MORAVIAN HOME INCORPORATED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MORAVIAN HOME INCORPORATED (EIN 56-0963926)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-01-30
IRS object ID
201320309349300382
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)
Timestamp2013-01-30T11:03:26-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560963926EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MORAVIAN HOME INCORPORATEDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMORANameControl
Phone3367678130Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 SALEMTOWNE DRIVEAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCAROLYN J TWISDALEName
TitleCFOTitle
Phone3367678130Phone
Date Signed2013-01-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SALEMTOWNEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCAROLYN J TWISDALENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 SALEMTOWNE DRIVEAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19144976GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SALEMTOWNE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionLONG TERM CARE FOR THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees362TotalNbrEmployees
Total Nbr Volunteers212TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1232642ContributionsGrantsPriorYear
Contributions Grants Current Year1098735ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16569423ProgramServiceRevenuePriorYear
Program Service Revenue CY17038657ProgramServiceRevenueCY
Investment Income Prior Year840510InvestmentIncomePriorYear
Investment Income Current Year650666InvestmentIncomeCurrentYear
Other Revenue Prior Year307160OtherRevenuePriorYear
Other Revenue Current Year264301OtherRevenueCurrentYear
Total Revenue Prior Year18949735TotalRevenuePriorYear
Total Revenue Current Year19052359TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year665596GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY679265GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9091642SalariesEtcPriorYear
Salaries Etc Current Year9420777SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year125899TotalFundrsngExpCurrentYear
Other Expense Prior Year7947745OtherExpensePriorYear
Other Expenses Current Year8149749OtherExpensesCurrentYear
Total Expenses Prior Year17704983TotalExpensesPriorYear
Total Expenses Current Year18249791TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1244752RevenuesLessExpensesPriorYear
Revenues Less Expenses CY802568RevenuesLessExpensesCY
Total Assets BOY68474344TotalAssetsBOY
Total Assets EOY68540459TotalAssetsEOY
Total Liabilities BOY44622070TotalLiabilitiesBOY
Total Liabilities EOY43510691TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23852274NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25029768NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSALEMTOWNE IS A NON-PROFIT CONTINUING CARE RETIREMENT COMMUNITY THAT PROMOTES THE WELL-BEING OF ITS RESIDENTS BY PROVIDING A CARING ENVIRONMENT. SALEMTOWNE IS AN ECUMENICAL COMMUNITY THAT REFLECTS THE MORAVIAN VALUES OF INDIVIDUAL RESPECT, HOSPITALITY, LIFE-LONG LEARNING, AND LOVE OF THE ARTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15782786Expense
Grants177732Grants
Revenue17038657Revenue
DescriptionSALEMTOWNE PROVIDED SERVICES THROUGH LONG-TERM CARE FOR ELDERLY IN THE WINSTON-SALEM COMMUNITY AND SURROUNDING AREAS. IT IS THE MISSION OF THE SALEMTOWNE COMMUNITY OUTREACH PROGRAM TO PROVIDE RESOURCES FOR SERVICES, PROGRAMS AND EDUCATION THAT ENHANCE THE QUALITY OF LIVING AND CARE FOR SENIOR ADULTS OF PIEDMONT NORTH CAROLINA. SALEMTOWNE STRIVES TO SHARE ITS EXPERTISE IN THE AREA OF AGING BY OFFERING EDUCATION AND TRAINING TO SENIOR ADULTS, FAMILIES AND CAREGIVERS; BY UTILIZING ITS TIME, TALENTS, AND FACILITIES FOR PROGRAMS AND EDUCATION; AND BY SPONSORING AND/OR SUPPORTING PROGRAMS OF ORGANIZATIONS AND ASSOCIATIONS DEDICATED TO SENIOR ADVOCACY. SALEMTOWNE PROVIDED CONTRIBUTIONS AND SERVICES TO ORGANIZATIONS SUCH AS: - ALZHEIMER'S ASSOCIATION OF FORSYTH COUNTY- AMERICAN HEART ASSOCIATION- ARDMORE MORAVIAN CHURCH- AUGSBURG LUTHERAN CHURCH- BOOKMARKS BOOK FESTIVAL - CALVARY MORAVIAN CHURCH - CARENET COUNSELING, INC.- COALITION OF MINISTRIES FOR OLDER ADULTS- COMMUNITY PARTNERSHIP FOR END OF LIFE (HOSPICE)- CONGREGATIONAL NURSE AND HEALTH MINISTRIES OF FORSYTH COUNTY- DIXIE CLASSIC FAIR- ECHO COUNCIL- EMMA BAHNSON SERVICE LEAGUE- N.C. CHAPLAINS' ASSOCIATION- FAMILY SERVICES- FORSYTH COUNTY AGING SERVICES- FORSYTH COUNTY SENIOR SERVICES- FORSYTH TECHNICAL COMMUNITY COLLEGE- HABITAT FOR HUMANITY- HANDS ON NWNC- HOSPICE & PALLIATIVE CARE CENTER- HOSPICE HOPE RUN/WALK- IWO JIMA SURVIVORS - JEFFERSON ELEMENTARY SCHOOL- KNOLLWOOD BAPTIST CHURCH - LEADERSHIP WINSTON SALEM- LIFE MINISTRIES- MARY ANN FOGLE SERVICE LEAGUE- MORAVIAN CHURCH SOUTHERN PROVINCE- MORAVIAN MUSIC FOUNDATION- N.C. NURSING HOME ADMINISTRATORS BOARD- N.C. DIRECTORS OF NURSING ADMINISTRATION - LONG TERM CARE- NATIONAL ASSOCIATION OF DIRECTORS OF NURSING - LONG TERM CARE- NORTHWEST AHEC- OLIVET MORAVIAN CHURCH- ROTARY CLUB OF FORSYTH COUNTY- SAMARITAN MINISTRIES- SHEPHERD'S CENTER- SPEAS SCHOOL/WINGS PROGRAM- SPECIAL NEEDS DANCE FOR ADULT HANDICAP - NO LIMITS 11- ST. PAUL'S EPISCOPAL CHURCH- STORYLINE- SUNNYSIDE MINISTRIES OF THE MORAVIAN CHURCH- UNITED WAY OF FORSYTH COUNTY- WAKE FOREST BAPTIST HEALTH- WAKE FOREST BAPTIST HEALTH STITCH CENTER FOR AGING - WAKE FOREST UNIVERSITY - INSTITUTIONAL REVIEW BOARD- WAKE FOREST UNIVERSITY (VARIOUS STUDENT GROUPS/CLASSES)- WINSTON SALEM FOUNDATION - WINSTON SALEM MAYOR'S PHYSICAL FITNESS DAYSALEMTOWNE'S CURRENT COMMUNITY BENEFIT PROGRAMS INCLUDE FINANCIAL ASSISTANCE FOR RESIDENTS MOVING THROUGH THE CONTINUUM OF CARE AT SALEMTOWNE, FINANCIAL ASSISTANCE FOR DIRECT ADMISSIONS TO THE ASSISTED LIVING CENTER & HEALTH CARE CENTER AT SALEMTOWNE, AND PARTICIPATION IN AND SUPPORT OF VARIOUS AGENCIES/ORGANIZATIONS LISTED ABOVE THROUGH DONATIONS OF CASH, TIME, PROPERTY AND MATERIALS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense501533Expense
Grants501533Grants
DescriptionPROVIDED FINANCIAL ASSISTANCE FOR RESIDENTS MOVING THROUGH THE CONTINUUM OF CARE AT SALEMTOWNE. PROVIDED FINANCIAL ASSISTANCE FOR DIRECT ADMISSIONS TO THE ASSISTED LIVING CENTER & HEALTH CARE CENTER AT SALEMTOWNE.Description
FieldValueIRS element (for citing)
Total Program Service Expense16284319TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements1ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees362NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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 FiledMEStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMSStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledUTStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CAROLYN J TWISDALE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3367678130TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 SALEMTOWNE DRIVEAddressLine1
CityWINSTONSALEMCity
StateNCState
ZIP Code27106ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DR VARDAMAN M BUCKALEW
CHAIRMAN1.00XX000
DAVID COTTERILL
VICE CHAIR1.00XX000
REGINALD F COMBS
SECRETARY1.00XX000
DOUGLAS S BEETS
TREASURER1.00XX000
MARTY EDWARDS
BOARD MEMBER1.00X000
JOHN FERGUSON
BOARD MEMBER1.00X000
ANNE GEIS
BOARD MEMBER1.00X000
JEAN S GREENE
BOARD MEMBER1.00X000
DR FRANCIS JAMES III
BOARD MEMBER1.00X000
ANN LONG
BOARD MEMBER1.00X000
RICHARD MARVIN
BOARD MEMBER1.00X000
REV BILL MCELVEEN
BOARD MEMBER1.00X000
ALAN MOORE
BOARD MEMBER1.00X000
DR TIMOTHY PENNELL
BOARD MEMBER1.00X000
DR J HOWELL SMITH
BOARD MEMBER1.00X000
CHARLOTTE ZAMJAHN
BOARD MEMBER1.00X000
BETSY ANNESE
BOARD MEMBER1.00X000
PEGGY CARTER
BOARD MEMBER1.00X000
JOSEPH LYDON
CEO40.00X183429013675
CAROLYN TWISDALE
CFO40.00X129162012183
FieldValueIRS element (for citing)
Total Reportable Comp From Org312591TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation25858TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LEGACY HEALTHCARE SERVICES
PO BOX 951003CLEVELANDOH44193THERAPY502631
WOOD HOME IMPROVEMENT INC
480 DULIN ROADMOCKSVILLENC27028CONSTRUCTION341057
DIXON HUGHES GOODMAN LLP
PO BOX 3049ASHEVILLENC28802CONTRACT PROFESSIONAL SERVICE148515
HUGH G STRICKLAND INC
PO BOX 4162WINSTONSALEMNC271154162CONSTRUCTION117830
S&L PAINTING
1011 W NORTHWEST BLVDWINSTONSALEMNC27101PAINTING/LABOR115357
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events185932FundraisingEvents
All Other Contributions912803AllOtherContributions
Total Contributions1098735TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES6230001493133614931336
AMORT. OF ADVANCE FEES62300021073212107321
FieldValueIRS element (for citing)
Total Program Service Revenue17038657TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column222528TotalRevenueColumn
Exclusion$222,528ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities439349Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other11211Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities439349Securities
Other-11211Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column428138TotalRevenueColumn
Exclusion$428,138ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events185932CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses81406FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-81406TotalRevenueColumn
Exclusion-$81,406ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
BEAUTY SHOP812900124168$124,168
FOOD SERVICE72221085630$85,630
GIFT SHOP INCOME45322031517$31,517

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column104392TotalRevenueColumn
Exclusion$104,392ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue345707TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19052359TotalRevenueColumn
Related Or Exempt Function Income17038657RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$914,967ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total177732Total
Program Services177732ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total501533Total
Program Services501533ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total328238Total
Management And General326280ManagementAndGeneral
Fundraising1958Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7150093Total
Program Services6265424ProgramServices
Management And General811844ManagementAndGeneral
Fundraising72825Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total123300Total
Program Services123300ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1216335Total
Program Services1203793ProgramServices
Management And General379ManagementAndGeneral
Fundraising12163Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total602811Total
Program Services505041ProgramServices
Management And General91742ManagementAndGeneral
Fundraising6028Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total36699Total
Management And General36699ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38900Total
Management And General38900ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total97791Total
Management And General97791ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total421211Total
Program Services324395ProgramServices
Management And General89787ManagementAndGeneral
Fundraising7029Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total111538Total
Program Services102294ProgramServices
Management And General8170ManagementAndGeneral
Fundraising1074Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2492747Total
Program Services2390503ProgramServices
Management And General77422ManagementAndGeneral
Fundraising24822Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total140952Total
Program Services140917ProgramServices
Management And General35ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total766051Total
Program Services766051ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total42933Total
Program Services41733ProgramServices
Management And General1200ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1583951Total
Program Services1583951ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2130320Total
Program Services2130320ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total227080Total
Program Services365ProgramServices
Management And General226715ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD423731659625777
TRAINING736850632305
MISCELLANEOUS53085308
BAD DEBT45274527

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18249791Total
Program Services16284319ProgramServices
Management And General1839573ManagementAndGeneral
Fundraising125899Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3500BOY
EOY3500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5766180BOY
EOY11453129EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY503207BOY
EOY402848EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY24086BOY
EOY48299EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY130775BOY
EOY187888EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis66442802LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25905209LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY41451820BOY
EOY40537593EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18758431BOY
EOY13913146EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1129780BOY
EOY1129780EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY706565BOY
EOY864276EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY68474344BOY
EOY68540459EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1180624BOY
EOY1433374EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY9917089BOY
EOY9642241EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY32144456BOY
EOY31173462EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1379901BOY
EOY1261614EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44622070BOY
EOY43510691EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13534546BOY
EOY14559647EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY773604BOY
EOY873006EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9544124BOY
EOY9597115EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23852274BOY
EOY25029768EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68474344BOY
EOY68540459EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses802568ReconcilationRevenueExpenses
Reconcilation Other Changes374926ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years656116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1101798CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1402710CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1232642CurrentTaxYearMinus1Year
Current Tax Year1098735CurrentTaxYear
Total5492001Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14664516CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15385702CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16429483CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16569423CurrentTaxYearMinus1Year
Current Tax Year17038657CurrentTaxYear
Total80087781Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years220431CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years318047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years259342CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year307159CurrentTaxYearMinus1Year
Current Tax Year345794CurrentTaxYear
Total1450773Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15541063CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16805547CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18091535CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18109224CurrentTaxYearMinus1Year
Current Tax Year18483186CurrentTaxYear
Total87030555Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23471CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28749CurrentTaxYearMinus1Year
Current Tax Year42185CurrentTaxYear
Total189863Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23471CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28749CurrentTaxYearMinus1Year
Current Tax Year42185CurrentTaxYear
Total189863Total
FieldValueIRS element (for citing)
Public Support Total50986840692PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years911507CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years861103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years688036CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year350865CurrentTaxYearMinus1Year
Current Tax Year222441CurrentTaxYear
Total3033952Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years911507CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years861103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years688036CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year350865CurrentTaxYearMinus1Year
Current Tax Year222441CurrentTaxYear
Total3033952Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16452570CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17666650CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18779571CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18460089CurrentTaxYearMinus1Year
Current Tax Year18705627CurrentTaxYear
Total90064507Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96420PublicSupportPercentage509
Prior Year Support Percentage0.93500PriorYearSupportPercentage
Investment Income Percentage0.03370InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.06250PriorYrInvestIncomePercentage
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)
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Total Number Of Easements1TotalNumberOfEasements
Total Acreage25.00TotalAcreage
Nmbr Hist Struct Easements After1NmbrHistStructEasementsAfter
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy Monitoring1WrittenPolicyMonitoring
Staff Hours Spent On Enforcement0.00StaffHoursSpentOnEnforcement
Expenses Incurred For Enforcement0ExpensesIncurredForEnforcement
Sect170h Requirements Satisfied0Sect170hRequirementsSatisfied

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10317728BeginningOfYearBalance
Contributions316026Contributions
Investment Earnings Or Losses218896InvestmentEarningsOrLosses
Other Expenditures382529OtherExpenditures
End Of Year Balance10470121EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10255464BeginningOfYearBalance
Contributions241253Contributions
Investment Earnings Or Losses306422InvestmentEarningsOrLosses
Other Expenditures485411OtherExpenditures
End Of Year Balance10317728EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9644545BeginningOfYearBalance
Contributions616173Contributions
Investment Earnings Or Losses494329InvestmentEarningsOrLosses
Other Expenditures499583OtherExpenditures
End Of Year Balance10255464EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9682590BeginningOfYearBalance
Contributions268510Contributions
Investment Earnings Or Losses199864InvestmentEarningsOrLosses
End Of Year Balance9644545EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.91670PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.08330TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3054250OtherCostOrOtherBasis
Book Value3054250BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58356620OtherCostOrOtherBasis
Depreciation23848793Depreciation
Book Value34507827BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4266510OtherCostOrOtherBasis
Depreciation1743608Depreciation
Book Value2522902BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis765422OtherCostOrOtherBasis
Depreciation312808Depreciation
Book Value452614BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings40537593TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEPOSITS$23,100
REFUNDABLE ADVANCE FEES$456,954
BOND INTEREST PAYABLE$781,560
FieldValueIRS element (for citing)
Total Of Amounts1261614TotalOfAmounts
Total Revenue19052359TotalRevenue
Total Expenses18249791TotalExpenses
Excess Or Deficit For Year802568ExcessOrDeficitForYear
Net Unrealized GL On Investments398166NetUnrealizedGLOnInvestments
Other-$23,240OtherAmount
Total Adjustments374926TotalAdjustments
Excess Or Deficit Per FS1177494ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19007158TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments398166NetUnrealizedGainsInvestments
Other Revenues-443367OtherRevenues
Revenue Not Rptd F990-45201RevenueNotRptdF990
Revenue Subtotal19052359RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99019052359TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17829664TotExpensesEtcAuditedFinclStmt
Other Expenses Included81406OtherExpensesIncluded
Expenses Not Rptd F99081406ExpensesNotRptdF990
Expenses Subtotal17748258ExpensesSubtotal
Other Expenses Not Included501533OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt501533ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018249791TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS:PART II, LINE 9:THE CONSERVATION EASEMENT IS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS AS PART OF PERMANENTLY RESTRICTED NET ASSETS.
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:SUPPORT FOR RESIDENTS IN FINANCIAL NEED, PERSONNEL RECRUITING AND OTHER GENERAL OBLIGATIONS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE COMMUNITY IS A TAX EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE COMMUNITY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENFITS OR OBLIGATIONS AS OF MARCH 31, 2012. IN ADDITION, THE COMMUNITY QUALIFIED FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND IS CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE COMMUNITY BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO MARCH 31, 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -23,240.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -23,240. FUNDRAISING EXPENSES 81,406. INDIVIDUAL ASSISTANCE INCLUDED IN INCOME -501,533.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 81,406.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:INDIVIDUAL ASSISTANCE INCLUDED IN INCOME 501,533.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ASSOCIATE APPRECIATIONNameOfEvent1
Gross Receipts Event173301GrossReceiptsEvent1
Charitable Contributions Event173301CharitableContributionsEvent1
Other Direct Expenses Event171974OtherDirectExpensesEvent1
Name Of Event2BABCOCK RENOVATIONSNameOfEvent2
Gross Receipts Event250050GrossReceiptsEvent2
Charitable Contributions Event250050CharitableContributionsEvent2
Other Direct Expenses Event2887OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events62581GrossReceiptsOtherEvents
Charitable Contrib Other Events62581CharitableContribOtherEvents
Other Direct Expenses Other Events8545OtherDirectExpensesOtherEvents
Gross Receipts Total185932GrossReceiptsTotal
Charitable Contributions Total185932CharitableContributionsTotal
Other Direct Expenses Total Events81406OtherDirectExpensesTotalEvents
Direct Expense Summary Events81406DirectExpenseSummaryEvents
Net Income Summary-81406NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrantAmount Of Cash GrantAmountOfCashGrant
SAMARITAN MINISTRIES
1243 PATTERSON AVEWINSTONSALEMNC27103561490019501(C)(3)44410FMVFOODPROVIDED MEALS TO ORGANIZATIONS SUPPORTING ELDERLY POPULATION
SENIOR SERVICES INC
2895 SHOREFAIR DRIVEWINSTONSALEMNC27105561085968501(C)(3)78412FMVFOODPROVIDED MEALS TO ORGANIZATIONS SUPPORTING ELDERLY POPULATION
BOOKMARKS
PO BOX 11867WINSTONSALEMNC27116542152610501(C)(3)FMVPROVIDED DONATION TO ORGANIZATION7500
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVDWINSTONSALEMNC27157900222618501(C)(3)22151FMVPROVIDED DONATION OF USE OF 5080 WACH. VILLAGE COTTAGE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantBENEVOLENT ASSISTANCETypeOfGrant
Number Of Recipients17NumberOfRecipients
Amount Of Cash Grant501533AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:PART I, LINE 2:SCHEDULE I, PART I, LINE 2: RESIDENTS - RESIDENTS MUST APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE VERIFICATION OF ASSETS AND INCOME. APPLICANTS APPROVED FOR FINANCIAL ASSISTANCE MUST SIGN A FINANCIAL ASSISTANCE AGREEMENT OUTLINING THE TERMS AND CONDITIONS OF THE PROGRAM. THE MANAGER OF BILLING PREPARES A MONTHLY FINANCIAL ASSISTANCE REPORT LISTING USAGE OF FUNDS WHICH IS APPROVED BY THE DIRECTOR OF ACCOUNTING. FINANCIAL ASSISTANCE TOTALS ARE LISTED AS PART OF THE FINANCIAL STATEMENT PACKAGE FOR THE BOARD OF TRUSTEES AND OFFICERS OF THE ORGANIZATION. OUTSIDE ORGANIZATIONS - SALEMTOWNE CHOOSES TO GIVE TO WELL ESTABLISHED NON-PROFIT ORGANIZATIONS IN GOOD STANDING WITH THE IRS WHO SUPPORT AND/OR ENHANCE OUR MISSION AND VALUES.
IT IS THE MISSION OF SALEMTOWNE AND ITS OUTREACH PROGRAM TO PROVIDE HOUSING AND SERVICES FOR RESIDENTS WHO HAVE OUTLIVED THEIR RESOURCES, RESOURCES FOR SERVICES, PROGRAMS AND EDUCATION THAT ENHANCE THE QUALITY OF LIVING AND CARE FOR THE SENIOR CITIZENS OF PIEDMONT NORTH CAROLINA. SALEMTOWNE STRIVES TO SHARE ITS EXPERTISE IN THE AREA OF AGING BY OFFERING EDUCATION AND TRAINING TO SENIORS, FAMILIES AND CARE GIVERS; BY UTILIZING ITS TIME, TALENTS, AND FACILITIES FOR PROGRAMS AND EDUCATION; AND BY SPONSORING PROGRAMS OF ORGANIZATIONS AND ASSOCIATIONS DEDICATED TO SENIOR ADVOCACY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJOSEPH LYDONNamePerson
Base Compensation Filing Org164229BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org6004BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org13196OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org6747DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org6928NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org197104TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA MEDICAL CARE COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
CUSIP Number6579025M0CUSIPNumber
Date Issued2006-11-14DateIssued
Issue Price35248843IssuePrice
Description Of PurposeREFUND 1999 & 2001 BONDSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired4070000AmountRetired
Total Proceeds35248843TotalProceeds
Amount In Reserve Fund2554943AmountInReserveFund
Issuance Costs From Proceeds666958IssuanceCostsFromProceeds
Year Of Subst Completion2003YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC1GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1BANK OF AMERICA NABusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC23.000000000000TermOfGIC
Regulatory Safe Harbor Satisfied1RegulatorySafeHarborSatisfied
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE CHAIR OF THE BOARD, ALONG WITH THE CHAIRS OF EACH OF THE BOARD'S STANDING COMMITTEES AND, IN AN EX-OFFICIO CAPACITY, THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION SHALL CONSTITUTE THE GOVERNANCE COMMITTEE OF THE GOVERNING BOARD. THE GOVERNANCE COMMITTEE SHALL, DURING INTERVALS BETWEEN MEETINGS OF THE BOARD, EXERCISE ALL THE POWERS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7ATHE QUADRENNIEL MEETING OF THE MORAVIAN CHURCH IN AMERICA, SOUTHERN PROVINCE (KNOWN AS SYNOD) ELECTS FOUR MEMBERS TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 WAS PROVIDED TO EACH BOARD MEMBER BEFORE THE RETURN WAS FILED. PRIOR TO FILING, THE BOARD REVIEWED AND APPROVED THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY UPON INITIALLY JOINING THE BOARD. BEFORE EACH BOARD MEETING, THE MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS. CHANGES IN CONFLICTS OF INTEREST ARE MAINTAINED BY THE CFO.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS PULLED FROM GUIDESTAR FOR CCRCS IN NORTH CAROLINA OF COMPARABLE SIZE AND FROM THE LEADING AGE SALARY SURVEY. THIS INFORMATION IS PROVIDED TO THE BOARD ALONG WITH HISTORY OF COMPENSATION FOR THE CEO AND CFO. THE BOARD THEN REVIEWS AND APPROVES THE COMPENSATION FOR BOTH OFFICERS.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 1023, 990, AND 990-T ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE ON THE NC DEPARTMENT OF INSURANCE WEBSITE.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 398,166. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -23,240. TOTAL TO FORM 990, PART XI, LINE 5: 374,926.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.