Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 08-01-2013 , 2013, and ending 07-31-2014
BCheck if applicable:
CName of organization
NCR OF CHILLICOTHE II OHIO
 
Doing Business As
HOPETON TERRACE
 
Number and street (or P.O. box if mail is not delivered to street address)
2335 NORTH BANK DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
COLUMBUS, OH43220
D Employer identification number

31-1361782
E Telephone number

G Gross receipts $ 253,511
F Name and address of principal officer:
STEVE T BODKIN
2335 NORTH BANK DRIVE
COLUMBUS,OH43220
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NCR.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5048
K Form of organization:
 
L Year of formation: 1992
M State of legal domicile: OH
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: PROVIDE HOUSING FOR LOW AND MODERATE INCOME PERSONS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 7
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 8
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 104,140 110,291
9 Program service revenue (Part VIII, line 2g) ......... 156,874 139,035
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,587 -133
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,054 2,892
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 264,655 252,085
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 346,923 319,761
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 346,923 319,761
19 Revenue less expenses. Subtract line 18 from line 12....... -82,268 -67,676
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,375,646 1,315,047
21 Total liabilities (Part X, line 26)............. 2,382,825 2,389,902
22 Net assets or fund balances. Subtract line 21 from line 20..... -1,007,179 -1,074,855
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE MISSION OF NATIONAL CHURCH RESIDENCES IS TO PROVIDE QUALITY HOUSING AND CARE AT AFFORDABLE PRICES IN COMMUNITIES OF CARING PERSONS. OUR MINISTRY IS NATIONAL IN SCOPE AND ORIGINATES FROM A CHRISTIAN COMMITMENT OF SERVICE TO OLDER ADULTS, WHICH BEGAN IN 1961. WHILE OUR MINISTRY HAS BEEN TARGETED PRIMARILY TOWARD OLDER ADULTS, WE HAVE SPECIAL CONCERN FOR LOW- AND MODERATE-INCOME SENIORS, PERSONS WITH DISABILITIES, AND LOW- AND MODERATE-INCOME FAMILIES. WE ARE COMMITTED TO EXPANDING AND FUNDING SERVICES IN ASSISTED LIVING, NURSING HOMES, AND FULL-SERVICE RETIREMENT COMMUNITIES. WE ALSO PLAN FOR THOUGHTFUL GROWTH IN AFFORDABLE FAMILY HOUSING. WE ARE COMMITTED TO PROFESSIONALISM IN THE MANAGEMENT OF PROPERTY, PROGRAMS, AND HUMAN RESOURCES AND EQUALLY COMMITTED TO COMPASSION FOR THE PEOPLE WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 270,533 including grants of $ 0 ) (Revenue $ 141,927 )
THE SOLE PURPOSE IS TO PROVIDE SUBSIDIZED LOW AND MODERATE-INCOME APARTMENT RENTAL HOUSING FOR PRIMARILY ELDERLY PERSONS THROUGH THE U.S. DEPARTMENT OF HUD SECTIONS 202 AND 8 PROGRAMS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet270,533
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
7
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OH
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletSTEVEN A VANCAMP2335 NORTH BANK DRIVECOLUMBUSOH43220 (614) 451-2151
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ERIC BORDERS........................................................................
DIRECTOR
.10
.......................2.00
X           0 0 0
(2) A KENNETH PIERCE........................................................................
DIRECTOR
.10
.......................2.00
X           0 0 0
(3) PAUL W BLOOMFIELD........................................................................
DIRECTOR
.10
.......................2.00
X           0 0 0
(4) ANNE CARTER........................................................................
DIRECTOR
.10
.......................2.00
X           0 0 0
(5) CYNTHIA GERST........................................................................
DIRECTOR
.10
.......................2.00
X           0 0 0
(6) MARK MACNAUGHTON........................................................................
DIRECTOR
.10
.......................2.00
X           0 0 0
(7) DR TERRY DAVIS........................................................................
DIRECTOR
.10
.......................2.00
X           0 0 0
(8) MICHAEL FLOWERS........................................................................
DIRECTOR
.10
.......................2.00
X           0 0 0
(9) JOSEPH R KASBERG........................................................................
VICE PRESIDENT: 2013
.10
.......................49.90
    X       0 347,771 44,991
(10) MICHELLE H NORRIS........................................................................
SECRETARY/TREASURER: THRU 2013
.10
.......................49.90
    X       0 267,500 34,620
(11) STEVE T BODKIN........................................................................
PRESIDENT
.10
.......................49.90
    X       0 212,390 28,661
(12) STEVEN A VANCAMP........................................................................
VICE PRESIDENT: 2014
.10
.......................49.90
    X       0 20,977 1,481
(13) JULIE A FRATIANNE........................................................................
SECRETARY/TREASURER: THRU 2014
.10
.......................49.90
    X       0 189,103 29,113








Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 1,037,741 138,866
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 110,291
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 110,291
 Program Service RevenueAmt Business Code
2a RENTS - NET 531110 139,035 139,035    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 139,035
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,293     1,293
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses   1,426
c Gain or (loss)   -1,426
d Net gain or (loss)..........MediumBullet -1,426     -1,426
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a LAUNDRY AND VENDING 531110 1,736 1,736    
b MISCELLANEOUS INCOME 531110 932 932    
c DAMAGE AND CLEANING 531110 224 224    
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 2,892
12 Total revenue. See Instructions......MediumBullet 252,085 141,927 0 -133
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees ....        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ...... 37,869   37,869  
b Legal .........        
c Accounting ........... 11,359   11,359  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 32,260 32,260    
12 Advertising and promotion .... 248 248    
13 Office expenses ....... 17,683 17,683    
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 98,216 98,216    
17 Travel ............ 2,104 2,104    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 945 945    
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 63,739 63,739    
23 Insurance .............. 5,134 5,134    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CONTRACT SERVICES 49,496 49,496    
b BAD DEBT EXPENSE 15 15    
c
d
e All other expenses 693 693    
25 Total functional expenses. Add lines 1 through 24e 319,761 270,533 49,228 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 4,549 1 643
2 Savings and temporary cash investments ......... 160,941 2 167,505
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 1 4 1,816
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 999 9 1,061
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,327,575
b Less: accumulated depreciation ..... 10b 1,197,790 1,194,950 10c 1,129,785
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 14,206 15 14,237
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,375,646 16 1,315,047
Liabilities 17 Accounts payable and accrued expenses ......... 20,470 17 28,117
18 Grants payable .................   18  
19 Deferred revenue ................ 3 19 4
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 2,350,600 23 2,350,600
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 11,752 25 11,181
26 Total liabilities. Add lines 17 through 25......... 2,382,825 26 2,389,902
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. -1,007,179 27 -1,074,855
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... -1,007,179 33 -1,074,855
34 Total liabilities and net assets/fund balances ........ 1,375,646 34 1,315,047
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
252,085
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
319,761
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-67,676
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-1,007,179
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-1,074,855
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 67,933 99,291 102,076 104,140 110,291 483,731
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... 148,833 147,648 144,105 158,929 141,927 741,442
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5. 216,766 246,939 246,181 263,069 252,218 1,225,173
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.           0
c Add lines 7a and 7b..           0
8 Public support (Subtract line 7c from line 6.) 1,225,173
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6... 216,766 246,939 246,181 263,069 252,218 1,225,173
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 2,047 946 1,413 1,587 1,293 7,286
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 2,047 946 1,413 1,587 1,293 7,286
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.).. 218,813 247,885 247,594 264,656 253,511 1,232,459
14
Section C. Computation of Public Support Percentage
15
15
99.410 %
16
16
99.200 %
Section D. Computation of Investment Income Percentage
17
17
0.590 %
18
18
0.800 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   80,000 80,000
b Buildings ................   1,953,732 947,252 1,006,480
c Leasehold improvements ............        
d Equipment ................   63,683 61,845 1,838
e Other .................   230,160 188,693 41,467
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,129,785
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
DEPOSITS 11,181








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 11,181
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 253,511
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 253,511
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b -1,426
c Add lines 4a and 4b....................... 4c -1,426
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 252,085
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 321,187
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 1,426
e Add lines 2a through 2d...................... 2e 1,426
3 Subtract line 2e from line 1..................... 3 319,761
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 319,761
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF JULY 31, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011.
PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS -1,426.
PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 1,426.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)JOSEPH R KASBERGVICE PRESIDENT: 2013 (i)
(ii)
0
217,346
0
82,000
0
48,425
0
35,233
0
9,758
0
392,762
0
0
(2)MICHELLE H NORRISSECRETARY/TREASURER: THRU 2013 (i)
(ii)
0
195,348
0
70,000
0
2,152
0
27,753
0
6,867
0
302,120
0
0
(3)STEVE T BODKINPRESIDENT (i)
(ii)
0
172,877
0
36,750
0
2,763
0
15,618
0
13,043
0
241,051
0
0
(4)JULIE A FRATIANNESECRETARY/TREASURER: THRU 2014 (i)
(ii)
0
162,217
0
26,560
0
326
0
15,956
0
13,157
0
218,216
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 4B PARTICIPATION IN 457 (F) PLAN: JOSEPH R. KASBERG $42,835
PART I, LINE 3: NATIONAL CHURCH RESIDENCES, A RELATED ORGANIZATION, WAS RELIED UPON TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THE FOLLOWING METHODS WERE USED BY NATIONAL CHURCH RESIDENCES TO ESTABLISH COMPENSATION LEVELS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL, AT ALL TIMES, BE NATIONAL CHURCH RESIDENCES.
FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR TRUSTEES SHALL HAVE THE APPROVAL OF THE BOARD OF TRUSTEES OF NATIONAL CHURCH RESIDENCES.
FORM 990, PART VI, SECTION A, LINE 7B NATIONAL CHURCH RESIDENCES IS REQUIRED TO APPROVE THE SELECTION OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11 THE 990 RETURN IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING. AN OFFICER REVIEWS THE 990 RETURN PRIOR TO SIGNATURE.
FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, EXECUTIVE OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS IS COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ANY PERSON COVERED UNDER THIS POLICY MUST DISCLOSE THE EXISTENCE OF A CONFLICT AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF BOARD COMMITTEES. ALL DIRECTORS AND OFFICERS SHALL ALSO REVIEW AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS, IDENTIFYING FAMILY MEMBERS, POSSIBLE RELATED BUSINESSES, AND INVESTMENTS AND PROMPTLY REPORT ANY CHANGES TO THE CHAIRPERSON THAT OCCUR THROUGHOUT THE YEAR. IF A CONFLICT EXISTS, PARTICIPATION AND VOTING RIGHT RESTRICTIONS ARE IMPOSED.
FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST AND THROUGH A SECURED WEBSITE.
FORM 990, PART IX, LINE 11G JANITOR CONTRACT: PROGRAM SERVICE EXPENSES 5,321. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,321. EXTERMINATING CONTRACT: PROGRAM SERVICE EXPENSES 2,602. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,602. SECURITY CONTRACT: PROGRAM SERVICE EXPENSES 4,643. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,643. GROUNDS CONTRACT: PROGRAM SERVICE EXPENSES 4,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,337. REPAIRS CONTRACT: PROGRAM SERVICE EXPENSES 8,014. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,014. DECORATING CONTRACT: PROGRAM SERVICE EXPENSES 7,343. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,343.
FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE WHICH OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, SCHEDULE R, PART II: THE RELATED TAX EXEMPT ORGANIZATIONS ARE ALL MEMBERS OF GROUP EXEMPTION # 5048.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
NCR OF CHILLICOTHE II OHIO
 
Employer identification number

31-1361782
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) ABBEY CHURCH VILLAGE LIMITED PARTNERSHIP

6003 ABBEY CHAPEL DR
DUBLIN,OH430171529
31-1416957
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(2) ARLINGTON BY THE LAKE SENIOR HOUSING LIMITED PARTNERSHIP

2101 ARLINGTON AVE
TOLEDO,OH436091979
20-4063801
RENTAL ACTIVITY OH N/A
                 
(3) AVONDALE WOODS SENIOR HOUSING LIMITED PARTNERSHIP

5215 AVERY ROAD
DUBLIN,OH43016
26-4260580
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(4) BAPTIST GARDENS HOUSING LIMITED PARTNERSHIP

1901 MYRTLE DRIVE SW
ATLANTA,GA30311
27-2962768
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS GA N/A
                 
(5) BATTERY PARK SENIOR HOUSING LIMITED PARTNERSHIP

1 BATTLE SQUARE
ASHEVILLE,NC288012712
26-0069390
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS NC N/A
                 
(6) BLESSING COURT SENIOR HOUSING LIMITED PARTNERSHIP

3100 BLESSING COURT
BEDFORD,TX760215009
45-3175449
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS TX N/A
                 
(7) BRISTOL COURT APARTMENTS LIMITED PARTNERSHIP

600 E FIFTH ST
WAVERLY,OH456901566
20-2470977
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(8) CANTON PLACE LIMITED DIVIDEND HOUSING ASSOCIATION LIMITED PARTNERSHIP

44505 FORD RD
CANTON,MI481875034
36-4756461
RENTAL ACTIVITY MI N/A
                 
(9) CAPITOL HEIGHTS SENIOR HOUSING LIMITED PARTNERSHIP

505 SUFFOLK AVE
CAPITOL HEIGHTS,MD207433000
20-8599370
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(10) CHANTRY PLACE HOUSING LIMITED PARTNERSHIP

5500 MILLERSFIELD DRIVE
COLUMBUS,OH432327764
20-1872900
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(11) CHATEAU GARDENS HOUSING LLC

912 MARTIN AVE
FOND DU LAC,WI549356336
71-0955814
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WI N/A
                 
(12) CHIMES TERRACE SENIOR HOUSING LIMITED PARTNERSHIP

65 S WILLIAMS STREET
JOHNSTOWN,OH43031
20-4064084
RENTAL ACTIVITY OH N/A
                 
(13) CLARA PARK VILLAGE APARTMENTS LIMITED PARTNERSHIP

4805 CLARA ST
CUDAHY,CA902015200
20-2869540
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(14) COEUR D'ALENE SENIOR HOUSING LIMITED PARTNERSHIP

7712 N HEARTLAND DR
COEUR DALENE,ID838158906
31-1639271
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS ID N/A
                 
(15) COLORADO PLAZA SENIOR HOUSING LIMITED PARTNERSHIP

420 COLORADO ST
MANHATTAN,KS665020659
31-1714217
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS KS N/A
                 
(16) COLUMBIA COURT LIMITED DIVIDEND HOUSING ASSOCIATION LIMITED PARTNERSHIP

275 WEST COLUMBIA AVE
BELLEVILLE,MI481113901
38-2474707
RENTAL ACTIVITY MI N/A
                 
(17) COMBINED LOCKS SENIOR HOUSING LIMITED PARTNERSHIP

334 WALLACE STREET
COMBINED LOCKS,WI54113
20-5556388
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WI N/A
                 
(18) COUNTRY RIDGE APARTMENTS LIMITED PARTNERSHIP

5656 FARMHOUSE LANE
HILLIARD,OH430267846
31-1504074
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(19) COURTYARD AT WILLOW WOODS LIMITED PARTNERSHIP

1500 LINCOLN AVENUE
TOMAH,WI546602463
20-3678605
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WI N/A
                 
(20) CYPRESS SUNRISE VILLAGE APARTMENTS LIMITED PARTNERSHIP

9151 GRINDLAY ST
CYPRESS,CA906303088
20-2869574
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(21) DELOWE & MYRTLE SENIOR HOUSING LIMITED PARTNERSHIP

1881 MYRTLE DRIVE SW
ATLANTA,GA30311
26-2082332
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS GA N/A
                 
(22) DUBLIN HOUSE SENIOR HOUSING LIMITED PARTNERSHIP

1425 CENTRAL AVE
MIDDLETOWN,OH450444180
20-4064054
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(23) EAST VALLEY SENIOR HOUSING LIMITED PARTNERSHIP

16010 EAST VALLEYWAY AVE
VERADALE,WA990378937
91-2033951
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WA N/A
                 
(24) EDEN PLACE SENIOR HOUSING LP

1220 JEFFERSON AVE
SEGUIN,TX781555934
74-3017793
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS TX N/A
                 
(25) ELIZABETH SENIOR HOUSING LIMITED PARTNERSHIP

122 SEVENTH STREET
ELIZABETH,NJ072012822
20-2862379
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS NJ N/A
                 
(26) HARBOURVIEW SENIOR HOUSING LIMITED PARTNERSHIP

115 FRANKLIN STREET
SANDUSKY,OH448702806
20-2471589
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(27) HARVARD ELDERLY LIMITED PARTNERSHIP

6900 HARVARD AVE
CLEVELAND,OH441055016
34-1863728
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(28) HAYDEN SENIOR HOUSING LP

88 W SARGENT DR
HAYDEN,ID838358882
46-0493154
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS ID N/A
                 
(29) HEARTLAND SENIOR HOUSING LP

7745 N HEARTLAND DR
COEUR DALENE,ID838158904
54-2064319
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS ID N/A
                 
(30) HERITAGE PLACE AT TRAILS EDGE LIMITED PARTNERSHIP

2620 EAST STATE BLVD
FORT WAYNE,IN468054730
20-1469685
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS IN N/A
                 
(31) HILLTOP II SENIOR HOUSING LIMITED PARTNERSHIP

3630 MOORES TRAIL RD
COLUMBUS,OH432284345
52-2367292
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(32) HILLTOP SENIOR HOUSING LIMITED PARTNERSHIP

300 OVERSTREET WAY
COLUMBUS,OH432284335
31-1592983
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(33) JAYCEE FAIRGROUNDS VILLAGE SENIOR HOUSING LIMITED PARTNERSHIP

1355 FAIRGROUNDS RD
ST CHARLES,MO633012383
27-5281382
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MO N/A
                 
(34) KIRBY MANOR SENIOR LIMITED PARTNERSHIP

11500 DETROIT AVENUE
CLEVELAND,OH441020000
87-0704525
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(35) KIWANIS VILLAGE SENIOR HOUSING LIMITED PARTNERSHIP

1200 CROY DR
FINDLAY,OH458406707
20-4063620
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(36) LAKESIDE APARTMENT HOUSING LP

2590 FRANCISCO BLVD
PACIFICA,CA940442732
02-0668710
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS CA N/A
                 
(37) LAKESIDE TOWERS OF STERLING HEIGHTS LIMITED DIVIDEND HOUSING ASSOCIATION LP

15000 SHORELINE DR
STERLING HEIGHTS,MI483132275
45-2797185
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MI N/A
                 
(38) LAKEWOOD CHRISTIAN MANOR LIMITED PARTNERSHIP

2141 SPRINGDALE RD SW
ATLANTA,GA303156100
31-1647433
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(39) LEONARDTOWN SENIOR HOUSING LIMITED PARTNERSHIP

22810 DORSEY ST
LEONARDTOWN,MD206503831
20-8599565
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MD N/A
                 
(40) LINCOLN GARDENS II SENIOR HOUSING LIMITED PARTNERSHIP

110 STURBRIDGE RD
COLUMBUS,OH432284424
26-4310827
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(41) MADISON HEIGHTS WIN LIMITED DIVIDEND HOUSING ASSOCIATION LIMITED PARTNERSHI

27777 DEQUINDRE RD
MADISON HEIGHTS,MI48071
20-3638189
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MI N/A
                 
(42) MAGNOLIA ACRES SENIOR HOUSING LIMITED PARTNERSHIP

108 DEBORAH DR
ANGLETON,TX775154165
45-3176201
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(43) MANSFIELD WOODS LIMITED PARTNERSHIP

382 WOODRIDGE DR
MANSFIELD,OH449062103
31-1592987
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(44) MEADOWVIEW SENIOR HOUSING LIMITED PARTNERSHIP

338 W MAIN ST
MT STERLING,OH431431291
20-2471060
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(45) MEMORIAL TOWERS LIMITED PARTNERSHIP

1405 SOUTH 7TH AVE
PHOENIX,AZ850070000
30-0230394
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(46) MT BALDY SENIOR HOUSING LP

839 KOOTENAI CUT OFF RD
PONDERAY,ID838529804
74-3085816
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS ID N/A
                 
(47) NATIONAL CHURCH RESIDENCES OF RIVER COURT LIMITED DIVIDEND HOUSING ASSOCIAT

147 N RIVER CT
MOUNT CLEMENS,MI48043
90-0959661
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MI N/A
                 
(48) PANOLA DEKALB SENIOR HOUSING LIMITED PARTNERSHIP

2589 STONEKEY PLACE
LITHONIA,GA30058
32-0378758
RENTAL ACTIVITY GA N/A
                 
(49) PARK PLACE TOWERS OF HARPER WOODS LIMITED DIVIDEND HOUSING ASSOCIATION LP

19460 PARK DR
HARPER WOODS,MI482252375
45-2797239
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS TX N/A
                 
(50) PARKVIEW PLACE SENIOR HOUSING LIMITED PARTNERSHIP

1110 AVENUE N STREET
HUNTSVILLE,TX77340
36-4725509
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS TX N/A
                 
(51) PECAN VILLA SENIOR HOUSING LIMITED PARTNERSHIP

611 S BONNER ST
RUSTON,LA712705063
36-4753221
RENTAL ACTIVITY LA N/A
                 
(52) PRAIRIE VILLAGE SENIOR HOUSING LIMITED PARTNERSHIP

1915 N WHARTON RD
EL CAMPO,TX774372312
38-3897774
RENTAL ACTIVITY TX N/A
                 
(53) PRESBYTERIAN HOMES OF PASCO NPR LIMITED PARTNERSHIP

5852 SEA FOREST DR
NEW PORT RICHEY,FL346522049
59-3283881
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS FL N/A
                 
(54) RENAISSANCE II SENIOR HOUSING LIMITED PARTNERSHIP

419 N ST CLAIR ST
TOLEDO,OH436041562
26-2062189
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(55) RIVERCREST SENIOR HOUSING ASSOCIATES LIMITED PARTNERSHIP

7210 WILLIAMS RD
NIAGARA FALLS,NY143043735
20-2518262
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS NY N/A
                 
(56) RIVERSIDE DEVELOPMENT LDHALP

159 S GROVE RD
YPSILANTI,MI48198
38-2723325
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MI N/A
                 
(57) ROMULUS WIN LIMITED DIVIDEND HOUSING ASSOCIATION LIMITED PARTNERSHIP

36500 BIBBINS STREET
ROMULUS,MI48174
42-1674512
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MI N/A
                 
(58) ROOSEVELT TOWNE APARTMENTS LLC

711 N EUCLID AVE
ST LOUIS,MO631081632
13-4242467
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(59) SAN ANTONIO SENIOR HOUSING LIMITED PARTNERSHIP

3503 CAMINO REAL
SAN ANTONIO,TX782383401
31-1592980
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(60) SANTIAGO FAJARDO VILLAGE LIMITED PARTNERSHIP SE

1 CALLE 5-1 ADM OFFICE
FAJARDO,PR007384849
20-2907605
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(61) SOLBERG WIN LIMITED DIVIDEND HOUSING ASSOCIATION LIMITED PARTNERSHIP

27787 DEQUINDRE RD
MADISON HEIGHTS,MI48071
42-1674495
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MI N/A
                 
(62) SOUTHWOOD GARDENS ADULT COMMUNITY LIMITED PARTNERSHIP

3550 CEDAR CREEK RD
SHREVEPORT,LA711182326
31-1484717
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(63) SPRAGUE SENIOR HOUSING LIMITED PARTNERSHIP

14303 E SPRAGUE AVE
SPOKANE,WA992163121
91-2123013
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WA N/A
                 
(64) SUMMERFIELD VILLAGE APARTMENTS LIMITED PARTNERSHIP

2624 TRACTION AVE
SACRAMENTO,CA958152485
20-2869621
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(65) SUPERIOR ARBORETUM SENIOR HOUSING LIMITED PARTNERSHIP

199 GRAY DR
SUPERIOR,AZ852734633
26-2084830
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS AZ N/A
                 
(66) THE COMMONS AT BUCKINGHAM HOUSING LIMITED PARTNERSHIP

328 BUCKINGHAM STREET
COLUMBUS,OH43215
26-0223422
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(67) THE COMMONS AT GARDEN LAKE HOUSING LIMITED PARTNERSHIP

1065 GARDEN LAKE PKWY
TOLEDO,OH436149998
80-0954419
RENTAL ACTIVITY OH N/A
                 
(68) THE COMMONS AT GRANT LIMITED PARTNERSHIP

398 S GRANT AVE
COLUMBUS,OH432155549
31-1797406
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(69) THE COMMONS AT LIVINGSTON HOUSING LIMITED PARTNERSHIP

3349 EAST LIVINGSTON AVE
COLUMBUS,OH43227
26-4416286
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(70) THE COMMONS AT LIVINGSTON II HOUSING LIMITED PARTNERSHIP

3349 E LIVINGSTON AVENUE
COLUMBUS,OH43227
35-2444785
RENTAL ACTIVITY OH N/A
                 
(71) THE COMMONS AT NELMS HOUSING LIMITED PARTNERSHIP

2488 LAKEWOOD AVENUE SW
ATLANTA,GA30315
90-0966268
RENTAL ACTIVITY GA N/A
                 
(72) THE COMMONS AT THIRD HOUSING LIMITED PARTNERSHIP

1280 NORTON AVE
COLUMBUS,OH43212
27-2125068
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(73) TRINITY MANOR SENIOR HOUSING LIMITED PARTNERSHIP

301 CLARK ST
MIDDLETOWN,OH450428158
26-0072500
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(74) TRINITY TOWERS LIMITED PARTNERSHIP LP

2611 SPRINGDALE RD SW
ATLANTA,GA303157137
52-2405847
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS GA N/A
                 
(75) TSCHIRLEY SENIOR HOUSING II LIMITED PARTNERSHIP

107 S TSCHIRLEY RD
GREENACRES,WA990169317
81-0636765
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WA N/A
                 
(76) TSCHIRLEY SENIOR HOUSING LIMITED PARTNERSHIP

111 S TSCHIRLEY RD
GREENACRES,WA990169342
91-2177168
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WA N/A
                 
(77) VANDERBILT SENIOR HOUSING LIMITED PARTNERSHIP

75 HAYWOOD STREET
ASHEVILLE,NC288012846
20-2635801
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS NC N/A
                 
(78) VIEWPOINT SENIOR HOUSING LIMITED PARTNERSHIP

215 EAST SHORELINE DRIVE
SANDUSKY,OH44870
20-2471408
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(79) VILLA ESPERANZA APARTMENTS LIMITED PARTNERSHIP SE

ADMINISTRATION BOX 111 ST 35 BLOQ 2
CAROLINA,PR009830000
20-2907561
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(80) VILLA PROVIDENCIA APARTMENTS LIMITED PARTNERSHIP SE

350 CARR 837
GUAYNABO,PR009696238
20-2907579
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(81) VISION CENTER II LIMITED PARTNERSHIP

3400 VISION CENTER COURT
COLUMBUS,OH432272262
31-1364056
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(82) WAGGONER SENIOR HOUSING LIMITED PARTNERSHIP

831 ACORN GROVE DR
BLACKLICK,OH430045044
31-1812222
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(83) WARREN ELDERLY HOMES II LIMITED PARTNERSHIP

1330 BLAKELY CIRCLE SW
WARREN,OH444853875
34-1885076
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(84) WARREN ELDERLY HOMES LIMITED PARTNERSHIP

1330 BLAKELY CIRCLE SW
WARREN,OH444853875
31-1501031
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(85) WAYNE WIN LIMITED DIVIDEND HOUSING ASSOCIATION LIMITED PARTNERSHIP

35200 SIMS
WAYNE,MI48184
42-1674508
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS MI N/A
                 
(86) WESTERVILLE SENIOR HOUSING II LLC

622 SOUTH SUNBURY ROAD
WESTERVILLE,OH43081
20-2489049
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(87) WESTERVILLE SENIOR HOUSING LIMITED PARTNERSHIP

630 SOUTH SUNBURY RD
WESTERVILLE,OH430819344
45-0470538
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(88) WHITE BIRCH I HOUSING LIMITED PARTNERSHIP

9239 N 75TH UNIT 1
MILWAUKEE,WI532232065
76-0752024
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WI N/A
                 
(89) WHITE BIRCH II HOUSING LIMITED PARTNERSHIP

9239 N 75TH UNIT 1
MILWAUKEE,WI532232065
76-0752031
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS WI N/A
                 
(90) WHITEHALL SENIOR HOUSING LIMITED PARTNERSHIP

851 COUNTRY CLUB RD
WHITEHALL,OH432132442
31-1592973
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
(91) WYSONG VILLAGE APARTMENTS LIMITED PARTNERSHIP

111 N CHAPEL AVE
ALHAMBRA,CA918013565
20-2869668
RENTAL ACTIVITY FOR LOW INCOME FAMILIES/SENIORS OH N/A
                 
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ABBEY CHURCH ROAD INC

6003 ABBEY CHAPEL DR
DUBLIN,OH430171529
31-1416121
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(2) CHANTRY PLACE HOUSING INC

5500 MILLERSFIELD DRIVE
COLUMBUS,OH432327764
20-1891592
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(3) COUNTRY RIDGE APARTMENTS INC

5656 FARMHOUSE LANE
HILLIARD,OH430267846
31-1504166
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(4) HARVARD SCHOOL INC

6900 HARVARD AVE
CLEVELAND,OH441055016
31-1740172
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(5) HILLTOP II SENIOR HOUSING INC

3630 MOORES TRAIL RD
COLUMBUS,OH432284345
02-0633437
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(6) HILLTOP SENIOR HOUSING INC

300 OVERSTREET WAY
COLUMBUS,OH432284335
31-1592982
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(7) MANSFIELD WOODS INC

382 WOODRIDGE DR
MANSFIELD,OH449062103
31-1592986
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(8) NCR OF WARREN SENIOR HOUSING II INC

1330 BLAKELY CIRCLE SW
WARREN,OH444853875
31-1721646
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(9) NCR OF WARREN SENIOR HOUSING INC

1330 BLAKELY CIRCLE SW
WARREN,OH444853875
31-1743897
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(10) RIVERCREST SENIOR HOUSING LLC

7210 WILLIAMS RD
NIAGARA FALLS,NY143043735
61-1462286
RENTAL ACTIVITY FOR SENIORS/FAMILIES NY N/A
C       Yes  
(11) ROOSEVELT TOWNE HOUSING INC

711 N EUCLID AVE
ST LOUIS,MO631081632
54-2086755
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(12) SAN ANTONIO SENIOR HOUSING INC

3503 CAMINO REAL
SAN ANTONIO,TX782383401
31-1592978
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(13) ST GEORGE HOUSING FOR SENIORS INC

16400 DIX-TOLEDO HWY
SOUTHGATE,MI48195
20-0509633
RENTAL ACTIVITY FOR SENIORS/FAMILIES MI N/A
C       Yes  
(14) VISION CENTER II INC

3400 VISION CENTER COURT
COLUMBUS,OH432272262
31-1363226
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(15) WAGGONER WOODS INC

751 CHESTNUT GROVE DR
BLACKLICK,OH430045024
31-1808113
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(16) WESTERVILLE SENIOR HOUSING INC

630 SOUTH SUNBURY RD
WESTERVILLE,OH430819344
73-1631614
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(17) WHITEHALL SENIOR HOUSING INC

851 COUNTRY CLUB RD
WHITEHALL,OH432132442
31-1592976
RENTAL ACTIVITY FOR SENIORS/FAMILIES OH N/A
C       Yes  
(18) WINGATE MANAGEMENT CORP

29777 TELEGRAPH RD SUITE 2611
SOUTHFIELD,MI48034
38-2060029
MANAGEMENT OF RENTAL ACTIVITY MI N/A
S       Yes  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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