2013-06-14T11:51:20-05:00 2012-12-31 481210879 SMOLL & BANNING CPA'S LLC 2410 CENTRAL AVE DODGE CITY KS 67801 990PF 2012-01-01 481064221 KIOWA COUNTY HEALTH FOUNDATION CO TOM CORNS KIOW 6207233341 304 S SPRUCE GREENSBURG KS 67054 TOM CORNS 6207233341 2013-06-03 1 E KENT SMOLL CPAPFS P00113696 6202256100 2012 2016-03-07 17:11:31Z X 522899 X 4149 X 3120 3120 0 7269 3120 0 0 0 779 584 195 151 0 40 62 0 62 992 584 297 25821 25821 26813 584 26118 -19544 2536 523404 522899 522899 3843 0 0 15196 0 0 542443 522899 522899 0 0 X 331991 331991 0 0 210452 190908 542443 522899 542443 522899 542443 -19544 0 522899 0 522899 0 32010 546336 0.058590 9364 557480 0.016797 7401 553289 0.013376 14716 542508 0.027126 20881 184445 0.113210 0.229099 0.045820 517197 23698 25 23723 26118 X 25 0 25 0 25 51 51 26 0 26 0 0 0 0 0 0 0 0 0 0 0 1 KS 1 0 0 0 0 1 N/A TOM CORNS 6207232131 GREENSBURG STATE BANK 240 S MAIN GREENSBURG KS 67054 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ROGER STAATS 418 S POPLAR GREENSBURG KS 67054 1.00 0 0 0 TOM CORNS 304 S SPRUCE GREENSBURG KS 67054 1.00 0 0 0 ELMER DAVIS RR 2 BOX 32 HAVILAND KS 67059 1.00 0 0 0 VERA CUTRIGHT 402 N EMPORIA HAVILAND KS 67059 1.00 0 0 0 KENNETH UNRUH RR 2 BOX 32 LEWIS KS 67552 1.00 0 0 0 PAUL KENDALL 318 E KINGMAN MULLINVILLE KS 67109 1.00 0 0 0 MARY SWEET 603 S SPRUCE GREENSBURG KS 67054 1.00 0 0 0 NONE 0 NONE 0 GRANTS TO VARIOUS ORGANIZATIONS IN KIOWA COUNTY THAT PROVIDE HEALTH CARE IN KIOWA COUNTY. 4000 THE ORGANIZATION HAS PROVIDED SCHOLARSHIPS FOR AREA STUDENTS TAKING MEDICIAL RELATED STUDIES. 6625 0 0 376562 148511 525073 0 0 525073 7876 517197 25860 25860 25 25 25835 0 25835 0 25835 26118 0 26118 25 26093 25835 15973 0 0 26118 15973 0 0 10145 0 0 0 0 0 0 0 0 15690 0 0 0 TOM CORNS 304 S SPRUCE GREENSBURG KS 67054 6207232131 SCHOLARSHIP APPLICATIONS REQUIRE BASIC PERSONAL INFORMATION AND THE APPLICANT'S GRADE POINT AVERAGE. THE SCHOLARSHIP DEADLINE IS SET ANNUALLY BY THE SCHOLARSHIP ADMINISTRATOR. SCHOLARHIP RECIPIENTS MUST BE IN THE MEDICAL FIELD WITH THE POSSIBILITY OF BEING KIOWA COUNTY MEMORIAL HOSPITAL EMPLOYEES. SCHOLARSHIPS ARE LIMITED TO $1,000 PER RECIPIENT PER YEAR. TOM CORNS 304 S SPRUCE GREENSBURG KS 67054 6207232131 LETTERS ARE SUBMITTED BY THOSE REQUESTING GRANT AWARDS. GRANT LETTERS ARE DUE PRIOR TO THE ANNUAL MEETING HELD IN JANUARY. GRANT AWARDEES MUST PROVIDE SERVICES TO KIOWA COUNTY RESIDENTS. DEZERE LUNA 2221 N HILLSIDE 1226 WICHITA KS 67219 NONE SCHOLARSHIPSCHOLARSHIP 500 JESSICA DAVIS PO BOX 335 HAVILAND KS 67059 NONE SCHOLARSHIP 500 JOSHUA KIMBLE PO BOX 62 MULLINVILLE KS 67109 NONE SCHOLARSHIP 500 KIOWA COUNTY HEALTH DEPARTMENT 721 W KANSAS GREENSBURG KS 67054 NONE MEDICAL CARE 2000 KIOWA COUNTY MEMORIAL HOSPITAL 721 W KANSAS GREENSBURG KS 67054 NONE MEDICAL CARE 500 LINDSEY HEFT 410 S POPLAR GREENSBURG KS 67054 NONE SCHOLARSHIP 1500 MACI COLCLAZIER 603 S SPRUCE GREENSBURG KS 67054 NONE SCHOLARSHIP 500 MORGAN FULTON 1216 S MAIN GREENSBURG KS 67054 NONE SCHOLARSHIP 500 MORGAN TYREE PO BOX 266 KINSLEY KS 67547 NONE SCHOLARSHIP 500 TAYLOR ARDERY 22159 11TH AVENUE MULLINVILLE KS 67109 NONE SCHOLARSHIP 1000 MACI R JONES 21 E 28TH STREET HUTCHINSON KS 67502 NONE SCHOLARSHIP 625 RALSTIN MONTANA 12090 11TH AVENUE MULLINVILLE KS 67109 NONE SCHOLARSHIP 500 IROQUOIS CENTER FOR HUMAN DEVELOPMENT INC 610 E GRANT GREENSBURG KS 67054 NONE MENTAL HEALTH CENTER 1500 SOUTH CENTRAL COMMUNITY FOUNDATION 721 W KANSAS GREENSBURG KS 67054 NONE COMMUNITY HEALTH FOUNDATION 15196 25821 0 14 3120 0 3120 0 3120 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 779 584 195 SOUTH CENTRAL COMMUNITY FOUNDATION FMV 0 0 MISCELLANEOUS EXPENSE 62 0 62 CORPORATE ANNUAL FEE 40 0 40 INVESTMENT EXCISE TAX 111 0 0