2013-07-26T15:06:03-05:00 2012-12-31 481040139 ADAMS BROWN BERAN AND BALL CHTD PO BOX 1186 HAYS KS 676011186 990 2012-01-01 480671740 ANDBE HOME INC ANDB 7858772601 201 WEST CRANE NORTON KS 67654 RUTH BURD 7858772601 2013-07-15 1 STEVEN R BAUMRUCKER P00290663 7856283046 2012 2016-02-24 21:20:13Z RUTH BURD 201 WEST CRANE NORTON KS 67654 4500116 0 X N/A X 1961 KS NURSING HOME RESIDENT CARE. 9 9 175 42 0 0 24006 76005 4317649 4364104 8403 -4692 51588 54492 4401646 4489909 0 0 0 0 3162089 3308717 0 0 0 1299907 1219274 4461996 4527991 -60350 -38082 3485986 3188209 1497465 1211770 1988521 1976439 X TO ASSIST AND CARE FOR ELDERLY PEOPLE BY OPERATING A HOME TO PROVIDE SAID ASSISTANCE AND CARE; TO ACQUIRE BY PURCHASE, GIFT, CONSTRUCTION OR OTHERWISE OWN, ESTABLISH AND MAINTAIN SAID HOME AND OTHER PROPERTY AS MAY FROM TIME TO TIME BE DEEMED NECESSARY BY THE BOARD OF DIRECTORS; AND TO BUY, OWN, LEASE AND DISPOSE OF REAL ESTATE AND PERSONAL PROPERTY FOR THE BEST INTEREST OF THE CORPORATION. 0 0 4527991 4408389 ANDBE HOME PROVIDED NURSING CARE TO PATIENTS DURING THE YEAR FOR 26,718 PATIENT DAYS. IT ALSO PROVIDED PATIENT SERVICES IN THE HOME FOR 73 UNITS AND INDEPENDENT LIVING FOR 20 UNITS. 4527991 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 175 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 KS X JOLYNN LOCKHART 7858772601 201 W CRANE NORTON KS 67654 X RUTH BURD 2.00 X X 0 0 0 SARA DAVIS 2.00 X X 0 0 0 DAVID GRAHAM 2.00 X X 0 0 0 STEVE HAWKS 2.00 X 0 0 0 GREGG ANKENMAN 2.00 X 0 0 0 JERRY HAWKS 2.00 X 0 0 0 SONYA MONTGOMERY 2.00 X 0 0 0 SUE ANN STUTHEIT 2.00 X X 0 0 0 LYNN NELSON 2.00 X 0 0 0 0 0 0 0 0 0 0 0 76005 76005 NET RESIDENT SERVICE R 623000 4364104 4364104 4364104 5515 5515 10207 -10207 -10207 -10207 OTHER REVENUE 623000 34989 34989 COUNTY WARRANT INCOME 623000 19503 19503 54492 4489909 4408389 0 5515 2758594 2758594 24138 24138 269346 269346 256639 256639 979 979 32425 32425 2675 2675 142566 142566 1670 1670 56906 56906 137905 137905 39338 39338 CONTRACT SERVICES 252435 252435 SUPPLIES 221279 221279 FOOD 162989 162989 TAXES 62875 62875 105232 105232 4527991 4527991 0 0 796810 548747 430526 376557 144461 175976 38373 35229 4723059 2693593 2052148 2029466 23668 22234 3485986 3188209 104807 96526 1027143 884968 365515 230276 1497465 1211770 X 1988521 1976439 1988521 1976439 3485986 3188209 -38082 26000 0 X 0 1 X 0 0 X 36216 102610 14590 24006 76005 253427 2914570 3580511 4073262 4317649 4364104 19250096 18446 17000 20100 17800 19503 92849 2969232 3700121 4107952 4359455 4459612 19596372 0 0 0 19596372 15027 9823 9226 8403 5515 47994 15027 9823 9226 8403 5515 47994 59309 23959 41463 33788 34989 193508 3043568 3733903 4158641 4401646 4500116 19837874 0.98780 0.98650 0.00240 0.00360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24607 24607 3886527 2082295 1804232 754638 575246 179392 57287 36052 21235 2029466 ACCRUED WAGES & RELATED DEDUCTIONS 214502 ACCRUED INTEREST 4130 DEFERRED REVENUE 11644 230276 4489909 0 4489909 0 4489909 4527991 0 4527991 0 4527991 A NORTON COUNTY KANSAS - MULTIFAMILY RESIDENTIAL REVENUE BONDS SERIES 2007 486013150 2007-04-09 1170000 TO FINANCE BIEBER COTTAGES, THE INDEPENDENT LIVING UNITS 0 0 0 A 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ALL PERSONS WHO LIVE IN NORTON COUNTY OR ARE EMPLOYED BY THE ANDBE HOME INC. MAY BECOME A MEMBER OF THE CORPORATION BY REMITTING THE SUM OF NOT LESS THAN ONE DOLLAR ($1.00) WITH MEMBERSHIP BEING FROM DATE OF PAYMENT THROUGH MARCH 1ST OF THE FOLLOWING YEAR. ALL RESIDENTS ARE CONSIDERED TO BE PAID MEMBERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A CORPORATION MEMBERS MUST ATTEND THE ANNUAL MEETING TO RECEIVE A SINGLE BALLOT UPON WHICH THE MEMBER MAY VOTE FOR AS MANY NOMINEES FROM THE SLATE AS THERE ARE DIRECTORS WHOSE TERMS ARE EXPIRING. RESIDENTS OF THE HOME WILL BE ALLOWED TO CAST AN ADVANCED BALLOT ON THE DAY OF THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO EACH MEMBER FOR REVIEW BEFORE BEING FILED WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS AND/OR COMMENTS BROUGHT FORWARD ARE DISCUSSED. ANY NECESSARY CHANGES ARE REFLECTED IN THIS RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT ALL BOARD MEMBERS FILL OUT AN "APPROVED FORM FOR DISCLOSURE OF ACTUAL, POSSIBLE OR APPARENT CONFLICT OF INTEREST AND DUALITIES OF INTEREST" STATEMENT ANNUALLY. THE ORGANIZATION REVIEWS ANY RELATIONSHIPS THAT MAY BE DISCLOSED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT MAINTAIN THIS INFORMATION ON A PUBLICLY AVAILABLE WEBSITE.