FURTHER FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FURTHER FOUNDATION (EIN 47-0772447)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-08
IRS object ID
201223139349300232
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)
Timestamp2012-11-08T09:54:59-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470526649EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DANA F COLE & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11248 O STREET SUITE 500AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68508ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470772447EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DEVELOPMENTAL SERVICES OF NEBRASKABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDEVENameControl
Phone4024352800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15701 THOMPSON CREEK BLVD No 200AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68516ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSAM MANZITTO JRName
TitlePRESIDENT OF BOARDTitle
Phone4024352800Phone
Date Signed2012-10-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRIAN RUNGEName
PTINP00249573PTIN
Phone4024799300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSAM MANZITTO JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15701 THOMPSON CREEK BLVD No 200AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68516ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15901334GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DSNONLINE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE CHILDREN & ADULTS WITH DEVELOPMENTAL DISABILITIES GAIN SKILLS, KNOWLEDGE, & EXPERIENCE TO FUNCTION IN THEIR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees636TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16555970ProgramServiceRevenuePriorYear
Program Service Revenue CY15868018ProgramServiceRevenueCY
Investment Income Prior Year-46459InvestmentIncomePriorYear
Investment Income Current Year260InvestmentIncomeCurrentYear
Other Revenue Prior Year3755OtherRevenuePriorYear
Other Revenue Current Year31232OtherRevenueCurrentYear
Total Revenue Prior Year16513266TotalRevenuePriorYear
Total Revenue Current Year15899510TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9861297SalariesEtcPriorYear
Salaries Etc Current Year9589952SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6576507OtherExpensePriorYear
Other Expenses Current Year6581270OtherExpensesCurrentYear
Total Expenses Prior Year16437804TotalExpensesPriorYear
Total Expenses Current Year16171222TotalExpensesCurrentYear
Revenues Less Expenses Prior Year75462RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-271712RevenuesLessExpensesCY
Total Assets BOY7576821TotalAssetsBOY
Total Assets EOY7375794TotalAssetsEOY
Total Liabilities BOY3415976TotalLiabilitiesBOY
Total Liabilities EOY3486661TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4160845NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3889133NetAssetsOrFundBalancesEOY
Mission DescriptionDSN 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13775135Expense
Revenue15868018Revenue
DescriptionPROVIDED HOUSING AND TRAINING TO DEVELOPMENTALLY IMPAIRED CHILDREN AND ADULTS TO GAIN SKILLS AND KNOWLEDGE TO FUNCTION IN THEIR COMMUNITY.Description
Total Program Service Expense13775135TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
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 DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees636NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JUSTIN GULBRANDSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4024352134TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15701 THOMPSON CREEK BLVD SUITE 200AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68516ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SCOTT J LEFEVRE
GOVERNING BOARD MEMBER, CE40.00XX0687660
SCOTT THOMPSON
SECRETARY1.00XX000
SAM MANZITTO JR
PRESIDENT1.00XX000
KIM GULBRANDSON
VICE PRESIDENT1.00XX000
CHRISTINA BAYLOR
TREASURER1.00XX000
PATRICK WOLFE
GOVERNING BOARD MEMBER1.00X000
JAMES MASTEN
GOVERNING BOARD MEMBER1.00X000
ROGER STORTENBECKER
COO40.00X01114670
BRIAN KANTER
CDO40.00X01128350
JUSTIN GULBRANDSON
CFO40.00X01250870
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs418155TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FEES FROM GOVERNMENT A9000991469428014694280
ROOM AND BOARD721310868465868465
MEDICARE/MEDICAID PAYM900099204933204933
VOCATIONAL INCOME624310100340100340
FieldValueIRS element (for citing)
Total Program Service Revenue15868018TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other2084Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1824Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other260Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column260TotalRevenueColumn
Exclusion$260ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events12080GrossIncomeFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column12080TotalRevenueColumn
Exclusion$12,080ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column19152TotalRevenueColumn
Related Or Exempt Function Income19152RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue19152TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15899510TotalRevenueColumn
Related Or Exempt Function Income15887170RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$12,340ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8404771Total
Program Services8404771ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total21210Total
Program Services21210ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total559471Total
Program Services559471ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total604500Total
Program Services604500ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1932858Total
Management And General1932858ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total81948Total
Program Services79011ProgramServices
Management And General2937ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total736980Total
Program Services736980ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total16937Total
Program Services1271ProgramServices
Management And General15666ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total177633Total
Management And General177633ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total171894Total
Program Services97861ProgramServices
Management And General74033ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total352610Total
Program Services352610ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EXTENDED FAMILY SERVICE12559881255844144
UTILITIES & TELEPHONE395544395544
VEHICLE & MILEAGE EXPEN354750354750
GROCERIES298238298238

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total805890Total
Program Services613074ProgramServices
Management And General192816ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16171222Total
Program Services13775135ProgramServices
Management And General2396087ManagementAndGeneral
Fundraising0Fundraising

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1682348BOY
EOY1496644EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY28019BOY
EOY47218EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3842012LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1533186LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2346753BOY
EOY2308826EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3519701BOY
EOY3523106EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7576821BOY
EOY7375794EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY945048BOY
EOY783859EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2301654BOY
EOY2557805EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY169274BOY
EOY144997EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3415976BOY
EOY3486661EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4160845BOY
EOY3889133EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4160845BOY
EOY3889133EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7576821BOY
EOY7375794EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-271712ReconcilationRevenueExpenses
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 Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years345CurrentTaxYearMinus4Years
Current Tax Year14900CurrentTaxYear
Total15245Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15122493CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15309717CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15377194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16555970CurrentTaxYearMinus1Year
Current Tax Year15868018CurrentTaxYear
Total78233392Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15122838CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15309717CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15377194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16555970CurrentTaxYearMinus1Year
Current Tax Year15882918CurrentTaxYear
Total78248637Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50978248637PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4225CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6715CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years225CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-46459CurrentTaxYearMinus1Year
Total-35294Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4225CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6715CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years225CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-46459CurrentTaxYearMinus1Year
Total-35294Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19618CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44963CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20109CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3755CurrentTaxYearMinus1Year
Current Tax Year16332CurrentTaxYear
Total104777Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15146681CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15361395CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15397528CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16513266CurrentTaxYearMinus1Year
Current Tax Year15899250CurrentTaxYear
Total78318120Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99910PublicSupportPercentage509
Prior Year Support Percentage0.99870PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00050PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis303031OtherCostOrOtherBasis
Book Value303031BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2731228OtherCostOrOtherBasis
Depreciation933403Depreciation
Book Value1797825BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis262011OtherCostOrOtherBasis
Depreciation178552Depreciation
Book Value83459BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis298319OtherCostOrOtherBasis
Depreciation248151Depreciation
Book Value50168BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis247423OtherCostOrOtherBasis
Depreciation173080Depreciation
Book Value74343BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2308826TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSITS67960
GOODWILL3455146
FieldValueIRS element (for citing)
Total Book Value Other Assets3523106TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
BANK OVERDRAFT$12,238
LINE OF CREDIT$132,759
FieldValueIRS element (for citing)
Total Of Amounts144997TotalOfAmounts
Total Revenue15899510TotalRevenue
Total Expenses16171222TotalExpenses
Excess Or Deficit For Year-271712ExcessOrDeficitForYear
Excess Or Deficit Per FS-271712ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15899510TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal15899510RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015899510TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16171222TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16171222ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016171222TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationThe 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, 2008 and after are subject to examination by the tax authorities.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ACTIVE COMMUNITY TREATMENTS INCBusinessNameLine1
FieldValueIRS element (for citing)
Purpose Of LoanLOAN FOR ACQUISITION OF ACTIVE COMMUNITY TREATMENTS, INC.PurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$2,600,000OriginalPrincipalAmount
Balance Due1000000BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due1000000TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SANIEL SCOTT LLC
SCOTT LEFEVRE IS A MEMBER OF SANIEL SCOTT, LLC178651RENTS0
ACTIVE COMMUNITY TREATMENTS INC
SCOTT LEFEVRE HAS 75% OWNERSHIP OF ACTIVE COMMUNITY TREATMENTS, INC.99068INTEREST0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Justin and Kim Gulbrandson are husband and wife.
Form 990, Part VI, Section A, line 3The 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 11Justin Gulbrandson, Chief Financial Officer, reviews and forwards the return to the Board President for signature.
Form 990, Part VI, Section B, line 12cThe 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 18The 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 19The Organization's governing documents and conflict of interest policy available to the public upon request to the Organization's Chief Financial Officer.
Form 990, Part VII, Line 1B: Average hours per weekAverage hours per week for Scott LeFevre, Roger Stortenbecker, Brian Kanter, and Justin Gulbrandson are mainly spent on duties as employees of Collaborative Industries, Inc.Describe hours for related organizations:
Form 990, Part XII, Line 2C: If the Organization changed its oversightThere have not been any changes.process:

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
Collaborative Industries Inc
578 Blue Sage BlvdLincolnNE68521205709688Management agreement for management services of key management staff.NES
Active Community Treatments Inc
6601 Stonebrook ParkwayLincolnNE68521470842186LoanNES
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COLLABORATIVE INDUSTRIES INC
L1932858PER CONTRACT
ACTIVE COMMUNITY TREATMENTS INC
E1000000PER NOTE
SANIEL SCOTT LLC
J178651RENTS

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