2016-05-13T16:34:52-05:00 2015-12-31 481210879 SMOLL & BANNING CPA'S LLC 2410 CENTRAL AVE DODGE CITY KS 67801 990PF 2015-01-01 481064221 KIOWA COUNTY HEALTH FOUNDATION C/O TOM CORNS KIOW 6207233341 304 S SPRUCE GREENSBURG KS 67054 TOM CORNS TREASURER 6207233341 2016-05-13 1 PAMELA S NILHAS CPA P00595521 6202256100 2015 2016-09-27 15:27:22Z X 504664 X 13175 X 1788 1788 0 14963 1788 0 0 0 823 82 741 2938 2898 40 19 0 19 3780 2980 800 6500 6500 10280 2980 7300 4683 0 499981 504664 504664 499981 504664 504664 0 0 X 331991 331991 0 0 167990 172673 499981 504664 499981 504664 499981 4683 0 504664 0 504664 0 15881 498838 0.031836 12865 510127 0.025219 26093 517197 0.050451 32010 546336 0.058590 9364 557480 0.016797 0.182893 0.036579 494787 18099 0 18099 7300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 KS 1 0 0 0 0 1 N/A TOM CORNS 6207232131 GREENSBURG STATE BANK 240 S MAIN GREENSBURG KS 67054 0 0 0 0 0 0 0 0 1 2013 1 0 0 0 0 0 0 0 0 0 0 0 ROGER STAATS 418 S POPLAR GREENSBURG KS 67054 PRESIDENT 1.00 0 0 0 TOM CORNS 304 S SPRUCE GREENSBURG KS 67054 TREASURER 1.00 0 0 0 PAUL KENDALL 318 E KINGMAN MULLINVILLE KS 67109 DIRECTOR 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 NONE 0 NONE 0 GRANTS TO VARIOUS ORGANIZATIONS IN KIOWA COUNTY THAT PROVIDE HEALTH CARE IN KIOWA COUNTY. 0 THE ORGANIZATION HAS PROVIDED SCHOLARSHIPS FOR AREA STUDENTS TAKING MEDICAL RELATED STUDIES. 6500 0 0 352100 150222 502322 0 0 502322 7535 494787 24739 24739 0 24739 0 24739 0 24739 7300 0 7300 0 7300 24739 24922 2013 9594 0 7300 7300 0 0 0 0 0 0 0 9594 9594 0 17622 24739 0 0 0 TOM CORNS 304 S SPRUCE GREENSBURG KS 67054 6207232131 SCHOLARSHIP APPLICATIONS REQUIRE BASIC PERSONAL INFORMATION AND THE APPLICANT'S GRADE POINT AVERAGE. THE SCHOLARSHIP DEADLINE IS SET ANNUALLY BY THE SCHOLARSHIP ADMINISTRATOR. SCHOLARHIP 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 304 S SPRUCE GREENSBURG KS 67054 6207232131 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. CHARITY SCHMIDT 404 S WALNUT GREENSBURG KS 67054 NONE SCHOLARSHIP 500 HEATHER MELTON 8126 37TH AVE HAVILAND KS 67059 NONE SCHOLARSHIP 500 KRISTEN SPAINHOUR 304 S BAY ST GREENSBURG KS 67054 NONE SCHOLARSHIP 1000 MORGAN FULTON 1216 S MAIN GREENSBURG KS 67054 NONE SCHOLARSHIP 500 RIANN HEFT 20172 33RD AVE GREENSBURG KS 67054 NONE SCHOLARSHIP 500 ROSS BINFORD 317402 S AVE HAVILAND KS 67059 NONE SCHOLARSHIP 1000 CHELSYE RACETTE 412 S OLIVE GREENSBURG KS 67054 NONE SCHOLARSHIP 500 MICHAL COLE KENDEL 422 W GRANT GREENSBURG KS 67054 NONE SCHOLARSHIP 1000 CANYON PACKARD 3073 AVENUE J BROOKVILLE KS 67425 NONE SCHOLARSHIP 500 GRACE SIROIS 217 N MILLWOOD WICHITA KS 67203 NONE SCHOLARSHIP 500 6500 0 14 1788 0 1788 0 1788 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 823 82 741 MISCELLANEOUS EXPENSE 19 0 19 CORPORATE ANNUAL FEE 40 0 40 EXCISE TAX 2898 2898 0