2024-05-11T14:39:39-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 1785 INDIAN WOOD CIRCLE MAUMEE OH 43537 990 2022-07-01 341168947 ZEPF CENTER ZEPF 4198417701 2005 ASHLAND AVE TOLEDO OH 43620 ADAM J NUTT CHIEF FINANCIAL OFFICER 4198417701 2024-05-09 1 ADAM NUTT 999009999 0 HANNAH MANKOWSKI P02316105 4197942000 2024-05-09 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ADAM J NUTT 2005 ASHLAND AVE TOLEDO OH 43620 43072062 0 X HTTP://WWW.ZEPFCENTER.ORG/ X 1975 OH ADULT MENTAL HEALTH, SUBSTANCE ABUSE, INTEGRATED CARE, PROBLEM GAMBLING, CAREER DEVELOPMENT, RECOVERY HOUSING, MENTAL HEALTH FIRST AID, AND CHILD/ADOLESCENT BEHAVIORAL HEALTH SERVICES 13 13 652 13 0 0 19227109 18238979 19780621 21097298 267955 741974 1491 -10497 39277176 40067754 258935 498679 0 0 29275108 29559481 0 0 0 11260482 10905750 40794525 40963910 -1517349 -896156 24614521 24457309 4420230 5635622 20194291 18821687 MENTAL HEALTH RECOVERY SERVICES AND VOCATIONAL SERVICES 0 0 36189210 498679 21097298 COUNSELING, TREATMENT AND OTHER SERVICES PROVIDED TO THE MENTALLY DISABLED OR ECONOMICALLY DISADVANTAGED OF LUCAS COUNTY. 36189210 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 75 0 1 652 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 X ADAM NUTT 4198417701 2005 ASHLAND AVE TOLEDO OH 43620 ANITA CRANE TRUSTEE 0.50 2.00 X 0 0 0 CATHY CARROLL TRUSTEE 0.50 2.00 X 0 0 0 CHRISTOPHER PAWSON PRESIDENT 0.50 2.00 X X 0 0 0 CINDY KIRBY TRUSTEE 0.50 2.00 X 0 0 0 CYNTHIA GERONIMO VICE PRESIDENT 0.50 2.00 X X 0 0 0 DAVE REED TRUSTEE 0.50 2.00 X 0 0 0 JAMES WORDEN TRUSTEE 0.50 2.00 X 0 0 0 LUCIA BIASELLA-SHARP SECRETARY 0.50 2.00 X X 0 0 0 MICHAEL HINOJOSA TREASURER 0.50 2.00 X X 0 0 0 ROB GRIFFEY PAST PRESIDENT 0.50 2.00 X X 0 0 0 ROBERT BASS TRUSTEE 0.50 2.00 X 0 0 0 SALLY GOLIGOSKI TRUSTEE 0.50 2.00 X 0 0 0 TRACCI JOHNSON TRUSTEE 0.50 2.00 X 0 0 0 ADAM NUTT CHIEF FINANCIAL OFFICER 40.00 X 196617 0 24065 DEBORAH FLORES CHIEF EXECUTIVE OFFICER 40.00 X 330796 0 33672 ALYSE KEMPLE PSYCHIATRIST 32.00 X 223661 0 22894 BARBARA FUNKE MEDICAL DIRECTOR 40.00 X 237593 0 21356 KATHARINE BEACH ADVANCED PRACTICE REGISTERED NURSE 40.00 X 198891 0 32884 KHALIDA DURRANI MEDICAL DIRECTOR 36.00 X 388954 0 34278 WISSAM HOTEIT PSYCHIATRIST 40.00 X 336451 0 30791 1912963 0 199940 28 0 1 0 MEDICAL MUTUAL L-3955 COLUMBUS OH 432603955 INSURANCE 3413964 LINDLEY & ASSOCIATES PLLC 9731 OLDCREST DRIVE STAFFORD TX 77477 PHYSICIAN 491361 PHILADELPHIA INSURANCE CO P O BOX 70251 PHILADELPHIA PA 191760251 INSURANCE 447112 MIGHTY CROW MEDIA LLC PO BOX 82435 COLUMBUS OH 43202 CONSULTING 422342 DR MAHDI N DOUMET 7208 COPPERWOOD LN SYLVANIA OH 43560 PHYSICIAN 419000 32 36752 18183846 18381 18238979 MEDICAID/MEDICARE PAYMENTS 900099 19623342 19623342 PRIVATE INSURANCE REV 624100 935249 935249 JOB PLACEMENT AND COACHING 900099 206172 206172 MISC. PROGRAM SERVICE INCOME 900099 197197 197197 REHAB SERVICES COMMISSION 624310 135338 135338 21097298 244015 244015 3253482 219380 2871143 103760 382339 115620 497959 497959 18908 36752 29405 -10497 -10497 40067754 21097298 0 731477 498679 498679 521386 200549 320837 23092152 21413219 1678933 837732 699111 138621 3205187 2676962 528225 1903024 1625628 277396 35081 35081 62850 62850 3763704 3411242 352462 236832 206987 29845 952845 871280 81565 875503 754051 121452 2164133 1271822 892311 503378 503378 338872 329200 9672 581662 491889 89773 378409 331713 46696 CLIENT FOOD AND SUPPLIE 511110 496521 14589 BAD DEBT 232665 232665 MEDICAL 168067 168067 MISCELLANEOUS EXPENSE - 49582 49582 51057 6247 44810 40963910 36189210 4774700 0 321924 62340 6356063 5520614 2031121 2683819 2391985 2538287 573847 187590 10796567 6454928 4511918 4341639 7964703 8046567 462960 1076453 24614521 24457309 2936266 3343340 1332922 1820541 151042 471741 4420230 5635622 X 20194291 18821687 20194291 18821687 24614521 24457309 -896156 -476448 0 X X 0 1 X 1 1 1 X 9342224 11625931 18769512 19227109 18238979 77203755 9342224 11625931 18769512 19227109 18238979 77203755 77203755 167605 194106 118452 208502 244015 932680 21736 23413 13044 24868 36752 119813 78256248 120071355 0.98660 0.97680 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: VENDING REVENUE - 2018 AMOUNT: $ 7. FUNDRAISING EVENTS - 2018 AMOUNT: $ 21,729. 2019 AMOUNT: $ 23,413. 2020 AMOUNT: $ 13,044. 2021 AMOUNT: $ 24,868. 2022 AMOUNT: $ 36,752. WORKERS COMP REFUND - INSURANCE PROCEEDS - OTHER INCOME - RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 288735 288735 6981585 4347624 2633961 348343 227683 120660 3177904 1879621 1298283 4341639 FIXED INCOME SECURITIES 8046567 F 8046567 X 39565051 -476448 -476448 40041499 26255 26255 40067754 40937655 -26255 -26255 40963910 0 40963910 PART X, LINE 2: MANAGEMENT OF THE CENTER IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE CENTER IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT OF THE CENTER IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. HOWEVER, MANAGEMENT'S CONCLUSIONS MAY BE SUBJECT TO REVIEW AND ADJUSTMENT AT A LATER DATE BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, NEW TAX LAWS, REGULATIONS, AND ADMINISTRATIVE INTERPRETATIONS (INCLUDING RELEVANT COURT DECISIONS). PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 26,255. COGS EXPENSE PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -26,255. COGS EXPENSE GOLF OUTING 55660 36752 18908 5718 18497 5190 2 55660 36752 18908 5718 18497 5190 29405 -10497 0 LUCAS COUNTY TRANSITIONAL HOUSING LLC 6605 W CENTRAL AVENUE TOLEDO OH 43617 471203391 501(C)3 498679 0 ACTUAL COST CONTRIBUTION TO AFFILIATE ASSISTANCE FOR INDEPENDENT LIVING FOR SEVERLY DISABLED PERSONS. X 0 1 0 0 0 0 0 1 0 KHALIDA DURRANI MEDICAL DIRECTOR 376954 0 12000 0 0 0 15250 0 19028 0 423232 0 0 0 WISSAM HOTEIT PSYCHIATRIST 336451 0 0 0 0 0 15250 0 15541 0 367242 0 0 0 DEBORAH FLORES CHIEF EXECUTIVE OFFICER 314546 0 16250 0 0 0 15250 0 18422 0 364468 0 0 0 BARBARA FUNKE MEDICAL DIRECTOR 237593 0 0 0 0 0 12307 0 9049 0 258949 0 0 0 ALYSE KEMPLE PSYCHIATRIST 223661 0 0 0 0 0 11344 0 11550 0 246555 0 0 0 KATHARINE BEACH ADVANCED PRACTICE REGISTERED NURSE 137921 0 60970 0 0 0 11813 0 21071 0 231775 0 0 0 ADAM NUTT CHIEF FINANCIAL OFFICER 196617 0 0 0 0 0 9462 0 14603 0 220682 0 0 0 PART I, LINE 3 BOARD OF TRUSTEES SETS AND APPROVES CEO PAY. PART I, LINE 7 THE ORGANIZATION DISTRIBUTED SOME MERIT BONUSES TO ITS OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS AVAILABLE UPON REQUEST TO THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION USES PROCEDURES TO REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES A PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OR KEY EMPLOYEES WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. LUCAS COUNTY TRANSITIONAL HOUSING LLC 6605 W CENTRAL AVE TOLEDO OH 43617 471203391 RECOVERY HOUSING OH 651722 ZEPF HOUSING CORPORATION THREE INC WOOD COUNTY TRANSITIONAL HOUSING AUTHORITY 6605 W CENTRAL AVE TOLEDO OH 43617 471203391 RECOVERY HOUSING OH 50104 ZEPF HOUSING CORPORATION THREE INC ZEPF HOUSING CORPORATION ONE INC 6605 W CENTRAL AVE TOLEDO OH 43617 341472085 HOUSING FOR MENTALLY DISABLED OH 501(C)(3) 170(B)(1) (A)(VI) N/A 1 ZEPF HOUSING CORPORATION TWO INC 6605 W CENTRAL AVE TOLEDO OH 43617 341472088 HOUSING FOR MENTALLY DISABLED OH 501(C)(3) 170(B)(1) (A)(VI) N/A 1 ZEPF HOUSING CORPORATION THREE INC 6605 W CENTRAL AVE TOLEDO OH 43617 341472090 HOUSING FOR MENTALLY DISABLED OH 501(C)(3) 170(B)(1) (A)(VI) N/A 1 ZEPF HOUSING CORPORATION FOUR INC 6605 W CENTRAL AVE TOLEDO OH 43617 341720607 HOUSING FOR MENTALLY DISABLED OH 501(C)(3) 170(B)(1) (A)(VI) N/A 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 ZEPF HOUSING CORPORATION THREE INC B 498679 INVOICE