FURTHER FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FURTHER FOUNDATION (EIN 47-0772447)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-15
IRS object ID
201113199349306166
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)
Timestamp2011-11-15T13:22:56-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DANA F COLE & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11248 O STREET SUITE 500AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68508ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470772447EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DEVELOPMENTAL SERVICES OF NEBRASKABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDEVENameControl
Phone4024352800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15701 THOMPSON CREEK BLVD No 200AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68516ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSAM MANZITTO JRName
TitlePRESIDENT OF BOARDTitle
Phone4024352800Phone
Date Signed2011-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRIAN RUNGEName
Phone4024799300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSAM MANZITTO JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15701 THOMPSON CREEK BLVD No 200AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68516ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16576872GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DSNONLINE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE CHILDREN & ADULTS WITH DEVELOPMENTAL DISABILITIES GAIN SKILLS, KNOWLEDGE, & EXPERIENCE TO FUNCTION IN THEIR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees633TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15377194ProgramServiceRevenuePriorYear
Program Service Revenue CY16555970ProgramServiceRevenueCY
Investment Income Prior Year225InvestmentIncomePriorYear
Investment Income Current Year-46459InvestmentIncomeCurrentYear
Other Revenue Prior Year20109OtherRevenuePriorYear
Other Revenue Current Year3755OtherRevenueCurrentYear
Total Revenue Prior Year15397528TotalRevenuePriorYear
Total Revenue Current Year16513266TotalRevenueCurrentYear
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 Year9505112SalariesEtcPriorYear
Salaries Etc Current Year9861297SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5782073OtherExpensePriorYear
Other Expenses Current Year6576507OtherExpensesCurrentYear
Total Expenses Prior Year15287185TotalExpensesPriorYear
Total Expenses Current Year16437804TotalExpensesCurrentYear
Revenues Less Expenses Prior Year110343RevenuesLessExpensesPriorYear
Revenues Less Expenses CY75462RevenuesLessExpensesCY
Total Assets BOY7808141TotalAssetsBOY
Total Assets EOY7576821TotalAssetsEOY
Total Liabilities BOY3722758TotalLiabilitiesBOY
Total Liabilities EOY3415976TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4085383NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4160845NetAssetsOrFundBalancesEOY
Mission DescriptionDSN helps persons, both children and adults, with mental health issues and/or developmental disabilities gain skills, knowledge and experience to increasingly use and benefit from the resources and settings available to all citizens in our community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13813739Expense
Revenue16555970Revenue
DescriptionPROVIDED HOUSING AND TRAINING TO DEVELOPMENTALLY IMPAIRED CHILDREN AND ADULTS TO GAIN SKILLS AND KNOWLEDGE TO FUNCTION IN THEIR COMMUNITY.Description
Total Program Service Expense13813739TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
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 With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees633NumberOfEmployees
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
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 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 Line1JUSTIN GULBRANDSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4024352134TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15701 THOMPSON CREEK BLVD SUITE 200AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68516ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SCOTT J LEFEVRE
GOVERNING BOARD MEMBER, CEO40.00XX0582000
JAMES MASTEN
SECRETARY1.00XX000
SAM MANZITTO JR
PRESIDENT1.00XX000
KIM GULBRANDSON
VICE PRESIDENT1.00XX000
CHRISTINA BAYLOR
TREASURER1.00XX000
PATRICK WOLFE
GOVERNING BOARD MEMBER1.00X000
SCOTT THOMPSON
GOVERNING BOARD MEMBER1.00X000
ROGER STORTENBECKER
COO40.00X0820920
BRIAN KANTER
CDO40.00X0829700
JUSTIN GULBRANDSON
CFO40.00X0832200
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs306482TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FEES FROM GOVERNMENT A9000991470963614709636
MEDICARE/MEDICAID PAYM900099896739896739
ROOM AND BOARD721310878506878506
VOCATIONAL INCOME6243107108971089
FieldValueIRS element (for citing)
Total Program Service Revenue16555970TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other17147Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other63606Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-46459Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-46459TotalRevenueColumn
Related Or Exempt Function Income-46459RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column3755TotalRevenueColumn
Related Or Exempt Function Income3755RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3755TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16513266TotalRevenueColumn
Related Or Exempt Function Income16513266RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8601329Total
Program Services8601329ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total48158Total
Program Services48158ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total611445Total
Program Services611445ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total600365Total
Program Services600365ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2031494Total
Management And General2031494ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total90497Total
Program Services87254ProgramServices
Management And General3243ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total733598Total
Program Services733598ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4430Total
Program Services333ProgramServices
Management And General4097ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total177065Total
Management And General177065ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total191483Total
Management And General191483ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total316384Total
Program Services316384ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EXTENDED FAMILY SERVICE13914491391289160
UTILITIES & TELEPHONE339188339188
VEHICLE & MILEAGE EXPEN299011299011
GROCERIES290671290671
PROFESSIONAL FEES225919101819124100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total485318Total
Program Services392895ProgramServices
Management And General92423ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16437804Total
Program Services13813739ProgramServices
Management And General2624065ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY28875BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1721018BOY
EOY1682348EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23782BOY
EOY28019EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3783002LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1436249LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2517635BOY
EOY2346753EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3516831BOY
EOY3519701EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7808141BOY
EOY7576821EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1232120BOY
EOY945048EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2490638BOY
EOY2301654EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY169274EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3722758BOY
EOY3415976EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4085383BOY
EOY4160845EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4085383BOY
EOY4160845EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7808141BOY
EOY7576821EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses75462ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years935CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years345CurrentTaxYearMinus3Years
Total1280Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15965856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15122493CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15309717CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15377194CurrentTaxYearMinus1Year
Current Tax Year16555970CurrentTaxYear
Total78331230Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15966791CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15122838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15309717CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15377194CurrentTaxYearMinus1Year
Current Tax Year16555970CurrentTaxYear
Total78332510Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50978332510PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4172CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4225CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year225CurrentTaxYearMinus1Year
Current Tax Year-46459CurrentTaxYear
Total-31122Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4172CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4225CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year225CurrentTaxYearMinus1Year
Current Tax Year-46459CurrentTaxYear
Total-31122Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45359CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19618CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44963CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20109CurrentTaxYearMinus1Year
Current Tax Year3755CurrentTaxYear
Total133804Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16016322CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15146681CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15361395CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15397528CurrentTaxYearMinus1Year
Current Tax Year16513266CurrentTaxYear
Total78435192Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99870PublicSupportPercentage509
Prior Year Support Percentage0.99770PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00050PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3783002OtherCostOrOtherBasis
Depreciation1436249Depreciation
Book Value2346753BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2346753TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSITS64555
GOODWILL3455146
FieldValueIRS element (for citing)
Total Book Value Other Assets3519701TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
BANK OVERDRAFT$5,328
LINE OF CREDIT$163,946
FieldValueIRS element (for citing)
Total Of Amounts169274TotalOfAmounts
Total Revenue16513266TotalRevenue
Total Expenses16437804TotalExpenses
Excess Or Deficit For Year75462ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS75462ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16513266TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal16513266RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016513266TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16437804TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16437804ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016437804TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationThe Organization has adopted the provisions of FASB ASC 740-10, "Accounting for Uncertain Tax Positions". The Organziation continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. The Organization's U.S. federal, state, and local income tax returns for June 30, 2008 and after are subject to examination by the tax authorities.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ACTIVE COMMUNITY TREATMENTS INCBusinessNameLine1
FieldValueIRS element (for citing)
Purpose Of LoanLOAN FOR ACQUISITION OF ACTIVE COMMUNITY TREATMENTS, INC.PurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$2,600,000OriginalPrincipalAmount
Balance Due1080000BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due1080000TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SANIEL SCOTT LLC
SCOTT LEFEVRE IS A MEMBER OF SANIEL SCOTT, LLC198184RENTS0
ACTIVE COMMUNITY TREATMENTS INC
SCOTT LEFEVRE HAS 75% OWNERSHIP OF ACTIVE COMMUNITY TREATMENTS, INC.94500INTEREST0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2Justin and Kim Gulbrandson are husband and wife.
Form 990, Part VI, Section A, line 3The organization has a management agreement with Collaborative Industries, Inc. for management services of key management staff. These services include oversight of business operations, development and operation oversight of programs, and quality assurance and quality improvement activities.
Form 990, Part VI, Section B, line 11Justin Gulbrandson, Chief Financial Officer, reviews and forwards the return to the Board President for signature.
The Board Members have signed a Conflict of Interest Statement and all parties have received a copy of the Conflict of Interest Policy.Form 990, Part VI, Section B, line 12c
The Organization's Form 990 is available to the public via the internet at <www2.guidestar.org> or upon request to the Organization's Chief Financial Officer.Form 990, Part VI, Section C, line 18
The Organization's governing documents and conflict of interest policy available to the public upon request to the Organization's Chief Financial Officer.Form 990, Part VI, Section C, line 19
There have not been any changes.Part XII, Line 2C: If the Organization changed its oversight process:

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
Collaborative Industries Inc
578 Blue Sage BlvdLincolnNE68521205709688Management agreement for management services of key management staff.NES
Active Community Treatments Inc
6601 Stonebrook ParkwayLincolnNE68521470842186LoanNES
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 Org1LoansOrGuaranteesFromOtherOrg
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 Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COLLABORATIVE INDUSTRIES INC
L2031494PER CONTRACT
ACTIVE COMMUNITY TREATMENTS INC
E1080000PER NOTE

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