INGERSOLL ADULT HOME INC: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
INGERSOLL ADULT HOME INC (EIN 14-1364550)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-07-10
IRS object ID
201711919349100216
Schema version
2015v3.0
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)
Return2017-07-10T13:19:31-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 WEMBLEY COURTAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141364550EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INGERSOLL ADULT HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINGEBusinessNameControlTxt
Phone5183704419PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13359 CONSAUL ROADAddressLine1Txt
CityNISKAYUNACityNm
State AbbreviationNYStateAbbreviationCd
ZIP12304ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCAROLINE THOMPSONPersonNm
Person TitleFINANCE MANAGERPersonTitleTxt
Phone5183704419PhoneNum
Signature2017-06-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH MCGIVNEYPreparerPersonNm
PTINP01324731PTIN
Phone5184644080PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$10,333,355FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$14,464ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$14,963DividendsRevAndExpnssAmt
Dividends Net Invst Incm$14,963DividendsNetInvstIncmAmt
Dividends Adj Net Incm$14,963DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss-$25,039NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$870,627GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$3,250,468OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$0OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$3,254,856TotalRevAndExpnssAmt
Total Net Invst Incm$14,963TotalNetInvstIncmAmt
Total Adj Net Incm$14,963TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$98,434CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$98,434CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$1,402,201OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$1,402,201OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$358,487PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$358,487PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$5,129LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$5,129LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$9,285AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$9,285AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$174,444OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$1,251OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$1,251OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$173,193OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$320,404InterestRevAndExpnssAmt
Interest Net Invst Incm$0InterestNetInvstIncmAmt
Interest Adj Net Incm$0InterestAdjNetIncmAmt
Interest Dsbrs Chrtbl$320,404InterestDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$282,313DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$0DeprecAndDpltnAdjNetIncmAmt
Other Expenses Rev And Expnss$1,754,268OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$1,754,268OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$4,404,965TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,251TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$1,251TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,121,401TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$4,404,965TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,251TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$1,251TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$4,121,401TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$1,150,109ExcessRevenueOverExpensesAmt
Net Investment Income$13,712NetInvestmentIncomeAmt
Adjusted Net Income$13,712AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$254,633CashBOYAmt
Cash EOY$16,066CashEOYAmt
Cash EOYFMV$16,066CashEOYFMVAmt
Sav And Temp Cash Invst BOY$471,975SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$472,257SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$472,257SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$43,086AcctRcvblAmt
Acct Rcvbl BOY$27,500AcctRcvblBOYAmt
Acct Rcvbl EOY$43,086AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$43,086AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$30,301PrepaidExpensesBOYAmt
Prepaid Expenses EOY$56,832PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$56,832PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$714,332CorporateStockBOYAmt
Corporate Stock EOY$72,092CorporateStockEOYAmt
Corporate Stock EOYFMV$72,092CorporateStockEOYFMVAmt
Corporate Bonds BOY$404,426CorporateBondsBOYAmt
Corporate Bonds EOY$595,133CorporateBondsEOYAmt
Corporate Bonds EOYFMV$595,133CorporateBondsEOYFMVAmt
Other Investments BOY$43,019OtherInvestmentsBOYAmt
Land Bldg Equip Cost Or Other Bss$10,727,236LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,152,741LandBldgEquipAccumDeprecAmt
Land BOY$8,819,803LandBOYAmt
Land EOY$8,574,495LandEOYAmt
Land EOYFMV$8,574,495LandEOYFMVAmt
Other Assets BOY$944,369OtherAssetsBOYAmt
Other Assets EOY$503,394OtherAssetsEOYAmt
Other Assets EOYFMV$503,394OtherAssetsEOYFMVAmt
Total Assets BOY$11,710,358TotalAssetsBOYAmt
Total Assets EOY$10,333,355TotalAssetsEOYAmt
Total Assets EOYFMV$10,333,355TotalAssetsEOYFMVAmt
Accounts Payable BOY$275,894AccountsPayableBOYAmt
Accounts Payable EOY$98,438AccountsPayableEOYAmt
Deferred Revenue BOY$47,383DeferredRevenueBOYAmt
Deferred Revenue EOY$48,925DeferredRevenueEOYAmt
Mortgages And Notes Payable BOY$7,955,000MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$9,022,236MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$1,801,580OtherLiabilitiesBOYAmt
Other Liabilities EOY$520,709OtherLiabilitiesEOYAmt
Total Liabilities BOY$10,079,857TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,690,308TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$1,121,468UnrestrictedBOYAmt
Unrestricted EOY$134,014UnrestrictedEOYAmt
Permanently Restricted BOY$509,033PermanentlyRestrictedBOYAmt
Permanently Restricted EOY$509,033PermanentlyRestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$1,630,501TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$643,047TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$11,710,358TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$10,333,355TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,630,501TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$1,150,109ExcessRevenueOverExpensesAmt
Other Increases$162,655OtherIncreasesAmt
Subtotal$643,047SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$643,047TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyREALIZED LOSSPropertyDesc
Gross Sales Price$870,627GrossSalesPriceAmt
Cost Or Other Basis$895,666CostOrOtherBasisAmt
Gain Or Loss-$25,039GainOrLossAmt
Gains Minus Excess Or Losses-$25,039GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income-$25,039CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$0NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Exempt Operating FoundationsYes (X)ExemptOperatingFoundationsInd
Ruling Letter1988-04-04RulingLetterDt
Not ApplicableN/ANotApplicableCd
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$0TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (1)PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.INGERSOLLPLACE.COMWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1CAROLINE THOMPSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5183704419PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line13359 CONSAUL ROADAddressLine1Txt
CityNISKAYUNACityNm
State AbbreviationNYStateAbbreviationCd
ZIP12304ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CAROL KIDDLE
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
GEDIA DEMARIA
3359 CONSAUL ROADSCHENECTADYNY12304VICE PRESIDENT1.00$0$0$0
DAVID GALLUP
3359 CONSAUL ROADSCHENECTADYNY12304PRESIDENT1.00$0$0$0
JAMES ERCEG
3359 CONSAUL ROADSCHENECTADYNY12304SECRETARY1.00$0$0$0
HEATHER R LEWIS
3359 CONSAUL ROADSCHENECTADYNY12304TREASURER1.00$0$0$0
LEONARD ANGERAME
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
SCOTT CROWDER
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
RICHARD B GRIBBEN
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
THOMAS B HAYNER
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
LYNN LARRABEE
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
REV MICHAEL J NEUFELD
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
THOMAS PRAWDZIK
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
KATHLEEN LOWES SANVIDGE
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
PAUL C SEBESTA
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
DENISE SLATTERY
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
RANDY L STARK
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
RICHARD E SWETT
3359 CONSAUL ROADSCHENECTADYNY12304TRUSTEE1.00$0$0$0
JACQUELINE WECKESSER
3359 CONSAUL ROADSCHENECTADYNY12304EXECUTIVE DIRECTOR40.00$95,764$2,670$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
CEIL MACK
3359 CONSAUL ROADSCHENECTADYNY12304MARKETING DIRECTOR40.00$66,779$0$10,331
STEPHEN GRABKOWSKI
3359 CONSAUL ROADSCHENECTADYNY12304FOOD SERVICE DIRECTO40.00$53,522$1,630$15,175
BETHANY EVEREST
3359 CONSAUL ROADSCHENECTADYNY12304RESIDENT CARE DIRECT40.00$55,391$841$2,975
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
THE NURSE CONNECTION STAFFING
1 COMPUTER DRIVE SOUTHALBANYNY12205TEMPORARY NURSING SERVICES$126,472
FLIK LIFESTYLES
PO BOX 102289ATLANTAGA30368DINING ROOM SERVICES$101,480
ICC MANAGEMENT & CONSULTING INC
25 COMPUTER DRIVE EASTALBANYNY12205BUSINESS CONSULTING$60,000
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE FOUNDATION PROVIDES A PERMANENT RESIDENCE IN UP TO 72 UNITS FOR ELDERLY LOW INCOME INDIVIDUALS.Description1Txt
Expenses1$4,404,965Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$756,001AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$557,841AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,313,842TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,313,842AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$19,708CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,294,134NetVlNoncharitableAssetsAmt
Minimum Investment Return$64,707MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$4,121,401ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$4,121,401QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$4,121,401AdjustedQualifyingDistriAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Private Operating Fndtn Ruling1988-04-04PrivateOperatingFndtnRulingDt
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$13,712CurrentYearAmt
Year1$26,891Year1Amt
Year2$27,816Year2Amt
Year3$25,357Year3Amt
Total$93,776TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$11,655CurrentYearAmt
Year1$22,857Year1Amt
Year2$23,644Year2Amt
Year3$21,553Year3Amt
Total$79,710TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$4,121,401CurrentYearAmt
Year1$3,151,877Year1Amt
Year2$2,996,574Year2Amt
Year3$2,725,865Year3Amt
Total$12,995,717TotalAmt

Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$4,121,401CurrentYearAmt
Year1$3,151,877Year1Amt
Year2$2,996,574Year2Amt
Year3$2,725,865Year3Amt
Total$12,995,717TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Year1$0Year1Amt
Total$0TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Current Year$43,138CurrentYearAmt
Year1$63,313Year1Amt
Year2$65,931Year2Amt
Year3$60,839Year3Amt
Total$233,221TotalAmt

Total Support TotalSupportGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Public Support Type PublicSupportType

FieldValueIRS element (for citing)
Total$0TotalAmt

Largest Support From EO LargestSupportFromEOGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Investment Income GrossInvestmentIncomeGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd
Total Grant Or Contri Pd Dur Yr$0TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Rev Part VII ProgramServiceRevPartVIIGrp (2 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
ROOM & BOARD FEES16$3,249,332
MISCELLANEOUS INCOME$1,136

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$14,963ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm-$25,039RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$3,265,431ExclusionAmt
Related Or Exempt Function Incm-$25,039RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$3,240,392TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number1ALineNumberTxt
Relationship StatementROOM AND BOARD RECEIVED FROM RESIDENTSRelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$9,285Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$9,285DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondINVESTMENTSBondNm
EOY Book Value$595,133EOYBookValueAmt
EOYFMV$595,133EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockINVESTMENTSStockNm
EOY Book Value$72,092EOYBookValueAmt
EOYFMV$72,092EOYFMVAmt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (4 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmtEOYFMVEOYFMVAmt
FURNITURE & EQUIPMENT$177,023$103,103$73,920$73,920
TRANSPORTATION EQUIPMENT$59,929$25,827$34,102$34,102
BUILDINGS & IMPROVEMENTS$9,490,284$2,023,811$7,466,473$7,466,473
LAND$1,000,000$0$1,000,000$1,000,000

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$5,129LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$5,129DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (3 entries)

BOY Book ValueBOYBookValueAmtDescDescEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
$944,369
INSURANCE RECOVERY RECEIVABLE$140,000$140,000
HUD PROJECT COSTS$363,394$363,394

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (18 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ACTIVITIES$23,008$0$0$23,008
ADVERTISING AND MARKETING$16,229$0$0$16,229
AMORTIZATION$17,418$0$0$17,418
AUTOMOBILE EXPENSE$3,811$0$0$3,811
COMMISSIONS$7,686$0$0$7,686
CONTRIBUTION EXPENSE$775$0$0$775
DIETARY AND MEDICAL EXPENSES$160,964$0$0$160,964
FOOD AND HOUSE SUPPLIES$267,674$0$0$267,674
INSURANCE$57,827$0$0$57,827
LINEN RENTAL$17,066$0$0$17,066
MEMBERSHIP FEES$2,284$0$0$2,284
REPAIRS AND MAINTENANCE$124,039$0$0$124,039
TELEPHONE$17,102$0$0$17,102
UTILITIES$95,996$0$0$95,996
OFFICE SUPPLIES$32,065$0$0$32,065
TRAINING AND EDUCATION$24,308$0$0$24,308
MISCELLANEOUS$10,593$0$0$10,593
BOND ISSUANCE COSTS$875,423$0$0$875,423

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
ROOM & BOARD FEES$3,249,332$0
MISCELLANEOUS INCOME$1,136$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
CHANGE IN SWAP LIABILITY$99,580
UNREALIZED G/L$63,075

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (5 entries)

BOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtDescDesc
$1,801,580$0
$0$50,000LINE OF CREDIT
$0$134,876CURRENT PORTION LONG-TERM DEBT
$0$140,000INSURANCE SETTLEMENT PAYABLE
$0$195,833RESIDENT DEPOSITS

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryOTHER PROFESSIONAL FEESCategoryTxt
Amt$174,444Amt
Net Investment Income$1,251NetInvestmentIncomeAmt
Adjusted Net Income$1,251AdjustedNetIncomeAmt
Disbursements Charitable Prps$173,193DisbursementsCharitablePrpsAmt

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