PINE RIVER GROUP HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PINE RIVER GROUP HOME INC (EIN 41-1305200)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-04-22
IRS object ID: 201321129349300412
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-04-22T08:57:41-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mathias C Justin Ltd	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4325 W Woodman St Box 90	AddressLine1
City	Pequot Lakes	City
State	MN	State
ZIP Code	56472	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	411305200	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Pine River Group Home Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PINE	NameControl
Phone	2185874888	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 96	AddressLine1
City	Pine River	City
State	MN	State
ZIP Code	56474	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Susan Longstaff	Name
Title	Chairperson	Title
Date Signed	2013-04-22	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Mathias C Justin	Name
PTIN	P00223417	PTIN
Phone	2185685242	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	2687507	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.pinerivergrouphome.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	To enhance the community welfare through the development of group homes for developmentally disabled residents and to develop and provide community based services for these residents.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	91	TotalNbrEmployees
Total Nbr Volunteers	21	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	4915	ContributionsGrantsPriorYear
Contributions Grants Current Year	837	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2601572	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2677049	ProgramServiceRevenueCY
Investment Income Prior Year	9562	InvestmentIncomePriorYear
Investment Income Current Year	6756	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	2616049	TotalRevenuePriorYear
Total Revenue Current Year	2684642	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2067543	SalariesEtcPriorYear
Salaries Etc Current Year	2135315	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	414929	OtherExpensePriorYear
Other Expenses Current Year	429289	OtherExpensesCurrentYear
Total Expenses Prior Year	2482472	TotalExpensesPriorYear
Total Expenses Current Year	2564604	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	133577	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	120038	RevenuesLessExpensesCY
Total Assets BOY	1562993	TotalAssetsBOY
Total Assets EOY	1676328	TotalAssetsEOY
Total Liabilities BOY	320978	TotalLiabilitiesBOY
Total Liabilities EOY	314275	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1242015	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1362053	NetAssetsOrFundBalancesEOY
Mission Description	To enhance the community welfare through the development of group homes for developmentally disabled residents and to develop and provide community based services for these residents.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2267344	Expense
Description	Care for Developmentally handicapped. Intermediate care facility for developmentally handicapped and supervised living facility. 6 group homes and 2 appartments in operation serving approximately 27 residents and 20 to 25 in-home individuals.	Description
Total Program Service Expense	2267344	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	8	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	91	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Ed Bettino	NamePerson
Telephone Number	2185874888	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	103 5th Street PO Box 96	AddressLine1
City	Pine River	City
State	MN	State
ZIP Code	56474	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
Bev Wignes
Director	1.00	0.00	X	0	0	0
Susan Longstaff
Chairperson	1.00	0.00	X	0	0	0	X
Sue Buche
Director	1.00	0.00	X	0	0	0
Dick Buche
Director	1.00	0.00	X	0	0	0
Lavonne Solarz
Vice President	1.00	0.00	X	0	0	0	X
Barbara Mann
Director	1.00	0.00	X	0	0	0
Sharon Fey
Treasurer	1.00	0.00	X	0	0	0	X
John Puleo
Secretary	1.00	0.00	X	0	0	0	X

Field	Value	IRS element (for citing)
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	837	AllOtherContributions
Total Contributions	837	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Residents	Description
Business Code	623990	BusinessCode
Total Revenue Column	2677049	TotalRevenueColumn
Related Or Exempt Function Income	2677049	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2677049	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9621	TotalRevenueColumn
Exclusion	$9,621	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2865	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-2865	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2865	TotalRevenueColumn
Related Or Exempt Function Income	-2865	RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2684642	TotalRevenueColumn
Related Or Exempt Function Income	2674184	RelatedOrExemptFunctionIncome
Exclusion	$9,621	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	73307	Total
Management And General	73307	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1618042	Total
Program Services	1522214	ProgramServices
Management And General	95828	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	17457	Total
Program Services	15711	ProgramServices
Management And General	1746	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	306960	Total
Program Services	282403	ProgramServices
Management And General	24557	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	119549	Total
Program Services	109630	ProgramServices
Management And General	9919	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	4900	Total
Management And General	4900	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1643	Total
Program Services	1643	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	732	Total
Management And General	732	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4463	Total
Management And General	4463	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	24816	Total
Program Services	22334	ProgramServices
Management And General	2482	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	43822	Total
Program Services	39440	ProgramServices
Management And General	4382	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	4780	Total
Management And General	4780	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	42579	Total
Program Services	37058	ProgramServices
Management And General	5521	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	62778	Total
Program Services	37158	ProgramServices
Management And General	25620	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Maintenance Personal Services	20856	20856
Repairs and Maintenance	21155	21155
Contract Services	23630	23630
Food	92747	92747

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	80388	Total
Program Services	41365	ProgramServices
Management And General	39023	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2564604	Total
Program Services	2267344	ProgramServices
Management And General	297260	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	392329	BOY
EOY	366359	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	333818	BOY
EOY	437239	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	204304	BOY
EOY	215218	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	15454	BOY
EOY	21837	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1107256	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	714075	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	413855	BOY
EOY	393181	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	9207	BOY
EOY	7804	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	194026	BOY
EOY	234690	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1562993	BOY
EOY	1676328	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	75290	BOY
EOY	96825	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	245688	BOY
EOY	217450	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	320978	BOY
EOY	314275	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1242015	BOY
EOY	1362053	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1242015	BOY
EOY	1362053	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1562993	BOY
EOY	1676328	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	120038	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	25	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	25	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6248	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4915	CurrentTaxYearMinus1Year
Current Tax Year	837	CurrentTaxYear
Total	12050	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	25	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	25	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6248	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4915	CurrentTaxYearMinus1Year
Current Tax Year	837	CurrentTaxYear
Total	12050	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	12050	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	21737	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16543	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9979	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8606	CurrentTaxYearMinus1Year
Current Tax Year	7381	CurrentTaxYear
Total	64246	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year	2240	CurrentTaxYear
Total	2240	Total

Field	Value	IRS element (for citing)
Total Support	78536	TotalSupport
Gross Receipts From Admissions Etc	-19810	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.15340	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.12570	PublicSupportPertcentPriorYear
Ten Percent Test Current Year	X	TenPercentTestCurrentYear

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	41432	OtherCostOrOtherBasis
Book Value	41432	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	818214	OtherCostOrOtherBasis
Depreciation	602606	Depreciation
Book Value	215608	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	136303	OtherCostOrOtherBasis
Depreciation	111469	Depreciation
Book Value	24834	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	111307	OtherCostOrOtherBasis
Book Value	111307	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	393181	TotalOfBookValueLandBuildings
Total Book Value Other Assets	234690	TotalBookValueOtherAssets

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Upon request
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Annual compensation review by Board of Directors
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	Form 990 is reviewed and approved at a monthly meeting.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Dick and Sue Buche husband and wife.