2017-11-14T10:41:30-06:00 2016-12-31 621657946 CANNON WRIGHT BLOUNT PLLC 756 RIDGE LAKE BLVD SUITE 100 MEMPHIS TN 381209420 990 2016-01-01 620589737 THE KING'S DAUGHTERS AND SONS HOME KING 9012727405 3568 APPLING ROAD BARTLETT TN 38133 GAYLE TEMPLETON PRESIDENT 9012727405 2017-11-13 1 STUART L KAPLAN CPA P00643422 9016857500 199.227.12.218 2017-11-13 08:50:42 CS P C3D194C6976409EEB1AD07B0525B86741032C67D FF200F628B0826F83F6B05AD06867F75AE631511 2016 2017-02-10 21:41:12Z GAYLE TEMPLETON 3568 APPLING ROAD BARTLETT TN 38133 9889071 0 X N/A X BRANCH OF THE INTERNATIONAL ORDER OF 1908 TN NURSING CARE 9 9 207 126 0 0 562827 569720 8969242 9315088 704 989 97 3274 9532870 9889071 1250 1000 0 0 5439517 5797349 0 0 0 4078853 3941889 9519620 9740238 13250 148833 18087664 17727756 7146063 6775498 10941601 10952258 PROVIDE NURSING CARE TO THE SICK AND ELDERLY. 0 0 9001296 1000 9318362 INTERMEDIATE AND SKILLED HEALTH AND NURSING CARE 108 LICENSED BEDS AVAILABLE 9001296 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 1 207 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 0 X NICOLE WILES 9012727405 3568 APPLING ROAD BARTLETT TN 38133 X WENDELL SMITH CORRESPONDING SECRETARY 0.50 X X 0 0 0 DELIA WAGES TREASURER 0.50 X X 0 0 0 INEZ LOTT DIRECTOR 0.50 X 0 0 0 BARBARA TUGWELL VICE PRESIDENT 0.50 X X 0 0 0 JERI BUCHANAN DIRECTOR 0.50 X 0 0 0 DEBBIE ARRISON RECORDING SECRETARY 0.50 X X 0 0 0 GAYLE TEMPLETON PRESIDENT 1.00 X X 0 0 0 BABS LUSK DIRECTOR 0.50 X 0 0 0 SANDRA MONTAGUE DIRECTOR 0.50 X 0 0 0 0 0 0 1 0 0 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 CONTRACTED DIETARY, LAUNDRY AND HOUSEKEE 1289800 1 4444 565276 569720 INTERMEDIATE & SKILLED 623000 9315088 9315088 9315088 989 989 MISCELLANEOUS 632000 3274 3274 3274 9889071 9318362 0 989 X 1000 1000 4992042 4566842 425200 442064 404411 37653 363243 333697 29546 31147 31147 37511 37511 1535632 1535000 632 4366 4366 158515 69388 89127 64710 64710 211606 211606 2478 2478 18463 18463 96175 96175 372047 372047 208282 208282 SPECIAL LICENSE FEE 482610 482610 MEDICAL SUPPLIES 463259 463259 REHAB LEASE 121407 121407 BAD DEBTS 107275 107275 26406 23931 2475 9740238 9001296 738942 0 74179 16006 592990 587285 823712 937041 39091 42858 67393 65554 10812275 4273404 6803039 6538871 9531287 9393111 155973 147030 18087664 17727756 693801 556751 6399667 6180667 52595 38080 7146063 6775498 X 10802375 10786424 139226 165834 10941601 10952258 18087664 17727756 X 148833 -138176 X 0 1 X 0 0 X 623640 604363 2672682 562827 569720 5033232 7882764 8135618 8590886 8969242 9315088 42893598 8506404 8739981 11263568 9532069 9884808 47926830 0 0 0 47926830 353 8 552 704 989 2606 353 8 552 704 989 2606 8506757 8739989 11264120 9532773 9885797 47929436 0.99990 1.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 469659 469659 7963053 2507550 5455503 2379563 1765854 613709 6538871 BENEFICIAL INTEREST IN KING'S DAUGHTERS AND SONS HOME FOUNDATION,INC. 9393111 F 9393111 CAPITAL LEASES PAYABLE 38080 38080 9724287 -164784 -164784 9889071 0 9889071 9740238 0 9740238 0 9740238 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGES IN VALUE OF INTEREST IN HOME FOUNDATION -138,176. CHANGES IN TEMPORARILY RESTRICTED NET ASSETS -26,608. X 0 0 0 0 0 0 0 0 0 A THE HEALTH EDUCATIONAL AND HOUSING FAC BD OF THE COUNTY OF SHELBY TENNESSEE 521283414 821697VH9 2003-06-05 8200000 CONSTRUCTION OF NURSING FACILITY 0 0 0 A 8200000 161000 64554 7974446 2004 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 1 1 REGIONS BANK 10.000000000000 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 THE KING'S DAUGHTERS AND SONS HOME IS UNDER THE AUSPICES OF THE TENNESSEE BRANCH OF THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS. MEMBERSHIP IN THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS IS AVAILABLE TO INDIVIDUALS DESIRING TO COMPLY WITH THE REQUIREMENTS OF THE ORDER AND SERVE ITS MISSION. MEMBERS ARE ORGANIZED IN CIRCLES AT A LOCAL LEVEL TO CARRY ON THE MISSION OF THE ORDER. FORM 990, PART VI, SECTION A, LINE 7A THE KING'S DAUGHTERS AND SONS HOME (THE HOME) IS UNDER THE AUSPICES OF THE TENNESSEE BRANCH OF THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS. MEMBERSHIP IN THE INTERNATIONAL ORDER OF KING'S DAUGHTERS AND SONS IS AVAILABLE TO INDIVIDUALS DESIRING TO COMPLY WITH THE REQUIREMENTS OF THE ORDER AND SERVE ITS MISSION. MEMBERS ARE ORGANIZED IN CIRCLES AT A LOCAL LEVEL TO CARRY ON THE MISSION OF THE ORDER. MEMBERS OF THE LOCAL CIRCLES ELECT THE BOARD OF DIRECTORS (THE GOVERNING BODY) OF THE HOME. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF THE KING'S DAUGHTERS AND SONS HOME, AND ANY CHANGES AND/OR AMENDMENTS MUST BE APPROVED BY THE MEMBERS FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM; AND IS REVIEWED BY THE EXECUTIVE DIRECTOR BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C BYLAWS AND ANY CHANGES AND AMENDMENTS WHICH REFERENCE THESE ISSUES ARE PROVIDED TO ALL MEMBERS. WRITTEN CORPORATE COMPLIANCE PROGRAM PLANS WHICH REFERENCE THESE ISSUES ARE PROVIDED TO EMPLOYEES. AN EMPLOYEE ATTESTATION STATEMENT IS SIGNED BY THE EMPLOYEE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MEET EVERY MONTH TO REVIEW OPERATIONAL AND FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,535,000. MANAGEMENT AND GENERAL EXPENSES 632. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,535,632. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF INTEREST IN HOME FOUNDATION -138,176.