COMMUNITY AFFORDABLE SUPPORTED LIVING INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY AFFORDABLE SUPPORTED LIVING INC (EIN 65-0796626)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-09
IRS object ID
201233149349301018
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)
Timestamp2012-11-09T09:57:45-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN591753337EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KERKERING BARBERIO & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 49348AddressLine1
CitySARASOTACity
StateFLState
ZIP Code342306348ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN650796626EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY AFFORDABLE SUPPORTED LIVING INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone9413658645Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 16TH STREETAddressLine1
CitySARASOTACity
StateFLState
ZIP Code34231ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJ SCOTT ELLERName
TitleCEO/CFOTitle
Phone9413658645Phone
Date Signed2012-10-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameREBECCA U STONERName
PTINP00585910PTIN
Phone9413654617Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ SCOTT ELLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11401 16TH STREETAddressLine1
CitySARASOTACity
StateFLState
ZIP Code34231ZIPCode
FieldValueIRS element (for citing)
Gross Receipts350313GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCASLCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE AFFORDABLE HOUSING TO INDIVIDUALS WITH VERY LOW TO MODERATE INCOME AND WITH DEVELOPMENTAL OR OTHER DISABILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year40221ContributionsGrantsPriorYear
Contributions Grants Current Year10556ContributionsGrantsCurrentYear
Program Service Revenue Prior Year311510ProgramServiceRevenuePriorYear
Program Service Revenue CY326953ProgramServiceRevenueCY
Investment Income Prior Year21626InvestmentIncomePriorYear
Investment Income Current Year7804InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year5000OtherRevenueCurrentYear
Total Revenue Prior Year373357TotalRevenuePriorYear
Total Revenue Current Year350313TotalRevenueCurrentYear
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 Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year419468OtherExpensePriorYear
Other Expenses Current Year401581OtherExpensesCurrentYear
Total Expenses Prior Year419468TotalExpensesPriorYear
Total Expenses Current Year401581TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-46111RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-51268RevenuesLessExpensesCY
Total Assets BOY4074692TotalAssetsBOY
Total Assets EOY4000435TotalAssetsEOY
Total Liabilities BOY3324185TotalLiabilitiesBOY
Total Liabilities EOY3306644TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY750507NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY693791NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE AFFORDABLE HOUSING TO INDIVIDUALS WITH VERY LOW TO MODERATE INCOME AND WITH DEVELOPMENTAL OR OTHER DISABILITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense395524Expense
Revenue326953Revenue
DescriptionPROVIDED AFFORDABLE HOUSING TO INDIVIDUALS WITH VERY LOW TO MODERATE INCOME AND WITH ONE OR MORE DEVELOPMENTAL DISABILITIES. CASL HAS 38 HOUSES, VILLAS AND CONDOMINIUMS WITH 100 BEDS. 96 CLIENTS WERE HOUSED DURING THE FISCAL YEAR ENDING 6/30/12.Description
Total Program Service Expense395524TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 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 With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY ASSISTED & SUPPORTED LIVING INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9412252373TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11693 MAIN STREET SUITE AAddressLine1
CitySARASOTACity
StateFLState
ZIP Code34236ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
CHARLES E RICHARDS
DIRECTOR1.00X000
DIANE KREISMAN
DIRECTOR1.00X000
RICHARD ULRICH
DIRECTOR1.00X000
JACK O'NEIL
DIRECTOR1.00X000
HAL HEDLY
DIRECTOR1.00X000
REBECCA U STONER
VICE PRESIDENT1.00X000X
STEVEN D ARMSTRONG
VICE PRESIDENT1.00X000X
J SCOTT ELLER
PRESIDENT/CEO40.000540803006X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs54080TotalReportableCompFrmRltdOrgs
Total Other Compensation3006TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions10556AllOtherContributions
Total Contributions10556TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENTIAL RENTALDescription
Business Code531110BusinessCode
Total Revenue Column326953TotalRevenueColumn
Related Or Exempt Function Income326953RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue326953TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6350TotalRevenueColumn
Exclusion$6,350ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1454Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1454Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1454TotalRevenueColumn
Exclusion$1,454ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSETTLEMENT INCOMEDescription
Business Code541900BusinessCode
Total Revenue Column5000TotalRevenueColumn
Exclusion$5,000ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column350313TotalRevenueColumn
Related Or Exempt Function Income326953RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$12,804ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total74584Total
Program Services74584ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4000Total
Management And General4000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1181Total
Management And General1181ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total95Total
Program Services95ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total876Total
Management And General876ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total57Total
Program Services57ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total141738Total
Program Services141738ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total45376Total
Program Services45376ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
REPAIRS AND MAINTENANCE8086080860
ASSOCIATION FEES4052440524
PROPERTY TAXES83668366

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3924Total
Program Services3924ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total401581Total
Program Services395524ProgramServices
Management And General6057ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5574BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2500BOY
EOY1508EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY332045BOY
EOY407758EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY10822BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY32183BOY
EOY34879EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4530193LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1202141LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3464313BOY
EOY3328052EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY227255BOY
EOY228238EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4074692BOY
EOY4000435EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32116BOY
EOY25356EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY61EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3291919BOY
EOY3279268EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY150BOY
EOY1959EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3324185BOY
EOY3306644EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY750507BOY
EOY693791EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY750507BOY
EOY693791EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4074692BOY
EOY4000435EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-51268ReconcilationRevenueExpenses
Reconcilation Other Changes-5448ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
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 Years427865CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83107CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6400CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40221CurrentTaxYearMinus1Year
Current Tax Year10556CurrentTaxYear
Total568149Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years420065CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years310833CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years289639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year311509CurrentTaxYearMinus1Year
Current Tax Year326953CurrentTaxYear
Total1658999Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years847930CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years393940CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years296039CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year351730CurrentTaxYearMinus1Year
Current Tax Year337509CurrentTaxYear
Total2227148Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years157000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74981CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32600CurrentTaxYearMinus1Year
Current Tax Year9356CurrentTaxYear
Total278937Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years157000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74981CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32600CurrentTaxYearMinus1Year
Current Tax Year9356CurrentTaxYear
Total278937Total
FieldValueIRS element (for citing)
Public Support Total5091948211PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21356CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7213CurrentTaxYearMinus1Year
Current Tax Year6350CurrentTaxYear
Total50416Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21356CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7213CurrentTaxYearMinus1Year
Current Tax Year6350CurrentTaxYear
Total50416Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1126CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years613CurrentTaxYearMinus3Years
Current Tax Year5000CurrentTaxYear
Total6739Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years870412CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years407853CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years298236CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year358943CurrentTaxYearMinus1Year
Current Tax Year348859CurrentTaxYear
Total2284303Total
FieldValueIRS element (for citing)
Public Support Percentage5090.85290PublicSupportPercentage509
Prior Year Support Percentage0.81580PriorYearSupportPercentage
Investment Income Percentage0.02210InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02350PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance225430BeginningOfYearBalance
Investment Earnings Or Losses2164InvestmentEarningsOrLosses
Administrative Expenses1182AdministrativeExpenses
End Of Year Balance226412EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance283342BeginningOfYearBalance
Investment Earnings Or Losses43191InvestmentEarningsOrLosses
Other Expenditures100000OtherExpenditures
Administrative Expenses1103AdministrativeExpenses
End Of Year Balance225430EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance256956BeginningOfYearBalance
Investment Earnings Or Losses27803InvestmentEarningsOrLosses
Administrative Expenses1417AdministrativeExpenses
End Of Year Balance283342EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis724437OtherCostOrOtherBasis
Book Value724437BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3083395OtherCostOrOtherBasis
Depreciation1044313Depreciation
Book Value2039082BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis666754OtherCostOrOtherBasis
Depreciation117639Depreciation
Book Value549115BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3454OtherCostOrOtherBasis
Depreciation1796Depreciation
Book Value1658BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis52153OtherCostOrOtherBasis
Depreciation38393Depreciation
Book Value13760BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3328052TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS226412
DEPOSITS1826
FieldValueIRS element (for citing)
Total Book Value Other Assets228238TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PET DEPOSITS$150
CASH OVERDRAFT$1,809
FieldValueIRS element (for citing)
Total Of Amounts1959TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTHE INCOME FROM THE ENDOWMENT IS USED TO SUPPORT THE OPERATIONS AND PROGRAM OF THE ORGANIZATION AT THE DISCRETION OF THE BOARD OF DIRECTORS.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Purpose Of LoanPurposeOfLoanLoan To OrganizationLoanToOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreementLoan From OrganizationLoanFromOrganization
J SCOTT ELLER
REIMBURSABLE EXPENSESX$6161010
RENAISSANCE MANOR INC
REIMBURSABLE EXPENSES$12,953134068010X
RENAISSANCE MANOR INC
PURCHASE OF PROPERTY$184,300184300011X
RENAISSANCE MANOR INC
PURCHASE OF PROPERTY$89,39089390011X
FieldValueIRS element (for citing)
Total Balance Due407819TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RENAISSANCE MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipSHARED CEO/CFORelationship
Amount Of Transaction74584AmountOfTransaction
Description Of TransactionTHE ORGANIZATION PAID RENAISSANCE MANOR, INC. MANAGEMENT FEES FOR THE SERVICES OF A SHARED CEO/CFO. THE MANAGEMENT FEES ALSO INCLUDE ACCOUNTING SERVICES PERFORMED BY EMPLOYEES OF RENAISSANCE MANOR, INC.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEERSFORM 990, PART I, LINE 6ALL BOARD MEMBERS ARE VOLUNTEERS.
FORM 990, PART VI, SECTION A, LINE 3COMMUNITY AFFORDABLE SUPPORTED LIVING (CASL) SHARES A CEO/CFO WITH RENAISSANCE MANOR (RENAISSANCE). CASL PAID RENAISSANCE A MANAGEMENT FEE FOR THESE SERVICES. THE MANAGEMENT FEE TO RENAISSANCE IS ALSO FOR ACCOUNTING SERVICES PERFORMED BY AN EMPLOYEE OF RENAISSANCE. ALL WAGES ARE PAID BY RENAISSANCE. MANAGEMENT DUTIES INCLUDE, BUT ARE NOT LIMITED TO HIRING, FIRING, SUPERVISING PERSONNEL, PLANNING AND EXECUTING BUDGETS AND FINANCIAL OPERATIONS.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PREPARED BY A CPA WHO IS ALSO A BOARD MEMBER. IT IS THEN REVIEWED BY THE CEO/CFO. THE 990 IS EMAILED TO ALL DIRECTORS WHO ARE THEN GIVEN TIME TO RESPOND OR RAISE QUESTIONS. AFTER RESPONSES ARE ADDRESSED, BOARD APPROVES RETURN.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND SENIOR STAFF ANNUALLY DISCLOSE AND UPDATE ANY DISCLOSURES PREVIOUSLY MADE ON AN ANNUAL CONFLICT DISCLOSURE QUESTIONNAIRE FORM PROVIDED BY THE ORGANIZATION THAT REQUESTS THEM TO IDENTIFY THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST, SUCH AS A LIST OF FAMILY MEMBERS, SUBSTANTIAL BUSINESS OR INVESTMENT HOLDINGS, AND OTHER TRANSACTIONS OR AFFILIATIONS WITH BUSINESSES AND OTHER ORGANIZATIONS OR THOSE OF FAMILY MEMBERS AS WELL AS OTHER NONPROFIT ORGANIZATIONS. BOARD AND STAFF ARE ALSO URGED TO DISCLOSE CONFLICTS AS THEY ARISE AS WELL AS TO DISCLOSE THOSE SITUATIONS THAT ARE EVOLVING THAT MAY RESULT IN A CONFLICT OF INTEREST. ADVANCE DISCLOSURE MUST OCCUR SO THAT A DETERMINATION MAY BE MADE AS TO THE APPROPRIATE PLAN OF ACTION TO MANAGE THE CONFLICT. STAFF SHOULD DISCLOSE TO THEIR SUPERVISOR/EXECUTIVE DIRECTOR AND BOARD MEMBERS SHOULD DISCLOSE TO THE BOARD/CHAIRPERSON OF THE BOARD AS SOON AS THE PERSON WITH THE CONFLICT IS AWARE OF THE CONFLICT/POTENTIAL CONFLICT OR APPEARANCE OF A CONFLICT EXISTS.
FORM 990, PART VI, SECTION B, LINE 15ATHE ORGANIZATION USES COMPARABILITY DATA FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S CEO. THE CEO IS NOT INVOLVED IN THE DECISION. NO OTHER OFFICERS OR KEY EMPLOYEES ARE PAID.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -5,448.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY ASSISTED & SUPPORTED LIVING INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11401 16TH STREETAddressLine1
CitySARASOTACity
StateFLState
ZIP Code34236ZIPCode
FieldValueIRS element (for citing)
EIN650869993EIN
Primary ActivitiesHOUSING FOR THE MENTALLY IMPAIREDPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)(VI)PublicCharityStatus
Controlled Org0ControlledOrg
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 Org1LoansOrGuaranteesToOtherOrg
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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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