KIOWA COUNTY HEALTH FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- KIOWA COUNTY HEALTH FOUNDATION (EIN 48-1064221)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-15
- IRS object ID
- 201831359349101883
- Schema version
- 2017v2.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T11:12:19-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481210879 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMOLL & BANNING CPA'S LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2410 CENTRAL AVE | AddressLine1Txt |
| City | DODGE CITY | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481064221 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIOWA COUNTY HEALTH FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | C/O TOM CORNS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KIOW | BusinessNameControlTxt |
| Phone | 6207232940 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 77 | AddressLine1Txt |
| City | GREENSBURG | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67054 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOM CORNS | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6207232940 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAMELA S NILHAS CPA | PreparerPersonNm |
| PTIN | P00595521 | PTIN |
| Phone | 6202256100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $468,475 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $1,405 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $1,784 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,784 | InterestOnSavNetInvstIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $3,189 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,784 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $914 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $91 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $823 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $7,620 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $7,580 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $40 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $22 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $22 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $8,556 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $7,671 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $885 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $17,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $17,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $25,556 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $7,671 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $17,885 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$22,367 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $490,842 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $468,475 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $468,475 | SavAndTempCashInvstEOYFMVAmt |
| Total Assets BOY | $490,842 | TotalAssetsBOYAmt |
| Total Assets EOY | $468,475 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $468,475 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $331,991 | CapitalStockBOYAmt |
| Capital Stock EOY | $331,991 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $158,851 | RetainedEarningBOYAmt |
| Retained Earning EOY | $136,484 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $490,842 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $468,475 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $490,842 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $468,475 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $490,842 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$22,367 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $468,475 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $468,475 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $11,891 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $490,288 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.024253 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $7,300 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $494,787 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.014754 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $15,881 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $498,838 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.031836 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $12,865 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $510,127 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.025219 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $26,093 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $517,197 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.050451 | DistributionYr5Rt |
| Total Distribution | 0.146513 | TotalDistributionRt |
| Average Distribution | 0.029303 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $472,464 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $13,845 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $0 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $13,845 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $17,885 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $0 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $0 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $0 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | 0 | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | KS | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | TOM CORNS | IndividualWithBooksNm |
| Phone | 6207232940 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 77 | AddressLine1Txt |
| City | GREENSBURG | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | Yes (1) | UndistributedIncomePYInd |
| Undistributed Income PY1 | 2016 | UndistributedIncomePY1Yr |
| Undistributed Income PY2 | 2015 | UndistributedIncomePY2Yr |
| Undistributed Income PY3 | 2014 | UndistributedIncomePY3Yr |
| Undistributed Income PY4 | 2013 | UndistributedIncomePY4Yr |
| Undistr Incm Sect4942a2 Not App | Yes (1) | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| TOM CORNS | ||||||||
| PO BOX 77 | GREENSBURG | KS | 67054 | TREASURER | 1.00 | $0 | $0 | $0 |
| PAUL KENDALL | ||||||||
| 318 E KINGMAN | MULLINVILLE | KS | 67109 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| MARY SWEET | ||||||||
| 603 S SPRUCE | GREENSBURG | KS | 67054 | DIRECTOR | 2.00 | $0 | $0 | $0 |
| KENNETH UNRUH | ||||||||
| RR 2 BOX 32 | LEWIS | KS | 67552 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| ELMER DAVIS | ||||||||
| 16380 53RD AVE | HAVILAND | KS | 67059 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | GRANTS TO VARIOUS ORGANIZATIONS IN KIOWA COUNTY THAT PROVIDE HEALTH CARE IN KIOWA COUNTY. | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
| Description2 | THE ORGANIZATION HAS PROVIDED SCHOLARSHIPS FOR AREA STUDENTS TAKING MEDICAL RELATED STUDIES. | Description2Txt |
| Expenses2 | $17,000 | Expenses2Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $327,328 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $152,331 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $479,659 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $479,659 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $7,195 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $472,464 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $23,623 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $23,623 | MinimumInvestmentReturnAmt |
| Total Tax | $0 | TotalTaxAmt |
| Distributable Before Adj | $23,623 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $23,623 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $23,623 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $17,885 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $17,885 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $17,885 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $23,623 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $24,514 | UndistributedIncomePYAmt |
| Prior Year1 | 2015 | PriorYear1Yr |
| Prior Year2 | 2014 | PriorYear2Yr |
| Prior Year3 | 2013 | PriorYear3Yr |
| Total For Prior Years | $42,889 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $17,885 | QualifyingDistributionsAmt |
| Applied To Year1 | $17,885 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $0 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $42,889 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $42,889 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $6,629 | Taxable2Amt |
| Undistributed Income CY | $23,623 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp (2 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient PhoneRecipientPhoneNum | Form And Info And MaterialsFormAndInfoAndMaterialsTxt | Submission DeadlinesSubmissionDeadlinesTxt | Restrictions On AwardsRestrictionsOnAwardsTxt |
|---|---|---|---|---|---|---|---|
| TOM CORNS | |||||||
| PO BOX 77 | GREENSBURG | KS | 67054 | 6207232940 | SCHOLARSHIP APPLICATIONS REQUIRE BASIC PERSONAL INFORMATION AND THE APPLICANT'S GRADE POINT AVERAGE. | THE SCHOLARSHIP DEADLINE IS SET ANNUALLY BY THE SCHOLARSHIP ADMINISTRATOR. | SCHOLARSHIP RECIPIENTS MUST BE IN THE MEDICAL FIELD WITH THE POSSIBILITY OF BEING KIOWA COUNTY MEMORIAL HOSPITAL EMPLOYEES. SCHOLARSHIPS ARE LIMITED TO $1,000 PER RECIPIENT PER YEAR. |
| TOM CORNS | |||||||
| PO BOX 77 | GREENSBURG | KS | 67054 | 6207232940 | LETTERS ARE SUBMITTED BY THOSE REQUESTING GRANT AWARDS. | GRANT LETTERS ARE DUE PRIOR TO THE ANNUAL MEETING HELD IN JANUARY. | GRANT AWARDEES MUST PROVIDE SERVICES TO KIOWA COUNTY RESIDENTS. |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (19 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| BRYLEE SHAY CONRAD | ||||||
| 712 W WISCONSIN AVE | GREENSBURG | KS | 67504 | NONE | SCHOLARSHIP | $500 |
| CHELSYE RACETTE | ||||||
| 412 S OLIVE | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $1,000 |
| DANA CONRAD | ||||||
| 712 W WISCONSIN AVE | GREENSBURG | KS | 67504 | NONE | SCHOLARSHIP | $1,500 |
| HELEN KELSE FRANCIS | ||||||
| 1965 MILLER ST | LEWIS | KS | 67552 | NONE | SCHOLARSHIP | $500 |
| JANESSA ZENGER | ||||||
| 8021 H STREET | MULLINVILLE | KS | 67109 | NONE | SCHOLARSHIP | $1,000 |
| JOHN D COLCLAZIER | ||||||
| 603 S SPRUCE | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $1,500 |
| KAITLIN ROSS | ||||||
| PO BOX 84 505 E CHESTNUT | HAVILAND | KS | 67059 | NONE | SCHOLARSHIP | $500 |
| KRISTEN SPAINHOUR | ||||||
| 304 S BAY ST | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $1,000 |
| LACHELLE TUTTLE | ||||||
| PO BOX 337 | HAVILAND | KS | 67059 | NONE | SCHOLARSHIP | $500 |
| LINDSEY WRIGHT | ||||||
| 318 HARVEST LANE | MAIZE | KS | 67101 | NONE | SCHOLARSHIP | $500 |
| MACKENZIE KENDALL | ||||||
| 422 W GRANT AVE | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $1,000 |
| MELANIE BROWN | ||||||
| 14093 11TH AVE | MULLINVILLE | KS | 67109 | NONE | SCHOLARSHIP | $500 |
| MICAH COLE KENDALL | ||||||
| 422 W GRANT AVE | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $1,500 |
| MORGAN POWELL | ||||||
| 611 S SPRUCE ST | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $1,000 |
| MORGAN TYREE | ||||||
| PO BOX 266 | KINSLEY | KS | 67547 | NONE | SCHOLARSHIP | $1,500 |
| MORGAN ULRICH | ||||||
| 4141 S BAY ST | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $1,000 |
| ROSS BINFORD | ||||||
| 317402 S AVE | HAVILAND | KS | 67059 | NONE | SCHOLARSHIP | $500 |
| TATUM MCKINNEY | ||||||
| 14196 29TH AVE | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $500 |
| TIERRA COOPER | ||||||
| 216 W GRANT | GREENSBURG | KS | 67054 | NONE | SCHOLARSHIP | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $17,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,784 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $1,784 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,784 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $914 | Amt |
| Net Investment Income | $91 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $823 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OFFICE EXPENSE | $4 | $0 | $4 |
| MISCELLANEOUS EXPENSE | $18 | $0 | $18 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| CORPORATE ANNUAL FEE | $40 | $0 | $40 |
| EXCISE TAX | $7,580 | $7,580 | $0 |
Comments