2012-07-24T11:54:49-05:00 2011-12-31 481040139 ADAMS BROWN BERAN AND BALL CHTD PO BOX 1186 HAYS KS 676011186 990 2011-01-01 480671740 ANDBE HOME INC ANDB 7858772601 201 WEST CRANE NORTON KS 67654 RUTH BURD 7858772601 2012-07-19 1 STEVEN R BAUMRUCKER P00290663 7856283046 2011 2016-02-24 21:20:13Z RUTH BURD 201 WEST CRANE NORTON KS 67654 4401646 0 X N/A X 1961 KS NURSING HOME RESIDENT CARE. 10 10 169 45 0 0 14590 24006 4073262 4317649 9226 8403 61563 51588 4158641 4401646 0 0 0 0 2816521 3162089 0 0 0 1195236 1299907 4011757 4461996 146884 -60350 3496736 3485986 1447865 1497465 2048871 1988521 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 4212117 4369237 ANDBE HOME PROVIDED NURSING CARE TO PATIENTS DURING THE YEAR FOR 21,391 PATIENT DAYS. IT ALSO PROVIDED PATIENT SERVICES IN THE HOME FOR 70 UNITS AND INDEPENDENT LIVING FOR 20 UNITS. 4212117 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 0 1 10 0 169 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 KS X JO LYNN 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 GLORIA ZWICKLE 2.00 X 0 0 0 JERRY HAWKS 2.00 X 0 0 0 SONYA MONTGOMERY 2.00 X 0 0 0 JANE KERSENBROCK 2.00 X X 0 0 0 LYNN NELSON 2.00 X 0 0 0 0 0 0 0 0 0 0 0 24006 24006 NET RESIDENT SERVICE R 623000 4317649 4317649 4317649 8403 8403 OTHER REVENUE 623000 33788 33788 COUNTY WARRANT INCOME 623000 17800 17800 51588 4401646 4369237 0 8403 2669438 2521125 148313 20837 18878 1959 265378 249504 15874 206436 194763 11673 69093 69093 2904 2904 11918 11918 142285 142285 4279 4279 62681 62681 134682 134682 34429 34429 SUPPLIES 256412 256412 CONTRACT SERVICES 229531 229531 FOOD 163510 163510 TAXES 58251 55284 2967 129932 129932 4461996 4212117 249879 0 722290 796810 409823 430526 205350 144461 35382 38373 4677446 2625298 2098789 2052148 25102 23668 3496736 3485986 151249 104807 1064538 1027143 232078 365515 1447865 1497465 X 2048871 1988521 2048871 1988521 3496736 3485986 -60350 0 X 0 1 0 X 0 X 85858 36216 102610 14590 24006 263280 2670002 2914570 3580511 4073262 4317649 17555994 17900 18446 17000 20100 17800 91246 2773760 2969232 3700121 4107952 4359455 17910520 0 0 0 17910520 22626 15027 9823 9226 8403 65105 22626 15027 9823 9226 8403 65105 21764 59309 23959 41463 33788 180283 2818150 3043568 3733903 4158641 4401646 18155908 0.98650 0.96530 0.00360 0.00550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24607 24607 3842645 2005808 1836837 759357 588453 170904 50837 31037 19800 2052148 ACCRUED WAGES & RELATED DEDUCTIONS 214370 ASSET RETIREMENT OBLIGATION 26000 ACCRUED INTEREST 5136 DEFERRED REVENUE 120009 365515 4401646 4461996 -60350 -60350 4401646 0 4401646 0 4401646 4461996 0 4461996 0 4461996 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 0 0 0 0 0 0 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.