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.
MediumBulletInformation 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
THE GOOD SHEPHERD HOME FOR THE AGED INC
 
Employer identification number

34-0835584
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
(1)LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO INC

500 W WILSON BRIDGE ROAD STE 245

WORTHINGTON,OH43085
31-4412586
HOUSING OH 501(C)(3) LINE 9  
 
No
(2)CENTERBURG HOUSING

164 W HOUCK STREET

CENTERBURG,OH43011
31-1579303
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(3)DELAWARE HOUSING INC

2178 BRUCE ROAD

DELAWARE,OH43105
31-1399590
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(4)GOOD SHEPHERD FOUNDATION

500 W WILSON BRIDGE ROAD STE 245

WORTHINGTON,OH43085
34-1590049
INVESTMENTS OH 501(C)(3) LINE 11A, I LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(5)ASHLAND ASSISTED LIVING INC

330 DAVIS ROAD

ASHLAND,OH44805
34-1908342
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(6)FAITH MISSION INC

245 N GRANT AVENUE

COLUMBUS,OH43215
31-0809759
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(7)GROVE CITY HOUSING INC

4301 STONER DRIVE

GROVE CITY,OH43123
31-1367737
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(8)GROVEPORT HOUSING INC

283 GREEN AVENUE

GROVEPORT,OH43125
31-1450961
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(9)GROVEWOOD II HOUSING INC

4301 STONER DRIVE

GROVE CITY,OH43123
31-1488730
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(10)HAMILTON HOUSING INC

3565 CLIME ROAD

COLUMBUS,OH43228
31-1367736
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(11)LANCASTER HOUSING INC

963 PRESTIGE BLVD

LANCASTER,OH43130
31-1320304
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(12)LANSING HOUSING INC

54385 NATIONAL ROAD

BRIDGEPORT,OH43912
31-1320303
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(13)LITTLE BROOK HOUSING INC

5911 LITTLE BROOK WAY

COLUMBUS,OH43232
31-1488733
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(14)LUTHERAN HOUSING SERVICES OF HOWLAND

3880 NORTH RIVER ROAD

WARREN,OH44484
30-0263695
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(15)MANSFIELD HOUSING II INC

1680 EXECUTIVE COURT

MANSFIELD,OH44907
20-3208737
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(16)MANSFIELD HOUSING INC

1665 EXECUTIVE COURT

MANSFIELD,OH44907
31-1642747
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(17)MARION PLACE I HOUSING INC

1401 WELLNESS ROAD

MARION,OH43302
30-0151342
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(18)NORTH COMMUNITY HOUSING

120 MORSE ROAD

COLUMBUS,OH43214
30-0245617
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(19)PLEASANT VIEW HOUSING INC

1690 CHARTWELL STREET

LANCASTER,OH43130
31-1717116
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(20)SULLIVANT HOUSING INC

383 INAH AVENUE

COLUMBUS,OH43228
30-0060654
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(21)TUBMAN TOWERS

17 JOHNSON AVENUE

SPRINGFIELD,OH45506
20-0282722
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(22)VILLAGE HOUSING INC

1489 OCTOBER RIDGE COURT

COLUMBUS,OH43223
31-1488740
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(23)MARION PLACE II HOUSING INC

1401 WELLNESS ROAD

MARION,OH43302
27-4533938
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(24)KENSINGTON PLACE INC

1001 PARKVIEW BLVD

COLUMBUS,OH43219
31-1311288
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(25)THE GOOD SHEPHERD VILLA INC

726 CENTER STREET

ASHLAND,OH44805
27-2836988
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(26)MARION PLACE III HOUSING INC

1401 WELLNESS ROAD

MARION,OH43302
27-4533938
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
(27)CHOICES FOR DOMESITIC VIOLENCE

245 N GRANT AVENUE

COLUMBUS,OH43215
31-0910779
HOUSING OH 501(C)(3) LINE 9 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Page 2
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












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












Schedule R (Form 990) 2013
Page 3
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
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
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
(1) LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO

M 403,766 ACCOUNTING RECORDS
(2) LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO

R 3,173,650 ACCRUAL




Schedule R (Form 990) 2013
Page 4
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
Page 5
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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