2024-11-11T12:19:25-06:00 2023-12-31 341840794 MIRA & KOLENA LTD 4841 MONROE STREET SUITE 350 TOLEDO OH 43623 990 2023-01-01 812432321 MEMORYLANE CARE SERVICES MEMO 4197204940 2500 NORTH REYNOLDS RD TOLEDO OH 43615 SALLI BOLLIN EXECUTIVE DIRECTOR 4197204940 2024-11-08 1 THOMAS E KOLENA P00189837 4194745020 2023 2024-10-15 13:58:12Z SALLI BOLLIN 2500 NORTH REYNOLDS RD TOLEDO OH 43615 1182302 0 X WWW.MEMORYLANECARESERVICES.ORG X 2016 OH TO PROVIDE CARE, SERVICES, ADVICE AND SUPPORT TO PERSONS LIVING WITH ALZHEIMER'S DISEASE, DEMENTIA AND RELATED DISORDERS, AND THEIR FAMILIES AND CAREGIVERS; TO PROVIDE EDUCATION AND INFORMATION TO THE PUBLIC AND HEALTHCARE PROFESSIONALS ABOUT THE NATURE AND EFFECT OF ALZHEIMER'S DISEASE, DEMENTIA AND RELATED DISORDERS. 13 13 24 50 0 0 732783 301231 583586 861189 2867 8832 0 11050 1319236 1182302 0 0 0 0 610776 776105 0 0 8300 671687 488584 1282463 1264689 36773 -82387 1206365 1090502 650114 616638 556251 473864 X TO PROVIDE CARE, SERVICES, ADVICE AND SUPPORT TO PERSONS LIVING WITH ALZHEIMER'S DISEASE, DEMENTIA AND RELATED DISORDERS, AND THEIR FAMILIES AND CAREGIVERS; TO PROVIDE EDUCATION AND INFORMATION TO THE PUBLIC AND HEALTHCARE PROFESSIONALS ABOUT THE NATURE AND EFFECT OF ALZHEIMER'S DISEASE, DEMENTIA AND RELATED DISORDERS. 0 0 1044484 740665 THE ORGANIZATION PROVIDES ADULT DAY SERVICES FOR INDIVIDUALS IMPACTED BY ALZHEIMER'S DISEASE AND RELATED DEMENTIA. THE PROGRAM SERVES AS A RESPITE SERVICE FOR FAMILY CAREGIVERS AND AN OPPORTUNITY FOR PEOPLE WITH DEMENTIA TO INTERACT WITH OTHERS IN A POSITIVE, SAFE AND SUPPORTIVE ENVIRONMENT. THE CENTER IS OPEN MONDAY - FRIDAY, 7:30AM - 5:30PM, OPERATES ON A VOLUNTARY COST SHARE CONTRIBUTION AND OFFERS TRANSPORTATION TO AND FROM THE CENTER, MEALS AND SNACKS, ACTIVITIES AND ASSISTANCE WITH ADL'S. 5929 29524 THE EDUCATION AND CARE COACHING PROGRAM PROVIDES FAMILIES WITH RESOURCES AND HELP WHILE THEY ARE CARING FOR SOMEONE DIAGNOSED WITH ALZHEIMER'S DISEASE OR DEMENTIA. THIS PROGRAM PROVIDES MUCH NEEDED SUPPORT, DIRECTION TO RESOURCES AND EDUCATION ABOUT DEMENTIA RELATED DISEASES FOR FAMILY CAREGIVERS. 116021 91000 THE INSTITUTIONAL RESPITE PROGRAM OFFERS SHORT-TERM RESPITE CARE TO FAMILY CAREGIVERS BY ASSISTING WITH THE COST OF ROOM AND BOARD ASSOCIATED WITH A TEMPORARY RESPITE STAY IN A NURSING HOME OR FACILITY. THIS PROGRAM PROVIDES A MUCH NEEDED BREAK FOR FAMILY CAREGIVESRS TO ATTEND TO PERSONAL OR MEDICAL NEEDS AND ALLOWS THE INDIVIDUAL WITH DEMENTIA TO BE CARED FOR IN A SAFE MANNER. 1166434 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15 0 1 24 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X SALLI BOLLIN 4197204940 2500 NORTH REYNOLDS RD TOLEDO OH 43615 MICHAEL MALONE PAST CHAIR 1.00 X X 0 0 0 ALEX CATCHINGS CHAIR 2.00 X X 0 0 0 ERIC GOLUS TREASURER 1.00 X X 0 0 0 ANTHONY THOMAS DIRECTOR 1.00 X 0 0 0 PHIL WALTON SECRETARY 1.00 X X 0 0 0 TIM WALSH DIRECTOR 1.00 X 0 0 0 JOELLEN APGAR VICE CHAIR 1.00 X X 0 0 0 DIANA WAUGH DIRECTOR 1.00 X 0 0 0 WENDY WATSON DIRECTOR 1.00 X 0 0 0 BONNIE BURMAN DIRECTOR 1.00 X 0 0 0 KAITLYN DUMMITT DIRECTOR 1.00 X 0 0 0 DAVE KOENIG DIRECTOR 1.00 X 0 0 0 JUDY TURNER DIRECTOR 1.00 X 0 0 0 SALLI BOLLIN EXECUTIVE DIRECTOR 40.00 X 134078 0 0 134078 0 0 1 0 0 0 0 79893 221338 301231 SERVICE FEES 624100 527386 527386 ADULT CARE CENTER FEES 624100 213279 213279 INSTITUTIONAL RESPITE 624100 91000 91000 EDUCATION & CARE COACH 624100 29524 29524 861189 8832 8832 11050 0 11050 11050 1182302 861189 0 19882 134078 107262 20112 6704 528646 528646 65329 62685 1983 661 48052 46108 1458 486 35042 35042 78940 64728 14212 4168 4168 16387 15713 626 48 84879 80466 4413 5252 5252 4968 4968 9995 9475 520 8289 8289 INSTITUTIONAL RESPITE 66291 66291 PROGRAM MEALS AND SUPPL 62588 62588 PARTICIPANT TRANSPORTAT 37399 37399 MISCELLANEOUS EXPENSES 33578 30534 3044 40808 40151 256 401 1264689 1166434 89955 8300 28947 200 414301 224673 77277 203464 5720 16471 206015 72896 121021 133119 559099 512575 1206365 1090502 28698 19428 621416 597210 650114 616638 X 541251 473864 15000 0 556251 473864 1206365 1090502 -82387 0 X 0 1 X 1 0 X 567463 607519 585773 612561 432805 2806121 393930 113392 477926 587533 740665 2313446 961393 720911 1063699 1200094 1173470 5119567 0 0 0 5119567 3825 1151 660 2867 8832 17335 3825 1151 660 2867 8832 17335 965218 722062 1064359 1202961 1182302 5136902 0.99660 0.99750 0.00340 0.00250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 170104 45941 124163 21745 20679 1066 14166 6276 7890 133119 OPERATING LEASE RIGHT OF USE ASSSET 512575 512575 VACATION 55715 PAYROLL AND PAYROLL TAXES 27126 RIGHT OF USE OPERATING LEASE 514369 597210 X 1279950 97648 97648 1182302 0 1182302 1362337 97648 97648 1264689 0 1264689 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE GUIDELINES RELATED TO UNCERTAIN TAX POSITIONS AND HAS CONCLUDED THE ORGANIZATION HAS NO SIGNIFICANT FINANCIAL STATEMENT EXPOSURE TO UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2023. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR THE YEARS SUBSEQUENT TO 2020 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, LINE 4 THROUGH THE MEMBER SUBSTITUTION AGREEMENT WITH OHIO COUNCIL FOR COGNITIVE HEALTH, THE COMPOSITION OF THE BOARD OF DIRECTORS WAS MODIFIED. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICER, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO SIGN AN ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 CURRENT SALARY SURVEYS OF SIMILAR NON-PROFIT DATA WERE REVIEWED AND BOARD MEMBERS RECOMMENDED AND APPROVED A SALARY BASED UPON THIS INFORMATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DID NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC DURING THE TAX YEAR.