2012-11-15T10:16:54-06:00 2012-03-31 341945695 SS&G INC 1665 ELK BOULEVARD DES PLAINES IL 600164776 990 2011-04-01 201278553 FRIENDSHIP SENIOR OPTIONS NFP FRIE 8478845000 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 MIKE FLYNN 8478845000 2012-11-12 1 THOMAS H AHLBECK P00237636 8478244000 2012-11-12 2011 2016-02-24 21:20:13Z STEPHEN YENCHEK 350 W SCHAUMBURG RD SCHAUMBURG IL 60194 3642980 0 X WWW.FRIENDSHIPVILLAGE.ORG X 2003 IL TO OFFER EXCEPTIONAL SERVICES TO SENIORS ALONG LIFE'S JOURNEY. SEE ADDITIONAL DETAIL IN PART III. 12 12 10 0 0 0 0 0 2309976 2112396 518574 408920 0 15326 2828550 2536642 0 0 0 0 1207807 1413166 0 0 0 547133 462834 1754940 1876000 1073610 660642 14037759 12983502 3924467 2182379 10113292 10801123 KEEPING FRIENDSHIP AT THE CENTER OF EVERYTHING WE DO, FRIENDSHIP SENIOR OPTIONS OFFERS EXCEPTIONAL SERVICES TO SENIORS ALONG LIFE'S JOURNEY. 0 0 1574754 2112396 THE CORPORATION, WHICH IS INTENDED TO BE A "SUPPORTING ORGANIZATION" (AS THAT TERM IS DEFINED IN SECTION 509(A)(3) OF THE CODE AND IN TREASURY REGULATION 1.509(A)-4(I)), OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF RELATED ENTITIES, SO LONG AS EACH ORGANIZATION CONTINUES TO QUALIFY AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) OF THE CODE. 1574754 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 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 1 1 0 0 0 1 13 0 10 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JEFF NYBERG 8478434259 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 X CHARLES CASSELL 1.30 X X 4950 2250 0 JAN TUCKER 1.00 X X 4050 1200 0 KATHY RIVERA 0.80 X 3150 2250 0 RONALD AHLMAN 0.60 X 2400 2400 0 KATHLEEN GILMER 1.70 X 6600 450 0 PAUL SCHAFFHAUSEN 1.10 X X 4350 150 0 LARRY SHOEMAKE 1.00 X 3900 2100 0 DUANE TYLER 0.60 X X 2250 0 0 JEAN SCHLINKMANN 1.10 X 4350 300 0 CLARK DELANOIS 0.80 X 3150 0 0 THOMAS CASTRONOVO 0.40 X 1500 1050 0 THOMAS JOHNSON 0.40 X X 1650 1800 0 STEPHEN YENCHEK 40.00 X 255137 0 23441 RICHARD KLOCKENGA 40.00 X 182223 0 15514 REBECCA JOHNSON 40.00 X 151275 0 6287 HELENE CORCORAN 40.00 X 140219 0 9538 RAYMOND GERKE JR 40.00 X 108151 0 11379 PATRICIA MASH 40.00 X 147179 0 4212 1026484 13950 70371 6 0 1 0 0 MANAGEMENT FEES 541610 2112396 2112396 2112396 435258 435258 1080000 1106338 -26338 -26338 -26338 DAMAGE CLAIMS RECEIVED 900099 15326 15326 15326 2536642 2112396 0 424246 X 548611 487786 60825 864555 864555 51539 51539 85003 85003 64973 64973 150979 150897 82 11495 11495 8666 7031 1635 2943 2943 MEMBERSHIP & DUES 51804 51804 RECRUITMENT 28630 28630 PUBLIC RELATIONS 5596 5596 MISCELLANEOUS 1206 1186 20 1876000 1574754 301246 0 72521 779522 1873710 27219 1849433 1846491 4024072 4082407 1439311 1537777 6652422 4737305 14037759 12983502 138187 184220 3786280 1998159 3924467 2182379 X 10113292 10801123 10113292 10801123 14037759 12983502 X 660642 27189 X 0 1 1 X 0 X X X X 0 0 0 EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO INC 362815382 9 1 1 1 0 FRIENDSHIP VILLAGE OF MILL CREEK NFP 203300991 9 1 1 1 0 FRIENDSHIP SENIOR SERVICE FOUNDATION NFP 201630044 11C 1 1 1 0 3 0 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SUPPLEMENTAL INFORMATION THE ORGANIZATION PROVIDES NONMONETARY SUPPORT TO ITS SUPPORTED ORGANIZATIONS, WHICH INCLUDES THE PERFORMANCE OF SERVICES, SHARING OF FACILITIES AND OTHER ASSETS, AND SHARING OF PAID EMPLOYEES. 1807500 1807500 66210 27219 38991 1846491 HEALTH RESOURCES ALLIANCE, INC 1395001 C CAPTIVE INSURANCE COMPANY 142776 C 1537777 DUE FROM FVMC 4072996 DUE FROM FVNS 93796 DUE FROM FSSF 145218 DUE FROM ERHGC 425295 4737305 DUE TO ERHGC 1998159 1998159 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATION'S 2011, 2010, AND 2009 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. X X X X 0 0 0 0 0 0 0 0 0 STEPHEN YENCHEK 234401 0 20736 0 0 0 2607 0 20834 0 278578 0 0 0 RICHARD KLOCKENGA 170220 0 12003 0 0 0 1880 0 13634 0 197737 0 0 0 REBECCA JOHNSON 151275 0 0 0 0 0 1500 0 4787 0 157562 0 0 0 PATRICIA MASH 147179 0 0 0 0 0 0 0 4212 0 151391 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 ALL BOARD OF DIRECTOR MEMBERS RECEIVE AN EMAILED VERSION OF THE FORM 990 BEFORE IT IS FILED. THE FINANCE COMMITTEE REVIEWS THE FORM 990 BEFORE IT IS FILED. AFTER THE RETURN IS FILED, A PRESENTATION IS GIVEN TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR, THE BOARD MEMBERS AND MANAGEMENT TEAM RECEIVE A CONFLICT OF INTEREST POLICY. THEY HAVE TO SIGN AN ATTACHMENT STATING THAT THEY RECEIVED THE POLICY AND WHETHER OR NOT THEY ARE AWARE OF ANY CONFLICTS. ON THOSE OCCASIONS WHERE THE ISSUE ARISES, THE CONFLICT, THE POTENTIAL FOR CONFLICT, OR THE PERCEPTION OF CONFLICT IS FULLY DISCLOSED TO THE BOARD PRIOR TO DISCUSSION ON THE MATTER CALLING FOR BOARD ACTION. PRIOR TO SUCH DISCUSSION, THE BOARD HAS DETERMINED WHETHER THE PRESENCE OF OR PARTICIPATION BY THE "CONFLICTED" BOARD MEMBER IN THE DISCUSSION WILL INFLUENCE THE DISCUSSION ITSELF OR ITS OUTCOME. THE "CONFLICTED" MEMBER MAY OR MAY NOT BE EXCUSED FROM SUCH DISCUSSION. IN ALL INSTANCES, THE "CONFLICTED" BOARD MEMBER ABSTAINS FROM ANY VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE ANNUAL EXECUTIVE COMPENSATION SALARY SURVEYS WERE CONDUCTED AT THE REQUEST OF THE FSO EXECUTIVE COMMITTEE (WHICH ALSO OPERATES AS THE COMPENSATION COMMITTEE) AND THE FSO PRESIDENT/CEO AND PRESENTED IN MARCH 2012. THE ORGANIZATION AT THE DIRECTIVE OF THE EXECUTIVE COMMITTEE CONTRACTED WITH AN INDEPENDENT, EXTERNAL COMPENSATION CONSULTANT TO PROVIDE THE SALARY SURVEY DATA AND TO ENSURE THE ORGANIZATION IS IN COMPLIANCE WITH ALL IRS RULINGS ON EXECUTIVE COMPENSATION. THE ORGANIZATION ALSO HAS A PLAN DOCUMENT THAT IS REVIEWED ANNUALLY AND UPDATED AS REGULATIONS OR THE PLAN CONSTRUCT CHANGES. THE COMPENSATION COMMITTEE APPROVES ALL SALARY AND BENEFIT ADJUSTMENTS FOR THE SENIOR EXECUTIVES WHICH NORMALLY TAKES PLACE ANNUALLY IN JULY. IN JULY 2012, MERIT INCREASES WERE APPROVED FOR THE VICE-PRESIDENT OF PLANNING & MARKETING, VICE-PRESIDENT OF HUMAN RESOURCES AND EXECUTIVE DIRECTOR OF GREENFIELDS OF GENEVA. FSO EXECUTIVE POSITIONS VACANT AT THE TIME OF THE MERIT INCREASES INCLUDED THE VICE-PRESIDENT OF OPERATIONS AND CHIEF FINANCIAL OFFICER. THE PRESIDENT/CEO IS UNDER AN EMPLOYMENT CONTRACT AND WHILE THE POSITION IS SURVEYED, IT IS NOT INCLUDED IN THE ANNUAL ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE GENERAL PUBLIC. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: FORM 990, PART VII - RELATED ORGANIZATIONS RONALD AHLMAN 0.40 CHARLES CASSELL 0.50 THOMAS CASTRONOVO 0.50 CLARK DELANOIS 0.20 KATHLEEN GILMER 0.30 THOMAS JOHNSON 0.60 KATHY RIVERA 0.70 PAUL SCHAFFHAUSEN 0.10 JEAN SCHLINKMANN 0.30 LARRY SHOEMAKE 0.40 JAN TUCKER 0.20 DUANE TYLER 0.10 FORM 990, PART IX LINES 5, 7, 8, 9, AND 10 ALTHOUGH FRIENDSHIP SENIOR OPTIONS, NFP HAS PAYROLL EXPENSE, IT DOES NOT HAVE PAYROLL TAXES REPORTED ON PART IX LINE 10 OR BENEFITS REPORTED ON LINES 8 AND 9. THIS IS BECAUSE ALL OF THE PEOPLE WHOSE SALARIES ARE REPORTED AS PAYROLL EXPENSE ON PART IX LINES 5 AND 7 RECEIVE THEIR W-2'S FROM EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO, INC. (ERGHC). THE PAYROLL EXPENSE AMOUNT ON PART IX LINES 5 AND 7 IS AN ALLOCATION FROM ERGHC, SO ALL PAYROLL TAXES AND BENEFITS ARE REPORTED ON THE ERGHC FORM 990. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 27,189. EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO INC 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 362815382 RETIREMENT IL 501(C)(3) LINE 9 N/A 0 FRIENDSHIP SENIOR SERVICE FOUNDATION 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 201630044 SUPPORT IL 501(C)(3) LINE 11C, III-FI N/A 0 FRIENDSHIP VILLAGE OF MILL CREEK 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 203300991 RETIREMENT IL 501(C)(3) LINE 9 N/A 0 FRIENDSHIP VILLAGE NEIGHBORHOOD SERVICES 350 W SCHAUMBURG ROAD SCHAUMBURG IL 60194 201278605 SERVICE IL 20-1278553 C 200000 1.00000 0 0 0 1 1 0 0 0 0 0 1 0 1 1 0 0 1 1