2024-10-14T14:11:15-05:00 2023-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2023-01-01 371805492 ARLINGTON GOOD SAMARITAN HOUSING INC ARLI 6053331000 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 NATHAN SCHEMA PRESIDENT & CEO 6053331000 2024-10-04 1 1 LAURIE HANSON CPA P00851848 6053391999 2024-10-01 2023 2024-10-15 13:58:12Z GOOD SAMARITAN MANOR NATHAN SCHEMA 4800 W 57TH ST SIOUX FALLS SD 57108 1365 0 X WWW.SANFORDHEALTH.ORG X 2015 SD TO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS. X 3 0 0 0 0 0 0 0 38480 0 304220 1365 0 0 342700 1365 0 0 0 0 0 0 0 0 0 67614 4382 67614 4382 275086 -3017 169970 249 0 0 169970 249 X TO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS. 0 1 TO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS. THE ORGANIZATION DISCONTINUED ALL ACTIVITIES DURING 2023 AND IS IN THE PROCESS OF DISSOLVING. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 X JOEL FLUIT 6053331000 4800 WEST 57TH STREET SIOUX FALLS SD 57108 ERIC VANDEN HULL VP; DIRECTOR; TREASURER 0.02 54.98 X X 0 569890 44085 NATHAN SCHEMA PRESIDENT & CEO 0.02 54.98 X X 0 850439 143523 SHANE KNUTSON DIRECTOR 0.02 54.98 X 0 102612 38987 CHAD JUNGMAN SECRETARY 0.02 59.98 X 0 479019 87543 0 2001960 314138 0 0 1 0 0 1365 1365 1365 0 0 1365 1850 1850 MISCELLANEOUS OTHER EXP 2532 2532 4382 0 4382 0 169970 249 169970 249 0 0 X 169970 249 169970 249 169970 249 X -3017 -166704 X 0 1 X 1 0 X 5797 5797 456692 470301 471022 38480 1436495 462489 470301 471022 38480 1442292 0 242330 253851 245151 741332 242330 253851 245151 741332 700960 1311 741 383 646 1365 4446 1311 741 383 646 1365 4446 463800 471042 471405 39126 1365 1446738 0.48450 0.49010 0.00310 0.00270 X 0 X PART X, LINE 2: CERTAIN CONTROLLED CORPORATIONS ARE SUBJECT TO INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISIONS REFLECT THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. THE SOCIETY DID NOT HAVE AN INCOME TAX LIABILITY AT DECEMBER 31, 2023. HOWEVER, SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. 0 1 0 0 0 0 0 0 0 NATHAN SCHEMA PRESIDENT & CEO 0 623111 0 126242 0 101086 0 110994 0 32529 0 993962 0 0 ERIC VANDEN HULL VP; DIRECTOR; TREASURER 0 447084 0 65051 0 57755 0 16500 0 27585 0 613975 0 0 CHAD JUNGMAN SECRETARY 0 366731 0 63829 0 48459 0 61340 0 26203 0 566562 0 0 CASH 2023-06-26 166704 BOOK VALUE 311527032 SANFORD HEALTH PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 501(C)3 0 0 0 0 FORM 990, PART III, LINE 3 THE ORGANIZATION DISCONTINUED ALL ACTIVITIES DURING 2023 AND IS IN THE PROCESS OF DISSOLVING. FORM 990, PART VI, SECTION A, LINE 1A THE CHAIRPERSON OF THE BOARD DOES NOT HAVE VOTING RIGHTS. FORM 990, PART VI, SECTION A, LINE 3 THE MANAGEMENT DUTIES OF THE PROJECT HAVE BEEN DELEGATED TO THE PROJECT'S SPONSOR, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (TELGSS). TELGSS IS PAID A MANAGEMENT FEE EQUAL TO A PERCENTAGE OF REVENUE OTHER THAN INVESTMENT AND GIFT INCOME. THE FEE HAS BEEN APPROVED BY THE US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. FORM 990, PART VI, SECTION A, LINE 6 SANFORD IS THE CLASS A CORPORATE MEMBER OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (THE "SOCIETY") IS THE CLASS B MEMBER THAT RETAINS THE ABILITY TO RECOMMEND MEMBERS OF THE SOCIETY BOARD OF DIRECTORS FOR APPOINTMENT BY THE CLASS A CORPORATE MEMBER, SANFORD. THE SOCIETY BOARD OF DIRECTORS ADMINISTERS THE AFFAIRS OF THE SOCIETY, INCLUDING BUDGET DEVELOPMENT AND PROVIDING ADVICE AND CONSENT TO SANFORD IN SELECTING AND EVALUATING THE SOCIETY PRESIDENT. SOME ACTIONS OF THE SOCIETY BOARD OF DIRECTORS REQUIRE APPROVAL OF THE SANFORD BOARD OF TRUSTEES (SEE PART VI, LINE 7B). FORM 990, PART VI, SECTION A, LINE 7A THE BOARD MEMBERS ARE APPOINTED BY THE DIRECTORS OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION A, LINE 7B ARTICLES OF INCORPORATION AND BY-LAW CHANGES REQUIRE THE APPROVAL OF THE BOARD OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TAX DEPARTMENT WITH THE MANAGING AGENT, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY AND SANFORD, REVIEW THE 990 IN DETAIL PRIOR TO IT BEING FILED. ANY QUESTIONS ARE RESOLVED WITH THE CFO & TREASURER OF THE CORPORATION PRIOR TO THE 990 BEING FILED. A COPY OF THE 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FORM 990 BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT COVERS SUBSTANTIALLY ALL EMPLOYEES. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS TO THE APPROPRIATE INDIVIDUAL AS INDICATED IN THE POLICY. ALL POTENTIAL CONFLICTS ARE INVESTIGATED TO DETERMINE IF A CONFLICT EXISTS. IF APPROVAL IS GIVEN TO PROCEED WITH THE ACTION, A COPY OF THE APPROVAL IS DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILE. THE ORGANIZATION ASKS THAT ALL OFFICERS AND DIRECTORS COMPLY WITH THE IRS CONFLICT OF INTEREST AND DISCLOSURE CERTIFICATION. OFFICERS AND DIRECTORS ARE REQUIRED TO PROVIDE A SIGNED COPY OF THE CONFLICT OF INTEREST CERTIFICATION TO THE CORPORATION'S MAIN OFFICE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT EMPLOY A CEO, AN EXECUTIVE DIRECTOR, A TOP MANAGEMENT OFFICIAL, OR ANY KEY EMPLOYEES. THE MANAGEMENT FUNCTIONS OF THE ORGANIZATION HAVE BEEN OUTSOURCED TO THE ORGANIZATION'S SPONSOR, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. FORM 990, PART VI, SECTION C, LINE 19 THE PROJECT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFER -166,704. ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 461495572 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) LINE 12A, I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 BOISE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363370371 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 COLLISTER DRIVE HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 300872973 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 F-M AMBULANCE SERVICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450344371 EMT ND 501(C)(4) SANFORD NORTH 0 GOOD SAMARITAN SOCIETY INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460349951 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) LINE 12A, I THE EVANGELICAL 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