AGING AND IN-HOME SERVICES OF NE IN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AGING AND IN-HOME SERVICES OF NE IN (EIN 35-1341437)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-04-24
IRS object ID
201201159349300405
Schema version
2010v3.2
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)
Timestamp2012-04-24T07:52:21-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CULLAR & ASSOCIATES PC CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1209 N MAIN ST STE 200AddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code466011200ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351341437EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAGINNameControl
Phone2607451200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12927 LAKE AVENUEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCONNIE BENTON WOLFEName
TitlePRESIDENTTitle
Phone2607451200Phone
Date Signed2011-04-28DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD J CULLAR CPAName
Phone5742888320Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCONNIE B WOLFENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12927 LAKE AVENUEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7193828GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewwww.agingihs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTo promote dignity, independence, and advocacy for all older adults and persons with disabilities in the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees125TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6216360ContributionsGrantsPriorYear
Contributions Grants Current Year6003630ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1227277ProgramServiceRevenuePriorYear
Program Service Revenue CY1186504ProgramServiceRevenueCY
Investment Income Prior Year771InvestmentIncomePriorYear
Investment Income Current Year3694InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7444408TotalRevenuePriorYear
Total Revenue Current Year7193828TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3019799SalariesEtcPriorYear
Salaries Etc Current Year2980257SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year17317TotalFundrsngExpCurrentYear
Other Expense Prior Year4327996OtherExpensePriorYear
Other Expenses Current Year4036437OtherExpensesCurrentYear
Total Expenses Prior Year7347795TotalExpensesPriorYear
Total Expenses Current Year7016694TotalExpensesCurrentYear
Revenues Less Expenses Prior Year96613RevenuesLessExpensesPriorYear
Revenues Less Expenses CY177134RevenuesLessExpensesCY
Total Assets BOY1115403TotalAssetsBOY
Total Assets EOY1679479TotalAssetsEOY
Total Liabilities BOY541294TotalLiabilitiesBOY
Total Liabilities EOY928236TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY574109NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY751243NetAssetsOrFundBalancesEOY
Mission DescriptionTo promote dignity, independence,MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1345502Expense
Revenue108188Revenue
DescriptionNUTRITION - PROVIDES MEALS THROUGH AN EXTENSIVE HOME-DELIVERED MEALS ON WHEELS NETWORK AND AT COMMUNITY SITES (ALSO KNOWN AS CONGREGATE) MONDAY THROUGH FRIDAY (BARRING HOLIDAY OR EMERGENCY CLOSINGS), WITH WEEKEND MEAL OPTIONS AVAILABLE, IN A NINE-COUNTY REGION OF NORTHWEST INDIANA.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2950552Expense
Revenue15310Revenue
DescriptionAREA AGENCY ON AGING - AS THE AREA III AREA AGENCY ON AGING, THE ORGANIZATION IS THE PRIMARY RESOURCE FOR AGING AND DISABLED POPULATIONS IN EITHER PROVISION OF SERVICES OR FUNDING OF SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2197523Expense
Revenue1063006Revenue
DescriptionCASE MANAGEMENT - A FORMAL SYSTEM OF ASSESSMENT, CARE PLANNING, AND EVALUATION OF SERVICES TO ASSIST QUALIFIED CLIENTS IN REALIZING AND MAINTAINING THEIR INDEPENDENCE. ADDITIONALLY, THE PROGRAM DIVERTS INDIVIDUALS FROM NURSING HOMES, ALLOWING THEM TO REMAIN SAFELY IN THEIR HOMES. ALSO, PRE-ADMISSION SCREENINGS ARE PERFORMED TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY FOR ADMISSION TO, OR CONTINUED RESIDENCE IN, A NURSING FACILITY IN OUR NINE-COUNTY REGION.Description
FieldValueIRS element (for citing)
Total Program Service Expense6493577TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
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 RequiredfalseScheduleJRequired
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
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees125NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCLAIRE B DOKMECIANNamePerson
Telephone Number2607451200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12927 LAKE AVENUEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46805ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
HEIDI B ADAIR
Board Member1.00X000
MARK CORATTI
Board Member1.00X000
SARAH EARLS
Board Member1.00X000
BARBRA FRYMIER
Board Member1.00X000
KEITH P HUFFMAN
Board Member1.00X000
BETH KASKEL
Board Member1.00X000
RENETTA WILLIAMS
Board Member1.00X000
PAUL WOLFGRAM
Board Member1.00X000
JULIE SANCHEZ
Chair2.00X000X
ROGER GUMP
Vice Chair2.00X000X
KRISTI HARKENRIDER
Treasurer2.00X000X
JOHN ROGERS
Secretary2.00X000X
CONNIE BENTON WOLFE
President39.006126108094X
CLAIRE DOKMECIAN
V.P. of Finance39.0079453013544X
FieldValueIRS element (for citing)
Total Reportable Comp From Org140714TotalReportableCompFromOrg
Total Other Compensation21638TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants5852936GovernmentGrants
All Other Contributions150694AllOtherContributions
Total Contributions6003630TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
Program income624210108188
Cost shares90009915310
Medicaid waiver income9000991063006
FieldValueIRS element (for citing)
Total Program Service Revenue1186504TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3694TotalRevenueColumn
Exclusion$3,694ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events16724CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7193828TotalRevenueColumn
Related Or Exempt Function Income1186504RelatedOrExemptFunctionIncome
Exclusion$3,694ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total217895Total
Program Services138713ProgramServices
Management And General79182ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2067636Total
Program Services1876697ProgramServices
Management And General190939ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total34770Total
Program Services31702ProgramServices
Management And General3068ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total484438Total
Program Services416939ProgramServices
Management And General67499ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total175518Total
Program Services157061ProgramServices
Management And General18457ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4889Total
Program Services4889ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18000Total
Program Services0ProgramServices
Management And General18000ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total69077Total
Program Services64511ProgramServices
Management And General4566ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14141Total
Program Services8048ProgramServices
Management And General6093ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total154300Total
Program Services131744ProgramServices
Management And General22556ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total61062Total
Program Services47864ProgramServices
Management And General13198ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total74733Total
Program Services61889ProgramServices
Management And General12844ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total18064Total
Program Services13287ProgramServices
Management And General4777ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Home health care1452128145212800
Respite and adult day care58328958328900
Food and meal delivery65281965281900
Transportation services42591642591600
Other assistance20977220873210400

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total298247Total
Program Services217349ProgramServices
Management And General63581ManagementAndGeneral
Fundraising17317Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7016694Total
Program Services6493577ProgramServices
Management And General505800ManagementAndGeneral
Fundraising17317Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-27716BOY
EOY211818EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1041BOY
EOY1042EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY826141BOY
EOY1113793EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY81157BOY
EOY72347EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis92092LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13772LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32621BOY
EOY78320EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY202159BOY
EOY202159EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1115403BOY
EOY1679479EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY541294BOY
EOY928236EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY541294BOY
EOY928236EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY574109BOY
EOY685952EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY65291EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY574109BOY
EOY751243EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1115403BOY
EOY1679479EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses177134ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5923951CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6092447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6028447CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6216360CurrentTaxYearMinus1Year
Current Tax Year6003630CurrentTaxYear
Total30264835Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5923951CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6092447CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6028447CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6216360CurrentTaxYearMinus1Year
Current Tax Year6003630CurrentTaxYear
Total30264835Total
FieldValueIRS element (for citing)
Public Support Total17030264835PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7011CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year771CurrentTaxYearMinus1Year
Current Tax Year3694CurrentTaxYear
Total19166Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11380CurrentTaxYearMinus3Years
Total23620Total
FieldValueIRS element (for citing)
Total Support30307621TotalSupport
Gross Receipts From Admissions Etc4892250GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99860PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99840PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage
Facts And Circumstances TestOTHER INCOME PART II, LINE 10; DESCRIPTION: FISCAL AGENT FEE; 2006: 12240.; 2007: 11380.; 2008: 0.; 2009: 0.; 2010: 0.;FactsAndCircumstancesTest

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis92092OtherCostOrOtherBasis
Depreciation13772Depreciation
Book Value78320BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings78320TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionAdvances to related party, Area III Properties, Inc.Description
Book Value202159BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets202159TotalBookValueOtherAssets

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (28 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-B, Line 11aA copy of Form 990 is provided to the entire Board of
Directors for their review and approval before
it is signed and filed by the President.
Pt VI-B, Line 12cAcceptance of any gift shall be reported to the
President, who shall determine whether the gift shall
be returned or donated to AIHS. If donated, the
Office Administrator shall send the donor a letter to
make them aware that AIHS was the beneficiary and
not any one individual employed by AIHS.
Working for a competitor, or assisting others in
competing with AIHS, or soliciting or accepting
employment with any current customer of AIHS, shall
be considered as possible cause for dismissal.
Additionally, self-employment in competition with
AIHS shall be cause for dismissal from employment
with AIHS. Any questions on potential conflict of
interest must be brought to the Administrative
Review Team. Team will consider within 10 working days.
Pt VI-B, Line 15The Board's Executive Committee reviews comparability data from
the "Area Agency Salary and Benefits Survey Report" in
setting the President's compensation. Their deliberations
are documented by contemporaneous minutes. The President
sets the VP of Finance's compensation based on performance
review and reference to the same comparability survey.
Pt VI-C, Line 19The Organization's governing documents, conflict of
interest policy, and financial statements are made
Form 990, Part IX, Line 24fEQUIPMENT EXPENSE 91457. 72962. 18495. 0. MATERIALS AND SUPPLIES 68686. 57164. 11522. 0. DUES AND SUBSCRIPTIONS 22209. 18213. 3846. 150. TELEPHONE 45534. 38457. 7077. 0. TRAINING 21996. 7656. 14340. 0. POSTAGE 20318. 17195. 3123. 0. POSTAGE 28047. 5702. 5178. 17167.
available to the public upon request.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AREA III PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12927 LAKE AVENUEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46805ZIPCode
FieldValueIRS element (for citing)
EIN352143576EIN
Primary ActivitiesOwner of real estate leased by this OrganizationPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(c)(2)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
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 OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
AREA III PROPERTIES INC
d202159Cash loan
AREA III PROPERTIES INC
j162000Cash rent

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