GABRIELS VILLA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GABRIELS VILLA INC (EIN 39-1857036)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201103189349302260
Schema version
2010v3.4
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)
Timestamp2011-11-14T09:32:22-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391857036EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GABRIEL'S VILLA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGABRNameControl
Phone9202325220Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 NORTH EAGLE STREETAddressLine1
CityOSHKOSHCity
StateWIState
ZIP Code54902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICH KERNName
TitleCFOTitle
Phone9202325220Phone
Date Signed2011-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCRAIG UBBELOHDENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1225 NORTH EAGLE STREETAddressLine1
CityOSHKOSHCity
StateWIState
ZIP Code54902ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1656538GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERANHOMES.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE ASSISTED LIVING TO THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees41TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7996ContributionsGrantsPriorYear
Contributions Grants Current Year11232ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1572964ProgramServiceRevenuePriorYear
Program Service Revenue CY1632361ProgramServiceRevenueCY
Investment Income Prior Year8194InvestmentIncomePriorYear
Investment Income Current Year8057InvestmentIncomeCurrentYear
Other Revenue Prior Year4289OtherRevenuePriorYear
Other Revenue Current Year4888OtherRevenueCurrentYear
Total Revenue Prior Year1593443TotalRevenuePriorYear
Total Revenue Current Year1656538TotalRevenueCurrentYear
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 Year836814SalariesEtcPriorYear
Salaries Etc Current Year942626SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year598567OtherExpensePriorYear
Other Expenses Current Year551925OtherExpensesCurrentYear
Total Expenses Prior Year1435381TotalExpensesPriorYear
Total Expenses Current Year1494551TotalExpensesCurrentYear
Revenues Less Expenses Prior Year158062RevenuesLessExpensesPriorYear
Revenues Less Expenses CY161987RevenuesLessExpensesCY
Total Assets BOY2565964TotalAssetsBOY
Total Assets EOY2578691TotalAssetsEOY
Total Liabilities BOY1710340TotalLiabilitiesBOY
Total Liabilities EOY1561080TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY855624NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1017611NetAssetsOrFundBalancesEOY
Mission DescriptionGABRIEL'S VILLA IS PART OF A FAMILY OF HEALTHCARE AND RESIDENTIAL SERVICE ORGANIZATIONS COMMITTED TO PROVIDING QUALITY CARE AND LIFE ENRICHING OPPORTUNITIES TO THE AGING AND THOSE IN NEED IN A CARING, CHRISTIAN ENVIRONMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1096581Expense
Revenue1632361Revenue
DescriptionGABRIEL'S VILLA PROVIDES SUPERVISED CARE TO THE ELDERLY IN OSHKOSH, WI. THE ENTITY HAS 39 ASSISTED LIVING UNITS.Description
Total Program Service Expense1096581TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 Required1ScheduleJRequired
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 Rltnshp0OfficerEntityWithBsnssRltnshp
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees41NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Line1RICH KERNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9202325220TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 NORTH EAGLE STREETAddressLine1
CityOSHKOSHCity
StateWIState
ZIP Code54902ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVE KOCH
CHAIR1.50XX000
BRUCE BAIN
VICE CHAIR1.50XX000
REV JOY MORTENSEN-WIEBE
SECRETARY1.50XX000
DR RICHARD AMES
BOARD MEMBER1.50X000
MARK BEECHER
BOARD MEMBER1.50X000
RICHARD CAMPBELL
BOARD MEMBER1.50X000
DR ROGER HEROLD
BOARD MEMBER1.50X000
LOIS JAENKE
BOARD MEMBER1.50X000
REV KAREN JEWEL
BOARD MEMBER1.50X000
REV KEMP JONES
BOARD MEMBER1.50X000
GEORGE KONTOS
BOARD MEMBER1.50X000
JUNE KUHN
BOARD MEMBER1.50X000
STEVE LAUTENSCHLAGER
BOARD MEMBER1.50X000
DENNIS WENDT
BOARD MEMBER1.50X000
BARBARA SKAAR
LEADERHIP OSHKOSH1.50X000
CRAIG UBBELOHDE
PRESIDENT & CEO40.00X023390436877
RICHARD KERN
CORP. TREASURER & CFO40.00X09655610298
JULIE VANDENBERG
CORPORATE SECRETARY40.00X0636057656
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs394065TotalReportableCompFrmRltdOrgs
Total Other Compensation54831TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations11122RelatedOrganizations
All Other Contributions110AllOtherContributions
Total Contributions11232TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TENANT REVENUE53111015021671502167
SERVICE REVENUE621610130194130194
FieldValueIRS element (for citing)
Total Program Service Revenue1632361TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8057TotalRevenueColumn
Exclusion$8,057ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
BEAUTY SHOP REVENUE9000992087$2,087
LAUNDRY COIN9000991064$1,064
MICELLANEOUS REVENUE900099758$758

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column979TotalRevenueColumn
Exclusion$979ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4888TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1656538TotalRevenueColumn
Related Or Exempt Function Income1632361RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$12,945ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total777540Total
Program Services635400ProgramServices
Management And General142140ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total32444Total
Program Services26513ProgramServices
Management And General5931ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total83672Total
Program Services68376ProgramServices
Management And General15296ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total48970Total
Program Services40018ProgramServices
Management And General8952ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total18960Total
Management And General18960ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13745Total
Management And General13745ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17947Total
Program Services15588ProgramServices
Management And General2359ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12605Total
Management And General12605ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total111444Total
Program Services89233ProgramServices
Management And General22211ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total337Total
Management And General337ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total99513Total
Program Services98594ProgramServices
Management And General919ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2724Total
Management And General2724ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total84466Total
Program Services84466ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total151744Total
Management And General151744ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total36981Total
Program Services36981ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMICELLANEOUS EXPENSESDescription
Total1459Total
Program Services1412ProgramServices
Management And General47ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1494551Total
Program Services1096581ProgramServices
Management And General397970ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY454052BOY
EOY382952EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY422554BOY
EOY429781EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12778BOY
EOY5834EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5413BOY
EOY5152EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3722007LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2018282LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1608126BOY
EOY1703725EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY11422BOY
EOY11422EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY45781BOY
EOY39810EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5838BOY
EOY15EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2565964BOY
EOY2578691EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY102509BOY
EOY108527EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1476604BOY
EOY1321370EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY107971BOY
EOY106441EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23256BOY
EOY24742EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1710340BOY
EOY1561080EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY844202BOY
EOY1006189EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11422BOY
EOY11422EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY855624BOY
EOY1017611EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2565964BOY
EOY2578691EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses161987ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Minus2 Years1418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7996CurrentTaxYearMinus1Year
Current Tax Year11232CurrentTaxYear
Total20646Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1376160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1390573CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1536402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1572964CurrentTaxYearMinus1Year
Current Tax Year1632361CurrentTaxYear
Total7508460Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1376160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1390573CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1537820CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1580960CurrentTaxYearMinus1Year
Current Tax Year1643593CurrentTaxYear
Total7529106Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years815064CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years819553CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years906895CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year935587CurrentTaxYearMinus1Year
Current Tax Year969746CurrentTaxYear
Total4446845Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years815064CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years819553CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years906895CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year935587CurrentTaxYearMinus1Year
Current Tax Year969746CurrentTaxYear
Total4446845Total
FieldValueIRS element (for citing)
Public Support Total5093082261PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33827CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8194CurrentTaxYearMinus1Year
Current Tax Year8057CurrentTaxYear
Total95308Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33827CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8194CurrentTaxYearMinus1Year
Current Tax Year8057CurrentTaxYear
Total95308Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3150CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13896CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4289CurrentTaxYearMinus1Year
Current Tax Year4888CurrentTaxYear
Total29624Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1402739CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1427550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1573768CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1593443CurrentTaxYearMinus1Year
Current Tax Year1656538CurrentTaxYear
Total7654038Total
FieldValueIRS element (for citing)
Public Support Percentage5090.40270PublicSupportPercentage509
Prior Year Support Percentage0.40130PriorYearSupportPercentage
Investment Income Percentage0.01250InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01360PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: ALA CARTE SERVICES BEAUTY SHOP REVENUE ASSESSMENT FEES LAUNDRY COIN MISCELLANEOUS INCOMEGeneralExplanation

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)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis83333OtherCostOrOtherBasis
Book Value83333BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2866902OtherCostOrOtherBasis
Depreciation1518951Depreciation
Book Value1347951BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis703921OtherCostOrOtherBasis
Depreciation452723Depreciation
Book Value251198BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis67851OtherCostOrOtherBasis
Depreciation46608Depreciation
Book Value21243BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1703725TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$24,742Amount
FieldValueIRS element (for citing)
Total Of Amounts24742TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENTS' CUSTODIAL ACCOUNTS CONSIST OF AMOUNTS ON DEPOSIT WITH GABRIEL'S VILLA, INC. BY RESIDENTS FOR SAFEKEEPING. THESE FUNDS CAN BE WITHDRAWN AT ANY TIME BY RESIDENTS.
PART X:THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE INFORMATIONAL RETURNS FOR THE YEARS 2007 TO 2010 ARE OPEN TO EXAMINATION BY THOSE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonCRAIG UBBELOHDENamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs209966CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs20000BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs3938OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs12125DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs24752NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs270781TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART I, LINE 3: THE COMPENSATION OF THE PRESIDENT & CEO IS DETERMINED BY THE ORGANIZATION'S SOLE MEMBER, LUTHERAN HOMES OF OSHKOSH, INC.. THE FOLLOWING WERE USED BY LUTHERAN HOMES OF OSHKOSH, INC. TO ESTABLISH THE PRESIDENT & CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEEExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS PLUS TWO OTHER MEMEBERS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL BE RESPONSIBLE FOR THE AGENDA FOR THE BOARD AND VOTING MEMBERSHIP MEETINGS. THIS COMMITTEE SHALL KEEP ITSELF INFORMED OF THE ENTIRE OPERATION OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS, AND SHALL EXECUTE SUCH ACTIONS AS MAY BE ASSIGNED TO IT BY THE BOARD. THE COMMITTEE SHALL ALSO CONCERN ITSELF WITH MATTERS NOT ASSIGNED TO OTHER COMMITTEES.
FORM 990, PART VI, SECTION A, LINE 6LUTHERAN HOMES OF OSHKOSH, INC., IS THE SOLE MEMBER OF GABRIEL'S VILLA, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE DIRECTORS OF GABRIEL'S VILLA, INC. ARE ELECTED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER, LUTHERAN HOMES OF OSHKOSH, INC..
FORM 990, PART VI, SECTION A, LINE 7BSTANDARD OPERATING PROCEDURES, MAJOR POLICIES, AND PROGRAMS OF GABRIEL'S VILLA, INC. ARE SUBMITTED TO THE BOARD OF DIRECTORS OF THE SOLE MEMBER, LUTHERAN HOMES OF OSHKOSH, INC., FOR APPROVAL AND IMPLEMENTATION. AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS REQUIRE THE APPROVAL OF THE BOARD OF DIRECTORS OF THE SOLE MEMBER, LUTHERAN HOMES OF OSHKOSH, INC.
FORM 990, PART VI, SECTION B, LINE 11BEFORE IT WAS FILED, THE FORM 990 WAS REVIEWED BY THE CFO, THEN DISTRIBUTED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW.
ANNUALLY, THE CORPORATE SECRETARY DISTRIBUTES A CONFLICT OF INTEREST FORM TO EACH MEMBER OF THE BOARD OF DIRECTORS AND VARIOUS COMMITTEE MEMBERS THAT REQUIRES EACH TO IDENTIFY POTENTIAL CONFLICTS OR OTHER RELATED PARTY INTERESTS. THE REPORTS ARE REVIEWED BY THE SECRETARY AND CEO AND ANY CONFLICTS ARE BROUGHT TO THE BOARD'S ATTENTION. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST IS REQUIRED TO DISCLOSE THE MATERIAL FACTS BEFORE THE BOARD DISCUSSES THE ISSUE. A MEMBER OF THE BOARD WHO HAS A CONFLICT OF INTEREST MAY NOT VOTE ON ANY SUCH ISSUE BEFORE THE BOARD. ANY QUESTION OF WHETHER THERE IS A CONFLICT IS RESOLVED BY THE BOARD OF DIRECTORS. IF THE BOARD OF DIRECTORS DETERMINES THAT A DIRECTOR HAS COMMITTED A SUBSTANTIAL VIOLATION OF THE CONFLICT OF INTEREST POLICY, THE INDIVIDUAL IS REMOVED FROM THE OFFICE OF DIRECTOR. IN ADDITION, ALL MANAGEMENT AND SUPERVISORY EMPLOYEES ARE INFORMED OF THE ORGANIZATION'S POLICY REGARDING RELATED PARTY TRANSACTIONS AND CONFLICTS OF INTEREST.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
ALLOCATION OF TIME BETWEEN RELATED ORGANIZATIONSEACH OFFICER OF GABRIEL'S VILLA, INC., ALSO SERVES AS AN OFFICER OF ITS RELATED ORGANIZATIONS. SEE SCHEDULE R, PART II FOR A LIST OF THOSE RELATED ORGANIZATIONS. EACH OFFICER SERVES EACH ORGANIZATION DURING THE WEEK, FOR A TOTAL OF APPROXIMATELY 40 HOURS PER WEEK. EACH BOARD MEMBER OF GABRIEL'S VILLA, INC., ALSO SERVES ON THE BOARD OF DIRECTORS OF ITS RELATED ORGANIZATIONS. SEE SCHEDULE R, PART II FOR A LIST OF THOSE RELATED ORGANIZATIONS. EACH BOARD MEMBER SERVES EACH ORGANIZATION DURING THE WEEK, FOR A TOTAL OF APPROXIMATELY 1.5 HOURS PER WEEK.FORM 990, PART VII, SECTION A

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LUTHERAN HOMES OF OSHKOSH INC
225 NORTH EAGLE STREETOSHKOSHWI54902391032234MANAGMENT SERVICESWI501(C)(3)LINE 9N/A0
BETHEL HOME INC
225 NORTH EAGLE STREETOSHKOSHWI54902391209707SKILLED NURSING FACILITYWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
CARMEL RESIDENCE INC
225 NORTH EAGLE STREETOSHKOSHWI54902391448325ELDERLY HOUSINGWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
SIMEANNA APARTMENTS INC
225 NORTH EAGLE STREETOSHKOSHWI54902237148097ELDERLY HOUSINGWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
SIMEANNA SOUTH INC
225 NORTH EAGLE STREETOSHKOSHWI54902391238670ELDERLY HOUSINGWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
SIMEANNA III INC
225 NORTH EAGLE STREETOSHKOSHWI54902391270056ELDERLY HOUSINGWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
BETHEL FOUNDATION OF OSHKOSH INC
225 NORTH EAGLE STREETOSHKOSHWI54902010938793FUNDRAISINGWI501(C)(3)LINE 11A, I0LUTHERAN HOMES OF OSHKOSH INC
EDEN REHABILIATION SUITES AND GREENHOUSE HOMES INC
3151 EDEN COURTOSHKOSHWI54902900506872SKILLED NURSING FACILITYWI501(C)(3)LINE 90LUTHERAN HOMES OF OSHKOSH INC
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 Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
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 Org1OtherTransferFromOtherOrg

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