COMMUNITY MEMORIAL HOME AT OSAKIS MINN INCORPORATED: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY MEMORIAL HOME AT OSAKIS MINN INCORPORATED (EIN 41-0870847)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-04-12
- IRS object ID
- 201301029349300610
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-04-12T09:50:34-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411765929 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NICOLLET MALL STE 1300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410870847 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEMORIAL HOME AT OSAKIS | BusinessNameLine1 |
| Business Name Line2 | MINNESOTA INCORPORATED | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 3208592142 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 WEST MAIN STREET | AddressLine1 |
| City | OSAKIS | City |
| State | MN | State |
| ZIP Code | 56360 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID CARLSON | Name |
| Title | ADMINISTRATOR | Title |
| Phone | 3208592142 | Phone |
| Date Signed | 2013-02-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM HUNWARDSEN CPA | Name |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | Phone |
| Date Prepared | 2013-02-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GALEON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID CARLSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 WEST MAIN STREET | AddressLine1 |
| City | OSAKIS | City |
| State | MN | State |
| ZIP Code | 56360 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5185835 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GALEONMN.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1961 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE THE ELDERLY, SICK AND INFIRMED WITH HOUSING FACILITIES AND SERVICES TO MEET THEIR PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 178 | TotalNbrEmployees |
| Total Nbr Volunteers | 35 | TotalNbrVolunteers |
| Total Gross UBI | 1283 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -2755 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1055 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 245 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5465252 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5142881 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 56683 | InvestmentIncomePriorYear |
| Investment Income Current Year | 42709 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5522990 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5185835 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3800 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2987284 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2966343 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2465824 | OtherExpensePriorYear |
| Other Expenses Current Year | 2372026 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5458608 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5342169 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 64382 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -156334 | RevenuesLessExpensesCY |
| Total Assets BOY | 9549304 | TotalAssetsBOY |
| Total Assets EOY | 9139805 | TotalAssetsEOY |
| Total Liabilities BOY | 5803786 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5599470 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3745518 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3540335 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION'S MISSION IS TO PROVIDE THOSE IN NEED OF OUR SERVICES WITH THE BEST QUALITY OF CARE THAT WE ARE CAPABLE OF WITHIN A CARING, COMFORTABLE AND SUPPORTIVE ENVIRONMENT; TO AFFORD EACH RESIDENT AND TENANT THE OPPORTUNITY TO ACHIEVE THE HIGHEST POSSIBLE QUALITY OF LIFE; AND TO OFFER ALL WHO PASS THROUGH OUR DOORS INCREASING OPPORTUNITY FOR WELLNESS, CHOICE, PRIVACY, DIGNITY, AND SERVICE ACCESS AND AFFORDABILITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4842885 | Expense |
| Grants | 3800 | Grants |
| Revenue | 5141598 | Revenue |
| Description | COMMUNITY MEMORIAL HOME AT OSAKIS, MINNESOTA, INCORPORATED, D/B/A GALEON (GALEON) OWNS AND OPERATES A 52-BED LICENSED NURSING FACILITY AND A WELLNESS AND THERAPY CENTER, AS WELL AS A 20-UNIT ASSISTED LIVING FACILITY (TERRACE HEIGHTS), A 25-UNIT ASSISTED LIVING FACILITY (WEST VIEW) AND A 20-UNIT MEMORY CARE ASSISTED LIVING FACILITY (BRIDGEWELL). GALEON COVERAGE, LLC (GALEON LLC), A MINNESOTA LIMITED LIABILITY COMPANY FORMED ON SEPTEMBER 1, 2011, IS ORGANIZED FOR THE PURPOSE OF SELLING LONG-TERM CARE INSURANCE IN THE OSAKIS AND SURROUNDING AREAS. GALEON EXECUTED A LOANED EMPLOYEE AGREEMENT WITH GALEON COVERAGE, LLC TO PROVIDE CONTRACTED SERVICES ON BEHALF OF GALEON, LLC BY ONE OR MORE EMPLOYEES OF GALEON. GALEON IS THE SOLE MEMBER OF GALEON, LLC.IN ADDITION, COMMUNITY MEMORIAL HOME MANAGES THE OPERATION OF OSAKIS COMMUNITY MANOR APARTMENTS THAT DEDICATES 24 UNITS OF HOUSING TO INDEPENDENT SENIORS, MOST OF WHOM QUALIFY FOR RENTAL ASSISTANCE. THROUGHOUT THESE VARIOUS LOCATIONS, WHICH ARE EITHER CONNECTED TO OR IN CLOSE PROXIMITY TO COMMUNITY MEMORIAL HOME, PROGRAMS HAVE BEEN DEVELOPED TO ASSIST OLDER ADULTS WITH PHYSICAL CARE, REHABILITATION, NUTRITION, STRENGTH RESTORATION, MOBILITY, AND MEDICATION MANAGEMENT. ADDITIONAL SERVICES SUPPORTING THESE CORE PROGRAMS ARE IN PLACE TO FOSTER EACH RESIDENT'S SOCIAL, EMOTIONAL, MENTAL, SPIRITUAL, AND VOCATIONAL GROWTH AND DEVELOPMENT. | Description |
| Total Program Service Expense | 4842885 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 9 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 178 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID CARLSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3208592142 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 WEST MAIN STREET | AddressLine1 |
| City | OSAKIS | City |
| State | MN | State |
| ZIP Code | 56360 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| NEIL JOHNSON | ||||||
| PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| GEORGIA THESING | ||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| JIM BACKES | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| JOHN TEMPLE | ||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 |
| JAN MOORE | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| RON CALVERT | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| RAY MARTHALER | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| DON LARSEN | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| IVY NOMELAND | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| DAVID CARLSON | ||||||
| ADMINISTRATOR/CEO | 40.00 | X | 90427 | 0 | 16095 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 90427 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 16095 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHAB CARE GROUP INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 503534 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631503534 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | THERAPY SERVICES | DescriptionOfServices |
| Compensation | 335690 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 245 | AllOtherContributions |
| Total Contributions | 245 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| RESIDENT SERVICE REV. | 623110 | 5001531 | 5001531 | |
| WELLNESS INCOME | 900099 | 93977 | 93977 | |
| OTHER REVENUE | 900099 | 47373 | 46090 | 1283 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5142881 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39058 | TotalRevenueColumn |
| Exclusion | $39,058 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3651 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3651 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3651 | TotalRevenueColumn |
| Exclusion | $3,651 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5185835 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5141598 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1283 | UnrelatedBusinessRevenue |
| Exclusion | $42,709 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3800 | Total |
| Program Services | 3800 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111800 | Total |
| Management And General | 111800 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2354665 | Total |
| Program Services | 2197050 | ProgramServices |
| Management And General | 157615 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55922 | Total |
| Program Services | 52672 | ProgramServices |
| Management And General | 3250 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263495 | Total |
| Program Services | 252928 | ProgramServices |
| Management And General | 10567 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180461 | Total |
| Program Services | 162114 | ProgramServices |
| Management And General | 18347 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1271 | Total |
| Management And General | 1271 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30381 | Total |
| Management And General | 30381 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 382522 | Total |
| Program Services | 375841 | ProgramServices |
| Management And General | 6681 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35074 | Total |
| Management And General | 35074 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569694 | Total |
| Program Services | 532059 | ProgramServices |
| Management And General | 37635 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22652 | Total |
| Management And General | 22652 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231221 | Total |
| Program Services | 231221 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14581 | Total |
| Management And General | 14581 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10608 | Total |
| Management And General | 10608 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250166 | Total |
| Program Services | 250166 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 524928 | Total |
| Program Services | 524928 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62783 | Total |
| Program Services | 62783 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CAPITAL ALLOWANCE ADJUS | 160455 | 160455 | |
| PRE-ADMISSION SCREENING | 14555 | 14555 | |
| LICENSES, PERMITS, DUES | 10472 | 10472 | |
| BAD DEBT EXPENSE | 10428 | 10428 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40235 | Total |
| Program Services | 11885 | ProgramServices |
| Management And General | 28350 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5342169 | Total |
| Program Services | 4842885 | ProgramServices |
| Management And General | 499284 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 861019 | BOY |
| EOY | 756138 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 447225 | BOY |
| EOY | 415205 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41442 | BOY |
| EOY | 35201 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 10295729 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4455129 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6339750 | BOY |
| EOY | 5840600 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1742512 | BOY |
| EOY | 1981655 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117356 | BOY |
| EOY | 111006 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9549304 | BOY |
| EOY | 9139805 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 473822 | BOY |
| EOY | 467542 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5305023 | BOY |
| EOY | 5106509 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24941 | BOY |
| EOY | 25419 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5803786 | BOY |
| EOY | 5599470 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3745518 | BOY |
| EOY | 3540335 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3745518 | BOY |
| EOY | 3540335 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9549304 | BOY |
| EOY | 9139805 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -156334 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -48849 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 102438 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 64558 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus1 Year | 1055 | CurrentTaxYearMinus1Year |
| Current Tax Year | 245 | CurrentTaxYear |
| Total | 168296 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4540090 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5505269 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5260246 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5465252 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5141598 | CurrentTaxYear |
| Total | 25912455 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4642528 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5569827 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5260246 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5466307 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5141843 | CurrentTaxYear |
| Total | 26080751 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 252463 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 113698 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 137466 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 101938 | CurrentTaxYearMinus1Year |
| Current Tax Year | 200739 | CurrentTaxYear |
| Total | 806304 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 252463 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 113698 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 137466 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 101938 | CurrentTaxYearMinus1Year |
| Current Tax Year | 200739 | CurrentTaxYear |
| Total | 806304 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 25274447 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 108292 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 81484 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 48239 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35355 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39058 | CurrentTaxYear |
| Total | 312428 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 108292 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 81484 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 48239 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35355 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39058 | CurrentTaxYear |
| Total | 312428 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4750820 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5651311 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5308485 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5501662 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5180901 | CurrentTaxYear |
| Total | 26393179 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.95760 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.95160 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01180 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01640 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19972 | OtherCostOrOtherBasis |
| Book Value | 19972 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8376087 | OtherCostOrOtherBasis |
| Depreciation | 3070133 | Depreciation |
| Book Value | 5305954 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1708914 | OtherCostOrOtherBasis |
| Depreciation | 1307783 | Depreciation |
| Book Value | 401131 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 190756 | OtherCostOrOtherBasis |
| Depreciation | 77213 | Depreciation |
| Book Value | 113543 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5840600 | TotalOfBookValueLandBuildings |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | GALEON ACTS AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS AND HOLDS TENANT SECURITY DEPOSITS. RESIDENT TRUST FUNDS AND TENANT SECURITY DEPOSITS TOTALED $25,419 AND $24,941 AT JUNE 30, 2012 AND 2011. | |
| PART X: | GALEON IS ORGANIZED AS A MINNESOTA NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). GALEON COVERAGE, LLC MAINTAINS EXEMPT STATUS UNDER GALEON'S EXEMPTION SINCE GALEON IS THE SOLE MEMBER OF GALEON COVERAGE, LLC. GALEON IS REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS ANNUALLY. IN ADDITION, GALEON IS SUBJECT TO INCOME TAX ON ANY NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSE. GALEON BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. GALEON WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE, IF SUCH INTEREST AND PENALTIES ARE INCURRED. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 5 | NumberOfRecipients |
| Amount Of Cash Grant | 3800 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: AN APPLICATION PROCESS IS REQUIRED TO BE COMPLETED BY THOSE THAT ARE SEEKING TO FURTHER THEIR NURSING CAREER. AFTER VERIFICATION THAT THE APPLICANTS ARE ENROLLED IN QUALIFIED COURSES USED TO FURTHER THEIR NURSING CAREER WE AWARD THEM SCHOLARSHIP GRANTS. THESE SCHOLARSHIP GRANTS ARE AWARDED ON A QUARTERLY BASIS. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF OSAKIS MINNESOTA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 416005443 | IssuerEIN |
| Date Issued | 2007-05-15 | DateIssued |
| Issue Price | 5878537 | IssuePrice |
| Description Of Purpose | CONSTRUCTION PROJECT & REFUND 2002 REVENUE BONDS ISSUED 4-29-2002 | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 5878537 | TotalProceeds |
| Capital Expenditures | 3500000 | CapitalExpenditures |
| Other Spent Proceeds | 2378537 | OtherSpentProceeds |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SUSAN MCCAUGHN | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SISTER OF BOARD PRESIDENT NEIL JOHNSON | Relationship |
| Amount Of Transaction | 58325 | AmountOfTransaction |
| Description Of Transaction | COMPENSATION | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID CARLSON, NEIL JOHNSON, GEORGIA THESING, JIM BACKES, JOHN TEMPLE, JAN MOORE, RON CALVERT, RAY MARTHALER, AND IVY NOMELAND ALL SERVE AS OFFICERS OR DIRECTORS OF GALEON COVERAGE, LLC, A RELATED ORGANIZATION. A BUSINESS RELATIONSHIP EXISTS BETWEEN THESE INDIVIDUALS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS TWO CLASSES OF MEMBERS. A PERSON WHO HAS CONTRIBUTED $100 OR MORE IS A LIFETIME MEMBER. A PERSON WHO HAS CONTRIBUTED $25 IS ENTITLED TO A ONE-YEAR MEMBERSHIP. ANYONE WHO HAS PAID AN ANNUAL MEMBERSHIP FOR FOUR YEARS BECOMES A LIFETIME MEMBER WHEN THE FOURTH PAYMENT HAS BEEN MADE. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S BOARD OF DIRECTORS IS ELECTED BY ITS MEMBERS AT THE ANNUAL MEETING. EACH MEMBER RECEIVES ONE VOTE. | |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN IS REVIEWED BY THE BUSINESS MANAGER AND ADMINISTRATOR PRIOR TO FILING. THE RETURN IS THEN SENT TO THE BOARD OF DIRECTORS PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE ANNUALLY COMPLETES A CONFLICT OF INTEREST FORM. DISCLOSURES REGARDING ANY POTENTIAL CONFLICTS OF INTEREST ARE SUBMITTED TO THE ADMINISTRATOR. THE ADMINISTRATOR REVIEWS AND DETERMINES IF A CONFLICT OF INTEREST DOES EXIST. IF THERE IS A CONFLICT,THE INDIVIDUAL WILL REMOVE HIMSELF OR HERSELF FROM THE DISCUSSION AND/OR VOTING ON RELATED MATTERS. | |
| THE ADMINISTRATOR'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE DISCUSSION AND APPROVAL OF COMPENSATION IS RECORDED IN THE BOARD MINUTES. AS THE ADMINISTRATOR RECEIVES THE SAME PERCENTAGE INCREASE IN SALARY AS ALL OTHER STAFF, COMPARABILITY DATA IS NOT GATHERED OUTSIDE OF THE ORGANIZATION. | ||
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. | |
| FORM 990, PART VII, SECTION A: | IN ADDITION TO THE HOURS SERVED AT COMMUNITY MEMORIAL HOME, NEIL JOHNSON, GEORGIA THESING, JIM BACKES, JOHN TEMPLE, JAN MOORE, RON CALVERT, RAY MARTHALER, AND IVY NOMELAND ALSO SERVED AN ADDITIONAL ONE-TENTH OF AN HOUR PER WEEK AT GALEON COVERAGE, LLC, A RELATED ORGANIZATION. DAVID CARLSON DEVOTES AN ADDITIONAL 2 HOURS PER WEEK TO GALEON COVERAGE, LLC. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -48,849. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GALEON COVERAGE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 WEST MAIN STREET | AddressLine1 |
| City | OSAKIS | City |
| State | MN | State |
| ZIP Code | 56360 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 452848035 | EIN |
| Primary Activities | SELLING LONG-TERM CARE INSURANCE | PrimaryActivities |
| Legal Domicile State | MN | LegalDomicileState |
| Total Income | 1283 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEMORIAL HOME AT OSAKIS MINNESOTA | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSAKIS COMMUNITY MANOR | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 W MAIN STREET | AddressLine1 |
| City | OSAKIS | City |
| State | MN | State |
| ZIP Code | 56360 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411344854 | EIN |
| Primary Activities | LOW INCOME HOUSING | PrimaryActivities |
| Legal Domicile State | MN | LegalDomicileState |
| Exempt Code Section | 501(C)(4) | ExemptCodeSection |
| Public Charity Status | N/A | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEMORIAL HOME OF OSAKIS MINNESOTA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSAKIS COMMUNITY MANOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionType |
| Method Of Amt Determination | GENERAL LEDGER | MethodOfAmtDetermination |