HOMESURA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOMESURA INC (EIN 20-2013846)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-12
IRS object ID
201202569349300405
Schema version
2011v1.2
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)
Timestamp2012-09-12T09:27:08-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-09-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCRAIG FORSBERGName
Phone6128720012Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts3844622GrossReceipts
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 Employees32TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2766686ProgramServiceRevenuePriorYear
Program Service Revenue CY3817638ProgramServiceRevenueCY
Investment Income Prior Year28522InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year57240OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2852448TotalRevenuePriorYear
Total Revenue Current Year3817638TotalRevenueCurrentYear
Grants And Similar Amnts CY20000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1834491SalariesEtcPriorYear
Salaries Etc Current Year2704642SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year967617OtherExpensePriorYear
Other Expenses Current Year1092996OtherExpensesCurrentYear
Total Expenses Prior Year2802108TotalExpensesPriorYear
Total Expenses Current Year3817638TotalExpensesCurrentYear
Revenues Less Expenses Prior Year50340RevenuesLessExpensesPriorYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY3220103TotalAssetsBOY
Total Assets EOY5468428TotalAssetsEOY
Total Liabilities BOY3104536TotalLiabilitiesBOY
Total Liabilities EOY5352861TotalLiabilitiesEOY
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
Expense1336737Expense
Revenue3817638Revenue
DescriptionPROVIDED MANAGEMENT SERVICES TO THREE OTHER NONPROFIT ORGANIZATIONS.Description
Total Program Service Expense1336737TotalProgramServiceExpense
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 StmttrueIndependentAuditFinancialStmt
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 With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees32NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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 (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
AL BIER
BOARD CHAIR1.00X300000
TONI FLAHERTY
BOARD MEMBER1.00X300000
STEVE WILLIAMS
BOARD MEMBER1.00X300000
ROBERT GORDON
BOARD MEMBER1.00X300000
JOHN DAHM
Executive Dir.40.00X2253420876X
JACK HENDRICKSON
BOARD MEMBER16.75X1478070840511X
KATHY HENDRICKSON
BOARD MEMBER16.75X1005452372961733940X
LEANN FRETTE
IT DIRECTOR40.001175600442X
SUSAN MORGAN
PROGRAM DIRECTOR40.001464620876X
CARA BENSON
PROGRAM DIRECTOR40.00820800700X
HEIDI BAUMAN
RN40.00682360610X
DIANE KLIMOWICZ
RN40.00876310708X
FieldValueIRS element (for citing)
Total Reportable Comp From Org987663TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs237296TotalReportableCompFrmRltdOrgs
Total Other Compensation2578663TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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 Column3817638TotalRevenueColumn
Related Or Exempt Function Income3817638RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3817638TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other26984Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other26984Other

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 Column3817638TotalRevenueColumn
Related Or Exempt Function Income3817638RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total20000Total
Program Services20000ProgramServices

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)
Total1327592Total
Management And General1327592ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1236254Total
Program Services774437ProgramServices
Management And General461817ManagementAndGeneral

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)
Total140796Total
Program Services42529ProgramServices
Management And General98267ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total63249Total
Management And General63249ManagementAndGeneral

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)
Total152635Total
Management And General152635ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total68500Total
Management And General68500ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total83140Total
Management And General83140ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total49463Total
Program Services39570ProgramServices
Management And General9893ManagementAndGeneral

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)
Total31546Total
Management And General31546ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total480236Total
Program Services389783ProgramServices
Management And General90453ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
TELEPHONE2234722347
Postage and Shipping567511135145400
BOARD EXPENSES1805918059
BANK CHARGES1647816478
BACKGROUND CHECKS2522821025018

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total25364Total
Management And General25364ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3817638Total
Program Services1336737ProgramServices
Management And General2480901ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY521955BOY
EOY2776731EOY

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)
BOY455861BOY
EOY494756EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis345276LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec281031LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY105299BOY
EOY64245EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1440967BOY
EOY1496276EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY696021BOY
EOY636420EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3220103BOY
EOY5468428EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY101271BOY
EOY108742EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3003265BOY
EOY5244119EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3104536BOY
EOY5352861EOY
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)
BOY3220103BOY
EOY5468428EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

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 Years1938250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2425919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2707590CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2766686CurrentTaxYearMinus1Year
Current Tax Year3817638CurrentTaxYear
Total13656083Total

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 Years1938250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2425919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2707590CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2766686CurrentTaxYearMinus1Year
Current Tax Year3817638CurrentTaxYear
Total13656083Total

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 Total50913656083PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years44187CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47740CurrentTaxYearMinus1Year
Total91927Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years44187CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47740CurrentTaxYearMinus1Year
Total91927Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year38022CurrentTaxYearMinus1Year
Total38022Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1938250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2425919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2751777CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2852448CurrentTaxYearMinus1Year
Current Tax Year3817638CurrentTaxYear
Total13786032Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99060PublicSupportPercentage509
Investment Income Percentage0.00670InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis337439OtherCostOrOtherBasis
Depreciation279273Depreciation
Book Value58166BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7837OtherCostOrOtherBasis
Depreciation1758Depreciation
Book Value6079BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings64245TotalOfBookValueLandBuildings
Total Of Book Value Securities1496276TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM CHOICES FOR CHILDREN INC
DUE FROM ACCRA HOME HEALTH INC636420
FieldValueIRS element (for citing)
Total Book Value Other Assets636420TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO CONSUMER CHOICE SERVICES INC$1,075,992
DUE TO CHOICES FOR CHILDREN, INC.$48,829
DUE TO ACCRA CARE INC$4,119,298
FieldValueIRS element (for citing)
Total Of Amounts5244119TotalOfAmounts
Total Revenue3817638TotalRevenue
Total Expenses3817638TotalExpenses
Tot Revenue Etc Audited Fincl Stmt3817638TotRevenueEtcAuditedFinclStmt
Revenue Subtotal3817638RevenueSubtotal
Total Revenue Per Form9903817638TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3817638TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3817638ExpensesSubtotal
Total Expenses Per Form9903817638TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
RESOURCEWEST
915 MAINSTREETHOPKINSMN55343411975357501(C)(3)100000OPERATING FUNDS
ICA YOUR LOCAL FOOD SHELF
12990 ST DAVIDS RDMINNETONKAMN55305410979010501(C)(3)100000OPERATING FUNDS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrg
KATHY HENDRICKSON
10054523729617334295111010561970725
JOHN DAHM
225342876226218
JACK HENDRICKSON
147807511988318840000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 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 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 11Form 990, Part VI, Line 11: 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 (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
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
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 (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ACCRA HOME HEALTH INC
q576114ACTUAL DISB
ACCRA HOME HEALTH INC
k67582ACTUAL BILLINGS
ACCRA HOME HEALTH INC
d636420ACTUAL RECEIVAB
CONSUMER CHOICE SERVICES INC
r131004ACTUAL REIMB
CONSUMER CHOICE SERVICES INC
k713665ACTUAL BILLINGS
CONSUMER CHOICE SERVICES INC
e1075992ACTUAL PAYABLE
CHOICES FOR CHILDREN INC
r684544ACTUAL REIMB
CHOICES FOR CHILDREN INC
k728296ACTUAL BILLINGS
CHOICES FOR CHILDREN INC
e48829ACTUAL PAYABLE
ACCRA CARE INC
r2061021ACTUAL REIMB
ACCRA CARE INC
k2308105ACTUAL BILLINGS
ACCRA CARE INC
e4119298ACTUAL PAYABLE

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