage0.99740PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis583632OtherCostOrOtherBasis
Book Value583632BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10211645OtherCostOrOtherBasis
Depreciation4427917Depreciation
Book Value5783728BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis495774OtherCostOrOtherBasis
Depreciation381668Depreciation
Book Value114106BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis918393OtherCostOrOtherBasis
Depreciation449750Depreciation
Book Value468643BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6950109TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLIFE LEASESDescription
Amount$8,028,086Amount
FieldValueIRS element (for citing)
Total Of Amounts8028086TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt632853TotRevenueEtcAuditedFinclStmt
Other Revenues236OtherRevenues
Revenue Not Rptd F990236RevenueNotRptdF990
Revenue Subtotal632617RevenueSubtotal
Total Revenue Per Form990632617TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt449141TotExpensesEtcAuditedFinclStmt
Expenses Subtotal449141ExpensesSubtotal
Total Expenses Per Form990449141TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierREVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERIdentifier
Return ReferenceSCHEDULE D, PAGE 4, PART XI, LINE 2DReturnReference
ExplanationCHANGE IN INTEREST IN LHS FOUNDATION 236Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID ROBERTS - LHS INC
ASST SECTREASURER233000299785441216389583295299112
MARY SHURTS - LHS INC
TREASURER1750006647926800648727476665839
JOAN UHL BROWNE
DIRECTOR

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSIdentifier
Return ReferenceSCHEDULE J, PAGE 1, PART I, LINE 4ReturnReference
ExplanationDAVID ROBERTS - LHS, INC. 0 34,800 0 MARY SHURTS - LHS, INC. 0 19,800 0Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2DAVID ROBERTS LYNN OLMAN DIRECTOR CHAIR PERSONAL AUTO INSURANCE COVG. PURCHASE
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3THIS ORGANIZATION IS MANAGED BY LUTHERAN HOMES SOCIETY, INC.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE GOVERNING BODY IS ELECTED BY THE BOARD OF LUTHERAN HOMES SOCIETY, INC.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE TREASURER OF THE BOARD DOES A THOROUGH REVIEW OF THE 990S. DUE TO THE EXCESSIVE NUMBER (18) OF 990S FILED AND PREPARED BY THE MANAGING COMPANY (LUTHERAN HOMES SOCIETY, INC.), ONCE THE 990S ARE COMPLETED, THEY ARE POSTED TO AN INTERNAL WEBSITE FOR REVIEW BY BOARD MEMBERS. AFTER A ONE WEEK REVIEW AND COMMENT PERIOD, THEY ARE FILED WITH THE IRS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE CONFLICTS POLICY IS MONITORED THROUGH THE ACCOUNTS PAYABLE PROCESS AND THE INTERNAL AUDIT PROCESS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHERE ARE NO TOP MANAGEMENT OFFICIALS AT THIS CORPORATION. THE TOP MANAGEMENT OFFICIALS ARE EMPLOYED BY LUTHERAN HOMES SOCIETY, INC.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHERE ARE NO OFFICERS OR KEY EMPLOYEES COMPENSATION AT THIS ORGANIZATION. KEY EMPLOYEES ARE PAID THROUGH THE MANAGING ORGANIZATION, LUTHERAN HOMES SOCIETY, INC. SALARIES ARE DETERMINED BY THE MANAGEMENT OF LUTHERAN HOMES SOCIETY, INC.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE ALL MADE AVAILABLE UPON REQUEST.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9CHANGE IN INTEREST IN LHS FOUNDATION 236

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LUTHERAN HOMES SOCIETY INC
2021 NORTH MCCORD ROADTOLEDOOH43615311565719PAR. CORPOH501C39YESfalse
LHS FOUNDATION INC
2021 NORTH MCCORD ROADTOLEDOOH43615341678593FUND CORPOH501C311DNOfalse
CREEKSIDE CONDOMINIUM OWNER'S ASSOC
2021 NORTH MCCROD ROADTOLEDOOH43615341878025SR LIVINGOH501C6NOfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOMES SOCIETY INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeSTransactionType
Amount Involved200000AmountInvolved