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KOINONIA SENIOR CARE INC: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
KOINONIA SENIOR CARE INC (EIN 46-1040065)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202003219349208065
Schema version
2019v5.0
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)
Return2020-11-16T13:53:18-08:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonESTHER M MOLLHAGENPreparerPersonNm
PTINP00579656PTIN
Phone3166361900PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
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$92,542GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$18,757ContributionsGiftsGrantsEtcAmt
Program Service Revenue$73,686ProgramServiceRevenueAmt
Investment Income$99InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$92,542TotalRevenueAmt
Salaries Other Comp Empl Bnft$70,753SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$25FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$530OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$3,696PrintingPublicationsPostageAmt
Other Expenses Total$16,002OtherExpensesTotalAmt
Total Expenses$91,006TotalExpensesAmt
Excess Or Deficit For Year$1,536ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$25,232NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,768NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$27,582BOYAmt
EOY$28,855EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,582BOYAmt
EOY$28,855EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,350BOYAmt
EOY$2,087EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$25,232BOYAmt
EOY$26,768EOYAmt
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$88,086GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$88,086TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
CHRISTINE BRISCO
Executive Dir.31.00$14,813
CHRIS DENNIS
Vice Chairman1.00$0
CARLENE KLASSEN
Chairman1.00$0
DAWN ROBERTS
OFFICE MANAGER10.00$7,092
LYLE JONES
Sec/Treas1.00$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$19,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,337CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,513CurrentTaxYearMinus1YearAmt
Current Tax Year$92,443CurrentTaxYearAmt
Total$299,014TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$19,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,337CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,513CurrentTaxYearMinus1YearAmt
Current Tax Year$92,443CurrentTaxYearAmt
Total$299,014TotalAmt

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$299,014PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28CurrentTaxYearMinus1YearAmt
Current Tax Year$99CurrentTaxYearAmt
Total$141TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28CurrentTaxYearMinus1YearAmt
Current Tax Year$99CurrentTaxYearAmt
Total$141TotalAmt

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$19,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,341CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,541CurrentTaxYearMinus1YearAmt
Current Tax Year$92,542CurrentTaxYearAmt
Total$299,155TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.99980PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $392
Other Expenses.1012Insurance $2579
Other Expenses.1MATERIALS/SUPPLIES $3660
Other Expenses.3MILEAGE REIMBURSEMENT $1761
Other Expenses.4EDUCATION/TRAINING $1599
Other Expenses.5WEBSITE $1500
Other Expenses.7COMPUTER/INTERNET $825
Other Expenses.8CONTRIBUTIONS $750
Other Expenses.9MEALS $578
Other Expenses.10DONOR SNAP $548
Other Expenses.11GIFTS $543
Other Expenses.12TELEPHONE $516
Other Expenses.13MEETINGS $268
Other Expenses.14BACKGROUND CHECK $209
Other Expenses.15LICENSE AND PERMITS $147
Other Expenses.16MISCELLANEOUS $87
Other Expenses.17ANNUAL REPORT $40
Total Liabilities.1PAYROLL LIABILITIES - Beginning $2350 PAYROLL LIABILITIES - Ending $2087

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