2013-11-21T11:02:32-06:00 2013-07-31 421229486 BROOKS LODDEN PC 1441 29TH STREET STE 305 WEST DES MOINES IA 502661357 990 2012-08-01 420818810 IOWA ODD FELLOWS AND ORPHANS HOME CORP IOWA 6414230428 1037 19TH STREET SW MASON CITY IA 50401 DEBRA HAUGEN 6414230428 2013-11-21 1 JOHN E LAMALE P00077390 5152237300 2012 2016-02-25 16:41:14Z DEBRA HAUGEN 1037 19TH STREET SW MASON CITY IA 50401 5689307 0 X WWW.IOOFHOME.NET X 1992 IA OPERATION OF A 88 BED LONG-TERM CARE FACILITY, INCLUDING A 29 BED ALZHEIMERS WING,DESIGNED TO MEET THE NEEDS OF THE AGED, INCLUDING MEMBERS OF THE ORDER OF ODD FELLOWS. 5 5 187 77 0 0 9270 151581 4896080 5507745 4391 3940 14363 24254 4924104 5687520 0 0 0 0 3393508 3320692 0 0 0 1520674 1961986 4914182 5282678 9922 404842 7725130 8791194 1406432 1571187 6318698 7220007 PROVIDING NURSING CARE, HOUSING, AND LONG TERM CARE TO MEMBERS OF THE ORDER OF ODD FELLOWS AND THE GENERAL PUBLIC. 0 0 4755653 5531999 PROVIDING NURSING CARE, ANCILLARY SERVICES, AND HOUSING TO THE ELDERLY TOTALING 28,274 BED DAYS. 4755653 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 187 1 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 1 0 0 0 X IOWA ODD FELLOWS AND ORPHANS HOME C 6414230428 1037 19TH STREET SW MASON CITY IA 50401 SCOTT HELGESON 1.00 X X 0 0 0 DELOSS BAKER 1.00 X X 0 0 0 HAROLD ALT 1.00 X 0 0 0 JAN EHLER 1.00 X 0 0 0 RAY RANDALL 1.00 X 0 0 0 HAUGEN DEBRA 36.00 X 72655 0 0 72655 0 0 0 0 0 0 HEALTHCARE SERVICES GROUP 15 SPINNING WHEEL RD SUITE 436 HINSDALE IL 60521 HOUSEKEEPING & LAUNDRY 126180 1 151581 151581 RESIDENT ROUTINE CARE 623000 5329989 5329989 ANCILLARY SERVICES 623000 177756 177756 5507745 877 877 4850 1787 3063 3063 3063 OTHER MISC REVENUE 900099 14162 14162 MEALS - STAFF & GUESTS 900099 10092 10092 24254 5687520 5531999 0 3940 X 72888 72888 2623469 2507381 116088 358665 330912 27753 265670 248748 16922 38755 38755 18343 18343 70427 70427 851426 851426 41254 438 40816 43582 43582 9883 9883 178889 150840 28049 6462 6462 12872 12872 245912 245912 SUPPLIES 345349 330461 14888 MISCELLANEOUS 41888 27264 14624 STAFF DEVELOPMENT 29408 26192 3216 REPAIRS & MAINTENANCE 26059 23207 2852 1477 1477 5282678 4755653 527025 0 88178 244188 171931 187324 346299 516371 21413 16941 6586092 2575280 3778218 4010812 7984 13528 3311107 3802030 7725130 8791194 305485 518882 1100947 1052305 1406432 1571187 X 3007591 3417977 3311107 3802030 6318698 7220007 7725130 8791194 X 404842 5544 490923 X 1 X 0 0 0 X 156795 178515 262122 9270 151581 758283 3140838 3204457 3725575 4896080 5507745 20474695 12329 11297 22037 14363 24254 84280 3309962 3394269 4009734 4919713 5683580 21317258 0 0 0 21317258 71197 12850 2494 4391 3939 94871 71197 12850 2494 4391 3939 94871 3381159 3407119 4012228 4924104 5687519 21412129 0.99560 0.99130 0.00440 0.00870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3311107 490923 3802030 3126228 184879 3311107 2916802 209426 3126228 2493085 423717 2916802 3114068 -620983 2493085 0 1 1 89446 89446 4855704 1933444 2922260 512639 83929 428710 1128303 557907 570396 4010812 BENEFICIAL INTEREST IN ENDOWMENT FUND HELD BY GRAND LODGE 3802030 3802030 MORTGAGE PAYABLE TO RELATED PARTY 1052305 1052305 6183987 5544 490923 496467 5687520 0 5687520 5282678 0 5282678 0 5282678 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS HELD BE RELATED ENTITY WITH THE NET INCOME AVAILABLE FOR GENERAL USE PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN ENDOWMENT ASSETS FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMEBERS ARE APPOINTED BY THE GRAND MASTER AND EXECUTIVE COMMITTEE OF THE GRAND LODGE OF IOWA, INDEPENDENT ORDER OF ODD FELLOWS FORM 990, PART VI, SECTION A, LINE 8B GOVERNING BODY DOES NOT HAVE COMMITTEES. ALL ACTIONS ARE UNDERTAKEN BY THE ENTIRE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 EACH MEMBER IS GIVEN A DRAFT COPY OF THE FORM 990 AND REVIEWED AND APPROVED BY ALL AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC OTHER FEES FORM 990, PART IX, LINE 11G MEDICAL AND NURSING SERVICES: PROGRAM SERVICE EXPENSES 195,347. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,347. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 323,242. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 323,242. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 250,688. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 250,688. OTHER SERVICES: PROGRAM SERVICE EXPENSES 82,149. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,149. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN ENDOWMENT ASSETS 490,923. INDEPENDENT ORDER OF ODD FELLOWS GRAND LODGE OF IOWA 5850 OAKWOOD DR NW DES MOINES IA 50322 420327920 PROMOTING THE GENERAL WELFARE OF THE ORDER OF THE ODDFELLOWS IA 501(C)(8) 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 GRAND LODGE OF IOWA INDEPENDENT ORDER OF ODD FELLOWS E 1052305 OUTSTANDING BALANCE GRAND LODGE OF IOWA INDEPENDENT ORDER OF ODD FELLOWS R 61514 PRINCIPAL & INTEREST PAID GRAND LODGE OF IOWA INDEPENDENT ORDER OF ODD FELLOWS C 140000 CASH CONTRIBUTION