MAPLETON COMMUNITY HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MAPLETON COMMUNITY HOME (EIN 41-6031905)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-07-16
IRS object ID: 201221989349301082
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule D
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-07-16T16:24:08-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 217	AddressLine1
City	AUSTIN	City
State	MN	State
ZIP Code	55912	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	416031905	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAPLETON COMMUNITY HOME	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MAPL	NameControl
Phone	5075243315	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 TROENDLE STREET	AddressLine1
City	MAPLETON	City
State	MN	State
ZIP Code	56065	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ROXANNE GOSSON	Name
Title	ADMINISTRATOR	Title
Phone	5075243155	Phone
Date Signed	2012-07-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TRENT FAST	Name
Phone	5074347000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROXANNE GOSSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	301 TROENDLE STREET	AddressLine1
City	MAPLETON	City
State	MN	State
ZIP Code	56065	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	3649746	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1962	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE THE ELDERLY WITH HOUSING AND NURSING FACILITIES WITH REHABILITATIVE CARE	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	149	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	9733	ContributionsGrantsPriorYear
Contributions Grants Current Year	10699	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3424925	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3618260	ProgramServiceRevenueCY
Investment Income Prior Year	20527	InvestmentIncomePriorYear
Investment Income Current Year	-2617	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9937	OtherRevenuePriorYear
Other Revenue Current Year	9668	OtherRevenueCurrentYear
Total Revenue Prior Year	3465122	TotalRevenuePriorYear
Total Revenue Current Year	3636010	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2228939	SalariesEtcPriorYear
Salaries Etc Current Year	2345215	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1179	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1124221	OtherExpensePriorYear
Other Expenses Current Year	1144832	OtherExpensesCurrentYear
Total Expenses Prior Year	3353160	TotalExpensesPriorYear
Total Expenses Current Year	3490047	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	111962	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	145963	RevenuesLessExpensesCY
Total Assets BOY	3270223	TotalAssetsBOY
Total Assets EOY	7802903	TotalAssetsEOY
Total Liabilities BOY	788030	TotalLiabilitiesBOY
Total Liabilities EOY	5174747	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2482193	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2628156	NetAssetsOrFundBalancesEOY
Mission Description	THE PURPOSE OF MAPLETON COMMUNITY HOME, INC. IS TO PROVIDE ELDERLY AND HANDICAPPED PEOPLE WITH HOUSING FACILITIES AND NURSING SERVICES; TO MEET THE PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS OF THE RESIDENTS; AND TO CONTRIBUTE TO THE RESIDENT'S HEALTH, SECURITY, AND HAPPINESS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3133332	Expense
Revenue	3618260	Revenue
Description	MAPLETON COMMUNITY HOME IS A RESIDENCE FOR 65 INDIVIDUALS NEEDING SKILLED NURSING CARE. THE HOME SERVES MEDICARE PART A, PART B, MEDICAL ASSISTANCE AND PRIVATE PAYING INDIVIDUALS. THE HOME OFFERS OUTPATIENT REHAILITATION FOR THE COMMUNITY AND DAILY ACTIVITIES FOR THE RESIDENTS. A SOCIAL WORKER IS ON STAFF FOR EMOTIONAL NEEDS AND THE NURSING DEPARTMENT STAFFS BETWEEN 3.2 AND 3.5 HOURS PER DAY.	Description
Total Program Service Expense	3133332	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	149	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	0	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ROXANNE GOSSON	NamePerson
Telephone Number	5075243155	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	301 TROENDLE ST PO BOX 307	AddressLine1
City	MAPLETON	City
State	MN	State
ZIP Code	56065	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
BRUCE SELLERS
PRESIDENT	0.50	X	0	0	0
JAN BRINDLEY
VICE PRESIDENT	0.50	X	0	0	0
GINA MASSOP
SECRETARY/TREASURER	0.50	X	0	0	0
JEANETTE BRANDT
DIRECTOR	0.50	X	0	0	0
NANCY DOERING
DIRECTOR	0.50	X	0	0	0
KATHI REID
VICE SECRETARY/TREASURER	0.50	X	0	0	0
ERIK LEAGJELD
DIRECTOR	0.50	X	0	0	0
SHARON GRUNZKE
DIRECTOR	0.50	X	0	0	0
MARY JACOBSEN
DIRECTOR	0.50	X	0	0	0
LARUE STALOCH
DIRECTOR	0.50	X	0	0	0
BRUCE BEYER
DIRECTOR	0.50	X	0	0	0
JOHN HOLLERICH
DIRECTOR	0.50	X	0	0	0
ROXANNE GOSSON
ADMINISTRATOR	40.00		77439	0	2005	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	77439	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2005	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
REHABCARE GROUP
PO BOX 503534	ST LOUIS	MO	63150	REHAB SERVICES	149945
WELSH CONSTRUCTION LLC
4350 BAKER ROAD SUITE 400	MINNETONKA	MN	55343	CONSTRUCTION	115798

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
All Other Contributions	10699	AllOtherContributions
Total Contributions	10699	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM	623000	1956754	1956754
RESIDENT REVENUE	623000	1661506	1661506

Field	Value	IRS element (for citing)
Total Program Service Revenue	3618260	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	11119	TotalRevenueColumn
Exclusion	$11,119	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	13736	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-13736	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-13736	TotalRevenueColumn
Exclusion	-$13,736	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
VENDING INCOME	623000	5467	$5,467
GUEST/EMPLOYEE MEAL RE	623000	3707	$3,707
MISCELLANEOUS INCOME	623000	494	$494

Field	Value	IRS element (for citing)
Total Other Revenue	9668	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3636010	TotalRevenueColumn
Related Or Exempt Function Income	3618260	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$7,051	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	79444	Total
Management And General	79444	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1960300	Total
Program Services	1878999	ProgramServices
Management And General	81301	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	59873	Total
Program Services	54789	ProgramServices
Management And General	5084	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	81305	Total
Program Services	74898	ProgramServices
Management And General	6407	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	164293	Total
Program Services	151346	ProgramServices
Management And General	12947	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	8306	Total
Management And General	8306	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	23888	Total
Management And General	23888	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	39405	Total
Program Services	32603	ProgramServices
Management And General	6802	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	18848	Total
Management And General	18848	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	197082	Total
Program Services	172072	ProgramServices
Management And General	25010	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	131897	Total
Program Services	131897	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	3589	Total
Management And General	3589	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	11996	Total
Program Services	3830	ProgramServices
Management And General	8166	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	25135	Total
Program Services	25135	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	135980	Total
Program Services	135980	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	43270	Total
Management And General	43270	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SPECIAL ASSESSMENTS	182975	182975
THERAPY EXPENSE	151782	151782
FOOD COSTS	121409	121409
MISCELLANEOUS EXPENSE	9746		9746
PRE-ADMISSION SCREENING	9576		9576

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	29948	Total
Program Services	15617	ProgramServices
Management And General	13152	ManagementAndGeneral
Fundraising	1179	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3490047	Total
Program Services	3133332	ProgramServices
Management And General	355536	ManagementAndGeneral
Fundraising	1179	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	422423	BOY
EOY	430745	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	868163	BOY
EOY	3433295	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	239406	BOY
EOY	182683	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	16831	BOY
EOY	22021	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	6096144	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2559051	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1705526	BOY
EOY	3537093	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17874	BOY
EOY	197066	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3270223	BOY
EOY	7802903	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	161251	BOY
EOY	1229747	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	626779	BOY
EOY	3945000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	788030	BOY
EOY	5174747	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2482193	BOY
EOY	2615028	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	13128	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2482193	BOY
EOY	2628156	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3270223	BOY
EOY	7802903	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	145963	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	0	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	16883	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	11563	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12729	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9733	CurrentTaxYearMinus1Year
Current Tax Year	10699	CurrentTaxYear
Total	61607	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3455384	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3696619	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3634867	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3424925	CurrentTaxYearMinus1Year
Current Tax Year	3618260	CurrentTaxYear
Total	17830055	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3472267	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3708182	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3647596	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3434658	CurrentTaxYearMinus1Year
Current Tax Year	3628959	CurrentTaxYear
Total	17891662	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1425060	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1339380	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1431240	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1558656	CurrentTaxYearMinus1Year
Current Tax Year	1543293	CurrentTaxYear
Total	7297629	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1425060	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1339380	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1431240	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1558656	CurrentTaxYearMinus1Year
Current Tax Year	1543293	CurrentTaxYear
Total	7297629	Total

Field	Value	IRS element (for citing)
Public Support Total509	10594033	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	28356	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	33452	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	25133	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	21414	CurrentTaxYearMinus1Year
Current Tax Year	11119	CurrentTaxYear
Total	119474	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	28356	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	33452	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	25133	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	21414	CurrentTaxYearMinus1Year
Current Tax Year	11119	CurrentTaxYear
Total	119474	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year	9668	CurrentTaxYear
Total	9668	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3500623	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3741634	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3672729	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3456072	CurrentTaxYearMinus1Year
Current Tax Year	3649746	CurrentTaxYear
Total	18020804	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.58790	PublicSupportPercentage509
Prior Year Support Percentage	0.60170	PriorYearSupportPercentage
Investment Income Percentage	0.00660	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00770	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	55314	OtherCostOrOtherBasis
Book Value	55314	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2894633	OtherCostOrOtherBasis
Depreciation	1738967	Depreciation
Book Value	1155666	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1043121	OtherCostOrOtherBasis
Depreciation	773794	Depreciation
Book Value	269327	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2103076	OtherCostOrOtherBasis
Depreciation	46290	Depreciation
Book Value	2056786	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3537093	TotalOfBookValueLandBuildings
Total Revenue	3636010	TotalRevenue
Total Expenses	3490047	TotalExpenses
Excess Or Deficit For Year	145963	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	145963	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	3636010	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	3636010	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	3636010	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3490047	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	3490047	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	3490047	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	THE HOME HAS BEEN GRANTED EXEMPT STATUS FROM FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 502 (C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE HOME FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE HOME AS A RESULT OF THIS STANDARD. THE HOME FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE 2008 THROUGH 2011 TAX YEARS OF THE HOME ARE OPEN FOR EXAMINATION BY THE IRS.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF MAPLETON MN	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	416005347	IssuerEIN
CUSIP Number	565468AES	CUSIPNumber
Date Issued	2011-05-19	DateIssued
Issue Price	3945000	IssuePrice
Description Of Purpose	SEE PART IV	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	3945000	TotalProceeds
Amount In Reserve Fund	311238	AmountInReserveFund
Capitalized Interest	257521	CapitalizedInterest
Issuance Costs From Proceeds	78900	IssuanceCostsFromProceeds
Capital Expenditures	3009582	CapitalExpenditures
Year Of Subst Completion	2012	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	0	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Exception To Rebate	0	ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ADMINISTRATOR, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES. UPON COMPLETION OF THE ADMINISTRATOR'S REVIEW, THE FORMS ARE REVIEWED AND APPROVED AT A BOARD MEETING PRIOR TO SUBMITTAL TO THE IRS.
	BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY COMPLETE A SURVEY RELATED TO BUSINESS RELATIONSHIPS AND FAMILY MEMBERS THAT COULD, OR DO, CREATE A CONFLICT OF INTEREST. THESE ARE SUMMARIZED AND FILED ALONG WITH BOARD MEETING MINUTES. CONFLICTS OF INTEREST ARE DETERMINED BY A REVIEW OF THE POTENTIAL CONFLICTS BY THE ADMINISTRATOR AND THE BOARD OF DIRECTORS. IF A CONFLICT EXISTS, THEN THE CONFLICTED BOARD MEMBER OR KEY EMPLOYEE IS EXCLUDED FROM DISCUSSIONS AND VOTES RELATED TO ANY POTENTIAL OR EXISTING RELATIONSHIPS INVOLVING THE CONFLICT OF INTEREST. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST WAS INTENTIONALLY HIDDEN BY A BOARD MEMBER, THEN THE SITUATION WOULD BE INVESTIGATED AND THE BOARD MEMBER COULD BE SUSPENDED AND SUBJECT TO DISMISSAL. ADDITIONALLY, THE REMAINING BOARD MEMBERS AND KEY EMPLOYEES WILL REVIEW, FOR FAIRNESS, ALL PAST TRANSACTIONS INVOLVING THE CONFLICT OF INTERESTS. IF A TRANSACTION APPEARS TO LACK ARMS-LENGTH, EITHER TO THE DETRIMENT OF THE ORGANIZATION, OR TO THE UNFAIR ADVANTAGE OF THE BOARD MEMBER, THEN ALL LEGAL REMEDIES WILL BE CONSIDERED.	FORM 990, PART VI, SECTION B, LINE 12C
	THE PROCESS USED TO SET THE ADMINISTRATOR'S ANNUAL SALARY IS BASED ON A COMBINATION OF COMPARISON TO COMPARABLE ORGANIZATIONS THROUGH USE OF OUR TRADE ORGANIZATION'S ANNUAL COMPENSATION SURVEY AND ATTAINMENT IN THE CURRENT YEAR OF PREDEFINED PERFORMANCE OBJECTIVES SET FOR THE ADMINISTRATOR PERSONALLY AND THE ORGANIZATION. ALSO, THE STATE OF MINNESOTA HAS IN MOST YEARS GIVEN COMPENSATION ADJUSTMENTS TO EMPLOYEES AND WE HAVE ALSO CONSIDERED THIS AMOUNT IN DETERMINING TOP MANAGEMENT COMPENSATION. THIS PROCESS IS PERFORMED BY THE BOARD. THIS PROCESS IS COMPLETED PRIOR TO DECEMBER 15TH EACH YEAR AND WAS LAST APPROVED AT THE DECEMBER 22, 2008 BOARD MEETING.	FORM 990, PART VI, SECTION B, LINE 15
	CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19