MENNONITE FELLOWSHIP HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MENNONITE FELLOWSHIP HOME INC (EIN 52-1763531)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-06
IRS object ID
201331269349300718
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-06T09:02:17-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ROTZ & STONESIFER PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11134 KENNEBEC DRIVEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code172012809ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521763531EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MENNONITE FELLOWSHIP HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMENNNameControl
Phone3017660707Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112349 HUYETT LANEAddressLine1
CityHAGERSTOWNCity
StateMDState
ZIP Code21740ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH MARTINName
TitleTREASURERTitle
Phone3017660707Phone
Date Signed2013-04-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL BUHRMAN CPAName
Phone7172645961Phone
Date Prepared2013-04-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLANDIS MARTINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112349 HUYETT LANEAddressLine1
CityHAGERSTOWNCity
StateMDState
ZIP Code21740ZIPCode
FieldValueIRS element (for citing)
Gross Receipts353705GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionFACILITY OPERATED TO PROVIDE PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL AND RELIGIOUS CARE FOR THE ELDERLYActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees13TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year80ContributionsGrantsPriorYear
Contributions Grants Current Year100ContributionsGrantsCurrentYear
Program Service Revenue Prior Year314890ProgramServiceRevenuePriorYear
Program Service Revenue CY351373ProgramServiceRevenueCY
Investment Income Prior Year47InvestmentIncomePriorYear
Investment Income Current Year45InvestmentIncomeCurrentYear
Other Revenue Current Year2187OtherRevenueCurrentYear
Total Revenue Prior Year315017TotalRevenuePriorYear
Total Revenue Current Year353705TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year222737SalariesEtcPriorYear
Salaries Etc Current Year218095SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year128221OtherExpensePriorYear
Other Expenses Current Year163711OtherExpensesCurrentYear
Total Expenses Prior Year350958TotalExpensesPriorYear
Total Expenses Current Year381806TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-35941RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-28101RevenuesLessExpensesCY
Total Assets BOY472066TotalAssetsBOY
Total Assets EOY443965TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY472066NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY443965NetAssetsOrFundBalancesEOY
Mission DescriptionFACILITY OPERATED TO PROVIDE PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL AND RELIGIOUS CARE FOR THE ELDERLYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense324793Expense
Revenue351373Revenue
DescriptionFACILITY OPERATED TO PROVIDE PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL AND RELIGIOUS CARE FOR THE ELDERLY.Description
Total Program Service Expense324793TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees13NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOSEPH MARTINNamePerson
Telephone Number3017913518TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line113511 MAUGANSVILLE ROADAddressLine1
CityHAGERSTOWNCity
StateMDState
ZIP Code21740ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LANDIS E MARTIN
CHARIMAN3.00XX000
ROBERT SHANK
SECRETARY3.00XX000
DALE DUECK
DIRECTOR2.00X000
JOEL D HORST
ASSISTANT CH2.00XX000
DAVID HORTON
DIRECTOR2.00X000
JOSEPH MARTIN
TREASURER5.00XX000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions100AllOtherContributions
Total Contributions100TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROOM & BOARD318455318455
MED & SUPPLY INCOME3291832918
FieldValueIRS element (for citing)
Total Program Service Revenue351373TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column45TotalRevenueColumn
Exclusion$45ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS1907$1,907
LAND RENTAL280$280
FieldValueIRS element (for citing)
Total Other Revenue2187TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column353705TotalRevenueColumn
Related Or Exempt Function Income351373RelatedOrExemptFunctionIncome
Exclusion$2,232ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total218095Total
Program Services161203ProgramServices
Management And General56892ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26744Total
Program Services26744ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9913Total
Program Services9913ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total6048Total
Program Services6048ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
RESIDENT MEDS & SUPPLIES3450234502
REAL ESTATE TAXES2974029740
FOOD2108821088
REPAIRS - BUILDING1015110151

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total25525Total
Program Services25404ProgramServices
Management And General121ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total381806Total
Program Services324793ProgramServices
Management And General57013ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY64850BOY
EOY37020EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4936BOY
EOY4978EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis434287LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec32320LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY402280BOY
EOY401967EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY472066BOY
EOY443965EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY472066BOY
EOY443965EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY472066BOY
EOY443965EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY472066BOY
EOY443965EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-28101ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year80CurrentTaxYearMinus1Year
Current Tax Year100CurrentTaxYear
Total180Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years241927CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years238949CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years210313CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year314890CurrentTaxYearMinus1Year
Current Tax Year351373CurrentTaxYear
Total1357452Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years241927CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years238949CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years210313CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year314970CurrentTaxYearMinus1Year
Current Tax Year351473CurrentTaxYear
Total1357632Total
FieldValueIRS element (for citing)
Public Support Total5091357632PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30962CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22786CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7810CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47CurrentTaxYearMinus1Year
Current Tax Year45CurrentTaxYear
Total61650Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30962CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22786CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7810CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47CurrentTaxYearMinus1Year
Current Tax Year45CurrentTaxYear
Total61650Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years272889CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years261735CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years218123CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year315017CurrentTaxYearMinus1Year
Current Tax Year351518CurrentTaxYear
Total1419282Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95660PublicSupportPercentage509
Prior Year Support Percentage0.93080PriorYearSupportPercentage
Investment Income Percentage0.04000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.07000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis83844OtherCostOrOtherBasis
Book Value83844BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis238431OtherCostOrOtherBasis
Depreciation12507Depreciation
Book Value225924BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis112012OtherCostOrOtherBasis
Depreciation19813Depreciation
Book Value92199BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings401967TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL BEFORE SUBMISSION.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CMEMBERS ARE ASKED ON AN ANNUAL BASIS IF THEY HAVE ANY NEW CONFLICTS THAT NEED TO BE BROUGHT TO THE ATTENTION OF THE ORGANIZATION.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15APROCESS INCLUDES REVIEW AND APPROVAL, USE OF DATA AS TO COMPARABLE COMPENSATION, AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BPROCESS INCLUDES REVIEW AND APPROVAL, USE OF DATA AS TO COMPARABLE COMPENSATION, AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE AT THE ORGANIZATION'S FACILITY FOR EXAMINATION UPON INQUIRY.

Comments

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