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        <BusinessNameLine1Txt>CHISAGO COUNTY LIFE CARE CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% Ann Olson</InCareOfNm>
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        <AddressLine1Txt>PO Box 516</AddressLine1Txt>
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        <ZIPCd>55056</ZIPCd>
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      <PersonNm>Betty Mitchell</PersonNm>
      <PersonTitleTxt>Treasurer</PersonTitleTxt>
      <SignatureDt>2021-07-12</SignatureDt>
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    <TaxYr>2020</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
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      <PrimaryExemptPurposeTxt>Provide one-on-one mentoring to pregnant and parenting women &amp; men on topics such as prenatal &amp; postnatal infant development healthy life choices practical life skills such as budgeting &amp; nutrition information on STDs &amp; healthy reproductive and sexual decision making.</PrimaryExemptPurposeTxt>
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        <DescriptionProgramSrvcAccomTxt>Education &amp; Earn While You Learn Mentoring Program: Provide one-on-one mentoring to pregnant and parenting women &amp; men on topics such as prenatal &amp; postnatal infant development healthy life choices practical life skills such as budgeting &amp; nutrition information on STDs &amp; healthy reproductive and sexual decision-making</DescriptionProgramSrvcAccomTxt>
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        <DescriptionProgramSrvcAccomTxt>Social Service (Baby Boutique) &amp; community program referrals: Provide intake assessments to determine the need. Provide practical &amp; material assistance such as clothing diapers and baby equipment. Utilize resource database to provide information and referrals.</DescriptionProgramSrvcAccomTxt>
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        <DescriptionProgramSrvcAccomTxt>Outreach: Strengthen relationships with existing community partners and identify new community partners in order to identify potential referral sources for clients and increase capacity of programming.</DescriptionProgramSrvcAccomTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Scott Johnson</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>40</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>42080</CompensationAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Ann Olson</PersonNm>
        <TitleTxt>President</TitleTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Jackie Scheldorf</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
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        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Betty Mitchell</PersonNm>
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        <PersonNm referenceDocumentName="CompensationExplanation">Leah Lackas Anderson</PersonNm>
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        <PersonNm referenceDocumentName="CompensationExplanation">Angie Gnau</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Sandra Blake</PersonNm>
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      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
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        <BusinessName>
          <BusinessNameLine1Txt>Betty Mitchell</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6344 Elm St</AddressLine1Txt>
          <CityNm>North Branch</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55056</ZIPCd>
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      <ForeignOfficeInd>false</ForeignOfficeInd>
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      <OperateHospitalInd>false</OperateHospitalInd>
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      <SchoolOperatingInd referenceDocumentName="IRS990ScheduleE">false</SchoolOperatingInd>
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        <CurrentTaxYearMinus3YearsAmt>124727</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>120730</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>125973</CurrentTaxYearMinus1YearAmt>
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        <FormAndLineReferenceDesc>Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>We rely on contributions from individuals and businesses. We had a State Grant that ended 12-31-21</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part II - Line 1, Unusual Grant Lists</FormAndLineReferenceDesc>
        <ExplanationTxt>| Name of the Contributor:, Date of Grant:, Year:, Amount:, Description:| Donor, 10 30 2020, "2020", $10000, COVID Relief grant from the county|</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part II, line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>| S.No:, Amount:, Description:| 1, $15000, PPP Loan forgiven|</ExplanationTxt>
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          <State>RESTRICTED</State>
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        <Event1Nm>Annual Banquet</Event1Nm>
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        <CharitableContriEvent1Amt>21943</CharitableContriEvent1Amt>
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        <FormAndLineReferenceDesc>Doing Business As Names</FormAndLineReferenceDesc>
        <ExplanationTxt>Options for Women of Chisago County</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>| Other Revenues:, Amount:| PPP Loan forgiven, $15000|</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>| Other Expenses:, Amount:| Closing costs on mortgage, $1684.00| Depreciation, $1027.00| Miscellaneous Expense, $221.00| Grant Client Services, $9469.00| Meals for Meetings, $198.00| Newsletter &amp; Postage, $662.00| Outreach Advertising, $3181.00| Office General Administrative Expenses, $4869.00|</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 20</FormAndLineReferenceDesc>
        <ExplanationTxt>| Description:, Explanation:, Amount:| voided check from previous year, voided check from previous year-and reinstated, $-80|</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>| Asset Name:, BOY Amount:, EOY Amount:| Grant Miscellaneous Receivables, $6664, $14920| Petty Cash, $76, $20|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, line 26</FormAndLineReferenceDesc>
        <ExplanationTxt>| Liabilities Name:, BOY Amount:, EOY Amount:| Payroll Taxes Payable, $903, $1640| SBA Loan Payable, 0, $3000| Accounts Payable, $249, $1411| Mortgages or other loans payable, $51493, $79201|</ExplanationTxt>
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