LIMA CONVALESCENT HOME FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LIMA CONVALESCENT HOME FOUNDATION INC (EIN 34-4473976)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-01-24
IRS object ID
201240619349301054
Schema version
2010v3.7
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)
Timestamp2012-01-24T16:06:49-06:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1STROH JOHNSON & COMPANY LLP CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 DEFIANCE STAddressLine1
CityWAPAKONETACity
StateOHState
ZIP Code458951059ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN344473976EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIMA CONVALESCENT HOMEBusinessNameLine1
Business Name Line2FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLIMANameControl
Phone4192249741Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11650 ALLENTOWN ROADAddressLine1
CityLIMACity
StateOHState
ZIP Code45805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRANDALL COXName
TitleEXECUTIVE DIRECTORTitle
Phone4192249741Phone
Date Signed2012-01-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN D JOHNSONName
Phone4197389661Phone
Date Prepared2012-01-17DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRANDALL COXNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11650 ALLENTOWN ROADAddressLine1
CityLIMACity
StateOHState
ZIP Code45805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7276809GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIMACH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY SERVICES AT AN AFFORDABLE COST FOR BOTH AN ASSISTED LIVING COMPLEX AND A NURSING HOME FACILITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees190TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year549447ContributionsGrantsPriorYear
Contributions Grants Current Year129141ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7058600ProgramServiceRevenuePriorYear
Program Service Revenue CY7058883ProgramServiceRevenueCY
Investment Income Prior Year50187InvestmentIncomePriorYear
Investment Income Current Year28139InvestmentIncomeCurrentYear
Other Revenue Prior Year1550OtherRevenuePriorYear
Other Revenue Current Year6388OtherRevenueCurrentYear
Total Revenue Prior Year7659784TotalRevenuePriorYear
Total Revenue Current Year7222551TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3467546SalariesEtcPriorYear
Salaries Etc Current Year3372840SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3518786OtherExpensePriorYear
Other Expenses Current Year3601814OtherExpensesCurrentYear
Total Expenses Prior Year6986332TotalExpensesPriorYear
Total Expenses Current Year6974654TotalExpensesCurrentYear
Revenues Less Expenses Prior Year673452RevenuesLessExpensesPriorYear
Revenues Less Expenses CY247897RevenuesLessExpensesCY
Total Assets BOY7514865TotalAssetsBOY
Total Assets EOY7597732TotalAssetsEOY
Total Liabilities BOY3468875TotalLiabilitiesBOY
Total Liabilities EOY3358813TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4045990NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4238919NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HIGH QUALITY SERVICES AT AN AFFORDABLE COST FOR BOTH AN ASSISTED LIVING COMPLEX AND A NURSING HOME FACILITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5017288Expense
Revenue5568316Revenue
DescriptionPROVIDES SKILLED AND INTERMEDIATE NURSING CARE TO APPROXIMATELY 70 RESIDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1363374Expense
Revenue1490567Revenue
DescriptionOPERATES LOCHAVEN APARTMENTS, RENTING 59 APARTMENTS TO INDEPENDENT SENIOR CITIZENS AND PROVIDES LIMITED MEDICAL ASSISTANCE. SERVICES PROVIDED TO RESIDENTS INCLUDE MEALS, HEALTH CARE MONITORING, SECURITY, EMERGENCY RESPONSE, AND OTHER GENERAL SERVICESDescription
FieldValueIRS element (for citing)
Total Program Service Expense6380662TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees190NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEAN SHELLENBARGERNamePerson
Telephone Number4192249741TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11650 ALLENTOWN ROADAddressLine1
CityLIMACity
StateOHState
ZIP Code458051802ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PHIL TRUEBLOOD
TREASURER2.00XX000
RICHARD SHROEDER
VICE PRESIDE2.00XX000
RALPH ELLIS
BOARD MEMBER2.00XX000
JIM EATON
PRESIDENT2.00XX000
MARGARET WHITLATCH
ASST SECRETA2.00XX000
CARL BERGER
BOARD MEMBER1.00X000
BONNIE HUBER
BOARD MEMBER1.00X000
CHESTER EBLING
BOARD MEMBER1.00X000
JIM MCCOY
BOARD MEMBER1.00X000
ROBERT KOMMINSK
BOARD MEMBER1.00X000
PERRY WATKINS
BOARD MEMBER1.00X000
BRAD ROUSH
BOARD MEMBER1.00X000
JOHN STEDKE
BOARD MEMBER1.00X000
HOLLY MCCLUSKEY
BOARD MEMBER1.00X000
WARNER KUGLAR
BOARD MEMBER1.00X000
RON MILLER
BOARD MEMBER1.00X000
PAUL WOEHLKE
ASST TREASUR2.00X000
NANCY RUDOPLH
BOARD MEMBER1.00X000
RANDY COX
EXECUTIVE DI30.00X8680100
FieldValueIRS element (for citing)
Total Reportable Comp From Org86801TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THERAPY PARTNERSBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line116600 SPRAGUE RD 365AddressLine1
CityMIDDLEBURG HTSCity
StateOHState
ZIP Code44130ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPYDescriptionOfServices
Compensation421474Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions129141AllOtherContributions
Total Contributions129141TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROOM AND CARE62300054069225406922
LOCHHAVEN APARTMENT RENT62300014905671490567
SPECIAL TREATMENT623000161394161394
FieldValueIRS element (for citing)
Total Program Service Revenue7058883TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19142TotalRevenueColumn
Exclusion$19,142ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities63255Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities54258Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8997Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8997TotalRevenueColumn
Related Or Exempt Function Income8997RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column6388TotalRevenueColumn
Related Or Exempt Function Income6388RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6388TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7222551TotalRevenueColumn
Related Or Exempt Function Income7074268RelatedOrExemptFunctionIncome
Exclusion$19,142ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total86801Total
Management And General86801ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2648054Total
Program Services2347524ProgramServices
Management And General300530ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22799Total
Program Services19570ProgramServices
Management And General3229ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total412906Total
Program Services354427ProgramServices
Management And General58479ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total202280Total
Program Services173631ProgramServices
Management And General28649ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total25686Total
Management And General25686ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18082Total
Management And General18082ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26409Total
Management And General26409ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3844Total
Management And General3844ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total559759Total
Program Services559759ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total37777Total
Program Services37777ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26540Total
Program Services22781ProgramServices
Management And General3759ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total26334Total
Program Services25807ProgramServices
Management And General527ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total125399Total
Program Services122891ProgramServices
Management And General2508ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4453Total
Program Services4008ProgramServices
Management And General445ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1148Total
Program Services1148ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4377Total
Program Services4289ProgramServices
Management And General88ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total211166Total
Program Services206943ProgramServices
Management And General4223ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total163935Total
Program Services140717ProgramServices
Management And General23218ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
LOCHHAVEN APARTMENT RENT13633741363374
LICENSES AND DUES362664362664
SUPPLIES315844315844
FOOD170085170085
REPAIRS AND MAINTENANCE8534085340

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total69598Total
Program Services62083ProgramServices
Management And General7515ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6974654Total
Program Services6380662ProgramServices
Management And General593992ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1224430BOY
EOY568804EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY280505BOY
EOY258551EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY727764BOY
EOY818529EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY23117BOY
EOY20506EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY45134BOY
EOY42538EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9897561LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5208423LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3990852BOY
EOY4689138EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY855810BOY
EOY843643EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY154523EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY367253BOY
EOY201500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7514865BOY
EOY7597732EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY571124BOY
EOY569951EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY305268BOY
EOY328044EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2533271BOY
EOY2401306EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY59212BOY
EOY59512EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3468875BOY
EOY3358813EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4045990BOY
EOY4238919EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4045990BOY
EOY4238919EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7514865BOY
EOY7597732EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses247897ReconcilationRevenueExpenses
Reconcilation Other Changes-54968ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21530CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10662CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year549447CurrentTaxYearMinus1Year
Current Tax Year129141CurrentTaxYear
Total742067Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5819321CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6433400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5605619CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7060150CurrentTaxYearMinus1Year
Current Tax Year7065271CurrentTaxYear
Total31983761Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5850608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6454930CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5616281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7609597CurrentTaxYearMinus1Year
Current Tax Year7194412CurrentTaxYear
Total32725828Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year500000CurrentTaxYearMinus1Year
Current Tax Year82457CurrentTaxYear
Total582457Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year500000CurrentTaxYearMinus1Year
Current Tax Year82457CurrentTaxYear
Total582457Total
FieldValueIRS element (for citing)
Public Support Total50932143371PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1376721CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1460820CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1337962CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23333CurrentTaxYearMinus1Year
Current Tax Year19142CurrentTaxYear
Total4217978Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1376721CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1460820CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1337962CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23333CurrentTaxYearMinus1Year
Current Tax Year19142CurrentTaxYear
Total4217978Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7227329CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7915750CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6954243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7632930CurrentTaxYearMinus1Year
Current Tax Year7213554CurrentTaxYear
Total36943806Total
FieldValueIRS element (for citing)
Public Support Percentage5090.87010PublicSupportPercentage509
Prior Year Support Percentage0.83390PriorYearSupportPercentage
Investment Income Percentage0.11000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.15000PriorYrInvestIncomePercentage
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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis263376OtherCostOrOtherBasis
Book Value263376BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7345582OtherCostOrOtherBasis
Depreciation3646202Depreciation
Book Value3699380BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2288603OtherCostOrOtherBasis
Depreciation1562221Depreciation
Book Value726382BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4689138TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITY DEPOSITSDescription
Amount$59,512Amount
FieldValueIRS element (for citing)
Total Of Amounts59512TotalOfAmounts
Total Revenue7222551TotalRevenue
Total Expenses6974654TotalExpenses
Excess Or Deficit For Year247897ExcessOrDeficitForYear
Net Unrealized GL On Investments-54968NetUnrealizedGLOnInvestments
Total Adjustments-54968TotalAdjustments
Excess Or Deficit Per FS192929ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7167583TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-54968NetUnrealizedGainsInvestments
Revenue Not Rptd F990-54968RevenueNotRptdF990
Revenue Subtotal7222551RevenueSubtotal
Total Revenue Per Form9907222551TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6974654TotExpensesEtcAuditedFinclStmt
Expenses Subtotal6974654ExpensesSubtotal
Total Expenses Per Form9906974654TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8BOOK / TAX DEPRECIATION DIFFERENCE 79,912
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BBOOK / TAX DEPRECIATION DIFFERENCE 79,912

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS NOT REVIEWED BY THE GOVERNING BODY BEFORE FILING BUT IS REVIEWED BY THE EXECUTIVE DIRECTOR.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY CONSIDERING THE MARKET VALUE OF SERVICES PERFORMED AND A PERFORMANCE REVIEW.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.

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