2015-07-21T13:54:07-05:00 2014-12-31 481040139 ADAMS BROWN BERAN AND BALL CHTD PO BOX 1186 HAYS KS 676011186 990 2014-01-01 480671740 ANDBE HOME INC ANDB 7858772601 201 WEST CRANE NORTON KS 67654 JERRY HAWKS PRESIDENT 7858772601 2015-07-14 1 STEVEN R BAUMRUCKER P00290663 7856283046 2014 2016-02-25 16:41:14Z JERRY HAWKS 201 WEST CRANE NORTON KS 67654 4575000 0 X N/A X 1961 KS NURSING HOME RESIDENT CARE. 7 7 177 45 0 0 8468 2169 4416184 4514175 2806 2422 57947 56234 4485405 4575000 0 0 0 0 3294278 3312863 0 0 0 1204687 1285732 4498965 4598595 -13560 -23595 3133328 3107384 1170449 1168100 1962879 1939284 X TO ASSIST AND CARE FOR ELDERLY PEOPLE BY OPERATING A HOME TO PROVIDE SAID ASSISTANCE AND CARE; TO ACQUIRE BY PURCHASE, GIFT, CONSTRUCTION OR OTHERWISE OWN, ESTABLISH AND MAINTAIN SAID HOME AND OTHER PROPERTY AS MAY FROM TIME TO TIME BE DEEMED NECESSARY BY THE BOARD OF DIRECTORS; AND TO BUY, OWN, LEASE AND DISPOSE OF REAL ESTATE AND PERSONAL PROPERTY FOR THE BEST INTEREST OF THE CORPORATION. 0 0 4359696 4570409 ANDBE HOME PROVIDED NURSING CARE TO PATIENTS DURING THE YEAR FOR 26,645 PATIENT DAYS. IT ALSO PROVIDED PATIENT SERVICES IN THE HOME FOR 73 UNITS AND INDEPENDENT LIVING FOR 20 UNITS. 4359696 1 0 0 0 0 0 0 0 0 0 1 0 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 8 0 177 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 KS X NIKKI GRAHAM 7858772601 201 W CRANE NORTON KS 67654 X JERRY HAWKS PRESIDENT 2.00 X X 0 0 0 LYN LINDE SECRETARY 2.00 X X 0 0 0 DAVID GRAHAM TREASURER 2.00 X X 0 0 0 SARA DAVIS BOARD MEMBER 2.00 X X 0 0 0 DORIS NELSON BOARD MEMBER 2.00 X 0 0 0 NETTIE KUHN-VERDI BOARD MEMBER 2.00 X 0 0 0 BOB SPEER BOARD MEMBER 2.00 X 0 0 0 0 0 0 0 0 0 0 0 2169 2169 NET RESIDENT SERVICE R 623000 4514175 4514175 4514175 2422 2422 OTHER REVENUE 623000 33634 33634 COUNTY WARRANT INCOME 623000 22600 22600 56234 4575000 4570409 0 2422 2786702 2628607 158095 26548 21776 4772 250108 230170 19938 249505 237084 12421 2099 2099 26459 26459 12004 12004 2074 2074 164002 164002 4229 4229 48541 48541 131154 131154 33747 33747 CONTRACT SERVICES 231750 231750 SUPPLIES 199936 199936 FOOD 168031 168031 BED TAXES 142351 142351 119355 116244 3111 4598595 4359696 238899 0 564987 459110 379080 381181 183193 219274 37428 20643 4962730 2954918 1947840 2007812 20800 19364 3133328 3107384 106951 158724 836501 785073 226997 224303 1170449 1168100 X 1962879 1939284 1962879 1939284 3133328 3107384 -23595 0 X 0 1 X 0 0 X 14590 24006 76005 8468 2169 125238 4073262 4317649 4364104 4416184 4514175 21685374 20100 17800 19503 21500 22600 101503 4107952 4359455 4459612 4446152 4538944 21912115 0 0 0 21912115 9226 8403 5515 2806 2422 28372 9226 8403 5515 2806 2422 28372 41463 33788 34989 36447 33634 180321 4158641 4401646 4500116 4485405 4575000 22120808 0.99060 0.99030 0.00130 0.00170 X 24607 24607 4035443 2266006 1769437 845393 643571 201822 57287 45341 11946 2007812 ACCRUED WAGES & RELATED DEDUCTIONS 220378 ACCRUED INTEREST 3925 224303 4575000 0 4575000 0 4575000 4598595 0 4598595 0 4598595 A NORTON COUNTY KANSAS - MULTIFAMILY RESIDENTIAL REVENUE BONDS SERIES 2007 486013150 2007-04-09 1170000 TO FINANCE BIEBER COTTAGES, THE INDEPENDENT LIVING UNITS 0 0 0 A 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 ALL PERSONS WHO LIVE IN NORTON COUNTY OR ARE EMPLOYED BY THE ANDBE HOME INC. MAY BECOME A MEMBER OF THE CORPORATION BY REMITTING THE SUM OF NOT LESS THAN ONE DOLLAR ($1.00) WITH MEMBERSHIP BEING FROM DATE OF PAYMENT THROUGH MARCH 1ST OF THE FOLLOWING YEAR. ALL RESIDENTS ARE CONSIDERED TO BE PAID MEMBERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A CORPORATION MEMBERS MUST ATTEND THE ANNUAL MEETING TO RECEIVE A SINGLE BALLOT UPON WHICH THE MEMBER MAY VOTE FOR AS MANY NOMINEES FROM THE SLATE AS THERE ARE DIRECTORS WHOSE TERMS ARE EXPIRING. RESIDENTS OF THE HOME WILL BE ALLOWED TO CAST AN ADVANCED BALLOT ON THE DAY OF THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO EACH MEMBER FOR REVIEW BEFORE BEING FILED WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS AND/OR COMMENTS BROUGHT FORWARD ARE DISCUSSED. ANY NECESSARY CHANGES ARE REFLECTED IN THIS RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT ALL BOARD MEMBERS FILL OUT AN "APPROVED FORM FOR DISCLOSURE OF ACTUAL, POSSIBLE OR APPARENT CONFLICT OF INTEREST AND DUALITIES OF INTEREST" STATEMENT ANNUALLY. THE ORGANIZATION REVIEWS ANY RELATIONSHIPS THAT MAY BE DISCLOSED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT MAINTAIN THIS INFORMATION ON A PUBLICLY AVAILABLE WEBSITE.