﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:sfsmef="http://www.cchsfs.com/efile/mef" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-08-08T09:12:49-04:00</Timestamp>
    <TaxPeriodEndDate>2012-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>T &amp; C TAX SERVICE INC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1722 E HOFFER ST</AddressLine1>
        <City>KOKOMO</City>
        <State>IN</State>
        <ZIPCode>46902</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>351999781</EIN>
      <Name>
        <BusinessNameLine1>SAMARITAN CAREGIVERS INC</BusinessNameLine1>
      </Name>
      <NameControl>SAMA</NameControl>
      <Phone>7654537611</Phone>
      <USAddress>
        <AddressLine1>2705 S BERKLEY RD 3C</AddressLine1>
        <City>Kokomo</City>
        <State>IN</State>
        <ZIPCode>46902</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JAMEY HENDERSON</Name>
      <Title>EXECUTIVE DIRECTOR</Title>
      <DateSigned>2013-08-05</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>RICHARD A COMOGLIO</Name>
      <PTIN>P00365044</PTIN>
      <Phone>7654521500</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="4" softwareId="12000238" referenceDocumentId="5">
      <NameOfPrincipalOfficerPerson>JAMEY HENDERSON</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>2705 S BERKLEY RD 3C</AddressLine1>
        <City>Kokomo</City>
        <State>IN</State>
        <ZIPCode>46902</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>151332</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1996</YearFormation>
      <StateLegalDomicile>IN</StateLegalDomicile>
      <ActivityOrMissionDescription>SAMARITAN CAREGIVER VOLUNTEERS PROVIDE FREE HELP WITH NONMEDICAL EVERYDAY ACTIVITIES TO HOWARD COUNTY RESIDENTS, 50 AND OVER, STILL LIVING AT HOME, TO SUPPORT INDEPENDENCE</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>19</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>19</NbrIndependentVotingMembers>
      <TotalNbrEmployees>3</TotalNbrEmployees>
      <TotalNbrVolunteers>367</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>99334</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>102263</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenueCY>0</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>-517</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>9214</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>29751</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>27993</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>128568</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>139470</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>88248</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>97771</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>26375</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>32746</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>37398</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>120994</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>135169</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>7574</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>4301</RevenuesLessExpensesCY>
      <TotalAssetsBOY>199252</TotalAssetsBOY>
      <TotalAssetsEOY>209016</TotalAssetsEOY>
      <TotalLiabilitiesBOY>8478</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>13941</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>190774</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>195075</NetAssetsOrFundBalancesEOY>
      <MissionDescription>VOLUNTEER ELDERLY CAREGIVERS</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>72707</Expense>
      <Description>A SOCIAL SEVICE ORGANIZATION COMMITTED TO IMPROVING/MAINTAIN THE</Description>
      <TotalProgramServiceExpense>72707</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="1">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="2">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="2">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="2">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="2">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="2">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="2">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="2">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="2">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="2">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="2">false</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="2">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="2">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="2">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising referenceDocumentId="3">false</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="3">true</FundraisingActivities>
      <Gaming referenceDocumentId="3">false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired>false</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>false</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>3</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>true</NonDeductibleContributions>
      <NonDeductibleDisclosure>true</NonDeductibleDisclosure>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <IndoorTanningServices>false</IndoorTanningServices>
      <NbrVotingGoverningBodyMembers>19</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>19</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>IN</StatesWhereCopyOfReturnIsFiled>
      <TheBooksAreInCareOf>
        <NamePerson>JAMEY HENDERSON</NamePerson>
        <TelephoneNumber>7654537611</TelephoneNumber>
        <AddressUS>
          <AddressLine1>2705 S BERKLEY</AddressLine1>
          <City>KOKOMO</City>
          <State>IN</State>
          <ZIPCode>46902</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>JAMEY HENDERSO</NamePerson>
        <Title>EXECUTIVE DIR</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>44006</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>44006</TotalReportableCompFromOrg>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <RelatedOrganizations>29315</RelatedOrganizations>
      <GovernmentGrants>8476</GovernmentGrants>
      <AllOtherContributions>64472</AllOtherContributions>
      <TotalContributions>102263</TotalContributions>
      <InvestmentIncome>
        <TotalRevenueColumn>9214</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>9214</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <GrossIncomeFundraisingEvents>39855</GrossIncomeFundraisingEvents>
      <FundraisingDirectExpenses>11862</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>27993</TotalRevenueColumn>
        <ExclusionAmount>28023</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <TotalRevenue>
        <TotalRevenueColumn>139470</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>9214</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>28023</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>89728</Total>
        <ProgramServices>45600</ProgramServices>
        <ManagementAndGeneral>22689</ManagementAndGeneral>
        <Fundraising>21439</Fundraising>
      </CompCurrentOfficersDirectors>
      <PensionPlanContributions>
        <Total>1614</Total>
        <ProgramServices>820</ProgramServices>
        <ManagementAndGeneral>408</ManagementAndGeneral>
        <Fundraising>386</Fundraising>
      </PensionPlanContributions>
      <PayrollTaxes>
        <Total>6429</Total>
        <ProgramServices>3267</ProgramServices>
        <ManagementAndGeneral>1536</ManagementAndGeneral>
        <Fundraising>1626</Fundraising>
      </PayrollTaxes>
      <FeesForServicesAccounting>
        <Total>3896</Total>
        <ProgramServices>2602</ProgramServices>
        <ManagementAndGeneral>1294</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <Advertising>
        <Total>2637</Total>
        <ProgramServices>1340</ProgramServices>
        <ManagementAndGeneral>667</ManagementAndGeneral>
        <Fundraising>630</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>1507</Total>
        <ProgramServices>766</ProgramServices>
        <ManagementAndGeneral>381</ManagementAndGeneral>
        <Fundraising>360</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>2369</Total>
        <ProgramServices>1582</ProgramServices>
        <ManagementAndGeneral>787</ManagementAndGeneral>
      </Occupancy>
      <ConferencesMeetings>
        <Total>312</Total>
        <ProgramServices>208</ProgramServices>
        <ManagementAndGeneral>104</ManagementAndGeneral>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>4225</Total>
        <ProgramServices>2822</ProgramServices>
        <ManagementAndGeneral>1404</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>2354</Total>
        <ProgramServices>1196</ProgramServices>
        <ManagementAndGeneral>595</ManagementAndGeneral>
        <Fundraising>563</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Total>2522</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Total>3016</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Total>1853</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Total>2204</Total>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>10503</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>135169</Total>
        <ProgramServices>72708</ProgramServices>
        <ManagementAndGeneral>36087</ManagementAndGeneral>
        <Fundraising>26375</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>17567</BOY>
        <EOY>15250</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>62560</BOY>
        <EOY>76589</EOY>
      </SavingsAndTempCashInvestments>
      <PrepaidExpensesDeferredCharges>
        <BOY>731</BOY>
        <EOY>1083</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>145504</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>35922</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>112282</BOY>
        <EOY>109582</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>6112</BOY>
        <EOY>6512</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>199252</BOY>
        <EOY>209016</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>8478</BOY>
        <EOY>13941</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>8478</BOY>
        <EOY>13941</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>190774</BOY>
        <EOY>195075</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>190774</BOY>
        <EOY>195075</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>199252</BOY>
        <EOY>209016</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>4301</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>true</AccountantCompileOrReview>
      <AccountantCompileOrReviewBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </AccountantCompileOrReviewBasis>
      <FSAudited>false</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="1" softwareId="12000238">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>170109</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>107705</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>78621</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>96871</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>102263</CurrentTaxYear>
        <Total>555569</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>35096</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>44643</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>46931</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>38990</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>39855</CurrentTaxYear>
        <Total>205515</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>205205</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>152348</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>125552</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>135861</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>142118</CurrentTaxYear>
        <Total>761084</Total>
      </Total509>
      <PublicSupportTotal509>761084</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>-10715</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11058</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4957</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1946</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9214</CurrentTaxYear>
        <Total>16460</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>-10715</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11058</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4957</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1946</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9214</CurrentTaxYear>
        <Total>16460</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>194490</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>163406</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>130509</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>137807</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>151332</CurrentTaxYear>
        <Total>777544</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97880</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98760</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02120</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01060</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="2" softwareId="12000238">
      <DisclosedOrgsLegalControl>true</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>true</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>true</WrittenPolicyMonitoring>
      <IncludedOnFS>false</IncludedOnFS>
      <Buildings>
        <InvestmentCostOrOtherBasis>119770</InvestmentCostOrOtherBasis>
        <Depreciation>12914</Depreciation>
        <BookValue>106856</BookValue>
      </Buildings>
      <Equipment>
        <InvestmentCostOrOtherBasis>25734</InvestmentCostOrOtherBasis>
        <Depreciation>23008</Depreciation>
        <BookValue>2726</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>109582</TotalOfBookValueLandBuildings>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="3" softwareId="12000238">
      <AgreementRefFundraising>false</AgreementRefFundraising>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="5" softwareId="12000238">
      <GeneralExplanation>
        <Explanation>THE TAX RETURN IS REVIEWED BY THE GOVERNING BOARD IN COMPLIANCE WITH</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>THE APPLICABLE BYLAWS IN WHICH THE FINANCIALS ARE RECONCILED WITH THE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>TAX RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>CONFLICT OF INTEREST DISCLOSURES ARE MADE BY EACH BOARD MEMBER/OFFICER</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>EACH YEAR UPON REVIEW OF THE TAX RETURN AND FINANCIALS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>