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KOINONIA SENIOR CARE INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KOINONIA SENIOR CARE INC (EIN 46-1040065)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-16
IRS object ID
202221369349208317
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-16T16:37:22-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481143771PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ESTHER M MOLLHAGEN CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13500 N ROCK ROAD BLDG 300AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67226ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461040065EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KOINONIA SENIOR CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKOINBusinessNameControlTxt
Phone3162099028PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113676 W HIGHLAND SPRINGS CTAddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67235ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTINE BRISCOPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTINEPersonFirstNm
Person LastBRISCOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonESTHER M MOLLHAGENPreparerPersonNm
PTINP00579656PTIN
Phone3166361900PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website Addresswww.kscare.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$86,397GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$39,827ContributionsGiftsGrantsEtcAmt
Program Service Revenue$44,727ProgramServiceRevenueAmt
Investment Income$90InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$1,753FundraisingGrossIncomeAmt
Special Events Direct Expenses$68SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$1,685SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$86,329TotalRevenueAmt
Salaries Other Comp Empl Bnft$50,885SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$1,509FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$3,924PrintingPublicationsPostageAmt
Other Expenses Total$16,285OtherExpensesTotalAmt
Total Expenses$72,603TotalExpensesAmt
Excess Or Deficit For Year$13,726ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$30,001NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$43,727NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$40,969BOYAmt
EOY$44,543EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$40,969BOYAmt
EOY$44,543EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,968BOYAmt
EOY$816EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$30,001BOYAmt
EOY$43,727EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeKOINONIA SENIOR CARE, INC'S MISSION IS: ENRICHING THE LIVES OF HOMEBOUND SENIORS AND THEIR CAREGIVERS, AND ENCOURAGING OUR COMMUNITY TO JOIN US. OUR MOTTO IS TO CAPITVATE OUR COMMUNITY WITH THE CHARACTER OF CHRIST THROUGH COMPASSIONATE C.A.R.E. C - CHRISTIAN FELLOWSHIPA - ASSISTANCE WITH ACTIVITIES OF DAILY LIVINGR - RESPITE CAREE - ERRANDS AND TRANSPORTATION NEEDSPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomKOINONIA SENIOR CARE, INC PROVIDES NON-MEDICAL CARE SERVICES FOR COMPROMISED SENIORS. SERVICES PROVIDED FOR THESE SENIORS INCLUDE CHRISTIAN FELLOWSHIP, ACTIVITIES, PROVIDING ASSISTANCE WITH MEALS, HOUSEKEEPING DUTIES, LAUNDRY, PROVIDING RESPITE CARE SERVICES BY GIVING CAREGIVERS A BREAK AND REST, AND PROVIDING TRANSPORTATION TO APPOINTMENTS, SHOPPING AND OUTINGS. COMMUNITY OUTREACH PROGRAMS INCLUDE PARTNERING WITH CHURCHES TO EDUCATE THEM ON HOW TO SERVE THEIR HOMEBOUND SENIORS AND CAREGIVERS AND PARTNERING WITH SCHOOLS TO PROVIDE EDUCATION AND FIELD EXPERIENCE ON THE NEEDS OF HOMEBOUND SENIORS.DescriptionProgramSrvcAccomTxt
Grants And Allocations$58,359GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$58,359TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
CHRISTINE BRISCO
Executive Dir.31.00$17,660
CHRIS DENNIS
Secretary/Treas1.00$0
LYLE JONES
Chairman1.00$0
DAWN ROBERTS
Secretary10.00$5,717
GWENDOLYN LEWIS
MEMBERS0.50$0
RHONDA TURNER
Vice Chairman0.50$0
MIKE PRIDDLE
Member0.50$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAWN ROBERTSPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113676 W HIGHLAND SPRINGS CTAddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67235ZIPCd
FieldValueIRS element (for citing)
Phone3162099028PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,337CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$93,513CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,015CurrentTaxYearMinus1YearAmt
Current Tax Year$84,554CurrentTaxYearAmt
Total$401,862TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$4,576CurrentTaxYearMinus1YearAmt
Current Tax Year$1,753CurrentTaxYearAmt
Total$6,329TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,337CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$93,513CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$79,591CurrentTaxYearMinus1YearAmt
Current Tax Year$86,307CurrentTaxYearAmt
Total$408,191TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$408,191PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$99CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99CurrentTaxYearMinus1YearAmt
Current Tax Year$90CurrentTaxYearAmt
Total$320TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$99CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99CurrentTaxYearMinus1YearAmt
Current Tax Year$90CurrentTaxYearAmt
Total$320TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,341CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$93,541CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92,542CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$79,690CurrentTaxYearMinus1YearAmt
Current Tax Year$86,397CurrentTaxYearAmt
Total$408,511TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99920PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
Investment Income CY0.00080InvestmentIncomeCYPct
Investment Income PY0.00060InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1012Insurance $3960
Other Expenses.1WEBSITE $3225
Other Expenses.3MATERIALS/SUPPLIES $2123
Other Expenses.4COMPUTER/INTERNET $1745
Other Expenses.6GIFTS $1058
Other Expenses.7TELEPHONE $1054
Other Expenses.8MILEAGE REIMBURSEMENT $1050
Other Expenses.9DONOR SNAP $708
Other Expenses.10TRAINING/EDUCATION $544
Other Expenses.11CONTRIBUTIONS $300
Other Expenses.12MEALS $181
Other Expenses.13PAYPAL/MERCHANT FEES $82
Other Expenses.14BACKGROUND CHECK $76
Other Expenses.15SPEAKING ENGAGEMENTS $51
Other Expenses.16ANNUAL REPORT $40
Other Expenses.17LICENSE AND PERMITS $35
Other Expenses.18MEETINGS $31
Other Expenses.19MISCELLANEOUS $22
Total Liabilities.1PAYROLL LIABILITIES - Beginning $233 PAYROLL LIABILITIES - Ending $808
Total Liabilities.2PPP LOAN PAYABLE-FORGIVENESS REC'D JAN - Beginning $10735 PPP LOAN PAYABLE-FORGIVENESS REC'D JAN - Ending $0

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