HAITI LUTHERAN MISSION SOCIETY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HAITI LUTHERAN MISSION SOCIETY INC (EIN 47-0727191)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-15
IRS object ID
201211369349302126
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)
Timestamp2012-05-15T09:44:59-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470677245EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HBE BECKER MEYER LOVE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17140 STEPHANIE LANE PO BOX 23110AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code685423110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470727191EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HAITI LUTHERAN MISSION SOCIETY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHAITNameControl
Phone4024673576Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22544AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68542ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLYLE MIDDENDORFName
TitleTREASURERTitle
Phone4024670732Phone
Date Signed2012-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLUCAS W ARNDTName
PTINP00910450PTIN
Phone4024234343Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD BUETHENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17711 N HAZELWOOD DRAddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68510ZIPCode
FieldValueIRS element (for citing)
Gross Receipts275080GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HAITILUTHERAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionMINISTER TO THE SPIRITUAL AND PHYSICAL NEEDS OF THE HAITIAN PEOPLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year666875ContributionsGrantsPriorYear
Contributions Grants Current Year265220ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year12266InvestmentIncomePriorYear
Investment Income Current Year9860InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year679141TotalRevenuePriorYear
Total Revenue Current Year275080TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year423688GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY289995GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28651OtherExpensePriorYear
Other Expenses Current Year19940OtherExpensesCurrentYear
Total Expenses Prior Year452339TotalExpensesPriorYear
Total Expenses Current Year309935TotalExpensesCurrentYear
Revenues Less Expenses Prior Year226802RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-34855RevenuesLessExpensesCY
Total Assets BOY577652TotalAssetsBOY
Total Assets EOY542797TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY577652NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY542797NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PURPOSE OF THE SOCIETY SHALL BE TO MINISTER TO THE SPIRITUAL AND PHYSICAL NEEDS OF THE HAITIAN PEOPLE SO THAT THEY MIGHT BE WON BY THE HOLY SPIRIT TO BE DISCIPLES OF JESUS CHRIST.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense289995Expense
DescriptionDONATIONS WERE RECEIVED TO MAINTAIN LUTHERAN CHURCH PROGRAMS IN HAITI.Description
Total Program Service Expense289995TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LYLE MIDDENDORFBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4024670732TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14647 SUPERIOR STREETAddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68504ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RICHARD BUETHE
EXECUTIVE DIRECTOR32.00XX000
REV ROBERT NOWAK
PRESIDENT20.00XX000
DALE OBERLE
VICE PRESIDENT1.00XX000
ANITA HARMS
SECRETARY1.00XX000
LYLE MIDDENDORF
TREASURER3.00XX000
GORDON QUITMEYER
ASST TREASURER2.00X000
TIM COSTELLO
VP-PUBLICATIONS3.00X000
ROBERT SWEET
VP-CONSTRUCTION1.00X000
WARREN VIEHL
VP-MEDICAL1.00X000
KIM WALLER
VP-CHURCH CONTACT-TEAMS5.00X000
DIANE RUPRICH
VP-CONGREGATION LWML CONTA1.00X000
REV TOM BRINKLEY
BOARD MEMBER1.00X000
MICHAEL PRIEBE
VP-MEDICAL1.00X000
DANIELLE TIETJEN
VP-CONSTRUCTION TEAMS1.00X000
KEITH WALLER
VP-CONSTRUCTION TEAMS5.00X000
REV GEORG WILLIAMS
VP-SEMINARY INSTRUCTION2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions265220AllOtherContributions
Total Contributions265220TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9860TotalRevenueColumn
Exclusion$9,860ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column275080TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,860ExclusionAmount

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total289995Total
Program Services289995ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3900Total
Management And General3900ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total8958Total
Management And General8958ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
POSTAGE AND COPYING57955795
MISCELLANEOUS12871287

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total309935Total
Program Services289995ProgramServices
Management And General19940ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY569502BOY
EOY536012EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7205BOY
EOY5840EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY945BOY
EOY945EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY577652BOY
EOY542797EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY122566BOY
EOY58958EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY455086BOY
EOY483839EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY577652BOY
EOY542797EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY577652BOY
EOY542797EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-34855ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years497440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years263697CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years249198CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year666875CurrentTaxYearMinus1Year
Current Tax Year265220CurrentTaxYear
Total1942430Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years497440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years263697CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years249198CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year666875CurrentTaxYearMinus1Year
Current Tax Year265220CurrentTaxYear
Total1942430Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total564082AmountsSubstContributorsTotal
Public Support Total1701378348PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16924CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8061CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20738CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12266CurrentTaxYearMinus1Year
Current Tax Year9860CurrentTaxYear
Total67849Total
FieldValueIRS element (for citing)
Total Support2010279TotalSupport
Public Support Pertcentage1700.68570PublicSupportPertcentage170
Public Support Pertcent Prior Year0.66600PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue275080TotalRevenue
Total Expenses309935TotalExpenses
Excess Or Deficit For Year-34855ExcessOrDeficitForYear
Excess Or Deficit Per FS-34855ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt275080TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal275080RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990275080TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt309935TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal309935ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990309935TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE SOCIETY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, THE SOCIETY HAD NO TAX LIABILITY ON UNRELATED BUSINESS ACTIVITY. THE SOCIETY BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS.Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintained
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent0SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent0TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN -Region
Purpose Of GrantPROGRAM SERVICESPurposeOfGrant
Amount Of Cash Grant289995AmountOfCashGrant
Manner Of Cash DisbursementCASH AND ELECTRONIC FUNDS TRANSFERMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of Other Orgs1TotalNumberOfOtherOrgs
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2RICHARD BUETHE IS FATHER-IN-LAW OF TIM COSTELLO. KEITH WALLER AND KIM WALLER ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION HAD NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD TREASURER REVIEWS AND APPROVES THE 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD OF DIRECTORS DISCLOSE ANNUAL ANY POSSIBLE CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS MADE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION DID NOT CHANGE ITS PROCESS DURING THE YEAR.

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