FURP.ORG / PUBLIC DATA EXPLORER

KABUL NURSING HOMES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
KABUL NURSING HOMES INC (EIN 43-0834159)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202123169349304437
Schema version
2020v4.1
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)
Return2021-11-12T10:18:02-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430834159EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KABUL NURSING HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DEBRA DOTSONInCareOfNm
Business Name ControlKABUBusinessNameControlTxt
Phone4179623713PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MAIN STREETAddressLine1Txt
CityCABOOLCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65689ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTOM COATSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4179623713PhoneNum
Signature2021-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTOMPersonFirstNm
Person LastCOATSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEBRA DOTSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MAIN STREETAddressLine1Txt
CityCABOOLCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65689ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,776,450GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KABULNH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionKABUL NURSING HOME OFFERS 24-HOUR SKILLED CARE, PARTICIPATING INCARE. SERVICES ARE OFFERED REGARDLESS OF RACE, COLOR, CREED, SEX, RELIGIOUS AFFILIATION OR THE ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee170TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$68,231PYContributionsGrantsAmt
CY Contributions Grants$728,624CYContributionsGrantsAmt
PY Program Service Revenue$4,998,837PYProgramServiceRevenueAmt
CY Program Service Revenue$5,045,438CYProgramServiceRevenueAmt
PY Investment Income-$6,512PYInvestmentIncomeAmt
CY Investment Income-$2,991CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,060,556PYTotalRevenueAmt
CY Total Revenue$5,771,071CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,797,058PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,448,995CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,165,522PYOtherExpensesAmt
CY Other Expenses$2,323,938CYOtherExpensesAmt
PY Total Expenses$4,962,580PYTotalExpensesAmt
CY Total Expenses$5,772,933CYTotalExpensesAmt
PY Revenues Less Expenses$97,976PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,862CYRevenuesLessExpensesAmt
Total Assets BOY$3,369,230TotalAssetsBOYAmt
Total Assets EOY$3,706,473TotalAssetsEOYAmt
Total Liabilities BOY$870,017TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,209,122TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,499,213NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,497,351NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PLAN, BUILD AND OPERATE A NURSING AND CONVALESCENT HOME IN THE CABOOL, MISSOURI AREA. SEE SCHEDULE O FOR THE FULL MISSION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,257,476ExpenseAmt
Revenue$3,677,076RevenueAmt
DescKABUL NURSING HOME - A FULL SERVICE SKILLED NURSING HOME FOR SHORT AND LONG TERM STAYS. KABUL OFFERS A RANGE OF SERVICES INCLUDING: PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY, IN-HOUSE BEAUTY SHOP, SOCIAL SERVICES, PHYSICIAN VISITS, PHARMACY SERVICES AND A DIETICIAN, AS WELL AS NUMEROUS OTHER ITEMS TO HELP MAKE PATIENTS STAY MORE ENJOYABLE. APPROXIMATELY 115 RESIDENTS WERE SERVED DURING THE YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$826,803ExpenseAmt
Revenue$837,111RevenueAmt
DescLANDMARK VILLA - A 24-HOUR STAFFED ASSISTED LIVING FACILITY. LANDMARK VILLA OFFERS PRIVATE ROOMS, MEDICATION ADMINISTRATION, FREE LAUNDRY AND HOUSEKEEPING SERVICES, THREE BALANCED MEALS A DAY, IN-HOUSE BEAUTY SHOP, DAILY AND EXTRACURRICULAR ACTIVITIES, ON-SITE NURSE, EMERGENCY PULL CORDS IN EACH APARTMENT, AND CHURCH SERVICES. APPROXIMATELY 50 RESIDENTS WERE SERVED DURING THE YEAR.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$600,542ExpenseAmt
Revenue$531,251RevenueAmt
DescPINEVIEW HEIGHTS SENIOR APARTMENTS AND PINEVIEW HEIGHTS RESIDENTIAL CARE - SENIOR INDEPENDENT LIVING WITH INCOME BASED RENT. PINEVIEW HEIGHTS OFFERS SOCIAL SERVICES, IN-HOUSE BEAUTY SHOP, GROCERY DELIVERY, TRANSPORTATION SERVICE, NOON MEAL SERVICE, EMERGENCY PULL CORDS IN EACH APARTMENT, AND DAILY ACTIVITIES. ADDITIONALLY, THE RESIDENTIAL CARE FACILITY IS A 16-BED RESIDENTIAL CARE II FACILITY LOCATED WITHIN THE APARTMENTS. APPROXIMATELY 72 RESIDENTS WERE SERVED DURING THE YEAR.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$4,684,821TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee170EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEBRA DOTSONPersonNm
Phone4179623713PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 MAIN STREETAddressLine1Txt
CityCABOOLCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65689ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DEBRA DOTSON
ADMINISTRATOR40.00.0Yes (X)$82,530$0$14,400
TOM COATS
PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
LINDA EVERETT
TREASURER1.00.0Yes (X)$0$0$0Yes (X)
ROBERTA TAYLOR
SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
EVELYN WHETSTINE
BOARD MEMBER1.00.0$0$0$0Yes (X)
JIM PERRY
BOARD MEMBER1.00.0$0$0$0Yes (X)
LARRY BAKER
BOARD MEMBER1.00.0$0$0$0Yes (X)
GARY MAGGARD
VICE PRESIDENT1.00.0Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$82,530TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$14,400TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BKD LLP
910 E ST LOUIS STREETSPRINGFIELDMO658011190COST RPT/RVW/TAX$119,473
QUALITY CARE REHAB INC
8477 S SUNCOAST BLVDHOMOSASSAFL34446THERAPY$460,830
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$728,194GovernmentGrantsAmt
All Other Contributions$430AllOtherContributionsAmt
Total Contributions$728,624TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE623000$4,636,631$4,636,631
RENTAL INCOME531110$394,072$394,072
OTHER OPERATING REVENUE623000$14,735$14,735
FieldValueIRS element (for citing)
Total Program Service Revenue$5,045,438TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,388TotalRevenueColumnAmt
Exclusion$2,388ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,379OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$5,379OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,379TotalRevenueColumnAmt
Exclusion-$5,379ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,771,071TotalRevenueColumnAmt
Related Or Exempt Func Income$5,045,438RelatedOrExemptFuncIncomeAmt
Exclusion-$2,991ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$96,930TotalAmt
Management And General$96,930ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,054,386TotalAmt
Program Services$2,642,795ProgramServicesAmt
Management And General$411,591ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$79,220TotalAmt
Program Services$75,123ProgramServicesAmt
Management And General$4,097ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$218,459TotalAmt
Program Services$179,593ProgramServicesAmt
Management And General$38,866ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$292TotalAmt
Management And General$292ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$116,885TotalAmt
Management And General$116,885ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$471,949TotalAmt
Program Services$463,335ProgramServicesAmt
Management And General$8,614ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$17,306TotalAmt
Management And General$17,306ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$477,151TotalAmt
Program Services$400,357ProgramServicesAmt
Management And General$76,794ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$102,376TotalAmt
Management And General$102,376ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$248,029TotalAmt
Program Services$194,530ProgramServicesAmt
Management And General$53,499ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,317TotalAmt
Program Services$5,864ProgramServicesAmt
Management And General$3,453ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,775TotalAmt
Program Services$1,371ProgramServicesAmt
Management And General$404ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$20,601TotalAmt
Program Services$17,200ProgramServicesAmt
Management And General$3,401ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$241,831TotalAmt
Program Services$196,836ProgramServicesAmt
Management And General$44,995ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$39,883TotalAmt
Program Services$4,027ProgramServicesAmt
Management And General$35,856ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NRFA & NFAC FEES$258,121$258,121
MEDICAL SUPPLIES & DRUGS$196,235$196,235
LICENSES, DUES, SUBSCRIPTIONS$51,239$836$50,403
REPAIRS & MAINTENANCE$21,674$13,936$7,738

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$49,274TotalAmt
Program Services$34,662ProgramServicesAmt
Management And General$14,612ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,772,933TotalAmt
Program Services$4,684,821ProgramServicesAmt
Management And General$1,088,112ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$530BOYAmt
EOY$530EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$774,117BOYAmt
EOY$1,225,098EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$347,905BOYAmt
EOY$334,686EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$43,710BOYAmt
EOY$51,975EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$24,091BOYAmt
EOY$29,158EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,053,228LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,047,794LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,134,954BOYAmt
EOY$2,005,434EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$43,923BOYAmt
EOY$59,592EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,369,230BOYAmt
EOY$3,706,473EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$367,039BOYAmt
EOY$345,250EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$458,419EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$479,491BOYAmt
EOY$378,028EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,487BOYAmt
EOY$27,425EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$870,017BOYAmt
EOY$1,209,122EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,489,213BOYAmt
EOY$2,487,351EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$10,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,499,213BOYAmt
EOY$2,497,351EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,369,230BOYAmt
EOY$3,706,473EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,862ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$71,183CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,066CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,457CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,231CurrentTaxYearMinus1YearAmt
Current Tax Year$728,624CurrentTaxYearAmt
Total$1,003,561TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,318,802CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,388,854CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,803,298CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,998,837CurrentTaxYearMinus1YearAmt
Current Tax Year$5,045,438CurrentTaxYearAmt
Total$23,555,229TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$4,389,985CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,457,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,869,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,067,068CurrentTaxYearMinus1YearAmt
Current Tax Year$5,774,062CurrentTaxYearAmt
Total$24,558,790TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$24,558,790PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,777CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,194CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,236CurrentTaxYearMinus1YearAmt
Current Tax Year$2,388CurrentTaxYearAmt
Total$7,801TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,777CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,194CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,236CurrentTaxYearMinus1YearAmt
Current Tax Year$2,388CurrentTaxYearAmt
Total$7,801TotalAmt

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$4,391,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,459,126CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,870,949CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,068,304CurrentTaxYearMinus1YearAmt
Current Tax Year$5,776,450CurrentTaxYearAmt
Total$24,566,591TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99968PublicSupportCY509Pct
Public Support PY5090.99968PublicSupportPY509Pct
Investment Income CY0.00032InvestmentIncomeCYPct
Investment Income PY0.00032InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,343OtherActivitiesAmt
Total Lobbying Expenditures$1,343TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1(I)FormAndLineReferenceDesc
ExplanationOTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO AHCA AND MHCA. A PORTION OF THESE DUES ARE USED FOR LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,584BeginningYearBalanceAmt
Investment Earnings Or Losses$78InvestmentEarningsOrLossesAmt
End Year Balance$15,662EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,506BeginningYearBalanceAmt
Investment Earnings Or Losses$78InvestmentEarningsOrLossesAmt
End Year Balance$15,584EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,429BeginningYearBalanceAmt
Investment Earnings Or Losses$77InvestmentEarningsOrLossesAmt
End Year Balance$15,506EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,352BeginningYearBalanceAmt
Investment Earnings Or Losses$77InvestmentEarningsOrLossesAmt
End Year Balance$15,429EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,290BeginningYearBalanceAmt
Investment Earnings Or Losses$62InvestmentEarningsOrLossesAmt
End Year Balance$15,352EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$352,840OtherCostOrOtherBasisAmt
Book Value$352,840BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$5,796,278OtherCostOrOtherBasisAmt
Depreciation$5,158,375DepreciationAmt
Book Value$637,903BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,207,779OtherCostOrOtherBasisAmt
Depreciation$827,234DepreciationAmt
Book Value$380,545BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,638,563OtherCostOrOtherBasisAmt
Depreciation$1,013,452DepreciationAmt
Book Value$625,111BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$57,768OtherCostOrOtherBasisAmt
Depreciation$48,733DepreciationAmt
Book Value$9,035BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,005,434TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTENANT SECURITY DEPOSITSDesc
Amt$27,425Amt
FieldValueIRS element (for citing)
Total Liability$27,425TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: THIS ENDOWMENT IS A CD, WITH A PRINCIPAL AMOUNT OF $10,000, AT THE REQUEST OF THE CONTRIBUTOR OF THE FUNDS. THE CD IS PERPETUAL AND THE INTEREST IS ROLLED BACK INTO THE CD.
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITION: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6VOLUNTEERS: THE ORGANIZATION'S BOARD MEMBERS ARE VOLUNTEERS TO THE ORGANIZATION. IN ADDITION, THE ORGANIZATION HAS THREE INDIVIDUALS WHO VOLUNTEER AT THE NURSING HOME FACILITY.
FORM 990, PART III, LINE 1ORGANIZATION'S MISSION: TO PLAN, BUILD AND OPERATE A NURSING AND CONVALESCENT HOME IN THE CABOOL, MISSOURI AREA ON A NON-PROFIT PLAN, TO CARE FOR THE AGED, INFIRM, AFFLICTED AND CONVALESCENT, REGARDLESS OF RACE, COLOR, CREED, SEX, RELIGIOUS AFFILIATION OR ABILITY TO PAY, WITH NO PART OF NET EARNINGS OR ASSETS INURING TO THE BENEFIT OF AN OFFICER, MEMBER, DIRECTOR OR INDIVIDUAL WHATSOEVER. TO BE A PROVIDER OF PATIENT-CENTERED CARE BY OFFERING HIGH QUALITY, CARING, HOME-LIKE, LONG TERM CARE SERVICES TO ITS RESIDENTS IN AN INNOVATIVE, THERAPEUTIC AND SAFE ENVIRONMENT WHERE ACTIONS ARE DIRECTED TO THE ULTIMATE GOOD OF THE PATIENT.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7BMEMBERS/STOCKHOLDERS: THE ORGANIZATION'S MEMBERS CONSIST OF DELEGATES FROM THE VARIOUS CIVIC, SERVICES, SOCIAL AND RELIGIOUS CLUBS, ORGANIZATION AND CHURCHES IN AND AROUND THE CITY OF CABOOL, MO. MEMBERS ARE SELECTED BY EACH INDIVIDUAL'S CLUB, ORGANIZATION, OR CHURCH AND THEN SUBMITTED TO THE CORPORATION. THE MEMBERS ELECT THE BOARD OF DIRECTORS. THE MEMBERS HAVE THE POWER TO ALTER, AMEND, OR REPEAL THE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING THE REVIEWED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION'S MANAGEMENT. THE RETURN IS REVIEWED BY THE ADMINISTRATOR AND DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO THE RETURN'S SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST: PERSONS COVERED UNDER THIS POLICY ARE DIRECTORS, OFFICERS, AND ALL EMPLOYEES SUCH AS MANAGEMENT AND PURCHASING, WHO CAN INFLUENCE THE ACTIONS OF THE COMPANY. IT SHALL BE THE BOARD, OFFICER'S AND MANAGEMENT'S RESPONSIBILITY TO SCRUTINIZE TRANSACTIONS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES BEFORE ANY TRANSACTION IS CONSUMMATED. ANY BOARD MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON ANY ISSUE RELATED TO THAT CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15AADMINISTRATOR COMPENSATION: THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR. THE REVIEW IS BASED ON PERFORMANCE AND IS DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENT DISCLOSURE: THE ORGANIZATION'S DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING AT THE FACILITY UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PERPETUAL TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesTRUSTPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeTRUSTEntityTypeTxt
Share Of Total Income$78ShareOfTotalIncomeAmt
Share Of EOY Assets$15,662ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PERPETUAL TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeATransactionTypeTxt
Involved$78InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt