LIFESTREAM SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIFESTREAM SERVICES INC (EIN 35-1356741)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-01-29
IRS object ID
201300299349301415
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2013-01-29T18:00:24-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN350905017EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WHITINGER & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11100 W WHITE RIVER BLVDAddressLine1
CityMUNCIECity
StateINState
ZIP Code473033776ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351356741EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFESTREAM SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone7657591121Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 308AddressLine1
CityYORKTOWNCity
StateINState
ZIP Code47396ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNETH D ADKINSName
TitleCEOTitle
Phone7657591121Phone
Date Signed2013-01-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN D MARTIN CPAName
PTINP00321694PTIN
Phone7652843384Phone
Date Prepared2013-01-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENNETH D ADKINSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11701 PILGRIM BLVDAddressLine1
CityYORKTOWNCity
StateINState
ZIP Code47396ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7977141GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFESTREAMINC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionLIFESTREAM SERVICES, INC. IS A DESIGNATED AREA AGENCY ON AGING FOR BLACKFORD, DELAWARE, GRANT, HENRY, JAY, MADISON, AND RANDOLPH COUNTIES IN THE STATE OF INDIANA. THE AGENCY'S PRIMARY PURPOSE IS TO PLAN, DEVELOP, COORDINATE AND PROVIDE SERVICES, WHICH ENABLE PERSONS AGE 60+ AND DISABLED OF ANY AGE TO REMAIN INDEPENDENT. OTHER SERVICES ARE PROVIDED TO LOW OR MODERATE INCOME PERSONS AS APPROPRIATE.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees142TotalNbrEmployees
Total Nbr Volunteers202TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6662861ContributionsGrantsPriorYear
Contributions Grants Current Year6517790ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1388409ProgramServiceRevenuePriorYear
Program Service Revenue CY1445412ProgramServiceRevenueCY
Investment Income Prior Year2049InvestmentIncomePriorYear
Investment Income Current Year2007InvestmentIncomeCurrentYear
Other Revenue Prior Year45951OtherRevenuePriorYear
Other Revenue Current Year3142OtherRevenueCurrentYear
Total Revenue Prior Year8099270TotalRevenuePriorYear
Total Revenue Current Year7968351TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3712877SalariesEtcPriorYear
Salaries Etc Current Year3856640SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year205430TotalFundrsngExpCurrentYear
Other Expense Prior Year4222318OtherExpensePriorYear
Other Expenses Current Year4360210OtherExpensesCurrentYear
Total Expenses Prior Year7935195TotalExpensesPriorYear
Total Expenses Current Year8216850TotalExpensesCurrentYear
Revenues Less Expenses Prior Year164075RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-248499RevenuesLessExpensesCY
Total Assets BOY3472770TotalAssetsBOY
Total Assets EOY2235818TotalAssetsEOY
Total Liabilities BOY2684030TotalLiabilitiesBOY
Total Liabilities EOY1695577TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY788740NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY540241NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE QUALITY OF LIFE FOR PEOPLE AT RISK OF LOSING THEIR INDEPENDENCE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3113439Expense
Revenue688680Revenue
DescriptionHOME SERVICE AND CARE MANAGEMENT: LIFESTREAM PROVIDES CARE MANAGEMENT SERVICES TO OVER 6,500 INDIVIDUALS ON AN ANNUAL BASIS. CARE MANAGERS WORK WITH INDIVIDUALS AND THEIR FAMILIES/SUPPORTERS TO DEVELOP A CARE PLAN THAT WILL KEEP THEM INDEPENDENT IN THEIR HOME. THE CARE MANAGERS WORK WITH OVER 70 CONTRACTED PROVIDERS TO AUTHORIZE A WIDE ARRAY OF IN-HOME SERVICES AND SUPPORT. DURING THE 2011 TAX YEAR, LIFESTREAM SERVICES, INC. PROVIDED APPROXIMATELY 55,000 HOURS OF SERVICE IN THIS AREA.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1470829Expense
Revenue290692Revenue
DescriptionNUTRITION: LIFESTREAM SERVICES, INC PROVIDES HOT MEALS DELIVERED DAILY TO OLDER ADULTS AND DISABLED HOMEBOUND INDIVIDUALS. ADDITIONALLY, LIFESTREAM PROVIDES 13 MEAL SITES IN 7 COUNTIES, WHERE OLDER ADULTS CAN CONGREGATE, SOCIALIZE, AND EAT A HOT NUTRITIOUS MEAL. LIFESTREAM SERVED OVER 177,000 MEALS BETWEEN THESE TWO INITIATIVES DURING THE 2011 TAX YEAR.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1636837Expense
Revenue257376Revenue
DescriptionTRANSPORTATION: LIFESTREAM SERVICES, INC IS THE RURAL PUBLIC TRANSIT PROVIDER FOR 7 COUNTIES IN EAST CENTRAL INDIANA. LIFESTREAM OPERATES 24 HIGH-TOP, WHEELCHAIR ACCESSIBLE VEHICLES ON A DAILY BASIS TO RIDERS RANGING FROM AGE 6 TO 98. LIFESTREAM PROVIDED OVER 87,000 TRIPS DURING THE 2011 TAX YEAR.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
1510730INFORMATION AND REFERRAL: LIFESTREAM IS THE 2-1-1 INFORMATION AND REFERRAL PROVIDER FOR EAST CENTRAL INDIANA. LIFESTREAM AVERAGES OVER 1,600 CALLS ON A MONTHLY BASIS. SERVICES INCLUDE MANAGING A DATABASE PROVIDING PHONE ACCESS INFORMATION, PROVIDING COUNSELLING FOR LONG TERM CARE, AND OTHER SUPPORT SERVICES TYPICAL OF A HUMAN SERVICE INTEREST AGENCY. LIFESTREAM RECENTLY ACHIEVED ACCREDITATION THROUGH THE ALLIANCE OF INFORMATION AND REFERRAL SYSTEMS (A NATIONAL ACCREDITATION). WITH THIS ACCREDITATION, ONE BEST-PRACTICE MODEL WAS IDENTIFIED.
144067208664THE ORGANIZATION PROVIDES OTHER CLIENT SERVICES SUCH AS CAREGIVER, PREADMISSIONS SCREENING, SENIOR WORKS, HOUSING, AND ADULT GUARDIANSHIP.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp295140TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev208664TotalOfOtherProgramServiceRev
Total Program Service Expense6516245TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees142NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BETTIE CALDWELL CPABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7657591121TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 PILGRIM BLVDAddressLine1
CityYORKTOWNCity
StateINState
ZIP Code47396ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
KIRK W SHAFER
BOARD MEMBER1.00X000
J ANDREW DALE
BOARD MEMBER3.00X000
LEISA JULIAN
BOARD VICE CHAIR2.00X000X
MARCIA FREEMAN
BOARD CHAIR2.00X000X
DOUGLAS L INMAN
BOARD MEMBER1.00X000
JOHN LONGNAKER III
SECRETARY/TREASURER1.00X000X
SHERRY PEAK-DAVIS
BOARD MEMBER1.00X000
KENNETH ADKINS
PRESIDENT/CEO40.0012784100X
BETTIE CALDWELL
CFO40.006284600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org190687TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INDIVIDUAL SUPPORT SERVICES SKILLED CARE
7665 NORTH RAIDER ROADMIDDLETOWNIN47356HEALTH CARE SERVICES376345
HELP AT HOME INC
1 NORTH STATE STREETCHICAGOIL60602HEALTH CARE SERVICES341868
FAITHFUL FRIENDS HOME HEALTHCARE INC
326 EAST MAIN STREETGAS CITYIN46933HEALTH CARE SERVICES125841
DAYBREAK & VISITING NURSE CARE LLC
1304 MAIN STREETANDERSONIN46016HEALTH CARE SERVICES109351
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Federated Campaigns44471FederatedCampaigns
Fundraising Events30580FundraisingEvents
Government Grants6329775GovernmentGrants
All Other Contributions112964AllOtherContributions
Total Contributions6517790TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CARE MMGT AND IN-HOME624100688680688680
NUTRITION624100290692290692
TRANSPORTATION480000257376257376
HOUSING624100169494169494

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column39170TotalRevenueColumn
Related Or Exempt Function Income39170RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1445412TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2007TotalRevenueColumn
Exclusion$2,007ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events11932GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events30580CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses8790FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column3142TotalRevenueColumn
Exclusion$3,142ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7968351TotalRevenueColumn
Related Or Exempt Function Income1445412RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,149ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total129433Total
Management And General129433ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2910159Total
Program Services2148636ProgramServices
Management And General637714ManagementAndGeneral
Fundraising123809Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total546026Total
Program Services382338ProgramServices
Management And General140420ManagementAndGeneral
Fundraising23268Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total271022Total
Program Services199230ProgramServices
Management And General61414ManagementAndGeneral
Fundraising10378Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7572Total
Program Services825ProgramServices
Management And General6597ManagementAndGeneral
Fundraising150Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48940Total
Management And General48940ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1709178Total
Program Services1641215ProgramServices
Management And General61093ManagementAndGeneral
Fundraising6870Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total68957Total
Program Services56205ProgramServices
Management And General5183ManagementAndGeneral
Fundraising7569Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total311565Total
Program Services166947ProgramServices
Management And General127863ManagementAndGeneral
Fundraising16755Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total54475Total
Program Services22450ProgramServices
Management And General30418ManagementAndGeneral
Fundraising1607Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total171690Total
Program Services79037ProgramServices
Management And General92608ManagementAndGeneral
Fundraising45Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total106423Total
Program Services97496ProgramServices
Management And General8467ManagementAndGeneral
Fundraising460Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12631Total
Program Services9738ProgramServices
Management And General2893ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total28336Total
Management And General28336ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total205174Total
Program Services183512ProgramServices
Management And General21662ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total112702Total
Program Services80164ProgramServices
Management And General32538ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEALS891411891107304
VEHICLE EXPENSE5090765051513925
DUES AND SUBSCRIPTIONS327157900234981317
SUPPLIES293751390414551920

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total59990Total
Program Services30390ProgramServices
Management And General17318ManagementAndGeneral
Fundraising12282Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8216850Total
Program Services6516245ProgramServices
Management And General1495175ManagementAndGeneral
Fundraising205430Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY400BOY
EOY400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY214668BOY
EOY44787EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2096544BOY
EOY1430129EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY255330BOY
EOY31080EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY6000BOY
EOY20229EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY119867BOY
EOY71348EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1096568LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec511458LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY772921BOY
EOY585110EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7040BOY
EOY7040EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY45695EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3472770BOY
EOY2235818EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1835615BOY
EOY1228609EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY76694BOY
EOY34234EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY771721BOY
EOY387039EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY45695EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2684030BOY
EOY1695577EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY83195BOY
EOY7250EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY705545BOY
EOY532991EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY788740BOY
EOY540241EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3472770BOY
EOY2235818EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-248499ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6780859CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7280762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7525144CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6662861CurrentTaxYearMinus1Year
Current Tax Year6529722CurrentTaxYear
Total34779348Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6780859CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7280762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7525144CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6662861CurrentTaxYearMinus1Year
Current Tax Year6529722CurrentTaxYear
Total34779348Total
FieldValueIRS element (for citing)
Public Support Total17034779348PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5155CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2487CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2101CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2049CurrentTaxYearMinus1Year
Current Tax Year2007CurrentTaxYear
Total13799Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years18722CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45951CurrentTaxYearMinus1Year
Total64673Total
FieldValueIRS element (for citing)
Total Support34857820TotalSupport
Gross Receipts From Admissions Etc7533293GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99770PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99750PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1096568OtherCostOrOtherBasis
Depreciation511458Depreciation
Book Value585110BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings585110TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
Description457(B) PLAN LIABILITYDescription
Amount$45,695Amount
FieldValueIRS element (for citing)
Total Of Amounts45695TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event130580GrossReceiptsEvent1
Charitable Contributions Event130580CharitableContributionsEvent1
Rent Facility Costs Event12976RentFacilityCostsEvent1
Food And Beverage Event11500FoodAndBeverageEvent1
Other Direct Expenses Event12647OtherDirectExpensesEvent1
Name Of Event2AGING WELLNameOfEvent2
Gross Receipts Event211932GrossReceiptsEvent2
Gross Revenue Event211932GrossRevenueEvent2
Other Direct Expenses Event21667OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total42512GrossReceiptsTotal
Charitable Contributions Total30580CharitableContributionsTotal
Gross Revenue Total Events11932GrossRevenueTotalEvents
Rent Facility Costs Total Events2976RentFacilityCostsTotalEvents
Food And Beverage Total Events1500FoodAndBeverageTotalEvents
Other Direct Expenses Total Events4314OtherDirectExpensesTotalEvents
Direct Expense Summary Events8790DirectExpenseSummaryEvents
Net Income Summary3142NetIncomeSummary

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonANDREW DALENamePerson
FieldValueIRS element (for citing)
RelationshipBOARD MEMBERRelationship
Amount Of Transaction15900AmountOfTransaction
Description Of TransactionANDREW DALE, A BOARD MEMBER, LEASES TWO STORAGE SPACES IN THE TRANSPORTATION GARAGE.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE BOARD RECEIVES A COPY OF THE FORM 990 FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD REVIEWS THE CONFLICT OF INTEREST DISCLOSURES ANNUALLY, NOTING POTENTIAL CONFLICTS OF INTEREST OF WHICH AFFECTED BOARD MEMBERS ARE REQUIRED TO ABSTAIN FROM BOARD ACTION.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD REVIEWS EXECUTIVE DIRECTOR'S SALARY LEVEL. THE CEO REVIEWS AND APPROVES KEY EMPLOYEE PAY LEVELS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS ARE ALSO AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE.
FORM 990, PAGE 12, PART XII, LINE 2CNO CHANGES MADE IN CURRENT YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1YORKTOWN PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 PILGRIM BLVDAddressLine1
CityYORKTOWNCity
StateINState
ZIP Code47396ZIPCode
FieldValueIRS element (for citing)
EIN352012760EIN
Primary ActivitiesREAL PROPERTY HOLDING COMPANYPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(C)(2)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1YORKTOWN PROPERTIES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeJTransactionType
Amount Involved64388AmountInvolved
Method Of Amt DeterminationCASH PAYMENTSMethodOfAmtDetermination

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