GOOD SHEPHERD FOUNDATION OF OHIO: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD FOUNDATION OF OHIO (EIN 31-1190446)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201143189349303164
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T11:07:45-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 EAST STATE ST STE 600 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311190446 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIENDS OF GOOD SHEPHERD MANOR INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FRIE | NameControl |
| Phone | 7402892861 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 374 GOOD MANOR ROAD PO BOX 1029 | AddressLine1 |
| City | LUCASVILLE | City |
| State | OH | State |
| ZIP Code | 45648 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACKIE BOWLING | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 7402892861 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNIE OSTROWSKI | Name |
| Phone | 6148493000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JACKIE BOWLING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 374 GOOD MANOR ROAD PO BOX 1029 | AddressLine1 |
| City | LUCASVILLE | City |
| State | OH | State |
| ZIP Code | 45648 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5088733 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FGSMO.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING RESIDENTIAL SUPPORT & SERVICES TO ADULT MEN WHO ARE DISABLED MENTALLY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 165 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 77256 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 63402 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4977800 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4951258 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6967 | InvestmentIncomePriorYear |
| Investment Income Current Year | -21050 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1979 | OtherRevenuePriorYear |
| Other Revenue Current Year | 68346 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5064002 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5061956 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3254353 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3161576 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1628350 | OtherExpensePriorYear |
| Other Expenses Current Year | 1612886 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4882703 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4774462 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 181299 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 287494 | RevenuesLessExpensesCY |
| Total Assets BOY | 2706601 | TotalAssetsBOY |
| Total Assets EOY | 2657142 | TotalAssetsEOY |
| Total Liabilities BOY | 802623 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 544670 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1903978 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2112472 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE A SAFE AND NURTURING HOME FOR ADULT MEN WHO HAVE MRDD WHERE EACH INDIVIDUAL CAN LEAD A LIFE OF DIGNITY, DEVELOPMENT AND PURPOSE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3984379 | Expense |
| Revenue | 4956985 | Revenue |
| Description | THE ORGANIZATION PROVIDES RESIDENTIAL CARE, ACTIVITIES AND HABILITATION PROGRAMS TO ITS RESIDENTS WHO HAVE MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES. THE ORGANIZATION ALSO PROVIDES VOCATIONAL TRAINING. | Description |
| Total Program Service Expense | 3984379 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 1 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 165 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACKIE BOWLING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7402892861 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 374 GOOD MANOR RD | AddressLine1 |
| City | LUCASVILLE | City |
| State | OH | State |
| ZIP Code | 45648 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| MICHAEL LUKOWSKI | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| ROBERT KAMMER | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| LINDA KAMMER | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| ROBERT GRUNDEY | ||||||
| VICE-PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| JUDY LAWRENCE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JOSEPH LUKOWSKI | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ED MONDE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SUZANNE PAHLS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JERRY KURSBAN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DALE TARASCO | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SCOTT SHER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| STEVE JUDGE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROBERT GRUBER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JANE PETTIGREW | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JACKIE BOWLING | ||||||
| EXECUTIVE DIRECTOR | 30.00 | X | 85016 | 0 | 8806 | |
| DAVID PHIPPS | ||||||
| ASSOCIATE EXEC. DIRECTOR | 32.00 | X | 66653 | 0 | 12464 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 151669 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 21270 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 63402 | AllOtherContributions |
| Total Contributions | 63402 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENTS ROOM & BOARD | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 4951258 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4951258 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4951258 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5727 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5727 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1200 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1200 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1200 | TotalRevenueColumn |
| Exclusion | $1,200 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 26777 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -26777 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -26777 | TotalRevenueColumn |
| Exclusion | -$26,777 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| W/O OUTSTANDING CHECKS | 900099 | 29363 | $29,363 |
| MAINTENANCE, VENDING | 623000 | 16845 | $16,845 |
| REAL ESTATE TAX REFUND | 531390 | 14263 | $14,263 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6675 | TotalRevenueColumn |
| Exclusion | $6,675 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 67146 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5061956 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4956985 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $41,569 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172939 | Total |
| Management And General | 172939 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2578167 | Total |
| Program Services | 2320361 | ProgramServices |
| Management And General | 257806 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67173 | Total |
| Program Services | 57097 | ProgramServices |
| Management And General | 10076 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135835 | Total |
| Program Services | 133539 | ProgramServices |
| Management And General | 2296 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 207462 | Total |
| Program Services | 176343 | ProgramServices |
| Management And General | 31119 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18889 | Total |
| Management And General | 18889 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67050 | Total |
| Management And General | 67050 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110328 | Total |
| Program Services | 88262 | ProgramServices |
| Management And General | 22066 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2653 | Total |
| Management And General | 2653 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 487864 | Total |
| Program Services | 390291 | ProgramServices |
| Management And General | 97573 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50575 | Total |
| Program Services | 50575 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171326 | Total |
| Program Services | 137062 | ProgramServices |
| Management And General | 34264 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5951 | Total |
| Management And General | 5951 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15443 | Total |
| Program Services | 13127 | ProgramServices |
| Management And General | 2316 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135511 | Total |
| Program Services | 115184 | ProgramServices |
| Management And General | 20327 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| FOOD | 280811 | 238689 | 42122 |
| FRANCHISE TAX | 261213 | 261213 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5272 | Total |
| Program Services | 2636 | ProgramServices |
| Management And General | 2636 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4774462 | Total |
| Program Services | 3984379 | ProgramServices |
| Management And General | 790083 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184218 | BOY |
| EOY | 597770 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 589138 | BOY |
| EOY | 101123 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 589867 | BOY |
| EOY | 571007 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18770 | BOY |
| EOY | 23296 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3050555 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1733646 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1283171 | BOY |
| EOY | 1316909 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14372 | BOY |
| EOY | 39670 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12353 | BOY |
| EOY | 7367 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14712 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2706601 | BOY |
| EOY | 2657142 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 512502 | BOY |
| EOY | 296187 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 258560 | BOY |
| EOY | 224044 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31561 | BOY |
| EOY | 24439 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 802623 | BOY |
| EOY | 544670 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1903978 | BOY |
| EOY | 2112472 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1903978 | BOY |
| EOY | 2112472 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2706601 | BOY |
| EOY | 2657142 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 287494 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -79000 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 559123 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 177583 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 127981 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 77256 | CurrentTaxYearMinus1Year |
| Current Tax Year | 63402 | CurrentTaxYear |
| Total | 1005345 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 559123 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 177583 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 127981 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 77256 | CurrentTaxYearMinus1Year |
| Current Tax Year | 63402 | CurrentTaxYear |
| Total | 1005345 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 203733 | AmountsSubstContributorsTotal |
| Public Support Total170 | 801612 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25511 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 55149 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3084 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6967 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6927 | CurrentTaxYear |
| Total | 97638 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 67146 | CurrentTaxYear |
| Total | 67146 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1170129 | TotalSupport |
| Gross Receipts From Admissions Etc | 25938155 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.68510 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.67010 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE REAL ESTATE TAX REFUND W/O OUTSTANDING CHECKS MAINTENANCE, VENDING | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48535 | OtherCostOrOtherBasis |
| Book Value | 48535 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1657192 | OtherCostOrOtherBasis |
| Depreciation | 901042 | Depreciation |
| Book Value | 756150 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 888628 | OtherCostOrOtherBasis |
| Depreciation | 586261 | Depreciation |
| Book Value | 302367 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 456200 | OtherCostOrOtherBasis |
| Depreciation | 246343 | Depreciation |
| Book Value | 209857 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1316909 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SOFTWARE LEASE | Description |
| Amount | $24,439 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 24439 | TotalOfAmounts |
Schedule L IRS990ScheduleL
Form990 Schedule L Part III Form990ScheduleLPartIII (7 entries)
| Name Of Interested PersonNameOfInterestedPerson | Relationship With OrganizationRelationshipWithOrganization | Amount Of GrantAmountOfGrant | Type Of AssistanceTypeOfAssistance |
|---|---|---|---|
| TOM KAMMER | TOM KAMMER'S BROTHER, ROBERT KAMMER, IS A BOARD MEMBER OF THE ORG. | 83403 | RESIDENT OF GOOD SHEPHERD MANOR RECEIVING SSD AND MEDICAID AT FACILITY |
| THOMAS LUKOWSKI | THOMAS LUKOWSKI'S BROTHER AND FATHER ARE BOARD MEMBERS OF THE ORG. | 83403 | RESIDENT OF GOOD SHEPHERD MANOR RECEIVING SSD AND MEDICAID AT FACILITY |
| ERICH GRUNDEY | ERICH GRUNDEY'S BROTHER, ROBERT GRUNDEY, IS A BOARD MEMBER OF THE ORG. | 83403 | RESIDENT OF GOOD SHEPHERD MANOR RECEIVING SSD AND MEDICAID AT FACILITY |
| WILLIAM SCHLEE JR | WILLIAM SCHLEE'S SISTER, SUZANNE PAHLS, IS A BOARD MEMBER OF THE ORG. | 83403 | RESIDENT OF GOOD SHEPHERD MANOR RECEIVING SSD AND MEDICAID AT FACILITY |
| RANDY SHER | RANDY SHER'S BROTHER, SCOTT SHER, IS A BOARD MEMBER OF THE ORG. | 83403 | RESIDENT OF GOOD SHEPHERD MANOR RECEIVING SSD AND MEDICAID AT FACILITY |
| DEAN TARASCO | DEAN TARASCO'S BROTHER, DALE TARASCO, IS A BOARD MEMBER OF THE ORG. | 83403 | RESIDENT OF GOOD SHEPHERD MANOR RECEIVING SSD AND MEDICAID AT FACILITY |
| ED MONDE | ED MONDE IS A BOARD MEMBER OF THE ORGANIZATION. | 83403 | RESIDENT OF GOOD SHEPHERD MANOR RECEIVING SSD AND MEDICAID AT FACILITY |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KARLSBERGER ARCHITECTURE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | MR. GRUNDEY IS SENIOR VP & EXECUTIVE ARCHITECT AT KARLSBERGER ARCHITECTURE | Relationship |
| Amount Of Transaction | 35700 | AmountOfTransaction |
| Description Of Transaction | ARCHITECTURE SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBER JOSEPH LUKOWSKI & BOARD PRESIDENT MICHAEL LUKOWSKI ARE FATHER & SON. BOARD MEMBERS JERRY KURSBAN & JUDY LAWRENCE ARE BROTHER & SISTER. BOARD TREASURER ROBERT KAMMER & BOARD SECRETARY LINDA KAMMER ARE HUSBAND & WIFE. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE EXECUTIVE DIRECTOR WILL REVIEW A COPY OF FORM 990 PRIOR TO FILING. A COPY OF FORM 990 WILL BE PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING. | |
| THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER OFFICERS AND KEY EMPLOYEES WAS COMPARED WITH OTHERS IN COMPARABLE POSITIONS BY THE BOARD. IN ADDITION, THE BOARD CONSULTED AN EMPLOYMENT AGENCY FOR FURTHER REVIEW. THIS PROCESS IS DOCUMENTED AND COMPLETED ANNUALLY. THIS PROCESS WAS LAST PERFORMED IN 2010. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 18 | |
| THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY MAINTAINING THE FILES AT THE PRIMARY FACILITY AND MAKING THEM AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| JACKIE BOWLING, EXECUTIVE DIRECTOR, WORKS AN AVERAGE OF 10 HOURS PER WEEK WITH RELATED ORGANIZATION FRIENDS OF GOOD SHEPHERD MANOR HOUSING ORGANIZATION. DAVID PHIPPS, ASSOCIATE EXECUTIVE DIRECTOR, WORKS AN AVERAGE OF 8 HOURS PER WEEK WITH RELATED ORGANIZATION FRIENDS OF GOOD SHEPHERD MANOR HOUSING ORGANIZATION. | FORM 990, PART VII | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | PRIOR PERIOD ADJUSTMENTS: -79,000. | FORM 990, PART XI, LINE 5: |
| THE FINANCE COMMITTEE OVERSEES THE AUDIT PROCESS AND APPROVES THE INDEPENDENT AUDIT FIRM. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. | FORM 990, PART XI, LINE 2C: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIENDS OF GOOD SHEPHERD MANOR HOUSING ORGANIZATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 374 GOOD MANOR ROAD PO BOX 1029 | AddressLine1 |
| City | LUCASVILLE | City |
| State | OH | State |
| ZIP Code | 45648 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311315438 | EIN |
| Primary Activities | INTERMEDIATE CARE FACILITY | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 9 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIENDS OF GOOD SHEPHERD MANOR INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NO TRANSACTIONS OVER 50000 | BusinessNameLine1 |
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