Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 131,359 | 448,024 | 419,517 | 1,577,615 | 586,397 | 3,162,912 |
| 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 | 75 | 22,795 | 42,160 | 96,212 | 161,242 | |
| 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 | 131,359 | 448,099 | 442,312 | 1,619,775 | 682,609 | 3,324,154 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 61,000 | 198,500 | 292,858 | 311,397 | 863,755 | |
| 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. | ||||||
| c | Add lines 7a and 7b.. | 61,000 | 198,500 | 292,858 | 311,397 | 863,755 | |
| 8 | Public support. (Subtract line 7c from line 6.) | 2,460,399 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 131,359 | 448,099 | 442,312 | 1,619,775 | 682,609 | 3,324,154 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 7,167 | 20,616 | 23,075 | 13,500 | 64,358 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 7,167 | 20,616 | 23,075 | 13,500 | 64,358 | |
| 11 | Net income from unrelated business activities not included on 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 VI.) .. | 150,000 | 445,500 | 595,500 | |||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 131,359 | 455,266 | 612,928 | 2,088,350 | 696,109 | 3,984,012 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| PART III, LINE 12 | AMOUNT RECEIVED FROM PRIVATE FOUNDAT 595,500 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MISSION OF CASS HOUSING, INC. IS TO CREATE AND MAINTAIN CUSTOMIZABLE AFFORDABLE, SUSTAINABLE, AND SAFE LIVING ARRANGEMENTS FOR INDIVIDUALS WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABLILITIES THAT PROMOTE INDEPENDENT LIVING SKILLS. |
| FORM 990 | BEGINNING IN THE 1960'S AND CONTINUING INTO TODAY, COMMUNITIES HAVE BEEN WORKING TO DISMANTLE THE STRUCTURAL BARRIERS THAT HAVE KEPT INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ISOLATED FROM SOCIETY. WHILE THIS WAS UNDOUBTABLY A POSITIVE CHANGE FOR SOCIETY, POLICIES THAT WERE PUT INTO PLACE TO TRANSITION INDIVIDUALS FAILED TO CONSIDER, FUND, OR PLAN FOR ALTERNATIVE HOUSING OPTIONS. (HOUSING NEEDS FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, SUMMER 2020, ECONORTHWEST) THE NEED FOR AFFORDABLE HOUSING FOR THIS POPULATION IS ONLY GROWING. AND WHILE THIS NEED IS NOT NEW, THERE ARE NEW PROBLEMS THAT ARE EMERGING THAT INCREASE THE URGENCY TO CREATE MORE HOUSING OPTIONS: RISING HOME COSTS IN MANY HOUSING MARKETS, AGING PARENTS/CAREGIVERS WHO MAY SOON BE UNABLE TO PROVIDE HOUSING FOR THEIR ADULT CHILDREN, AND THE EFFECTS OF COVID AS MANY INDIVIDUALS ARE STILL FINDING THEMSELVES UNEMPLOYED. THE CDC ESTIMATES THAT 1 IN 6 CHILDREN HAVE A DEVELOPMENTAL DISABILITY. IF OVERLAID OVER THE ENTIRE POPULATION, THAT MEANS THERE ARE 60,000 INDIVIDUALS THAT LIVE IN ALLEN COUNTY THAT HAVE A DEVELOPMENTAL DISABILITY. ACCORDING TO BUREAU OF DEVELOPMENTAL DISABILITY SERVICES STATE STATISTICS, MEDICAID WAIVER HOME AND GROUP HOMES SUPPORT ONLY 10% OF THAT POPULATION WITHIN A 24/7 SETTING. CASS IS DEVELOPING THE BANDWIDTH AND THE NEEDED SUPPORTS TO BE A PROVIDER OF SUPPORTIVE HOUSING FOR THE FUTURE. OUR VISION IS NOT JUST TO BUILD A HOME WHERE SOMEONE CAN LIVE INDEPENDENTLY, BUT TO BUILD AN INDEPENDENT PERSON THAT CAN LIVE IN A HOME AND COMMUNITY. WE OFFER A PEOPLE-CENTERED APPROACH TO LONG-TERM HOUSING FOR PEOPLE OF VARYING ABILITIES BY PROVIDING NOT JUST A HOUSE, BUT ASSISTANCE IN FINDING COMPATIBLE ROOMMATES AND ONGOING SUPPORT SERVICES TO LIVE INDEPENDENTLY. WE STRONGLY BELIEVE THAT BY WORKING TOGETHER, WE CAN CREATE LONG-TERM SOLUTIONS THAT BENEFIT EVERY CORE MEMBER (RESIDENT) AND THEIR FAMILIES. |
| FORM 990, PAGE 2, PART III, LINE 4A | FOR MANY PEOPLE WITH DEVELOPMENTAL DISABILITIES, MOVING OUT OF THE FAMILY HOME IS THE GREATEST HURDLE THEY WILL EVER FACE AS THEY ARE MOVING AWAY FROM THE SUPPORT SYSTEM THAT HAS BEEN IN PLACE FOR THEIR ENTIRE LIVES. CASS BELIEVES THAT HOUSING OPTIONS MUST BE MATCHED WITH THE CORRECT SUPPORT TO MAKE THE TRANSITION OUT OF THE FAMILY HOME POSSIBLE. HOUSING AND SUPPORT SERVICES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES ARE TWO VASTLY DIFFERENT INDUSTRIES. HOWEVER, THEY MUST WORK IN TANDEM TO HELP MAKE THE TRANSITION SUCCESSFUL. THE HOME ITSELF MUST BE CREATED AND/OR ADAPTED TO THE NEEDS OF THE PEOPLE LIVING IN THE HOME. WHILE THIS PHYSICAL SPACE IS AN IMPORTANT PIECE OF THE PUZZLE, IT IS ONLY THE BEGINNING. THE NEW SUPPORT SYSTEM MUST ALSO BE CUSTOMIZED TO MEET NOT ONLY THE SPECIFIC NEEDS OF THE PERSON, BUT THE EXPECTATIONS OF THE FAMILY AS WELL. CASS IS DESIGNED TO OFFER DIFFERENT HOUSING MODELS WITH VARYING LEVELS OF SUPPORT FOR THE RESIDENTS. A STEWARD LIVES ON-SITE TO PROVIDE GUIDANCE AND SUPPORT, DEPENDING ON THE NEEDS OF THE RESIDENTS. CASS IS UNIQUE IN THAT THE CORE MEMBERS AND THEIR FAMILIES CHOOSE THEIR HOME, THEIR HOUSEMATES, AND THEIR SUPPORT STAFF. EXISTING PROGRAMS RANDOMLY ASSIGN RESIDENTS TO LIVE IN A GROUP HOME WHERE THEY MAY NOT KNOW THE OTHER RESIDENTS. OUR PROGRAM PROVIDES CORE MEMBERS THE ABILITY TO LIVE WITH FRIENDS WITH WHOM THEY SHARE INTERESTS AND COMPATIBILITY. HOME GROUPS CONSIST OF THREE COMPATIBLE CORE MEMBERS WHO HAVE BEEN VETTED FOR A CASS HOME. CASS BUILDS OPPORTUNITIES FOR FAMILIES TO LAUNCH THEIR LOVED ONES INTO INDEPENDENCE WHILE PROVIDING SOLUTIONS THAT ADDRESS THE FAMILIES' CONCERNS OF SAFETY, AFFORDABILITY, RELATIONSHIPS, AND LIFE SKILLS. WE FOCUS ON CREATING A PATHWAY FOR FAMILIES AND CORE MEMBERS TO TRANSITION INTO OUR HOUSING PROGRAM THROUGH: "ACTIVITIES AND MATCH MAKING EVENTS TO HELP TO CONTINUE TO CREATE A COMMUNITY OF SUPPORT FOR INDIVIDUALS INTERESTED IN THE PROGRAM. ALL FAMILIES ON OUR WAIT LIST ARE INVITED TO THESE EVENTS. "WORKING ONE ON ONE WITH INDIVIDUALS THROUGH THE TRANSITION INTO THEIR NEW HOME. "PROVIDING ONGOING EDUCATIONAL OPPORTUNITIES FOR INDIVIDUALS TO DEVELOP MORE INDEPENDENT LIVING SKILLS (MONEY MANAGEMENT, HEALTHY EATING, HEALTHY LIFESTYLES AND VOCATIONAL SKILLS). THIS ADDRESSES SOME OF THE MISSING SKILL SETS IN CORE MEMBERS AS THEY LIVE ON THEIR OWN FOR THE FIRST TIME. CURRENTLY, WE HAVE 14 INDIVIDUALS LIVING IN CASS INDEPENDENT HOUSES. WE ANTICIPATE OPENING OUR FIRST FAMILY LIVING HOME IN 2023 TO HOUSE THREE ADDITIONAL CORE MEMBERS. WE ARE WORKING WITH 165 FAMILIES TO SUPPORT SKILL BUILDING AND MATCH MAKING OPPORTUNITIES WHILE WORKING TOWARDS LONG-TERM LIVING SOLUTIONS FOR THEIR LOVED ONES. CASS IS THE ONLY PROGRAM OF ITS KIND OPERATING IN ALLEN COUNTY SERVING ADULTS WITH AN INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITY WITH LONG TERM HOUSING AND LIVING SOLUTIONS. OUR CORE MEMBERS ARE LEARNING TO LIVE IN A WHOLE NEW WAY THAT BRINGS THEM JOY, BRINGS THEIR FAMILY A SENSE OF LONG- TERM SECURITY, AND GIVES THEM THE OPPORTUNITY TO MAKE THEIR FUTURE THEIR OWN. |
| FORM 990, PAGE 2, PART III, LINE 4D | RENTAL EXPENSE |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION'S EXECUTIVE DIRECTOR IS RESPONSIBLE FOR THE TIMELY PREPARATION OF THE FORM 990. THE ORGANIZATION'S EXECUTIVE DIRECTOR MAY CONFER WITH ACCOUNTANTS AND LEGAL COUNSEL OF THE ORGANIZATION WITH RESPECT TO DRAFTS OF THE FORM 990. COPIES OF THE COMPLETED FORM 990 (INCLUDING REQUIRED SCHEDULES) WILL ALSO BE REVIEWED BY THE TREASURER. ANY QUESTIONS OR CONCERNS WILL BE NOTED AND ADDRESSED, AND THE TREASURER SHALL ENSURE THAT ANY APPROPRIATE CHANGES ARE INCORPORATED INTO THE FORM 990. THE FORM 990 IS PRESENTED BY THE CPA TO THE BOARD OF DIRECTORS. AFTER ACCEPTANCE AND APPROVAL BY THE BOARD, THE RETURN IS SIGNED BY AN AUTHORIZED OFFICER AND FILED WITH FEDERAL AUTHORITY. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE EXECUTIVE COMMITTEE SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY BY REVIEWING ANNUAL STATEMENTS AND TAKING SUCH OTHER ACTIONS AS ARE NECESSARY FOR EFFECTIVE OVERSIGHT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR EXECUTIVE COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS INITIATES A FORMAL REVIEW OF THE EXECUTIVE DIRECTOR AND DETERMINES APPROPRIATE COMPENSATION, BENEFITS AND BONUSES ON AN ANNUAL BASIS. THE REVIEW IS DOCUMENTED AND STORED IN THE EMPLOYEE'S FILE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND FORMS 1023 AND 990 ARE AVAILABLE UPON REQUEST. THE FORM 990 IS ALSO AVAILABE AT WWW.GUIDESTAR.ORG. |
| Software ID: | |
| Software Version: |