WIDOWS HOME OF DAYTON OHIO: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WIDOWS HOME OF DAYTON OHIO (EIN 31-0641121)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-10
IRS object ID
201122239349300217
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)
Timestamp2011-08-10T13:36:08-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BATTELLE & BATTELLE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12000 WEST DOROTHY LANEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45439ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310641121EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WIDOWS HOME OF DAYTON OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWIDONameControl
Phone9372521661Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 SOUTH FINDLAY STREETAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45403ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM G DEASName
TitlePRESIDENTTitle
Phone9372521661Phone
Date Signed2011-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN O CRIMName
Phone9372980201Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM G DEASNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line150 SOUTH FINDLAY STREETAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45403ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5818980GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WIDOWSHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1961YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE PURPOSE OF THE WIDOWS HOME IS TO PROVIDE LONG-TERM CARE SERVICES TO ELDERLY INDIVIDUALS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees181TotalNbrEmployees
Total Nbr Volunteers85TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5726041ProgramServiceRevenuePriorYear
Program Service Revenue CY5817943ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year1037OtherRevenueCurrentYear
Total Revenue Prior Year5726041TotalRevenuePriorYear
Total Revenue Current Year5818980TotalRevenueCurrentYear
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 Year2763531SalariesEtcPriorYear
Salaries Etc Current Year2839919SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3016925OtherExpensePriorYear
Other Expenses Current Year3100474OtherExpensesCurrentYear
Total Expenses Prior Year5780456TotalExpensesPriorYear
Total Expenses Current Year5940393TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-54415RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-121413RevenuesLessExpensesCY
Total Assets BOY8106933TotalAssetsBOY
Total Assets EOY7830247TotalAssetsEOY
Total Liabilities BOY9013146TotalLiabilitiesBOY
Total Liabilities EOY8861176TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-906213NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1030929NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PURPOSE OF THE WIDOWS HOME IS TO PROVIDE LONG-TERM CARE SERVICES TO ELDERLY INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4824682Expense
Revenue5817943Revenue
DescriptionTHE WIDOWS HOME OF DAYTON, OHIO PROVIDES LONG-TERM NURSING AND RESIDENTIAL CARE, SHORT-TERM REHABILITATION, AND ADULT DAY PROGRAMS TO ELDERLY INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOME IS AN INNER-CITY FACILITY WITH 75 LICENSED BEDS.Description
Total Program Service Expense4824682TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees181NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNITED CHURCH HOMES MANAGEMENTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7403824885TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1170 EAST CENTER STAddressLine1
CityMARIONCity
StateOHState
ZIP Code433011806ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BILL DEAS
PRESIDENT1.00XX000
SUSAN MOLL
TREASURER0.50XX000
ROBERT APPLEBAUM
BOARD MEMBER0.50X000
GAIL MODDEMAN
BOARD MEMBER0.50X000
ROSE WILDENHAUS
BOARD MEMBER0.50X000
JANE CLIFTON
BOARD MEMBER0.50X000
MARILYN HOBACK
SECRETARY0.50XX000
ANNE VEGHTE
BOARD MEMBER0.50X000
NANCY HINES
BOARD MEMBER0.50X000
ROBERT PROPHATER
BOARD MEMBER0.50X000
MICHAEL D FREEMAN
ADMINISTRATOR40.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALPHA & OMEGA STAFFING SOLUTIONS
6276 PLATTSBURG ROADSOUTH CHARLESTONOH45368THERAPY SERVICES486243
UNITED CHURCH HOMES MANAGEMENT INC
170 EAST CENTER STREETMARIONOH433011806MANAGEMENT SERVICES CONTRACT389307
BEEBERS PHARMACIES
PO BOX 715268COLUMBUSOH432715268PHARMACY SERVICES168486
GORDON FOOD SERVICE
PO BOX 22544GRAND RAPIDSMI49501FOOD SERVICES154029
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM62300044408354440835
LIFE CARE RESIDENTS623000819259819259
PRIVATE PAY RESIDENTS623000508071508071
SENIOR ADULT DAY CARE6230004977849778
FieldValueIRS element (for citing)
Total Program Service Revenue5817943TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column1037TotalRevenueColumn
Exclusion$1,037ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1037TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5818980TotalRevenueColumn
Related Or Exempt Function Income5817943RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,037ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total92891Total
Management And General92891ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1995585Total
Program Services1927493ProgramServices
Management And General68092ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total179363Total
Program Services173122ProgramServices
Management And General6241ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total572080Total
Program Services519354ProgramServices
Management And General52726ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total296416Total
Management And General296416ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1933Total
Management And General1933ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17400Total
Management And General17400ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21392Total
Management And General21392ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total322681Total
Program Services322681ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total393856Total
Program Services393856ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
HEALTH SERVICES10899111089911
BED TAX329805329805
DIETARY185720185720
ADMINISTRATION166476166476
UTILITIES16471213177032942

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total110172Total
Program Services80775ProgramServices
Management And General29397ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5940393Total
Program Services4824682ProgramServices
Management And General1115711ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY158681BOY
EOY145385EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY614592BOY
EOY698922EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9230BOY
EOY5722EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY28629BOY
EOY41126EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10831995LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3900717LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7284824BOY
EOY6931278EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10977BOY
EOY7814EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8106933BOY
EOY7830247EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY547980BOY
EOY628188EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4873246BOY
EOY4567897EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY14830BOY
EOY9331EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3577090BOY
EOY3655760EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9013146BOY
EOY8861176EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-906213BOY
EOY-1030929EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-906213BOY
EOY-1030929EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8106933BOY
EOY7830247EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-121413ReconcilationRevenueExpenses
Reconcilation Other Changes-3303ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3143297CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3111990CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4420400CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5677102CurrentTaxYearMinus1Year
Current Tax Year5768165CurrentTaxYear
Total22120954Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3143297CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3111990CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4420400CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5677102CurrentTaxYearMinus1Year
Current Tax Year5768165CurrentTaxYear
Total22120954Total

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 Total50922120954PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49337CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44818CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48939CurrentTaxYearMinus1Year
Current Tax Year49778CurrentTaxYear
Total240165Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49337CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44818CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48939CurrentTaxYearMinus1Year
Current Tax Year49778CurrentTaxYear
Total240165Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3192634CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3156808CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4467693CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5726041CurrentTaxYearMinus1Year
Current Tax Year5817943CurrentTaxYear
Total22361119Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98930PublicSupportPercentage509
Prior Year Support Percentage0.98830PriorYearSupportPercentage
Investment Income Percentage0.01070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01170PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$0OtherActivitiesAmount
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationA SMALL PORTION OF THE ORGANIZATION'S DUES PAID TO LEADINGAGE OHIO (FKA AOPHA) IS ALLOCABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis131650OtherCostOrOtherBasis
Book Value131650BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8939009OtherCostOrOtherBasis
Depreciation3124373Depreciation
Book Value5814636BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1761336OtherCostOrOtherBasis
Depreciation776344Depreciation
Book Value984992BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6931278TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED EXPENSES$338,535
DEFERRED COST OF INTEREST RATE SWAP$334,199
FUNDS ADVANCED FROM WIDOWS HOME FOUNDATION - RELATED ORGANIZATION$2,983,026
FieldValueIRS element (for citing)
Total Of Amounts3655760TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT SAVINGS ACCOUNTS ARE HELD IN A SEPARATE BANK ACCOUNT.
PART X:THE HOME AND THE FOUNDATION QUALIFY AS TAX-EXEMPT NON-PROFIT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAX IS REQUIRED. MANAGEMENT EVALUATED THE HOME AND THE FOUNDATION'S TAX POSITIONS AS OF DECEMBER 31, 2010 AND 2009 AND CONCLUDED THAT THEY HAVE TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. IN GENERAL, THE HOME AND FOUNDATION ARE NO LONGER SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2007.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 III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationMICHAEL D. FREEMAN, ADMINISTRATOR OF THE WIDOWS HOME OF DAYTON, OHIO, IS EMPLOYED BY UNITED CHURCH HOMES MANAGEMENT, INC., AN UNRELATED ORGANIZATION. HIS REPORTABLE COMPENSATION WAS $75,523 PER FORM W-2 BOX 5. HE RECEIVED A RETIREMENT PLAN CONTRIBUTION ($1,250), HEALTH INSURANCE ($12,674), AND OTHER NONTAXABLE BENEFITS - SECTION 125 PLAN ($3,444) FROM THE UNRELATED MANAGEMENT COMPANY. THERE IS NO OWNERSHIP INTEREST IN UNITED CHURCH HOMES MANAGEMENT, INC. BY THE WIDOWS HOME OF DAYTON OR ANY OFFICERS OR BOARD MEMBERS OF THE WIDOWS HOME OF DAYTON, OHIO.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF RIVERSIDEBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN316000133IssuerEIN
Date Issued2003-12-29DateIssued
Issue Price2500000IssuePrice
Description Of Purpose25 BED EXPANSIONDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds2500000TotalProceeds
Year Of Subst Completion2008YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3UNITED CHURCH HOMES MANAGEMENT, INC. PROVIDES MANAGEMENT AND CONSULTING SERVICES, FINANCIAL MANAGEMENT, HUMAN RESOURCES, CENSUS AND BUSINESS DEVELOPMENT, MEDICARE BILLING SERVICES, AND SIMILAR MANAGEMENT SERVICES TO THE WIDOWS HOME OF DAYTON. THE ADMINISTRATOR OF THE WIDOWS HOME IS EMPLOYED BY UNITED CHURCH HOMES MANAGEMENT, INC. AND RECEIVES SALARY AND BENEFITS FROM THAT ORGANIZATION. THERE IS NO OWNERSHIP INTEREST IN UNITED CHURCH HOMES MANAGEMENT, INC. BY THE WIDOWS HOME OF DAYTON OR ANY OFFICERS OR BOARD MEMBERS OF THE WIDOWS HOME.
FORM 990, PART VI, SECTION A, LINE 8BCOMMITTEE MEETING MINUTES WERE NOT TAKEN. HOWEVER, THE DISCUSSIONS DURING COMMITTEE MEETINGS ARE REPORTED AT BOARD MEETINGS AND ARE DOCUMENTED IN THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
BOARD MEMBERS PROVIDE SELF-DISCLOSURE OF CONFLICTS OF INTEREST.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -3,464. CHANGE IN OBLIGATION TO PROVIDE FUTURE CARE 161. TOTAL TO FORM 990, PART XI, LINE 5: -3,303.FORM 990, PART XI, LINE 5:
THE ORGANIZATION'S COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS HAS NOT CHANGED THAT PROCESS FROM THE PRIOR YEAR. THE FINANCIAL STATEMENTS ARE CONSOLIDATED WITH THE WIDOWS HOME FOUNDATION, A PUBLIC CHARITY WHOSE PURPOSE IS TO CONDUCT FUNDRAISING ACTIVITIES AND MANAGE THE ENDOWMENT FUNDS FOR THE BENEFIT OF THE WIDOWS HOME OF DAYTON.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WIDOWS HOME FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line150 SOUTH FINDLAY STREETAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45403ZIPCode
FieldValueIRS element (for citing)
EIN311584036EIN
Primary ActivitiesTO CONDUCT FUNDRAISING ACTIVITIES AND MANAGE ENDOWMENT FUNDS.PrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
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 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 Orgs0PerformOfServicesByOtherOrgs
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1WIDOWS HOME FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeETransactionType
Amount Involved2983026AmountInvolved
Method Of Amt DeterminationFAIR MARKET VALUEMethodOfAmtDetermination

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