MOUNTAIN VIEW NURSING HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN VIEW NURSING HOME (EIN 54-0722037)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-15
IRS object ID
201201679349300315
Schema version
2011v1.2
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)
Timestamp2012-06-15T08:17:21-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1King Shores & Preston CPAsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12707 Brambleton Ave SWAddressLine1
CityRoanokeCity
StateVAState
ZIP Code24015ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540722037EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mountain View Nursing Home IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone5409486831Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11776 Elly RoadAddressLine1
CityArodaCity
StateVAState
ZIP Code22709ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEldon HochstetlerName
TitleTreasurer/AdminTitle
Date Signed2012-06-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCJ KingName
Phone5407760771Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEldon HochstetlerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11552 Elly RdAddressLine1
CityArodaCity
StateVAState
ZIP Code22709ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2477147GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTo provide elderly nursing care in a church-affiliated nursing home.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees103TotalNbrEmployees
Total Nbr Volunteers57TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3895ContributionsGrantsPriorYear
Contributions Grants Current Year9636ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2386908ProgramServiceRevenuePriorYear
Program Service Revenue CY2418665ProgramServiceRevenueCY
Investment Income Prior Year-860InvestmentIncomePriorYear
Investment Income Current Year461InvestmentIncomeCurrentYear
Other Revenue Prior Year67751OtherRevenuePriorYear
Other Revenue Current Year47647OtherRevenueCurrentYear
Total Revenue Prior Year2457694TotalRevenuePriorYear
Total Revenue Current Year2476409TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY100000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1103457SalariesEtcPriorYear
Salaries Etc Current Year1066223SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1139840OtherExpensePriorYear
Other Expenses Current Year1176969OtherExpensesCurrentYear
Total Expenses Prior Year2343297TotalExpensesPriorYear
Total Expenses Current Year2343192TotalExpensesCurrentYear
Revenues Less Expenses Prior Year114397RevenuesLessExpensesPriorYear
Revenues Less Expenses CY133217RevenuesLessExpensesCY
Total Assets BOY4166111TotalAssetsBOY
Total Assets EOY3971058TotalAssetsEOY
Total Liabilities BOY1006719TotalLiabilitiesBOY
Total Liabilities EOY678449TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3159392NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3292609NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide elderly nursing care in a church-affiliated nursing home.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1955743Expense
Revenue2418665Revenue
DescriptionProvide intermediate care nursing services for the elderly. There are 40 beds available with approximately 14,304 patient days provided to approximately 54 residents throughout the year.Description
Total Program Service Expense1955743TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
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 OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees103NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
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 ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonThe CorporationNamePerson
Telephone Number5409486831TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11776 Elly RoadAddressLine1
CityArodaCity
StateVAState
ZIP Code22709ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Michael Yoder
Chairman1.00XX000
Joseph Summy
Vice Chairman1.00XX000
Ray Shank
Secretary1.00XX000
Eldon Hochstetler
Treasurer/Admin40.00X8291502000
FieldValueIRS element (for citing)
Total Reportable Comp From Org82915TotalReportableCompFromOrg
Total Other Compensation2000TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions9636AllOtherContributions
Total Contributions9636TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNursing ServicesDescription
Business Code623000BusinessCode
Total Revenue Column2418665TotalRevenueColumn
Related Or Exempt Function Income2418665RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2418665TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column199TotalRevenueColumn
Exclusion$199ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other738Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other262Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column262TotalRevenueColumn
Exclusion$262ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionStaff Room & Board, etc.Description
Business Code623000BusinessCode
Total Revenue Column47647TotalRevenueColumn
Exclusion$47,647ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue47647TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2476409TotalRevenueColumn
Related Or Exempt Function Income2418665RelatedOrExemptFunctionIncome
Exclusion$48,108ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total99000Total
Program Services99000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total84915Total
Management And General84915ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total825799Total
Program Services730723ProgramServices
Management And General95076ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22146Total
Program Services17769ProgramServices
Management And General4377ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total62913Total
Program Services50479ProgramServices
Management And General12434ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total70450Total
Program Services56526ProgramServices
Management And General13924ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20117Total
Management And General20117ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total4252Total
Management And General4252ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total41719Total
Program Services6258ProgramServices
Management And General35461ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total11360Total
Program Services2840ProgramServices
Management And General8520ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total182293Total
Program Services154949ProgramServices
Management And General27344ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total24272Total
Program Services20631ProgramServices
Management And General3641ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2Total
Management And General2ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total260400Total
Program Services221340ProgramServices
Management And General39060ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total52461Total
Program Services44592ProgramServices
Management And General7869ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies412093412093
Repairs & Maintenance996148467214942
Professional Services2035820358
Other Expenses82608260
Mission Outreach1915319153

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total20615Total
Program Services13360ProgramServices
Management And General7255ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2343192Total
Program Services1955743ProgramServices
Management And General387449ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY52975BOY
EOY101714EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY100828BOY
EOY75032EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY137995BOY
EOY132279EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY52363BOY
EOY56582EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6005BOY
EOY7514EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5337529LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1755465LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3799222BOY
EOY3582064EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16723BOY
EOY15873EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4166111BOY
EOY3971058EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY239996BOY
EOY218925EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY750000BOY
EOY443651EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16723BOY
EOY15873EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1006719BOY
EOY678449EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3159392BOY
EOY3292609EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3159392BOY
EOY3292609EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4166111BOY
EOY3971058EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses133217ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Oak Grove Mennonite ChurchBusinessNameLine1
FieldValueIRS element (for citing)
EIN541301492EIN
Type Of OrganizationChurchTypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis99399InvestmentCostOrOtherBasis
Other Cost Or Other Basis20728OtherCostOrOtherBasis
Book Value120127BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3916227OtherCostOrOtherBasis
Depreciation997956Depreciation
Book Value2918271BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis359969OtherCostOrOtherBasis
Depreciation201945Depreciation
Book Value158024BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis865758OtherCostOrOtherBasis
Depreciation518605Depreciation
Book Value347153BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis75448OtherCostOrOtherBasis
Depreciation36959Depreciation
Book Value38489BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3582064TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPatient FundsDescription
Amount$15,873Amount
FieldValueIRS element (for citing)
Total Of Amounts15873TotalOfAmounts
Total Revenue2476409TotalRevenue
Total Expenses2343192TotalExpenses
Excess Or Deficit For Year133217ExcessOrDeficitForYear
Excess Or Deficit Per FS133217ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3066590TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities590181DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990590181RevenueNotRptdF990
Revenue Subtotal2476409RevenueSubtotal
Total Revenue Per Form9902476409TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2933373TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities590181DonatedServicesUseOfFacilities
Expenses Not Rptd F990590181ExpensesNotRptdF990
Expenses Subtotal2343192ExpensesSubtotal
Total Expenses Per Form9902343192TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Mission Interest Committee
13200 CR 20MiddleburyIN46540486119343180000Mission Support
Costa Rica Missions
1047 Orange RoadPrattsVA22731541301492180000Mission Support
Amish Mennonite Aid
8916 Mission Home LaneFree UnionVA22940540803181240000Mission Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Organization does not make its governing documents and financial statements available to the public.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessReviews of Form 990 have not customarily been performed in the past.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersExpenditures in excess of threshold amounts require the approval of the congregation of the sponsoring organization, the Oak Grove Mennonite Church.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Oak Grove Mennonite ChurchBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11008 Shiffletts Corner LaneAddressLine1
CityRochelleCity
StateVAState
ZIP Code22738ZIPCode
FieldValueIRS element (for citing)
EIN541301492EIN
Primary ActivitiesChurchPrimaryActivities
Legal Domicile StateVALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status1PublicCharityStatus

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
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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