efile Public Visual Render
ObjectId: 201632849349300038 - Submission: 2016-10-10
TIN: 11-2458584
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Information about Schedule J (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
15
Open to Public Inspection
Name of the organization
Independent Group Home Living Program Inc
Employer identification number
11-2458584
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 on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
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.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
4
During the year, did any person listed on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on 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
Yes
8
Were any amounts reported on 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" on 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) 2015
Page 2
Schedule J (Form 990) 2015
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 on 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 in column(B) reported as deferred on prior Form 990
(i)
Base compensation
(ii)
Bonus & incentive compensation
(iii)
Other reportable compensation
1
Walter Stockton
ceo
(i)
(ii)
284,554
-------------
0
20,806
-------------
0
67,356
-------------
0
60,417
-------------
0
16,553
-------------
0
449,686
-------------
0
0
-------------
0
2
Mary Beth Lichtneger
cfo
(i)
(ii)
168,601
-------------
0
12,407
-------------
0
12,829
-------------
0
12,724
-------------
0
25,863
-------------
0
232,424
-------------
0
0
-------------
0
3
Doris Geier
Sr Director of Human Resources
(i)
(ii)
158,590
-------------
0
11,729
-------------
0
24,251
-------------
0
11,920
-------------
0
19,554
-------------
0
226,044
-------------
0
0
-------------
0
4
Thomas Trakoval
Sr Director of Program
(i)
(ii)
198,705
-------------
0
14,949
-------------
0
8,517
-------------
0
14,773
-------------
0
20,080
-------------
0
257,024
-------------
0
0
-------------
0
5
William R Herrick
Sr director of QA
(i)
(ii)
153,663
-------------
0
11,734
-------------
0
5,042
-------------
0
11,394
-------------
0
19,381
-------------
0
201,214
-------------
0
0
-------------
0
6
Frank Lombardi
ASST to CEO/Dir. of foundation
(i)
(ii)
130,868
-------------
0
9,755
-------------
0
15,202
-------------
0
9,875
-------------
0
25,675
-------------
0
191,375
-------------
0
0
-------------
0
7
Frank Mcgovern
Director of MIS
(i)
(ii)
110,613
-------------
12,414
-------------
0
14,111
-------------
0
2,870
-------------
0
24,122
-------------
0
164,130
-------------
0
0
-------------
0
Schedule J (Form 990) 2015
Page 3
Schedule J (Form 990) 2015
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
Schedule j, part I, line 3
IGHL establishes the compensation of the officers reported on this 990 utilizing the following: Independent Compensation Consultants, Form 990 tax returns of other organizations, compensation surveys or study, and approval by the Board of Directors. IGHL has written employment agreements in place for all officers reported, which outline compensation including all forms of wages and fringe benefits. IGHL uses an outside independent accounting consultant firm with expertise in the not-for-profit industry to perform compensation analyses of the executive positions. The compensation analyses include compensation surveys of comparable positions based upon the compensation and fringe benefits reported on the 990 tax returns for comparable agencies in the industry. IGHL last had a study completed in 2015. The results of the compensation analyses are presented to the Board of Directors, who review the analyses to determine appropriate compensation levels and ensure compliance with the Due Diligence Guidelines as outlined in IRC 4958. The basis for its determination and all decisions made are contemporaneously documented in meeting minutes. Schedule J, Line 4(b) Chief Executive Officer, Walter Stockton, participates in a supplemental nonqualified Section 457(f) plan; in 2015, IGHL contributed $40,000 into Mr. Stockton's 457(f) plan. Schedule j, part I, line 7 The Independent Group Home Living Program has an employee bonus plan in place for all employees of the organization (not just executives). Bonuses are not guaranteed and are only awarded if the organization meets certain performance and economic goals during the year. In 2015, IGHL issued bonuses to those employees that met specific performance goals. Only when the regular employee pool is eligible for bonuses does IGHL's executive management staff also receive bonuses. All bonuses are approved by the Board of Directors and contemporaneously documented in the Board Minutes. Executive bonuses are based on performance evaluations and never exceed 5%. All bonuses are recommended by the CEO and other management, but are required to be approved by the Board. No individual receiving a bonus had any input in the decision making process on his or her own bonus. The plan establishes a scale that ranges from 0 to 5% that applies to all IGHL employees; depending on an individual's performance during the year.
Schedule J (Form 990) 2015
Additional Data
Software ID:
Software Version: