MIZPAH ASSISTED LIVING SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MIZPAH ASSISTED LIVING SERVICES (EIN 43-1744746)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-13
IRS object ID: 201321339349303427
Schema version: 2012v2.1
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	2013-05-13T14:40:48-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	430551028	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	James C Thompson & Co	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	9909 Clayton Rd Ste 206	AddressLine1
City	Saint Louis	City
State	MO	State
ZIP Code	63124	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	431744746	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIZPAH ASSISTED LIVING SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MIZP	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6633 DELMAR BLVD	AddressLine1
City	Saint Louis	City
State	MO	State
ZIP Code	63130	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GREG ELLIOTT	Name
Title	CFO	Title
Date Signed	2013-05-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Thomas M Simpson	Name
PTIN	P01208583	PTIN
Phone	3149912929	Phone
Date Prepared	2013-05-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	1170279	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	ASSISTED LIVING ELDERLY PERSON	ActivityOrMissionDescription
Nbr Voting Members Governing Body	3	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	3	NbrIndependentVotingMembers
Total Nbr Employees	45	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	990252	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1169713	ProgramServiceRevenueCY
Investment Income Prior Year	577	InvestmentIncomePriorYear
Investment Income Current Year	466	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1700	OtherRevenuePriorYear
Other Revenue Current Year	100	OtherRevenueCurrentYear
Total Revenue Prior Year	992529	TotalRevenuePriorYear
Total Revenue Current Year	1170279	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	503336	SalariesEtcPriorYear
Salaries Etc Current Year	535135	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	637955	OtherExpensePriorYear
Other Expenses Current Year	551253	OtherExpensesCurrentYear
Total Expenses Prior Year	1141291	TotalExpensesPriorYear
Total Expenses Current Year	1086388	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-148762	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	83891	RevenuesLessExpensesCY
Total Assets BOY	2072425	TotalAssetsBOY
Total Assets EOY	2139167	TotalAssetsEOY
Total Liabilities BOY	2927237	TotalLiabilitiesBOY
Total Liabilities EOY	2910088	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-854812	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-770921	NetAssetsOrFundBalancesEOY
Mission Description	ASSISTED LIVING ELDERLY PERSON	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	880614	Expense
Description	PROVIDING HOUSING, MEALS, AND ASSISTED PERSONAL CARE TO SENIOR CITIZENS.	Description
Total Program Service Expense	880614	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
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	true	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
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	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	45	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	3	NbrVotingGoverningBodyMembers
Number Independent Voting Members	3	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	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	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Greg Elliott	NamePerson
Telephone Number	3147260111	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6633 Delmar BLVD	AddressLine1
City	Saint Louis	City
State	MO	State
ZIP Code	63130	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
Katy Verhagen
Director as needed	0.00	X	0	0	0
Maureen Dunn
President	1.00	X	0	0	0	X
Nan Klassen
Director as needed	0.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NURSING HOME FEES	Description
Business Code	623000	BusinessCode
Total Revenue Column	1169713	TotalRevenueColumn
Related Or Exempt Function Income	1169713	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1169713	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	466	TotalRevenueColumn
Related Or Exempt Function Income	466	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	DONATIONS	Description
Business Code	900099	BusinessCode
Total Revenue Column	100	TotalRevenueColumn
Related Or Exempt Function Income	100	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	100	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1170279	TotalRevenueColumn
Related Or Exempt Function Income	1170279	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	420028	Total
Program Services	332035	ProgramServices
Management And General	87993	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	83440	Total
Program Services	65960	ProgramServices
Management And General	17480	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	31667	Total
Program Services	25033	ProgramServices
Management And General	6634	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	67433	Total
Management And General	67433	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	6876	Total
Program Services	6876	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	5400	Total
Program Services	5400	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	17013	Total
Management And General	17013	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9221	Total
Management And General	9221	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	205412	Total
Program Services	205412	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	95162	Total
Program Services	95162	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	70351	Total
Program Services	70351	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	49992	Total
Program Services	49992	ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
SUPPLIES	16781	16781
TELEPHONE EXPENSE	6456	6456
POSTAGE	1156	1156

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1086388	Total
Program Services	880614	ProgramServices
Management And General	205774	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	67514	BOY
EOY	202401	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	212038	BOY
EOY	89524	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	652	BOY
EOY	8278	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	35684	BOY
EOY	51387	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2408758	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	797516	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1530869	BOY
EOY	1611242	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	225668	BOY
EOY	176335	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2072425	BOY
EOY	2139167	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	709383	BOY
EOY	740227	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2217854	BOY
EOY	2169861	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2927237	BOY
EOY	2910088	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	-854812	BOY
EOY	-770921	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-854812	BOY
EOY	-770921	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2072425	BOY
EOY	2139167	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	83891	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
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	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1008635	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1097638	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1056122	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	990250	CurrentTaxYearMinus1Year
Current Tax Year	1169813	CurrentTaxYear
Total	5322458	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1008635	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1097638	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1056122	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	990250	CurrentTaxYearMinus1Year
Current Tax Year	1169813	CurrentTaxYear
Total	5322458	Total

Field	Value	IRS element (for citing)
Public Support Total509	5322458	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1961	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	740	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	824	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	577	CurrentTaxYearMinus1Year
Current Tax Year	466	CurrentTaxYear
Total	4568	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1961	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	740	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	824	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	577	CurrentTaxYearMinus1Year
Current Tax Year	466	CurrentTaxYear
Total	4568	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	2950	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1700	CurrentTaxYearMinus1Year
Current Tax Year	100	CurrentTaxYear
Total	4750	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1010596	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1098378	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1059896	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	992527	CurrentTaxYearMinus1Year
Current Tax Year	1170379	CurrentTaxYear
Total	5331776	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99830	PublicSupportPercentage509
Prior Year Support Percentage	0.99750	PriorYearSupportPercentage
Investment Income Percentage	0.00090	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	200000	InvestmentCostOrOtherBasis
Book Value	200000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1832990	InvestmentCostOrOtherBasis
Depreciation	589420	Depreciation
Book Value	1243570	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	375768	InvestmentCostOrOtherBasis
Depreciation	208096	Depreciation
Book Value	167672	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1611242	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
MISCELLANEOUS CURRENT ASSETS	3660
TENANT SECURITY DEP	97171
RESERVE FOR RESIDUAL RECEIPTS	13422
DEFERRED FINANCING COSTS	62082

Field	Value	IRS element (for citing)
Total Book Value Other Assets	176335	TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt	1170279	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	1170279	RevenueSubtotal
Total Revenue Per Form990	1170279	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1086388	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	1086388	ExpensesSubtotal
Total Expenses Per Form990	1086388	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
O01	Management duties delegation Part VI line 3	Operational control and responsibility of providing housing, meals and assisted personal care to residents. Managerial control over the property, which involves the upkeep, maintenance and improvement of the building and land. This also requires the appropriate bookkeeping and reporting requirements mandated by HUD.
O02	Form 990 governing body review Part VI line 11	Form 990 is sent to the Board Chairman for review. The Board Chairman then determines how to distribute Form 990.
O03	Conflict of interest policy compliance Part VI line 12c	The organization has each board member sign a conflict of interest form disclosing what, if any, conflicts of interest the member would have annually.
O04	Governing documents etc available to public Part VI line 19	The organization makes public documents available upon request. Documents are available in paper or by email.

MIZPAH ASSISTED LIVING SERVICES: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

Program Service Revenue ProgramServiceRevenue

Investment Income InvestmentIncome

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Management FeesForServicesManagement

Fees For Services Legal FeesForServicesLegal

Fees For Services Accounting FeesForServicesAccounting

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Interest Interest

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (3 entries)

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Accounts Receivable AccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Total Liabilities TotalLiabilities

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Total509 Total509

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Other Income509 OtherIncome509

Total Support Total TotalSupportTotal

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Other Assets OtherAssets (4 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Comments