ASHLAND CARE CENTER INC: Form 990EZ, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ASHLAND CARE CENTER INC (EIN 34-1528045)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-08
IRS object ID
201243139349200024
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)
Timestamp2012-11-08T11:33:18-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN202126956EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Irwin Financial Associates IncBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12025 Claremont AvenueAddressLine1
CityAshlandCity
StateOHState
ZIP Code448053545ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341528045EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASHLAND CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASHLNameControl
Phone4192811111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 SLOAN AVENUEAddressLine1
CityASHLANDCity
StateOHState
ZIP Code44805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDUCIA HAMMName
TitleEXECUTIVE DIRECTORTitle
Phone4192811111Phone
Date Signed2012-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEVEN W IRWIN CPAName
PTINP00337085PTIN
Phone4192812811Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Web Siteashlandcarecenter.orgWebSite
Organization501c3XOrganization501c3
Gross Receipts136503GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc136500ContributionsGiftsGrantsEtc
Other Revenue Total3OtherRevenueTotal
Total Revenue136503TotalRevenue
Benefits Paid To Or For Members2745BenefitsPaidToOrForMembers
Salaries Other Comp Empl Benefits61976SalariesOtherCompEmplBenefits
Fees And Oth Pymt To Ind Contractors710FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint13474OccupancyRentUtilitiesAndMaint
Printing Publications Postage3973PrintingPublicationsPostage
Other Expenses Total43467OtherExpensesTotal
Total Expenses126345TotalExpenses
Excess Or Deficit For Year10158ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY69234NetAssetsOrFundBalancesBOY
Other Changes In Net Assets0OtherChangesInNetAssets
Net Assets Or Fund Balances EOY79392NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY21978BOY
EOY31968EOY

Land And Buildings LandAndBuildings

FieldValueIRS element (for citing)
BOY157710BOY
EOY154414EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17136BOY
EOY16580EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY196824BOY
EOY202962EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY127590BOY
EOY123570EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY69234BOY
EOY79392EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt PurposeSUPPORT FOR WOMEN WITH UNPLANNED PREGNANCIES.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomSUPPORT FOR WOMEN WITH UNPLANNED PREGNANCIES BY PROVIDING FREE PREGNANCY TESTS, FREE COUNSELING, EDUCATION AND REFERRALS. THE ORGANIZATION SERVED 918 CLIENTS DURING 2011.DescriptionProgramServiceAccom
Grants And Allocations0GrantsAndAllocations
Program Service Expenses58885ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses58885TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
DUCIA HAMM
119 SLOAN AVEASHLANDOH44805EXECUTIVE DIRECTOR35.002759400
WAYNE FANNON
119 SLOAN AVEASHLANDOH44805PRESIDENT OF BOARD1.00000
KEITH TYSON
119 SLOAN AVEASHLANDOH44805PROVISIONAL MEMBER1.00000
RACHEL JUSTICE
119 SLOAN AVEASHLANDOH44805BOARD MEMBER1.00000
JUDY KLOBUTCHER
119 SLOAN AVEASHLANDOH44805INTERIM TREASURER1.00000
GINI BROWNSON
119 SLOAN AVEASHLANDOH44805BOARD MEMBER1.00000
ROB WILBERT
119 SLOAN AVEASHLANDOH44805VICE PRESIDENT1.00000
MARYANNE WISE
119 SLOAN AVEASHLANDOH44805SECRETARY1.00000
FieldValueIRS element (for citing)
Info In Schedule O Part VXInfoInScheduleOPartV
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Subject To Proxy Tax0SubjectToProxyTax
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Made Loans To From Officers1MadeLoansToFromOfficers
Loans To From Officers120228LoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1IRWIN FINANCIAL ASSOCIATES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12025 CLAREMONT AVENUEAddressLine1
CityASHLANDCity
StateOHState
ZIP Code44805ZIPCode
FieldValueIRS element (for citing)
Telephone Number4192812811TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Does Org Have Hospital0DoesOrgHaveHospital
Tanning Services Provided0TanningServicesProvided
Related Org Controlled Entity0RelatedOrgControlledEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule A1FiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135887CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years147719CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year127527CurrentTaxYearMinus1Year
Current Tax Year136500CurrentTaxYear
Total672348Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135887CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years147719CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year127527CurrentTaxYearMinus1Year
Current Tax Year136500CurrentTaxYear
Total672348Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total7931AmountsSubstContributorsTotal
Public Support Total170664417PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1063CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2CurrentTaxYearMinus1Year
Current Tax Year3CurrentTaxYear
Total1097Total
FieldValueIRS element (for citing)
Total Support673445TotalSupport
Public Support Pertcentage1700.98660PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98270PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonMIKE HLAVATYNamePerson
Purpose Of LoanPURCHASE OF REAL ESTATEPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$136,000OriginalPrincipalAmount
Balance Due120228BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due120228TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Other RevenueForm 990-EZ, Part I, Line 8Description: INTEREST INCOME. Amount: 3.
Occupancy, Rent, Utilities and MaintenenceForm 990-EZ, Part I, Line 14Description: Depreciation. Amount: 5,949. Description: Other Expenses. Amount: 7,525. Total to Form 990-EZ, line 14: 13,474.
Other ExpensesForm 990-EZ, Part I, Line 16Description: BANK SERVICE CHARGES. Amount: 339. Description: HEARTBEAT CONFERENCE. Amount: 1,446. Description: SANCTITY OF HUMAN LIFE EXPENSES. Amount: 346. Description: WALK FOR LIFE EXPENSE. Amount: 1,030. Description: SEMINARS & TRAINING. Amount: 1,221. Description: BANQUET EXPENSES. Amount: 9,813. Description: DUES & SUBSCRIPTIONS. Amount: 630. Description: INTEREST EXPENSE. Amount: 6,942. Description: INSURANCE EXPENSE. Amount: 5,691. Description: PAYROLL TAXES. Amount: 4,957. Description: OFFICE EXPENSES. Amount: 6,352. Description: ADVERTISING. Amount: 4,700. Total to Form 990-EZ, line 16: 43,467.
Other AssetsForm 990-EZ, Part II, Line 24Description: PREPAID EXPENSES. Beg. of Year Amount: 560. End of Year Amount: 810. Description: Other Depreciable Assets. Beg. of Year Amount: 16,576. End of Year Amount: 15,770.
Other LiabilitiesForm 990-EZ, Part II, Line 26Description: PAYROLL TAXES PAYABLE. Beg. of Year Amount: 2,865. End of Year Amount: 3,342. Description: NOTES PAYABLE. Beg. of Year Amount: 124,725. End of Year Amount: 120,228.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationThe organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract.Declaration

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