GOOD SHEPHERD FOUNDATION OF OHIO: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD FOUNDATION OF OHIO (EIN 31-1190446)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-10
IRS object ID
201232239349301003
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)
Timestamp2012-08-10T10:40:24-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311190446EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRIENDS OF GOOD SHEPHERD MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFRIENameControl
Phone7402892861Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1374 GOOD MANOR ROAD PO BOX 1029AddressLine1
CityLUCASVILLECity
StateOHState
ZIP Code45648ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT GRUNDEYName
TitleBOARD CHAIRTitle
Phone7402892861Phone
Date Signed2012-06-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT L GRUNDEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1374 GOOD MANOR ROAD PO BOX 1029AddressLine1
CityLUCASVILLECity
StateOHState
ZIP Code45648ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6522769GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FGSMO.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDING RESIDENTIAL SUPPORT & SERVICES TO ADULT MEN WHO ARE DISABLED MENTALLY.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees159TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year63402ContributionsGrantsPriorYear
Contributions Grants Current Year45087ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4951258ProgramServiceRevenuePriorYear
Program Service Revenue CY4998152ProgramServiceRevenueCY
Investment Income Prior Year-21050InvestmentIncomePriorYear
Investment Income Current Year20031InvestmentIncomeCurrentYear
Other Revenue Prior Year68346OtherRevenuePriorYear
Other Revenue Current Year26008OtherRevenueCurrentYear
Total Revenue Prior Year5061956TotalRevenuePriorYear
Total Revenue Current Year5089278TotalRevenueCurrentYear
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 Year3161576SalariesEtcPriorYear
Salaries Etc Current Year3225325SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1612886OtherExpensePriorYear
Other Expenses Current Year1684005OtherExpensesCurrentYear
Total Expenses Prior Year4774462TotalExpensesPriorYear
Total Expenses Current Year4909330TotalExpensesCurrentYear
Revenues Less Expenses Prior Year287494RevenuesLessExpensesPriorYear
Revenues Less Expenses CY179948RevenuesLessExpensesCY
Total Assets BOY2657142TotalAssetsBOY
Total Assets EOY1797949TotalAssetsEOY
Total Liabilities BOY544670TotalLiabilitiesBOY
Total Liabilities EOY5850TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2112472NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1792099NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE A SAFE AND NURTURING HOME FOR ADULT MEN WHO HAVE MRDD WHERE EACH INDIVIDUAL CAN LEAD A LIFE OF DIGNITY, DEVELOPMENT AND PURPOSE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense4001698Expense
Grants0Grants
Revenue4998152Revenue
DescriptionTHE ORGANIZATION PROVIDES RESIDENTIAL CARE, ACTIVITIES AND HABILITATION PROGRAMS TO ITS RESIDENTS WHO HAVE MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES. THE ORGANIZATION ALSO PROVIDES VOCATIONAL TRAINING.Description
Total Program Service Expense4001698TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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 DQP0LoanToOfficerOrDQP
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 Liquidation1PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees159NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 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 CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JACKIE BOWLINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7402892861TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1374 GOOD MANOR RDAddressLine1
CityLUCASVILLECity
StateOHState
ZIP Code45648ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MICHAEL LUKOWSKI
PRESIDENT1.00XX000
ROBERT KAMMER
TREASURER1.00XX000
LINDA KAMMER
SECRETARY1.00XX000
ROBERT GRUNDEY
VICE-PRESIDENT1.00XX000
JUDY LAWRENCE
BOARD MEMBER1.00X000
JOSEPH LUKOWSKI
BOARD MEMBER1.00X000
ED MONDE
BOARD MEMBER1.00X000
SUZANNE PAHLS
BOARD MEMBER1.00X000
JERRY KURSBAN
BOARD MEMBER1.00X000
DALE TARASCO
BOARD MEMBER1.00X000
SCOTT SHER
BOARD MEMBER1.00X000
STEVE JUDGE
BOARD MEMBER1.00X000
JACKIE BOWLING
EXECUTIVE DIRECTOR30.00X9159100
DAVID PHIPPS
ASSOCIATE EXEC. DIRECTOR32.00X73276011729
FieldValueIRS element (for citing)
Total Reportable Comp From Org164867TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation11729TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions45087AllOtherContributions
Total Contributions45087TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENTS ROOM & BOARDDescription
Business Code623000BusinessCode
Total Revenue Column4998152TotalRevenueColumn
Related Or Exempt Function Income4998152RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4998152TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7285TotalRevenueColumn
Exclusion$7,285ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3500Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3975Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-475Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-475TotalRevenueColumn
Exclusion-$475ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1442262Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1429516Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other12746Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column12746TotalRevenueColumn
Exclusion$12,746ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
VENDING62300015796$15,796
MAINTENANCE6230009333$9,333
SHREDDING623000897$897

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column457TotalRevenueColumn
Exclusion$457ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue26483TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5089278TotalRevenueColumn
Related Or Exempt Function Income4998152RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$46,039ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total176596Total
Management And General176596ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2582528Total
Program Services2347015ProgramServices
Management And General235513ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total75914Total
Program Services64527ProgramServices
Management And General11387ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total162555Total
Program Services138172ProgramServices
Management And General24383ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total227732Total
Program Services193572ProgramServices
Management And General34160ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total18853Total
Management And General18853ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18300Total
Management And General18300ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58865Total
Management And General58865ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total470604Total
Program Services376483ProgramServices
Management And General94121ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3980Total
Management And General3980ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total229397Total
Program Services183518ProgramServices
Management And General45879ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total92449Total
Management And General92449ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total217954Total
Program Services174364ProgramServices
Management And General43590ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total45806Total
Program Services43909ProgramServices
Management And General1897ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13043Total
Program Services11087ProgramServices
Management And General1956ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total137458Total
Program Services116839ProgramServices
Management And General20619ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total53635Total
Program Services45590ProgramServices
Management And General8045ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FRANCHISE TAX210067210067
FOOD EXPENSE1129349599416940
SALE EXPENSE66056199

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4909330Total
Program Services4001698ProgramServices
Management And General907632ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY597770BOY
EOY920029EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY101123BOY
EOY1400EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY571007BOY
EOY809694EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23296BOY
EOY15703EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1316909BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY39670BOY
EOY45273EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY7367BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY5850EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2657142BOY
EOY1797949EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY296187BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY224044BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24439BOY
EOY5850EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY544670BOY
EOY5850EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2112472BOY
EOY1792099EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2112472BOY
EOY1792099EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2657142BOY
EOY1797949EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses179948ReconcilationRevenueExpenses
Reconcilation Other Changes-500321ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
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 Years177583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years127981CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years77256CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63402CurrentTaxYearMinus1Year
Current Tax Year45087CurrentTaxYear
Total491309Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years177583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years127981CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years77256CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63402CurrentTaxYearMinus1Year
Current Tax Year45087CurrentTaxYear
Total491309Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total186217AmountsSubstContributorsTotal
Public Support Total170305092PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6967CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6927CurrentTaxYearMinus1Year
Current Tax Year10785CurrentTaxYear
Total82912Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year67146CurrentTaxYearMinus1Year
Current Tax Year41358CurrentTaxYear
Total108504Total
FieldValueIRS element (for citing)
Total Support682725TotalSupport
Gross Receipts From Admissions Etc26451119GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.44690PublicSupportPertcentage170
Public Support Pertcent Prior Year0.68510PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE REAL ESTATE TAX REFUND W/O OUTSTANDING CHECKS MAINTENANCE, VENDINGGeneralExplanation

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

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATION LIABILITYDescription
Amount$5,850Amount
FieldValueIRS element (for citing)
Total Of Amounts5850TotalOfAmounts

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KARLSBERGER ARCHITECTUREBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipMR. GRUNDEY IS SENIOR VP & EXECUTIVE ARCHITECT AT KARLSBERGER ARCHITECTURERelationship
Amount Of Transaction110142AmountOfTransaction
Description Of TransactionARCHITECTURE SERVICESDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (4 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
SCIOTO GROUP HOME REALTY LLC
BUILDING2011-12-29310000CONSULTING VALUATION APPROVED BY ATTORNEY GENERAL45378185725000 COUNTY CLUB BOULEVARD SNORTH OLMSTEDOH44070LLC
SCIOTO GROUP HOME REALTY LLC
EQUIPMENT2011-12-2986000CONSULTING VALUATION APPROVED BY ATTORNEY GENERAL45378185725000 COUNTY CLUB BOULEVARD SNORTH OLMSTEDOH44070LLC
SCIOTO GROUP HOME REALTY LLC
LAND2011-12-2950000CONSULTING VALUATION APPROVED BY ATTORNEY GENERAL45378185725000 COUNTY CLUB BOULEVARD SNORTH OLMSTEDOH44070LLC
SCIOTO GROUP HOME REALTY LLC
OPERATING RIGHTS - 51 BEDS2011-12-29568000CONSULTING VALUATION APPROVED BY ATTORNEY GENERAL45378185725000 COUNTY CLUB BOULEVARD SNORTH OLMSTEDOH44070LLC
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2
Employee Of Successor21EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII (2 entries)

ExplanationExplanation
PART II, LINE 2E: JACKIE BOWLING
PART II, LINE 2E: JACKIE BOWLING, THE PREVIOUS EXECUTIVE DIRECTOR OF FRIENDS OF GOOD SHEPHERD, INC. BECAME AN EMPLOYEE (NOT AN OFFICER) OF SCIOTO GROUP HOME REALTY, LLC.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3FRIENDS OF GOOD SHEPHERD MANOR, INC., WAS SOLD ON DECEMBER 29, 2011. SEE SCHEDULE N, PART II.
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBER JOSEPH LUKOWSKI & BOARD PRESIDENT MICHAEL LUKOWSKI ARE FATHER & SON. BOARD MEMBERS JERRY KURSBAN & JUDY LAWRENCE ARE BROTHER & SISTER. BOARD TREASURER ROBERT KAMMER & BOARD SECRETARY LINDA KAMMER ARE HUSBAND & WIFE.
FORM 990, PART VI, SECTION B, LINE 11THE EXECUTIVE DIRECTOR WILL REVIEW A COPY OF FORM 990 PRIOR TO FILING. A COPY OF FORM 990 WILL BE PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND DIRECTORS REVIEW AND SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. IT IS THE RESPONSIBILTY OF OFFICERS AND DIRECTORS TO DISCLOSE THE EXISTENCE OF A CONFLICT AND SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF THE CONFLICT IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THOSE WITH CONFLICTS ARE SUBJECT TO VOTING AND PARTICIPATION RESTRICTIONS.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER OFFICERS AND KEY EMPLOYEES WAS COMPARED WITH OTHERS IN COMPARABLE POSITIONS BY THE BOARD. IN ADDITION, THE BOARD CONSULTED AN EMPLOYMENT AGENCY FOR FURTHER REVIEW. THIS PROCESS IS DOCUMENTED AND COMPLETED ANNUALLY. THIS PROCESS WAS LAST PERFORMED IN 2010.
FORM 990, PART VI, SECTION C, LINE 18THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY MAINTAINING THE FILES AT THE PRIMARY FACILITY AND MAKING THEM AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIIJACKIE BOWLING, EXECUTIVE DIRECTOR, WORKS AN AVERAGE OF 10 HOURS PER WEEK WITH RELATED ORGANIZATION FRIENDS OF GOOD SHEPHERD MANOR HOUSING ORGANIZATION. DAVID PHIPPS, ASSOCIATE EXECUTIVE DIRECTOR, WORKS AN AVERAGE OF 8 HOURS PER WEEK WITH RELATED ORGANIZATION FRIENDS OF GOOD SHEPHERD MANOR HOUSING ORGANIZATION.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:PAYOUT OF FUNDS RELATED TO SALE ON 12/29/2011 -500,321. TOTAL TO FORM 990, PART XI, LINE 5: -500,321.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1FRIENDS OF GOOD SHEPHERD MANOR HOUSING ORGANIZATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1374 GOOD MANOR ROAD PO BOX 1029AddressLine1
CityLUCASVILLECity
StateOHState
ZIP Code45648ZIPCode
FieldValueIRS element (for citing)
EIN311315438EIN
Primary ActivitiesLICENSED GROUP HOMESPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FRIENDS OF GOOD SHEPHERD MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
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 Org0LoansOrGuaranteesFromOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NO TRANSACTIONS OVER 50000BusinessNameLine1

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