KENTUCKY RIVER HANDICAPPED HOUSING INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KENTUCKY RIVER HANDICAPPED HOUSING INC (EIN 61-1178083)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-15
IRS object ID
201343199349303719
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T12:07:00-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GREGORY CAUDILL CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 751AddressLine1
CitySOUTH SHORECity
StateKYState
ZIP Code41175ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611178083EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KENTUCKY RIVER HANDICAPPED HOUSING INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKENTNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1178 COMMUNITY WAYAddressLine1
CityJACKSONCity
StateKYState
ZIP Code41339ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameERNESTINE WEEMSName
TitleCFOTitle
Date Signed2013-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1KENTUCKY RIVER HANDICAPPED HOUSING INCBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonERNESTINE WEEMSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1178 COMMUNITY WAYAddressLine1
CityJACKSONCity
StateKYState
ZIP Code41339ZIPCode
FieldValueIRS element (for citing)
Gross Receipts82035GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedtrueAllAffiliatesIncluded
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionTO CONSTRUCT AND OPERATE INDEPENDENT LIVING APARTMENTS FOR HANDICAPPED INDIVIDUALS IN HINDMAN KYActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year49598ContributionsGrantsPriorYear
Contributions Grants Current Year42331ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39253ProgramServiceRevenuePriorYear
Program Service Revenue CY38614ProgramServiceRevenueCY
Investment Income Prior Year711InvestmentIncomePriorYear
Investment Income Current Year482InvestmentIncomeCurrentYear
Other Revenue Prior Year655OtherRevenuePriorYear
Other Revenue Current Year608OtherRevenueCurrentYear
Total Revenue Prior Year90217TotalRevenuePriorYear
Total Revenue Current Year82035TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year115654OtherExpensePriorYear
Other Expenses Current Year101951OtherExpensesCurrentYear
Total Expenses Prior Year115654TotalExpensesPriorYear
Total Expenses Current Year101951TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-25437RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-19916RevenuesLessExpensesCY
Total Assets BOY649999TotalAssetsBOY
Total Assets EOY630997TotalAssetsEOY
Total Liabilities BOY9042TotalLiabilitiesBOY
Total Liabilities EOY9956TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY640957NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY621041NetAssetsOrFundBalancesEOY
Mission DescriptionTO CONSTRUCT AND OPERATE INDEPENDENT LIVING APARTMENTS FOR HANDICAPPED INDIVIDUALS IN HINDMAN KYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense89450Expense
Grants42331Grants
Revenue39222Revenue
DescriptionIN FY 13 KENTUCKY RIVER HANDICAPPED HOUSING CONTINUES TO OPERATE APARTMENT COMPLEXES AND HAS BEEN ABLE TO ADMINISTER HOUSING TO APPROXIMATELY 18 HANDICAPPED INDIVIDUALS. THESE INDIVIDUALS BENEFIT FROM AFFORDABLE HOUSING THAT IS SUBSIDIZED BY HUD.Description
Total Program Service Expense89450TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
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 CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonERNESTINE WEEMSNamePerson
Telephone Number6066669006TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1178 COMMUNITY WAYAddressLine1
Address Line2PO BOX 794AddressLine2
CityJACKSONCity
StateKYState
ZIP Code41339ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MASJA OTT
BOARD MEMBER2X000
MICHAEL D VILLER
BOARD MEMBER2X000
ROGER MARTIN
BOARD MEMBER2X000
MARY ANDREWS
SECRETARY2X000
JIM MCDANNEL
VICE CHAR2X000
CHRIS GOOCH
CHAIR2X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNANamePerson
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants42331GovernmentGrants
Total Contributions42331TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
Business Code531310BusinessCode
Total Revenue Column38614TotalRevenueColumn
Related Or Exempt Function Income38614RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue38614TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column482TotalRevenueColumn
Exclusion$482ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLAUNDRY INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column608TotalRevenueColumn
Related Or Exempt Function Income608RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue608TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column82035TotalRevenueColumn
Related Or Exempt Function Income39222RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$482ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total14604Total
Program Services6234ProgramServices
Management And General8370ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3330Total
Management And General3330ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total818Total
Program Services818ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total801Total
Management And General801ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2111Total
Program Services2111ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total25568Total
Program Services25568ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3473Total
Program Services3473ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
REPAIRS AND MAINTANANCE1818818188
UTILITIES2515625156
JANITORIAL AND CLEANING SUPPLIES32933293

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4609Total
Program Services4609ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total101951Total
Program Services89450ProgramServices
Management And General12501ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY1364EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY18000BOY
EOY18000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2582BOY
EOY1975EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis917204LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec400046LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY506702BOY
EOY517158EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY122715BOY
EOY92500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY649999BOY
EOY630997EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2931BOY
EOY3765EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6111BOY
EOY6191EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9042BOY
EOY9956EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-239043BOY
EOY-258959EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY880000BOY
EOY880000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY640957BOY
EOY621041EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY649999BOY
EOY630997EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-19916ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51159CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49598CurrentTaxYearMinus1Year
Current Tax Year42331CurrentTaxYear
Total242392Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49602CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51159CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49598CurrentTaxYearMinus1Year
Current Tax Year42331CurrentTaxYear
Total242392Total
FieldValueIRS element (for citing)
Public Support Total170242392PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1225CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year711CurrentTaxYearMinus1Year
Current Tax Year482CurrentTaxYear
Total5685Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1635CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1292CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1795CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year655CurrentTaxYearMinus1Year
Current Tax Year608CurrentTaxYear
Total5985Total
FieldValueIRS element (for citing)
Total Support254062TotalSupport
Gross Receipts From Admissions Etc38614GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170.00954PublicSupportPertcentage170
Public Support Pertcent Prior Year.00929PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Percentage5090.0PublicSupportPercentage509
Prior Year Support Percentage0.0PriorYearSupportPercentage
Investment Income Percentage0.0InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.0PriorYrInvestIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis90269InvestmentCostOrOtherBasis
Book Value90269BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis809114InvestmentCostOrOtherBasis
Depreciation383607Depreciation
Book Value425507BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis17821InvestmentCostOrOtherBasis
Depreciation16439Depreciation
Book Value1382BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings517158TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
TENANT SECURITY DEPOSITS2861
TENANT PET DEPOSITS402
REPLACEMENT RESERVES21822
RESIDUAL RECEIPTS RESERVES67415
FieldValueIRS element (for citing)
Total Book Value Other Assets92500TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
TENANT SECURITY DEPOSITS$2,861
TENANT PET DEPOSITS$402
DUE TO AFFILIATE$2,477
PREPAID RENT$451
FieldValueIRS element (for citing)
Total Of Amounts6191TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt82035TotRevenueEtcAuditedFinclStmt
Revenue Subtotal82035RevenueSubtotal
Total Revenue Per Form99082035TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt101951TotExpensesEtcAuditedFinclStmt
Expenses Subtotal101951ExpensesSubtotal
Total Expenses Per Form990101951TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
ExplanationFORM 990 PART VI SECTION B. QUESTION 11A ONCE THE 990 IS PREPARED BY THE EXTERNAL ACCOUNTANT MANAGEMENT WILL REVIEW THE 990 AND ENSURE THAT THE NUMBERS RECONCILE TO THE ACCOUNTING SYSTEM. THE 990 IS THEN PRESENTED TO THE BOARD FOR REVIEW BEFORE FILING. FORM 990 PART VI PART B. QUESTIONS 12A THROUGH 14 THE ORGANIZATION HAS CONFLICT OF INTEREST POLICIES IN PLACE TO ADDRESS THESE ISSUES AND ARE REVIEWED BY THE BOARD OF DIRECTORS AND ALL NEW BOARD MEMBERS ARE ADVISED IN WRITING OF THESE POLICIES AT THE COMMENCEMENT OF THEIR TENURES. ALL NEW EMPLOYEES ARE ADVISED IN WRITING OF THESE REQUIREMENTS. ALL EMPLOYEES ARE EXPECTED TO ADHERE TO THESE POLICIES AN A DAY TO DAY BASIS DURING THEIR TENURE. FORM 990. PART VI SECTION C QUESTION 19 THE ORGANIZATION'S GOVERNING DOCUMENTS POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN BE OBTAINED AT THE ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. FORM 990 PART VI SECITON A QUESTION 3 THE ORGANIZATION IS AFFILIATED THROUGH COMMON MANAGEMENT AND CONTROL WITH KENTUCKY RIVER COMMUNITY CARE INC (KRCC) A NON-PROFIT ORGANIZATION WHICH PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO THE ORGANIZATION. THE ORGANIZATION UTILIZES A MANAGEMENT COMPANY IN THE PERFORMANCE OF MANAGEMENT DUITIES.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1KENTUCKY RIVER COMMUNITY CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1115 ROCKWOOD LANEAddressLine1
CityHAZARDCity
StateKYState
ZIP Code41701ZIPCode
FieldValueIRS element (for citing)
EIN310965230EIN
Primary ActivitiesPROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO AN EIGHT COUNTY AREA IN SE KYPrimaryActivities
Legal Domicile StateKYLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)(VI)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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