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Nonprofiteer
← ASSISI VILLAGE INC

Form 990 for tax year 2023

Filed by ASSISI VILLAGE INC.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Listed in Part VII

  • ALICE WALKER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • LYNN BRADLEY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • OLIVIA OGDEN OLINDE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • SHARON TOMS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • SR HELEN CAHILL OSF

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 5 related

  • VICTOR HOWELL

    CHAIR

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • WILLIAM R MILLINS III

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • JENNIFER CLOWERS

    REGIONAL CHIEF FINANCIAL OFFICER

    Total calculated
    $715,554
    From this org
    $0
    From related orgs
    $632,613
    Other
    $82,941
    Hours/week
    0.5 + 47 related

    Schedule J breakdown matched by us

    Base
    $0 + $410,422 related
    Bonus
    $0 + $220,415 related
    Other
    $0 + $1,776 related
    Deferred
    $0 + $55,765 related
    Nontaxable benefits
    $0 + $27,176 related
    Filer's total
    $0 + $715,554 related

  • JOLEE BOLLINGER

    FORMER SECRETARY

    Total calculated
    $2,078,829
    From this org
    $0
    From related orgs
    $2,064,997
    Other
    $13,832
    Hours/week
    0 + 51 related

    Schedule J breakdown matched by us

    Base
    $0 + $80,169 related
    Bonus
    $0 + $134,472 related
    Other
    $0 + $1,850,356 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $13,832 related
    Filer's total
    $0 + $2,078,829 related

  • KAREN ALLEN

    FORMER PRESIDENT

    Total calculated
    $435,968
    From this org
    $0
    From related orgs
    $429,743
    Other
    $6,225
    Hours/week
    0 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $89,929 related
    Bonus
    $0 + $100,270 related
    Other
    $0 + $239,544 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,225 related
    Filer's total
    $0 + $435,968 related

  • LOWELL STANTON

    FORMER REG CFO/ LOURDES CFO

    Total calculated
    $642,950
    From this org
    $0
    From related orgs
    $600,074
    Other
    $42,876
    Hours/week
    0 + 40.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $470,903 related
    Bonus
    $0 + $123,980 related
    Other
    $0 + $5,191 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $26,376 related
    Filer's total
    $0 + $642,950 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, QUESTION 3
THE PRESIDENT IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE PRESIDENT'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE.
PART I, QUESTION 4B
FMOLHS MAINTAINS TWO UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457 (F) AND IRC SECTION 409A. THE PLANS PROVIDE FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. JOLEE BOLLINGER RECEIVED A PAYMENT IN THE AMOUNT OF $714,049 FROM THE PLANS IN THE CURRENT YEAR.
PART I, QUESTION 4A
AN OFFICER IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON, OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. DURING THE CURRENT YEAR, SEVERANCE PAYMENTS WERE MADE TO FORMER OFFICERS JOLEE BOLLINGER AND KAREN ALLEN FOR $1,135,888 AND $237,978, RESPECTIVELY.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202501359349312300

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