ON WITH LIFE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ON WITH LIFE INC (EIN 42-1308032)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-02
IRS object ID
201240629349301669
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-02T15:46:53-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RYUN GIVENS & COMPANY PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12900 100TH STREET SUITE 301AddressLine1
CityURBANDALECity
StateIAState
ZIP Code50322ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421308032EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ON WITH LIFE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlONWINameControl
Phone5159651339Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 SOUTHWEST ANKENY ROADAddressLine1
CityANKENYCity
StateIAState
ZIP Code50023ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJULIE FIDLER DIXONName
TitleEXECUTIVE DIRECTORTitle
Phone5159651339Phone
Date Signed2012-03-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCURTIS E BRAND CPAName
Phone5152253141Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJULIE FIDLER DIXONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1715 SOUTHWEST ANKENY ROADAddressLine1
CityANKENYCity
StateIAState
ZIP Code50023ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7770140GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteON-WITH-LIFE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionJOINING HANDS, HEARTS, AND MINDS TO HELP PERSONS LIVING WITH BRAIN INJURY GET ON WITH LIFE.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees166TotalNbrEmployees
Total Nbr Volunteers85TotalNbrVolunteers
Total Gross UBI11880TotalGrossUBI
Net Unrelated Business Txbl Income-1466NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13131ContributionsGrantsPriorYear
Contributions Grants Current Year24000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7186763ProgramServiceRevenuePriorYear
Program Service Revenue CY7657549ProgramServiceRevenueCY
Investment Income Prior Year77163InvestmentIncomePriorYear
Investment Income Current Year86031InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7277057TotalRevenuePriorYear
Total Revenue Current Year7767580TotalRevenueCurrentYear
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 Year5420455SalariesEtcPriorYear
Salaries Etc Current Year5570872SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1502889OtherExpensePriorYear
Other Expenses Current Year1583771OtherExpensesCurrentYear
Total Expenses Prior Year6923344TotalExpensesPriorYear
Total Expenses Current Year7154643TotalExpensesCurrentYear
Revenues Less Expenses Prior Year353713RevenuesLessExpensesPriorYear
Revenues Less Expenses CY612937RevenuesLessExpensesCY
Total Assets BOY8028933TotalAssetsBOY
Total Assets EOY8000348TotalAssetsEOY
Total Liabilities BOY4105565TotalLiabilitiesBOY
Total Liabilities EOY3470510TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3923368NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4529838NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionJOINING HANDS, HEARTS, AND MINDS TO HELP PERSONS LIVING WITH BRAIN INJURY GET ON WITH LIFE. WE PROVIDE COMPREHENSIVE IN-PATIENT AND COMMUNITY-BASED REHABILITATION SERVICES FOR PERSONS WITH BRAIN INJURIES, AND THEIR FAMILIES, AND PROVIDE EDUCATION REGARDING THE PREVENTION OF BRAIN INJURIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5227429Expense
Revenue7555710Revenue
DescriptionFUNCTIONAL EXPENSES WERE INCURRED IN PROVIDING 8,777 DAYS OF SPECIALIZED CARE AND REHABILITATION SERVICES TO INDIVIDUALS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY OR OTHER NEUROLOGICAL DISABILITY.Description
Total Program Service Expense5227429TotalProgramServiceExpense
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 Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding0ComplianceWithBackupWitholding
Number Of Employees166NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed1NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledIAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JULIE FIDLER DIXONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5159651339TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1715 SOUTHWEST ANKENY ROADAddressLine1
CityANKENYCity
StateIAState
ZIP Code50023ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS J FRIEDMAN
PRESIDENT2.00XX000
VILIA TARVYDAS
VICE PRESIDENT2.00XX000
KAY HINES
SECRETARY2.00XX000
DONNA WALTER
TREASURER2.00XX000
GAIL BOLIVER
DIRECTOR2.00X000
BETTY BUITENWERF
DIRECTOR2.00X000
THOMAS CARLSTROM MD
DIRECTOR2.00X000
R JERRY CARSPECKEN
DIRECTOR2.00X000
CHARLES DENHART MD
DIRECTOR2.00X000
ARTHUR FILEAN
DIRECTOR2.00X000
CARL HARRIS
DIRECTOR2.00X000
MARC HARDING
DIRECTOR2.00X000
JEFFREY LAMBERTI
DIRECTOR2.00X000
DAVE OLSON
DIRECTOR2.00X000
MIKKI STIER
DIRECTOR2.00X000
ELI WIRTZ
DIRECTOR2.00X000
JULIE FIDLER DIXON
EXECUTIVE DIRECTOR40.00X104708011696
CYNTHIA EWALD
CHIEF FINANCIAL OFFICER40.00X7500608046
DAVID DEMAREST
NEUROPSYCHOLOGIST40.0010869809845X
FieldValueIRS element (for citing)
Total Reportable Comp From Org288412TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29587TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions24000AllOtherContributions
Total Contributions24000TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES62300040576134057613
MEDICARE/MEDICAID PAYM62300034908873490887
DIETARY/COBRA/MISC90009989959$89,959
DIETARY CONSULTING5416101188011880
SUPPORTIVE HOUSING62399072107210
FieldValueIRS element (for citing)
Total Program Service Revenue7657549TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column81691TotalRevenueColumn
Exclusion$81,691ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other6900Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2560Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other4340Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4340TotalRevenueColumn
Exclusion$4,340ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7767580TotalRevenueColumn
Related Or Exempt Function Income7555710RelatedOrExemptFunctionIncome
Unrelated Business Revenue11880UnrelatedBusinessRevenue
Exclusion$175,990ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total349049Total
Management And General349049ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4352975Total
Program Services3455754ProgramServices
Management And General897221ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total115979Total
Program Services89566ProgramServices
Management And General26413ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total377405Total
Program Services299548ProgramServices
Management And General77857ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total375464Total
Program Services278601ProgramServices
Management And General96863ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2120Total
Management And General2120ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25731Total
Program Services10631ProgramServices
Management And General15100ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total55956Total
Program Services3666ProgramServices
Management And General52290ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total153070Total
Management And General153070ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1377Total
Management And General1377ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total131766Total
Program Services27340ProgramServices
Management And General104426ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total84062Total
Program Services59870ProgramServices
Management And General24192ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total37483Total
Program Services19479ProgramServices
Management And General18004ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total133556Total
Management And General133556ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total271368Total
Program Services244231ProgramServices
Management And General27137ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5784Total
Management And General5784ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES, MEDICAL SUPPL339080339080
SERVICE FEES19757384138113435
EQUIPMENT RENTAL & MAIN134398134398
FOOD AND DIETARY1232211207332488
WORKERS COMPENSATION650491412550924

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-177823Total
Program Services46269ProgramServices
Management And General-224092ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7154643Total
Program Services5227429ProgramServices
Management And General1927214ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1205BOY
EOY1205EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY566652BOY
EOY1198991EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1466286BOY
EOY1196274EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY38345BOY
EOY31400EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1620BOY
EOY1000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5866016LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2777940LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2968875BOY
EOY3088076EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1288709BOY
EOY1350290EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1697241BOY
EOY1133112EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8028933BOY
EOY8000348EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY795546BOY
EOY472248EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY92568EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2660000BOY
EOY2485000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY650019BOY
EOY420694EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4105565BOY
EOY3470510EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3923368BOY
EOY4529838EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3923368BOY
EOY4529838EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8028933BOY
EOY8000348EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses612937ReconcilationRevenueExpenses
Reconcilation Other Changes-6467ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years13000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28350CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13131CurrentTaxYearMinus1Year
Current Tax Year24000CurrentTaxYear
Total207781Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6233428CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5949675CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6671005CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7064004CurrentTaxYearMinus1Year
Current Tax Year7555710CurrentTaxYear
Total33473822Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year96676CurrentTaxYearMinus1Year
Current Tax Year89959CurrentTaxYear
Total186635Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6246428CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6078975CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6699355CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7173811CurrentTaxYearMinus1Year
Current Tax Year7669669CurrentTaxYear
Total33868238Total

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 Total50933868238PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years106514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86962CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91359CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year76933CurrentTaxYearMinus1Year
Current Tax Year81691CurrentTaxYear
Total443459Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years106514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86962CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91359CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year76933CurrentTaxYearMinus1Year
Current Tax Year81691CurrentTaxYear
Total443459Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3479CurrentTaxYearMinus3Years
Total3479Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6352942CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6169416CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6790714CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7250744CurrentTaxYearMinus1Year
Current Tax Year7751360CurrentTaxYear
Total34315176Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98700PublicSupportPercentage509
Prior Year Support Percentage0.98550PriorYearSupportPercentage
Investment Income Percentage0.01290InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01440PriorYrInvestIncomePercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis154240OtherCostOrOtherBasis
Book Value154240BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4428234OtherCostOrOtherBasis
Depreciation1979098Depreciation
Book Value2449136BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis430384OtherCostOrOtherBasis
Depreciation219285Depreciation
Book Value211099BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis853158OtherCostOrOtherBasis
Depreciation579557Depreciation
Book Value273601BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3088076TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASEY'S GENERAL STORES, INC8826F
VANGUARD GROUP- PRIME MONEY MARKET3080F
VANGUARD GROUP- INFLATION PRO110493F
VANGUARD GROUP- GNMA705291F
VANGUARD GROUP- SHORT-TERM522600F
FieldValueIRS element (for citing)
Total Of Book Value Securities1350290TotalOfBookValueSecurities

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUANCE COSTS (NET OF AMORTIZATION)61588
BOND FUND 1994213104
DEBT SERVICE RESERVE 1994165075
DUE FROM COMMUNITY SERVICES376105
DUE FROM CORPORATE DIVISION44589
DUE FROM GLENWOOD26736
PROJECT FUND13131
LOAN TO GLENWOOD227784
PROJECT ACCOUNT - POOL5000
FieldValueIRS element (for citing)
Total Book Value Other Assets1133112TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO ANKENY DIVISION$405,245
DUE TO CORPORATE$15,449
FieldValueIRS element (for citing)
Total Of Amounts420694TotalOfAmounts
Total Revenue7767580TotalRevenue
Total Expenses7154643TotalExpenses
Excess Or Deficit For Year612937ExcessOrDeficitForYear
Net Unrealized GL On Investments2597NetUnrealizedGLOnInvestments
Prior Period Adjustments-9064PriorPeriodAdjustments
Total Adjustments-6467TotalAdjustments
Excess Or Deficit Per FS606470ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7765837TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2597NetUnrealizedGainsInvestments
Revenue Not Rptd F9902597RevenueNotRptdF990
Revenue Subtotal7763240RevenueSubtotal
Other Revenues Not Included4340OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4340RevenueNotRptdOnFinStmt
Total Revenue Per Form9907767580TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7150303TotExpensesEtcAuditedFinclStmt
Other Expenses Included-4340OtherExpensesIncluded
Expenses Not Rptd F990-4340ExpensesNotRptdF990
Expenses Subtotal7154643ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907154643TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:GAIN ON SALE OF ASSET 4,340.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:REVENUE OFFSET AGAINST EXPENSE ON F/S GAIN ON SALE OF ASSET -4,340.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF ANKENY IOWA - SERIES 2004A
426004235035362AZ52004-07-292840000REFUNDING SERIES 1994 BONDS000
CITY OF ANKENY IOWA - SERIES 2004B
426004235035362AY82004-07-29600000EXPANDING AND MAKING IMPROVEMENTS ON HEALTH CARE FACILITY000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
284000016788326165386158820040111
6000001313120040011600000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000
000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS IS GIVEN A COPY OF FORM 990 TO BE APPROVED BEFORE BEING FILED. THE FINANCE COMMITTEE PERFORMS AN IN-DEPTH REVIEW OF THE 990 USING A REVIEW CHECKLIST PROVIDED BY THE RETURN PREPARER, AND PRESENTS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL.
EVERY BOARD MEETING BEGINS WITH A REVIEW OF THE AGENDA ITEMS, AND DIRECTORS ARE PROMPTED TO DISCLOSE ANY CONFLICTS OF INTEREST RELATED TO THOSE ITEMS.FORM 990, PART VI, SECTION B, LINE 12C
WAGES ARE COMPARED TO SALARIES PUBLISHED IN BUSINESS RECORD FOR SIMILAR POSITIONS. THE BOARD ALSO USES WAGE SURVEYS FROM IOWA WORKFORCE, IOWA HEALTH CARE ASSOCIATION, AND SIMILAR ASSOCIATIONS. THE EXECUTIVE COMMITTEE COMPLETES PERFORMANCE REVIEW REVIEWS AND MAKES RECOMMENDATIONS TO THE FULL BOARD FOR THE EXECUTIVE DIRECTORS SALARY. THE EXECUTIVE DIRECTOR RECOMMENDS SALARIES FOR OTHER STAFF.FORM 990, PART VI, SECTION B, LINE 15
CURRENT HARD COPIES ARE KEPT AT THE CORPORATE OFFICE. WRITTEN REQUESTS ARE ARE FILED WITHIN TWO BUSINESS DAYS OF RECEIPT. FIRST COPY IS FREE, MINIMAL CHARGE FOR MULTIPLE COPIES. THE 990 IS ALSO AVAILABLE ON GUIDESTAR.FORM 990, PART VI, SECTION C, LINE 18
ARTICLES OF INCORPORATION ARE PUBLISHED ON THE SECRETARY OF STATES WEBSITE. THE BYLAWS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENT SUMMARY INCLUDED IN THE ANNUAL REPORT IS ON THE ORGANIZATIONS WEBSITE, AND ALSO AVAILABLE ON DUN & BRADSTREET.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 2,597. PRIOR PERIOD ADJUSTMENTS: -9,064. TOTAL TO FORM 990, PART XI, LINE 5: -6,467.FORM 990, PART XI, LINE 5:
OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT AUDITORSTHE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION OF INDEPENDENT AUDITORS AND ARE ALSO RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THIS PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEARS.FORM 990. PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
ON WITH LIFE EXTENDED SERVICES LTD
715 SW ANKENY RDANKENYIA50023421521198PROVIDE SKILLED CARE AND REHAB SERVICES FOR INDIVIDUALS WITH BRAIN INJURIESIA501(C)(3)90
ON WITH LIFE FOUNDATION
715 SW ANKENY RDANKENYIA50023421399777TO SUPPORT ON WITH LIFE, INC. AND ON WITH LIFE EXTENDED SERVICES, LTD.IA501(C)(3)11B0
ON WITH LIFE SUPPORTIVE HOUSING CORPORATION
715 SW ANKENY RDANKENYIA50023460516882TO PROVIDE HOUSING TO THE ELDERLY AND HANDICAPPEDIA501(C)(3)90
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ON WITH LIFE FOUNDATION
C24000
ON WITH LIFE EXTENDED SERVICES LTD
D21287
ON WITH LIFE FOUNDATION
M24000
ON WITH LIFE FOUNDATION
N11700
ON WITH LIFE EXTENDED SERVICES LTD
N15172
ON WITH LIFE EXTENDED SERVICES LTD
P26016
ON WITH LIFE EXTENDED SERVICES LTD
D180598
ON WITH LIFE SUPPORTIVE HOUSING CORPORATION
R7211
ON WITH LIFE EXTENDED SERVICES LTD
P316616

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