EVERGREEN LIVING INNOVATIONS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EVERGREEN LIVING INNOVATIONS INC (EIN 74-2857475)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-08
IRS object ID
201232839349300338
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)
Timestamp2012-10-08T11:27:25-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN481026809EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1
CityTopekaCity
StateKSState
ZIP Code666033491ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742857475EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Evergreen Living Innovations IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEVERNameControl
Phone9134778227Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111875 S Sunset Drive No 100AddressLine1
CityOlatheCity
StateKSState
ZIP Code66061ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKJ LanglaisName
TitleCEOTitle
Phone9134778227Phone
Date Signed2012-10-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEric L OttingName
PTINP00298454PTIN
Phone7852334226Phone
Date Prepared2012-10-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKJ LanglaisNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111875 S Sunset Drive No 100AddressLine1
CityOlatheCity
StateKSState
ZIP Code66061ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10156912GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionThe organization operates a skilled care nursing facility for the elderly and disabled, and provides geriatric care education for employees and other organizations.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees189TotalNbrEmployees
Total Nbr Volunteers42TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1301671ContributionsGrantsPriorYear
Contributions Grants Current Year1213199ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8111399ProgramServiceRevenuePriorYear
Program Service Revenue CY8896090ProgramServiceRevenueCY
Investment Income Prior Year4509InvestmentIncomePriorYear
Investment Income Current Year4186InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year32471OtherRevenueCurrentYear
Total Revenue Prior Year9417579TotalRevenuePriorYear
Total Revenue Current Year10145946TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5870311SalariesEtcPriorYear
Salaries Etc Current Year6243385SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY49000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year49000TotalFundrsngExpCurrentYear
Other Expense Prior Year3099752OtherExpensePriorYear
Other Expenses Current Year3390210OtherExpensesCurrentYear
Total Expenses Prior Year8970063TotalExpensesPriorYear
Total Expenses Current Year9682595TotalExpensesCurrentYear
Revenues Less Expenses Prior Year447516RevenuesLessExpensesPriorYear
Revenues Less Expenses CY463351RevenuesLessExpensesCY
Total Assets BOY2434151TotalAssetsBOY
Total Assets EOY2681046TotalAssetsEOY
Total Liabilities BOY793158TotalLiabilitiesBOY
Total Liabilities EOY576702TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1640993NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2104344NetAssetsOrFundBalancesEOY
Mission DescriptionThe organization operates a skilled care nursing facility for the elderly and disabled, and provides geriatric care education for employees and other organizations.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7557887Expense
Revenue8859223Revenue
DescriptionOperates a 112 bed skilled residential nursing facility in Olathe, Kansas.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense336480Expense
Revenue36867Revenue
DescriptionGERTI - conducts aging care and service education and programs for employees and other organizations.Description
FieldValueIRS element (for citing)
Total Program Service Expense7894367TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees189NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ray SmithBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9134778227TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111875 S Sunset Suite 100AddressLine1
CityOlatheCity
StateKSState
ZIP Code66061ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Jim Brown
Chairman1.00XX000
Jessica Dupriest
Vice-Chairman1.00XX000
KJ Langlais
CEO40.00XX133135012112
Lin Knudson
Secretary1.00XX000
Will Tschudy
Treasurer1.00XX000
Dolores Furtado PhD
Director1.00X000
Stacey Janssen
Director1.00X000
Patricia McKillip
Director1.00X000
John A Mondi
Director1.00X000
Fredrick Short
Medical Director5.00X900000
Gordon F Ho
Director1.00X000
Joyce Phillippi
Director1.00X000
Tom Dupriest
Director1.00X000
David Seldner
Director1.00X000
Eric Hughes
Director1.00X000
Rod Corn
Director1.00X000
Raymond Smith
CFO40.00X88500025452
Linda Kettles
COO40.00X87187016627
Chris Osborn
CBO40.00X81007010869
FieldValueIRS element (for citing)
Total Reportable Comp From Org398829TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation65060TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Summit Care Inc
6830 W 121st CtOverland ParkKS66209Nursing Services496953
Cascade Health Services
1045 SwiftNorth Kansas CityMO64116Nursing Services379128
The Zack Group
6335 West 110th StOverland ParkKS66211Nursing Services146937
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants1131974GovernmentGrants
All Other Contributions81225AllOtherContributions
Total Contributions1213199TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Res care-Medicaid62300065365236536523
Res care-private pay62300011734521173452
Res care-Medicare62300010957351095735
Res care-other6230009038090380
FieldValueIRS element (for citing)
Total Program Service Revenue8896090TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4186TotalRevenueColumn
Exclusion$4,186ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events43437GrossIncomeFundraisingEvents
Fundraising Direct Expenses10966FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column32471TotalRevenueColumn
Exclusion$32,471ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10145946TotalRevenueColumn
Related Or Exempt Function Income8896090RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$36,657ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total454889Total
Management And General454889ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4390772Total
Program Services4024710ProgramServices
Management And General366062ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total112483Total
Program Services107510ProgramServices
Management And General4973ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total864430Total
Program Services777503ProgramServices
Management And General86927ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total420811Total
Program Services354850ProgramServices
Management And General65961ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total49000Total
Fundraising49000Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32511Total
Management And General32511ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total9132Total
Management And General9132ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total71842Total
Management And General71842ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total277481Total
Program Services249733ProgramServices
Management And General27748ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total15084Total
Program Services10106ProgramServices
Management And General4978ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16641Total
Program Services3512ProgramServices
Management And General13129ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4797Total
Program Services4797ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total78893Total
Program Services71004ProgramServices
Management And General7889ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total69094Total
Program Services69094ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contracted services1184422115503529387
Consumable supplies46528743861426673
Food327563327563
Planning costs267481267481

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total569982Total
Program Services300336ProgramServices
Management And General269646ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9682595Total
Program Services7894367ProgramServices
Management And General1739228ManagementAndGeneral
Fundraising49000Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY250421BOY
EOY253934EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1061669BOY
EOY1318952EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY654924BOY
EOY673203EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY52516BOY
EOY70269EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis677264LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec347495LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY414621BOY
EOY329769EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY34919EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2434151BOY
EOY2681046EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY450073BOY
EOY516368EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY269203BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY73882BOY
EOY48235EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY12099EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY793158BOY
EOY576702EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1528816BOY
EOY2104344EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY112177BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1640993BOY
EOY2104344EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2434151BOY
EOY2681046EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses463351ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1059931CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1230930CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1229965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1301671CurrentTaxYearMinus1Year
Current Tax Year1256636CurrentTaxYear
Total6079133Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6650867CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7038823CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7578362CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8111399CurrentTaxYearMinus1Year
Current Tax Year8896090CurrentTaxYear
Total38275541Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7710798CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8269753CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8808327CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9413070CurrentTaxYearMinus1Year
Current Tax Year10152726CurrentTaxYear
Total44354674Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50944354674PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4571CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4509CurrentTaxYearMinus1Year
Current Tax Year4186CurrentTaxYear
Total24262Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4571CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4509CurrentTaxYearMinus1Year
Current Tax Year4186CurrentTaxYear
Total24262Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7717844CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8274324CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8812277CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9417579CurrentTaxYearMinus1Year
Current Tax Year10156912CurrentTaxYear
Total44378936Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99950PublicSupportPercentage509
Investment Income Percentage0.00050InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis71486OtherCostOrOtherBasis
Depreciation51212Depreciation
Book Value20274BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis605778OtherCostOrOtherBasis
Depreciation296283Depreciation
Book Value309495BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings329769TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEstimated third-party payor settlementDescription
Amount$12,099Amount
FieldValueIRS element (for citing)
Total Of Amounts12099TotalOfAmounts
Total Revenue10145946TotalRevenue
Total Expenses9682595TotalExpenses
Excess Or Deficit For Year463351ExcessOrDeficitForYear
Excess Or Deficit Per FS463351ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9885358TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal9885358RevenueSubtotal
Other Revenues Not Included260588OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt260588RevenueNotRptdOnFinStmt
Total Revenue Per Form99010145946TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9454794TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9454794ExpensesSubtotal
Other Expenses Not Included227801OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt227801ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909682595TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XII, Line 4b - Other Adjustments:Provision for bad debts 178,801. Investment income 4,186. Fundraising events, net 32,471. Grants and contributions 45,130.
Part XIII, Line 4b - Other Adjustments:Provision for bad debts 178,801. Fundraising expenses 49,000.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1Jeffrey Bryne & AssociatesBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14042 Central StreetAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64111ZIPCode
FieldValueIRS element (for citing)
ActivityDevelop fundraising opportunitiesActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts25000GrossReceipts
Amount Retained By Contractor49000AmountRetainedByContractor
Net To Organization-24000NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts25000TotalGrossReceipts
Total Retained By Contractors49000TotalRetainedByContractors
Total Net To Organization-24000TotalNetToOrganization

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Denim & DazzleNameOfEvent1
Gross Receipts Event135670GrossReceiptsEvent1
Gross Revenue Event135670GrossRevenueEvent1
Other Direct Expenses Event19335OtherDirectExpensesEvent1
Name Of Event2GERTI WalkNameOfEvent2
Gross Receipts Event26438GrossReceiptsEvent2
Gross Revenue Event26438GrossRevenueEvent2
Other Direct Expenses Event21218OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events1329GrossReceiptsOtherEvents
Gross Revenue Other Events1329GrossRevenueOtherEvents
Other Direct Expenses Other Events413OtherDirectExpensesOtherEvents
Gross Receipts Total43437GrossReceiptsTotal
Gross Revenue Total Events43437GrossRevenueTotalEvents
Other Direct Expenses Total Events10966OtherDirectExpensesTotalEvents
Direct Expense Summary Events10966DirectExpenseSummaryEvents
Net Income Summary32471NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 2Jessica Dupriest and Tom Dupriest are married. Both Tom and Jessica serve on the Board Directors for Evergreen Living Innovations, Inc. Jessica Dupriest is the Vice-Chairman/Director, and Tom Dupriest is a Director.
Form 990, Part VI, Section B, line 11The Form 990 is reviewed by the Board of Directors at a regularly scheduled meeting of the Board.
Form 990, Part VI, Section B, line 12cThe organization's conflict of interest policy states periodic reviews of the policy should be conducted.
Form 990, Part VI, Section B, line 15aThe compensation of the chief executive officer is determined by the Board of Directors. All other compensation is determined by the chief executive officer.
Form 990, Part VI, Section C, line 19The organization makes its organizing documents and IRS Form 990 available upon specific written request.
Form 990, Part XII, Line 2cThe Audit committee oversees the review of the audited financial statements.

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