SAYRE CHRISTIAN VILLAGE NURSING HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAYRE CHRISTIAN VILLAGE NURSING HOME INC (EIN 61-0937079)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-02-11
IRS object ID
201310429349300936
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)
Timestamp2013-02-11T13:55:01-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN611064249EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DEMING MALONE LIVESAY & OSTROFF PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19300 SHELBYVILLE ROAD SUITE 1100AddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code402225187ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610937079EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAYRE CHRISTIAN VILLAGE NURSING HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAYRNameControl
Phone8592719000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13840 CAMELOT DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM ENGLISHName
TitleEXECUTIVE DIRECTORTitle
Phone8592719000Phone
Date Signed2013-02-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJENNIFER R HUGHES CPAName
PTINP00350026PTIN
Phone5024269660Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM ENGLISHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13840 CAMELOT DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9057835GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SAYRECHRISTIANVILLAGE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionA NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO PROVIDING QUALITY HOUSING, REHABILIATIVE SERVICES AND LONG-TERM NURSING CARE REFLECTING CHRISTIAN COMPASSION FOR EVERYONE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees247TotalNbrEmployees
Total Nbr Volunteers65TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7227ContributionsGrantsPriorYear
Contributions Grants Current Year155525ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8874622ProgramServiceRevenuePriorYear
Program Service Revenue CY8854861ProgramServiceRevenueCY
Investment Income Prior Year605InvestmentIncomePriorYear
Investment Income Current Year711InvestmentIncomeCurrentYear
Other Revenue Prior Year2248OtherRevenuePriorYear
Other Revenue Current Year46738OtherRevenueCurrentYear
Total Revenue Prior Year8884702TotalRevenuePriorYear
Total Revenue Current Year9057835TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4879126SalariesEtcPriorYear
Salaries Etc Current Year5352880SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3697586OtherExpensePriorYear
Other Expenses Current Year3615526OtherExpensesCurrentYear
Total Expenses Prior Year8576712TotalExpensesPriorYear
Total Expenses Current Year8968406TotalExpensesCurrentYear
Revenues Less Expenses Prior Year307990RevenuesLessExpensesPriorYear
Revenues Less Expenses CY89429RevenuesLessExpensesCY
Total Assets BOY7534193TotalAssetsBOY
Total Assets EOY14971087TotalAssetsEOY
Total Liabilities BOY6333057TotalLiabilitiesBOY
Total Liabilities EOY13680522TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1201136NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1290565NetAssetsOrFundBalancesEOY
Mission DescriptionA NON-PROFIT SENIOR LIVING COMMUNITY DEDICATED TO PROVIDING QUALITY HOUSING, REHABILIATIVE SERVICES AND LONG-TERM NURSING CARE REFLECTING CHRISTIAN COMPASSION FOR EVERYONE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7890542Expense
Revenue8854861Revenue
DescriptionPROVIDED NURSING CARE SERVICES FOR 38,947 PATIENT DAYS OF NURSING FACILITY CAREDescription
Total Program Service Expense7890542TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees247NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SAYRE CHRISTIAN VILLAGE NURSING HOMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8592719000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13840 CAMELOT DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
JL LYNN
DIRECTOR2.00X000
RON RING
TREASURER2.00X000X
GUY COLSON
DIRECTOR2.00X000
DOTTIE CARTER
SECRETARY2.00X000X
PHIL LING
DIRECTOR2.00X000
JERRY L KELLY
ASST SECRETARY2.00X000X
FRANK E CLOUD JR
DIRECTOR2.00X000
HT HARDY III
ASST TREASURER2.00X000X
JERRY HERNDON
DIRECTOR2.00X000
WILLIAM A MOSSBARGER JR
DIRECTOR2.00X000
GARY R COLEMAN
DIRECTOR2.00X000
CHERYL WIPF
DIRECTOR2.00X000
RON FEY
PRESIDENT2.00X000X
JOE C LEWIS
VICE PRESIDENT2.00X000X
ANN PHILLIPS STARTED 81511
ADMINISTRATOR40.004205201482X
FieldValueIRS element (for citing)
Total Reportable Comp From Org42052TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1482TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPIES
PO BOX 8103FORT SMITHAR72902REHABILITATION SERVICES653351
THE HAYDEN COMAPNY
208 SOUTH MAIN STREETNICHOLASVILLEKY40356CONSTRUCTION376422
MARION STEEL FABRICATION INC
333 W 4TH STEEETMARIONIN46952CONSTRUCTION310092
THE COMPETITIVE EDGE II
3716 WILLOW RIDGE ROADLEXINGTONKY40514NURSING SERVICES242127
JERRY HERNDON ARCHITECT
2437 FORTUNE DRIVE SUITE 175LEXINGTONKY40509ARCHETICT175450
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions155525AllOtherContributions
Total Contributions155525TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column8854861TotalRevenueColumn
Related Or Exempt Function Income8854861RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8854861TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column711TotalRevenueColumn
Exclusion$711ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS INCOME90009943074$43,074
MEAL SALES9000993664$3,664
FieldValueIRS element (for citing)
Total Other Revenue46738TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9057835TotalRevenueColumn
Related Or Exempt Function Income8854861RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$47,449ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total128870Total
Management And General128870ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4467668Total
Program Services4348845ProgramServices
Management And General118823ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total18858Total
Program Services17470ProgramServices
Management And General1388ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total395835Total
Program Services364625ProgramServices
Management And General31210ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total341649Total
Program Services323717ProgramServices
Management And General17932ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8903Total
Management And General8903ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21500Total
Management And General21500ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total538382Total
Program Services415887ProgramServices
Management And General122495ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1085Total
Program Services34ProgramServices
Management And General1051ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5384Total
Program Services5384ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total264915Total
Program Services250768ProgramServices
Management And General14147ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ANCILLARIES966968966968
CONTRACT SERVICES401015148644252371
SUPPLIES39500737652618481
LICENSES & TAXES3600963579622134

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total652271Total
Program Services313712ProgramServices
Management And General338559ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8968406Total
Program Services7890542ProgramServices
Management And General1077864ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY632120BOY
EOY516340EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY904241BOY
EOY1078217EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY37246BOY
EOY30665EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17313BOY
EOY17683EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16939245LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3690043LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5844066BOY
EOY13249202EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY99207BOY
EOY78980EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7534193BOY
EOY14971087EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1003647BOY
EOY1156465EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4506937BOY
EOY11701584EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY822473BOY
EOY822473EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6333057BOY
EOY13680522EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1201136BOY
EOY1290565EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1201136BOY
EOY1290565EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7534193BOY
EOY14971087EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses89429ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9710CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7248CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7227CurrentTaxYearMinus1Year
Current Tax Year155525CurrentTaxYear
Total193125Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7808457CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8113787CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8300334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8874622CurrentTaxYearMinus1Year
Current Tax Year8854862CurrentTaxYear
Total41952062Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7821872CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8123497CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8307582CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8881849CurrentTaxYearMinus1Year
Current Tax Year9010387CurrentTaxYear
Total42145187Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50942145187PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10663CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2559CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1086CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year605CurrentTaxYearMinus1Year
Current Tax Year711CurrentTaxYear
Total15624Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10663CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2559CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1086CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year605CurrentTaxYearMinus1Year
Current Tax Year711CurrentTaxYear
Total15624Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4948CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7799CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2248CurrentTaxYearMinus1Year
Current Tax Year46738CurrentTaxYear
Total66297Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7837483CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8130620CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8316467CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8884702CurrentTaxYearMinus1Year
Current Tax Year9057836CurrentTaxYear
Total42227108Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99810PublicSupportPercentage509
Prior Year Support Percentage0.99860PriorYearSupportPercentage
Investment Income Percentage0.00040InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00080PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis140000OtherCostOrOtherBasis
Book Value140000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15396420OtherCostOrOtherBasis
Depreciation2654707Depreciation
Book Value12741713BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1402825OtherCostOrOtherBasis
Depreciation1035336Depreciation
Book Value367489BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13249202TotalOfBookValueLandBuildings
Total Revenue9057835TotalRevenue
Total Expenses8968406TotalExpenses
Excess Or Deficit For Year89429ExcessOrDeficitForYear
Excess Or Deficit Per FS89429ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9057835TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal9057835RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9909057835TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8968406TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8968406ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908968406TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE CORPORATION IS EXEMPT FROM FEDERAL, STATE AND LOCAL INCOME TAXES AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE CORPORATION FILES AN INFORMATIONAL TAX RETURN WITH THE U.S. FEDERAL JURISDICTION AND WITH THE KENTUCKY OFFICE OF THE ATTORNEY GENERAL. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE CORPORATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. AS OF SEPTEMBER 30, 2012 AND 2011, THE CORPORATION DID NOT HAVE ANY ACCRUED INTEREST OR PENALTIES RELATED TO INCOME TAX LIABILITIES, AND NO INTEREST OR PENALTIES HAVE BEEN CHARGED TO OPERATIONS FOR THE YEARS THEN ENDED. TAX YEARS STILL OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS REMAIN SUBJECT TO REVIEW AND CHANGE.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJERRY HERNDONNamePerson
FieldValueIRS element (for citing)
RelationshipBOARD DIRECTORRelationship
Amount Of Transaction84000AmountOfTransaction
Description Of TransactionARCHITECT FEES PAIDDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11AFTER THE 990S ARE PREPARED BY THE DESIGNATED ACCOUNTING FIRM, THE 990S ARE SUBMITTED TO MEMBERS OF THE BOARD FOR COMMENTS. ALSO, YEAR-END FINANCIALS AND DATA PREPARED FOR 990S ARE PRESENTED BY THE AUDITOR TO THE BOARD-APPOINTED FINANCE COMMITTEE. THE 990S ARE DESIGNATED FOR APPROVAL TO THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 12CTHE ADMINISTRATOR IS RESPONSIBLE TO MAKE DETERMINATIONS ON CONFLICTS OF INTEREST IN REGARDS TO EMPLOYEES. THE BOARD REVIEWS ALL MAJOR CONTRACTS BEFORE THEY ARE ENTERED INTO TO DETERMINE IF A POTENTIAL CONFLICT OF INTEREST MAY EXIST. IF A CONTRACT IS ENTERED INTO WITH A BOARD MEMBER OR HIS/HER FIRM THE BOARD MEMBER IS REQUIRED TO SUBMIT HIS/HER RESIGNATION TO THE BOARD. HOWEVER, THE BOARD MAY VOTE TO REJECT THE RESIGNATION IF THEY DO NOT FEEL A CONFLICT EXISTS.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES THE FOLLOWING PROCESS TO DETERMINE COMPENSATION FOR ITS TOP MANAGEMENT: A. REVIEW AND APPROVAL BY GOVERNING BODY, PROVIDED THAT A PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECTS TO COMPENSATION ARRANGEMENT AT ISSUE.; B. USE COMPARABLE COMPENSATION DATA; AND C. DOCUMENTATION OF THE WHOLE PROCESS. THE BOARD'S COMPENSATION COMMITTEE RECEIVES COMPENSATION DATA EACH YEAR FROM VARIOUS SOURCES FOR OTHER TOP MANAGEMENT POSITIONS, INCLUDING ASSOCIATIONS TO WHICH WE BELONG. THIS DATA PROVIDES INDUSTRY SPECIFIC INFORMATION FROM COMPARABLE ORGANIZATIONS IN ORDER FOR US TO REMAIN COMPETITIVE AND ASSURE THAT OUR COMPENSATION IS IN LINE. THE PERFORMANCE OF THE INDIVIDUAL IS A MAJOR FACTOR IN THE DECISIONS MADE BY THE COMPENSATION COMMITTEE. THE DOCUMENTATION REVIEWED BY THE COMMITTEE IS RETAINED.
FORM 990, PART VI, SECTION C, LINE 19PUBLIC INSPECTION IS MADE AVAILABLE BY (A) CONTACTING THE OFFICE OF THE EXECUTIVE DIRECTOR DURING NORMAL BUSINESS HOURS, (B) SUBMISSION OF WRITTEN REQUEST TO THE OFFICE OF THE EXECUTIVE DIRECTOR OR (C) MAY BE PUBLISHED AND MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.COM.
FORM 990, SECTION XI, LINE 2CTHE FINANCIAL AUDIT REPORT IS APPROVED BY MANAGEMENT AND PRESENTED TO THE FINANCE COMMITTEE BY THE AUDITORS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
CHRISTIAN BENEVOLENT OUTREACH INC
580 GREENFIELD DRIVELEXINGTONKY40517510178917HOUSING FOR THE ELDERLY AND MANAGEMENT & ADMINISTRATIVE OVERSIGHTKY501(C)(3)509(A)(2)0
SAYRE VILLAGE PHASE III INC
580 GREENFIELD DRIVELEXINGTONKY40517611088950HOUSING FOR THE ELDERLYKY501(C)(3)170(B)(I)(A)(VI)0
SAYRE CHRISTIAN VILLAGE APTS II INC
580 GREENFIELD DRIVELEXINGTONKY40517208030673HOUSING FOR THE ELDERLYKY501(C)(3)170(B)(I)(A)(VI)0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHRISTIAN BENEVLOENT OUTREACH INC
N290040CASH
CHRISTIAN BENEVLOENT OUTREACH INC
N191954CASH
CHRISTIAN BENEVLOENT OUTREACH INC
E822472CASH
CHRISTIAN BENEVLOENT OUTREACH INC
N11256CASH
CHRISTIAN BENEVLOENT OUTREACH INC
N22800CASH
CHRISTIAN BENEVLOENT OUTREACH INC
C152117CASH

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