LIMA CONVALESCENT HOME FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIMA CONVALESCENT HOME FOUNDATION INC (EIN 34-4473976)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-01-22
IRS object ID
201310229349300216
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)
Timestamp2013-01-22T10:35:07-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1STROH JOHNSON & COMPANY LLP CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 DEFIANCE STAddressLine1
CityWAPAKONETACity
StateOHState
ZIP Code458951059ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN344473976EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIMA CONVALESCENT HOMEBusinessNameLine1
Business Name Line2FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLIMANameControl
Phone4192249741Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11650 ALLENTOWN ROADAddressLine1
CityLIMACity
StateOHState
ZIP Code45805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRANDALL COXName
TitleEXECUTIVE DIRECTORTitle
Phone4192249741Phone
Date Signed2013-01-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN D JOHNSONName
Phone4197389661Phone
Date Prepared2013-01-14DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRANDALL COXNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11650 ALLENTOWN ROADAddressLine1
CityLIMACity
StateOHState
ZIP Code45805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7765562GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIMACH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY SERVICES AT AN AFFORDABLE COST FOR BOTH AN ASSISTED LIVING COMPLEX AND A NURSING HOME FACILITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees188TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year129141ContributionsGrantsPriorYear
Contributions Grants Current Year45006ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7058883ProgramServiceRevenuePriorYear
Program Service Revenue CY7295131ProgramServiceRevenueCY
Investment Income Prior Year28139InvestmentIncomePriorYear
Investment Income Current Year-82939InvestmentIncomeCurrentYear
Other Revenue Prior Year6388OtherRevenuePriorYear
Other Revenue Current Year11467OtherRevenueCurrentYear
Total Revenue Prior Year7222551TotalRevenuePriorYear
Total Revenue Current Year7268665TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3372840SalariesEtcPriorYear
Salaries Etc Current Year3518573SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3601814OtherExpensePriorYear
Other Expenses Current Year3651658OtherExpensesCurrentYear
Total Expenses Prior Year6974654TotalExpensesPriorYear
Total Expenses Current Year7170231TotalExpensesCurrentYear
Revenues Less Expenses Prior Year247897RevenuesLessExpensesPriorYear
Revenues Less Expenses CY98434RevenuesLessExpensesCY
Total Assets BOY7597732TotalAssetsBOY
Total Assets EOY7449085TotalAssetsEOY
Total Liabilities BOY3358813TotalLiabilitiesBOY
Total Liabilities EOY2938025TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4238919NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4511060NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HIGH QUALITY SERVICES AT AN AFFORDABLE COST FOR BOTH AN ASSISTED LIVING COMPLEX AND A NURSING HOME FACILITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5207191Expense
Revenue5753773Revenue
DescriptionPROVIDES SKILLED AND INTERMEDIATE NURSING CARE TO APPROXIMATELY 70 RESIDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1376786Expense
Revenue1541358Revenue
DescriptionOPERATES LOCHAVEN APARTMENTS, RENTING 59 APARTMENTS TO INDEPENDENT SENIOR CITIZENS AND PROVIDES LIMITED MEDICAL ASSISTANCE. SERVICES PROVIDED TO RESIDENTS INCLUDE MEALS, HEALTH CARE MONITORING, SECURITY, EMERGENCY RESPONSE, AND OTHER GENERAL SERVICESDescription
FieldValueIRS element (for citing)
Total Program Service Expense6583977TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees188NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEAN SHELLENBARGERNamePerson
Telephone Number4192249741TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11650 ALLENTOWN ROADAddressLine1
CityLIMACity
StateOHState
ZIP Code458051802ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PHIL TRUEBLOOD
TREASURER2.00XX000
RICHARD SHROEDER
VICE PRESIDE2.00XX000
RALPH ELLIS
BOARD MEMBER2.00XX000
JIM EATON
PRESIDENT2.00XX000
MARGARET WHITLATCH
ASST SECRETA2.00XX000
CARL BERGER
BOARD MEMBER1.00X000
BONNIE HUBER
BOARD MEMBER1.00X000
CHESTER EBLING
BOARD MEMBER1.00X000
JIM MCCOY
BOARD MEMBER1.00X000
ROBERT KOMMINSK
BOARD MEMBER1.00X000
PERRY WATKINS
BOARD MEMBER1.00X000
BRAD ROUSH
BOARD MEMBER1.00X000
JOHN STEDKE
ASST TREASUR1.00X000
HOLLY MCCLUSKEY
BOARD MEMBER1.00X000
WARNER KUGLAR
BOARD MEMBER1.00X000
RON MILLER
BOARD MEMBER1.00X000
PAUL WOEHLKE
SECRETARY2.00X000
NANCY RUDOPLH
BOARD MEMBER1.00X000
RANDY COX
EXECUTIVE DI30.00X10020700
FieldValueIRS element (for citing)
Total Reportable Comp From Org100207TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THERAPY PARTNERS
16600 SPRAGUE RD 365MIDDLEBURG HTSOH44130THERAPY526345
M & W CONSTRUCTION
1201 CRESTWOOD DRLIMAOH45805CONSTRUCTION199127
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions45006AllOtherContributions
Total Contributions45006TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROOM AND CARE62300056040015604001
LOCHHAVEN APARTMENT RENT62300015413581541358
SPECIAL TREATMENT623000149772149772
FieldValueIRS element (for citing)
Total Program Service Revenue7295131TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30428TotalRevenueColumn
Exclusion$30,428ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities362648Securities
Other20882Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities331897Securities
Other165000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities30751Securities
Other-144118Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-113367TotalRevenueColumn
Related Or Exempt Function Income-113367RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column11467TotalRevenueColumn
Related Or Exempt Function Income11467RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue11467TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7268665TotalRevenueColumn
Related Or Exempt Function Income7193231RelatedOrExemptFunctionIncome
Exclusion$30,428ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total100207Total
Management And General100207ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2697781Total
Program Services2403848ProgramServices
Management And General293933ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total25070Total
Program Services21539ProgramServices
Management And General3531ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total489436Total
Program Services420492ProgramServices
Management And General68944ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total206079Total
Program Services177050ProgramServices
Management And General29029ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total11449Total
Management And General11449ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7476Total
Management And General7476ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22375Total
Management And General22375ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total7054Total
Management And General7054ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total570061Total
Program Services570061ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total41775Total
Program Services41775ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24030Total
Program Services20645ProgramServices
Management And General3385ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total29342Total
Program Services28755ProgramServices
Management And General587ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total106598Total
Program Services104466ProgramServices
Management And General2132ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4955Total
Program Services4460ProgramServices
Management And General495ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total864Total
Program Services864ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4972Total
Program Services4873ProgramServices
Management And General99ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total252581Total
Program Services247529ProgramServices
Management And General5052ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total159844Total
Program Services137328ProgramServices
Management And General22516ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
LOCHHAVEN APARTMENT RENT13767861376786
LICENSES AND DUES348604348604
SUPPLIES306316306316
FOOD168979168979

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total207597Total
Program Services199607ProgramServices
Management And General7990ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7170231Total
Program Services6583977ProgramServices
Management And General586254ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY568804BOY
EOY708609EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY258551BOY
EOY56015EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY818529BOY
EOY572028EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20506BOY
EOY22171EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY42538BOY
EOY43761EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9961289LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5547150LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4689138BOY
EOY4414139EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY843643BOY
EOY1272483EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY154523BOY
EOY142304EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY201500BOY
EOY217575EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7597732BOY
EOY7449085EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY569951BOY
EOY609600EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY328044BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2401306BOY
EOY2262805EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY59512BOY
EOY65620EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3358813BOY
EOY2938025EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4238919BOY
EOY4511060EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4238919BOY
EOY4511060EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7597732BOY
EOY7449085EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses98434ReconcilationRevenueExpenses
Reconcilation Other Changes173707ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10662CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years549447CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129141CurrentTaxYearMinus1Year
Current Tax Year45006CurrentTaxYear
Total755786Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6433400CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5605619CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7060150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7065271CurrentTaxYearMinus1Year
Current Tax Year7306598CurrentTaxYear
Total33471038Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6454930CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5616281CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7609597CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7194412CurrentTaxYearMinus1Year
Current Tax Year7351604CurrentTaxYear
Total34226824Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years500000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year82457CurrentTaxYearMinus1Year
Total582457Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years500000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year82457CurrentTaxYearMinus1Year
Total582457Total
FieldValueIRS element (for citing)
Public Support Total50933644367PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1460820CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1337962CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23333CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19142CurrentTaxYearMinus1Year
Current Tax Year31832CurrentTaxYear
Total2873089Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1460820CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1337962CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23333CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19142CurrentTaxYearMinus1Year
Current Tax Year31832CurrentTaxYear
Total2873089Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7915750CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6954243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7632930CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7213554CurrentTaxYearMinus1Year
Current Tax Year7383436CurrentTaxYear
Total37099913Total
FieldValueIRS element (for citing)
Public Support Percentage5090.90690PublicSupportPercentage509
Prior Year Support Percentage0.87010PriorYearSupportPercentage
Investment Income Percentage0.08000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.11000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis98376OtherCostOrOtherBasis
Book Value98376BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7529618OtherCostOrOtherBasis
Depreciation3881398Depreciation
Book Value3648220BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2333295OtherCostOrOtherBasis
Depreciation1665752Depreciation
Book Value667543BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4414139TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITY DEPOSITSDescription
Amount$65,620Amount
FieldValueIRS element (for citing)
Total Of Amounts65620TotalOfAmounts
Total Revenue7268665TotalRevenue
Total Expenses7170231TotalExpenses
Excess Or Deficit For Year98434ExcessOrDeficitForYear
Net Unrealized GL On Investments173707NetUnrealizedGLOnInvestments
Total Adjustments173707TotalAdjustments
Excess Or Deficit Per FS272141ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7442372TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments173707NetUnrealizedGainsInvestments
Revenue Not Rptd F990173707RevenueNotRptdF990
Revenue Subtotal7268665RevenueSubtotal
Total Revenue Per Form9907268665TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7170231TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7170231ExpensesSubtotal
Total Expenses Per Form9907170231TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8DEPRECIATION -127,746 BOOK / TAX DEPRECIATION DIFFERENCE 127,746
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BDEPRECIATION -127,746 BOOK / TAX DEPRECIATION DIFFERENCE 127,746

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS NOT REVIEWED BY THE GOVERNING BODY BEFORE FILING BUT IS REVIEWED BY THE EXECUTIVE DIRECTOR.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY CONSIDERING THE MARKET VALUE OF SERVICES PERFORMED AND A PERFORMANCE REVIEW.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5UNREALIZED GAIN ON INVESTMENTS

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