2012-10-26T10:53:18-05:00 2011-12-31 381357951 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2011-01-01 310996044 COLUMBUS CENTER FOR HUMAN SERVICES INC COLU 6142789362 600 INDUSTRIAL MILE ROAD COLUMBUS OH 43228 DONA ENGLAND-AFEK 6142789362 2012-09-26 1 BERNIE OSTROWSKI P00366367 6148493000 2011 2016-02-24 21:20:13Z DONA ENGLAND-AFEK 600 INDUSTRIAL MILE ROAD COLUMBUS OH 43228 19377374 0 X WWW.CCHS-COL.ORG X 1979 OH TO PROVIDE COMPREHENSIVE SUPPORT SERVICES FOR ADULTS WITH MENTAL RETARDATION AND OTHER DEVELOPMENTAL DISABILITIES. 7 5 813 15 0 0 6668 6212 17325006 19221207 471 2010 70022 147945 17402167 19377374 0 0 0 0 12364418 14072482 0 0 0 4642332 5286818 17006750 19359300 395417 18074 7112344 8081166 5781894 6743933 1330450 1337233 COLUMBUS CENTER FOR HUMAN SERVICES, INC. PRIORITIZES HEALTH, SAFETY, PERSONAL GOALS, AND PROMOTES POSITIVE COMMUNITY ROLES FOR INDIVIDUALS WITH DISABILITIES. 0 0 16560188 0 19369152 COLUMBUS CENTER FOR HUMAN SERVICES PROVIDES SUPPORT SERVICES TO THE MENTALLY RETARDED AND DEVELOPMENTALLY DISABLED. SERVICES ARE DIRECTED BY THE PRINCIPLES OF NORMALIZATION, QUALITY OF LIFE AND COMMUNITY PARTICIPATION, AND INCLUDE RESIDENTIAL, TRAINING, AND SUPPORT SERVICES. 16560188 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 36 0 1 813 1 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1 0 OH X DONA ENGLAND-AFEK 6142789362 540 INDUSTRIAL MILE ROAD COLUMBUS OH 43228 DONA ENGLAND-AFEK 50.00 X X 158572 0 30816 BARBARA HERETTA 50.00 X X 119991 0 29734 DAVE MCCARTY 1.00 X X 0 0 0 NANCY DEETH 1.00 X 0 0 0 BRENT GARLAND 1.00 X 0 0 0 MICHELLE GREEN-SEYMOUR 1.00 X 0 0 0 S BREWSTER RANDALL 1.00 X 0 0 0 278563 0 60550 2 0 1 0 0 6212 6212 SUPPORTED LIVING 531110 10190932 10190932 MEDICAID REVENUE 531110 8705738 8705738 ADULT DAY SERVICES 624100 324537 324537 19221207 2010 2010 LAUNDROMAT REVENUE 531110 98211 98211 FORGIVENESS OF DEBT 900099 47832 47832 1902 1902 147945 19377374 19369152 0 2010 339113 339113 11688315 10328836 1359479 50 50 1248711 1238926 9785 796293 771212 25081 10315 10315 31133 31133 208792 208328 464 24659 24659 954675 821724 132951 334264 269488 64776 637269 223957 413312 271196 95088 176108 325473 211385 114088 122482 122482 ADULT DAY SERVICES ACTI 1901433 1901433 GOV MANDATED ASSESSMENT 403553 403553 STAFF DEVELOPMENT 31806 31781 25 29768 29768 19359300 16560188 2799112 0 990609 274087 1421234 2203517 8025 32170 9543255 4207261 4484230 5335994 104402 50405 0 184993 103844 0 7112344 8081166 1463139 1936711 4226702 4807222 92053 0 5781894 6743933 X 1330450 1337233 1330450 1337233 7112344 8081166 X 18074 -11291 X X 1 0 0 X 0 X 6668 6212 12880 13253435 13906256 15910513 17395028 19369152 79834384 13253435 13906256 15910513 17401696 19375364 79847264 0 0 0 79847264 32380 2480 1020 471 2010 38361 32380 2480 1020 471 2010 38361 13285815 13908736 15911533 17402167 19377374 79885625 0.99950 0.99410 0.00050 0.00050 X 629800 629800 3815610 2308421 1507189 3418010 777605 2640405 1507177 988522 518655 172658 132713 39945 5335994 X X X 0 1 0 0 0 0 0 0 0 DONA ENGLAND-AFEK 103421 0 55151 0 0 0 22000 0 8816 0 189388 0 0 0 PART I, LINE 4B PRESIDENT DONA ENGLAND-AFEK AND VICE PRESIDENT BARBARA HERETTA RECEIVED $22,000 AND $22,000 OF DEFERRED COMPENSATION, RESPECTIVELY. FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR REVIEWS FORM 990 PRIOR TO FILING. A COPY OF THE 990 IS PROVIDED TO THE BOARD AND REVIEWED AT THE FIRST MEETING AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE SIGNED ANNUALLY. FULL DISCLOSURE OF ALL ACTUAL AND POTENTIAL CONFLICTS, AND A DETERMINATION BY THE DISINTERESTED BOARD MEMBERS - WITH THE INTERESTED BOARD MEMBER(S) RECUSED FROM PARTICIPATING IN DEBATES AND VOTING ON THE MATTER - ARE REQUIRED. ALL ACTUAL AND POTENTIAL CONFLICTS OF INTERESTS SHALL BE DISCLOSED BY BOARD MEMBERS THROUGH THE ANNUAL DISCLOSURE FORM AND/OR WHENEVER A CONFLICT ARISES. THE DISINTERESTED MEMBERS OF THE BOARD SHALL MAKE A DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHAT SUBSEQUENT ACTION IS APPROPRIATE (IF ANY). THE BOARD SHALL RETAIN THE RIGHT TO MODIFY OR REVERSE SUCH DETERMINATION AND ACTION, AND SHALL RETAIN THE ULTIMATE ENFORCEMENT AUTHORITY WITH RESPECT TO THE INTERPRETATION AND APPLICATION OF THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT CPA FIRM MAKES COMPENSATION RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE PROCESS LAST OCCURRED IN 2011. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 AND FORM 1023 ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -11,291. FORM 990, PART XI, LINE 2C: THE BOARD PRESIDENT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE COMPILATION OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.