2013-11-13T15:13:35-06:00 2013-06-30 470526649 DANA F COLE & COMPANY LLP 1248 O STREET SUITE 500 LINCOLN NE 68508 990 2012-07-01 470772447 DEVELOPMENTAL SERVICES OF NEBRASKA DEVE 4024352800 5701 THOMPSON CREEK BLVD No 200 LINCOLN NE 68516 SAM MANZITTO JR 4024352800 2013-11-04 1 BRIAN RUNGE P00249573 4024799300 2012 2016-02-25 16:41:14Z SAM MANZITTO JR 5701 THOMPSON CREEK BLVD No 200 LINCOLN NE 68516 16888605 0 X WWW.DSNONLINE.ORG X 1993 NE TO PROVIDE CHILDREN & ADULTS WITH DEVELOPMENTAL DISABILITIES GAIN SKILLS, KNOWLEDGE, & EXPERIENCE TO FUNCTION IN THEIR COMMUNITY. 3 3 656 0 0 0 0 0 15868018 16811251 260 575 31232 76779 15899510 16888605 0 0 0 0 9589952 9481256 0 0 0 6581270 7275191 16171222 16756447 -271712 132158 7375794 7581184 3486661 3559893 3889133 4021291 X DSN helps persons, both children and adults, with mental health issues and/or developmental disabilities gain skills, knowledge and experience to increasingly use and benefit from the resources and settings available to all citizens in our community. 0 0 14230655 16820365 PROVIDED HOUSING AND TRAINING TO DEVELOPMENTALLY IMPAIRED CHILDREN AND ADULTS TO GAIN SKILLS AND KNOWLEDGE TO FUNCTION IN THEIR COMMUNITY. 20780 2802 MANY PERSONS WITH INTELLECTUAL DISABILITIES HAVE LITTLE UNDERSTANDING AND FEW OPERATIONAL SKILLS TO SUCCESSFULLY PARTICIPATE IN THE HORTICULTURE AND AGRIBUSINESS COMMUNITIES. WHILE THERE IS MUCH INFORMATION AVAILABLE REGARDING THESE PROFESSIONS LITTLE OF IT HAS BEEN ADAPTED FOR USE IN SUPPORTING PERSONS WITH BEHAVIORAL HEALTH NEEDS AND/OR INTELLECTUAL DISABILITIES IN COMMUNITY-BASED SETTINGS. PERSONS WITH INTELLECTUAL DISABILITIES THAT HAVE THE DESIRE TO PARTICIPATE FULLY IN VOCATIONAL OCCUPATIONS IN THE FIELD OF HORTICULTURE AND AGRIBUSINESS LACK THE PRACTICAL KNOWLEDGE, SKILLS AND EXPERIENCE NECESSARY TO SUCCESSFULLY COMPETE FOR COMPETITIVE OR SUPPORTIVE EMPLOYMENT OPPORTUNITIES. DSN'S ROKEBY GARDENS HORTICULTURE THERAPY PROGRAM DELIVERS IMPORTANT THERAPEUTIC BENEFITS WHILE AT THE SAME TIME PROVIDING HANDS-ON HORTICULTURAL WORK TRAINING AND EXPERIENCE FROM SEEDING THROUGH SALES. PLANTS GROWN BY ROKEBY GARDENS ARE OFFERED FOR SALE TO LOCAL RETAILERS AND THE GENERAL PUBLIC NOT ONLY TO HELP OFFSET THE COST OF OPERATIONS BUT TO GENERATE IMPROVED SOCIAL CAPITAL THROUGH MUTUALLY BENEFICIAL INTERACTIONS. 14251435 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1 26 0 1 656 1 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X JUSTIN GULBRANDSON 4024352134 5701 THOMPSON CREEK BLVD SUITE 200 LINCOLN NE 68516 SAM MANZITTO JR 1.00 X X 0 0 0 SCOTT J LEFEVRE 40.00 X X 0 72346 0 JAMES MASTEN 1.00 X 0 0 0 BRIAN KANTER 40.00 X 0 114525 0 ROGER STORTENBECKER 40.00 X 0 122447 0 JUSTIN GULBRANDSON 40.00 X 0 119514 0 0 428832 0 0 0 0 0 0 FEES FROM GOVERNMENT A 900099 15794971 15794971 ROOM AND BOARD 721310 823642 823642 MEDICARE/MEDICAID PAYMENTS 900099 106616 106616 VOCATIONAL INCOME 624310 83220 83220 HORTICULTURE THERAPY PROGRAM 624310 2802 2802 16811251 575 0 575 575 575 11916 0 11916 11916 MISCELLANEOUS 900099 64863 64863 64863 16888605 16876114 0 12491 8579749 8579749 278295 278295 623212 623212 2033017 2033017 95495 92073 3422 772096 772096 4616 347 4269 169423 169423 153273 78537 74736 454875 454875 EXTENDED FAMILY SERVICE 1588176 1587993 183 UTILITIES & TELEPHONE 414955 414955 VEHICLE & MILEAGE EXPEN 325890 325890 GROCERIES 273616 273616 989759 769797 219962 16756447 14251435 2505012 0 1496644 1692840 47218 111538 3930257 1686459 2308826 2243798 3523106 3533008 7375794 7581184 783859 962834 2557805 2480505 144997 116554 3486661 3559893 X 3889133 4021291 3889133 4021291 7375794 7581184 132158 0 X 0 1 X 1 0 X 14900 53592 68492 15309717 15377194 16555970 15868018 16823743 79934642 15309717 15377194 16555970 15882918 16877335 80003134 0 0 0 80003134 6715 225 -46459 -39519 6715 225 -46459 -39519 44963 20109 3755 16332 11270 96429 15361395 15397528 16513266 15899250 16888605 80060044 0.99930 0.99910 0.00000 X 303031 303031 2731228 1021916 1709312 302727 191840 110887 315648 269117 46531 277623 203586 74037 2243798 SECURITY DEPOSITS 77862 GOODWILL 3455146 3533008 BANK OVERDRAFT 22128 LINE OF CREDIT 94426 116554 X 16894773 6168 6168 16888605 0 16888605 16762615 6168 6168 16756447 0 16756447 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Organization has adopted the provisions of FASB ASC 740-10, "Accounting for Uncertain Tax Positions". The Organziation continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. The Organization's U.S. federal, state, and local income tax returns for June 30, 2010 and after are subject to examination by the tax authorities. Part XI, Line 2d - Other Adjustments: IN-KIND INCOME Part XII, Line 2d - Other Adjustments: IN-KIND EXPENSES ACTIVE COMMUNITY TREATMENTS INC LOAN FOR ACQUISITION OF ACTIVE COMMUNITY TREATMENTS, INC. X 2600000 1000000 0 1 1 1000000 SANIEL SCOTT LLC SCOTT LEFEVRE IS A MEMBER OF SANIEL SCOTT, LLC 132600 RENTS 0 ACTIVE COMMUNITY TREATMENTS INC SCOTT LEFEVRE HAS 75% OWNERSHIP OF ACTIVE COMMUNITY TREATMENTS, INC. 87522 INTEREST 0 Form 990, Part VI, Section A, line 3 The organization has a management agreement with Collaborative Industries, Inc. for management services of key management staff. These services include oversight of business operations, development and operation oversight of programs, and quality assurance and quality improvement activities. Form 990, Part VI, Section B, line 11 Justin Gulbrandson, Chief Financial Officer, reviews and forwards the return to the Board President for signature. Form 990, Part VI, Section B, line 12c The Board Members have signed a Conflict of Interest Statement and all parties have received a copy of the Conflict of Interest Policy. Form 990, Part VI, Section C, line 18 The Organization's Form 990 is available to the public via the internet at <www2.guidestar.org> or upon request to the Organization's Chief Financial Officer. Form 990, Part VI, Section C, line 19 The Organization's governing documents and conflict of interest policy available to the public upon request to the Organization's Chief Financial Officer. Collaborative Industries Inc 578 Blue Sage Blvd Lincoln NE 68521 205709688 Management agreement for management services of key management staff. NE S 0 Active Community Treatments Inc 6601 Stonebrook Parkway Lincoln NE 68521 470842186 Loan NE S 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 COLLABORATIVE INDUSTRIES INC M 2033017 PER CONTRACT ACTIVE COMMUNITY TREATMENTS INC E 1000000 PER NOTE SANIEL SCOTT LLC K 132600 RENTS DEVELOPMENTAL SERVICES OF IOWA INC J 11270 RENTS DEVELOPMENTAL SERVICES OF IOWA INC L 32064 CONTRACT SERVICES