2012-05-15T16:32:25-05:00 2011-12-31 481210879 SMOLL & BANNING CPA'S LLC 2410 CENTRAL AVE DODGE CITY KS 67801 990PF 2011-01-01 481064221 KIOWA COUNTY HEALTH FOUNDATION CO TOM CORNS KIOW 6207233341 304 S SPRUCE GREENSBURG KS 67054 TOM CORNS 6207233341 2012-05-15 1 E KENT SMOLL CPAPFS P00113696 6202256100 2011 2016-02-24 21:20:13Z X 542443 X 2173 X 6158 6158 0 8331 6158 0 0 0 786 590 196 197 0 40 18 0 18 1001 590 254 31756 31756 32757 590 32010 -24426 5568 508799 523404 523404 3843 0 42874 3843 3843 15196 15196 15196 566869 542443 542443 0 0 X 331991 331991 0 0 234878 210452 566869 542443 566869 542443 566869 -24426 0 542443 0 542443 0 9364 557480 0.016797 7401 553289 0.013376 14716 542508 0.027126 20881 184445 0.113210 22700 105718 0.214722 0.385231 0.077046 546336 42093 56 42149 32010 111 0 111 0 111 0 111 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 SOUTH 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 DORIS HEADRICK 120 N MAIN MULLINVILLE KS 67109 1.00 0 0 0 NONE 0 NONE 0 GRANTS TO VARIOUS ORGANIZATIONS IN KIOWA COUNTY THAT PROVIDE HEALTH CARE IN KIOWA COUNTY. 14256 THE ORGANIZATION HAS PROVIDED SCHOLARSHIPS FOR AREA STUDENTS TAKING MEDICIAL RELATED STUDIES. 10000 MOVING EXPENSES TO RELOCATE TO THE COMMUNITY A DOCTOR THAT WILL PRACTICE AT THE LOCAL HOSPITAL. 7500 0 15196 371812 167648 554656 0 0 554656 8320 546336 27317 27317 111 111 27206 0 27206 0 27206 32010 0 32010 0 32010 27206 20777 0 0 32010 20777 0 0 11233 0 0 0 0 0 0 0 0 15973 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. BRANDON YOHN 17252 G STREET GREENSBURG KS 67054 NONE SCHOLARSHIP 500 BROOKE MAIER 1222 S MAIN GREENSBURG KS 67059 NONE SCHOLARSHIP 1000 DELICIA TORRES 410 S SYCAMORE GREENSBURG KS 67054 NONE SCHOLARSHIP 1000 DEZERE LUNA 2221 N HILLSIDE 1226 WICHITA KS 67219 NONE SCHOLARSHIPSCHOLARSHIP 500 JESSICA DAVIS PO BOX 335 HAVILAND KS 67059 NONE SCHOLARSHIP 1000 JOSHUA KIMBLE PO BOX 62 MULLINVILLE KS 67109 NONE SCHOLARSHIP 1000 KATELIN HOLLAND 209 E 4TH HAYS KS 67601 NONE SCHOLARSHIP 500 MACI COLCLAZIER 603 S SPRUCE GREENSBURG KS 67054 NONE SCHOLARSHIP 1000 MORGAN FULTON 1216 S MAIN GREENSBURG KS 67054 NONE SCHOLARSHIP 1000 MORGAN TYREE PO BOX 266 KINSLEY KS 67547 NONE SCHOLARSHIP 500 NICHOLE ROSE 702 N WICHITA HAVILAND KS 67059 NONE SCHOLARSHIP 500 SUSAN KAMES 530 E WISCONSIN AVE GREENSBURG KS 67054 NONE SCHOLARSHIP 500 LINDSEY HEFT 410 S POPLAR GREENSBURG KS 67054 NONE SCHOLARSHIP 500 TAYLOR ARDERY 22159 11TH AVENUE MULLINVILLE KS 67109 NONE SCHOLARSHIP 500 KIOWA COUNTY HEALTH DEPARTMENT 721 W KANSAS GREENSBURG KS 67054 NONE MEDICAL CARE 500 DR NIZAR KIBAR 606 S SPRUCE GREENSBURG KS 67054 NONE MOVING EXPENSES TO LOCATE DOCTOR TO COMMUNITY 7500 KIOWA COUNTY MEMORIAL HOSPITAL 721 W KANSAS GREENSBURG KS 67054 NONE MEDICAL CARE 13756 31756 0 14 6158 0 6158 0 6158 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 786 590 196 SOUTH CENTRAL COMMUNITY FOUNDATION FMV 15196 15196 SUPPLIES 18 0 18 CORPORATE ANNUAL FEE 40 0 40 INVESTMENT EXCISE TAX 157 0 0