FURP.ORG / PUBLIC DATA EXPLORER

KENYON SUNSET HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
KENYON SUNSET HOME (EIN 41-1263434)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-05
IRS object ID
201240659349300349
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)
Timestamp2012-03-05T14:39:41-06:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 217AddressLine1
CityAUSTINCity
StateMNState
ZIP Code55912ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411263434EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KENYON SUNSET HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKENYNameControl
Phone5077896134Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1127 GUNDERSON BLVDAddressLine1
CityKENYONCity
StateMNState
ZIP Code55946ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID VANDERGONName
TitleADMINISTRATORTitle
Phone5077896134Phone
Date Signed2012-03-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRENT FASTName
Phone5074347000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID VANDERGONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1127 GUNDERSON BLVDAddressLine1
CityKENYONCity
StateMNState
ZIP Code55946ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3673616GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9386GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY IN KENYON, MINNESOTA AND THE SURROUNDING AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees133TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year56926ContributionsGrantsPriorYear
Contributions Grants Current Year27670ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3419521ProgramServiceRevenuePriorYear
Program Service Revenue CY3471406ProgramServiceRevenueCY
Investment Income Prior Year6261InvestmentIncomePriorYear
Investment Income Current Year3677InvestmentIncomeCurrentYear
Other Revenue Prior Year108046OtherRevenuePriorYear
Other Revenue Current Year170863OtherRevenueCurrentYear
Total Revenue Prior Year3590754TotalRevenuePriorYear
Total Revenue Current Year3673616TotalRevenueCurrentYear
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 Year2038598SalariesEtcPriorYear
Salaries Etc Current Year2148775SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1466087OtherExpensePriorYear
Other Expenses Current Year1556834OtherExpensesCurrentYear
Total Expenses Prior Year3504685TotalExpensesPriorYear
Total Expenses Current Year3705609TotalExpensesCurrentYear
Revenues Less Expenses Prior Year86069RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-31993RevenuesLessExpensesCY
Total Assets BOY3954499TotalAssetsBOY
Total Assets EOY3902223TotalAssetsEOY
Total Liabilities BOY2949612TotalLiabilitiesBOY
Total Liabilities EOY2929329TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1004887NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY972894NetAssetsOrFundBalancesEOY
Mission DescriptionWE ARE A CHRISTIAN FAITH BASED NOT FOR PROFIT ORGANIZATION THAT EXTENDS THE MINISTRY OF CARING AND HEALING THROUGH A VARIETY OF QUALITY SERVICES FOR THE ELDERLY, FAMILIES, AND THE AREA COMMUNITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3182471Expense
Revenue3471406Revenue
DescriptionKENYON SUNSET HOME- SINCE 1949, WE HAVE BEEN PROVIDING HOUSING AND NURSING SERVICES THROUGH OPERATION OF A 48-BED LICENSED NURSING FACILITY AND A 19-BED HOUSING WITH SERVICES FACILITY IN KENYON, MINNESOTA. THE HOME HAD 15,930 RESIDENT DAYS DURING 2011. ALSO, SEVENTEEN SERVICES WERE PROVIDED TO THE RESIDENTS OF THE HOUSING WITH SERVICES FACILITY.Description
Total Program Service Expense3182471TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements1ConservationEasements
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 Footnote1ReportFin48Footnote
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 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 Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees133NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVE VANDERGONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5077896134TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1127 GUNDERSON BLVDAddressLine1
CityKENYONCity
StateMNState
ZIP Code55946ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
CAREY HJERMSTAD
BOARD DIRECTOR1.00X000
PENNY ISAACSON
BOARD DIRECTOR1.00X000
LARRY LEHMAN
BOARD TREASURER1.00X000
JUDY PAVEK
BOARD SECRETARY1.00X000
BARNEY NESSETH
BOARD PRESIDENT1.00X000
STEVE SVIGGUM
BOARD DIRECTOR1.00X000
JIM DAVIS
BOARD DIRECTOR1.00X000
MARLENE SYVERSON
BOARD VICE PRESIDENT1.00X000
DAVID VANDERGON
ADMINISTRATOR40.00765640304X
DENISE BUDD
CFO40.006027103003X
FieldValueIRS element (for citing)
Total Reportable Comp From Org136835TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation3307TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP CONTRACT THERAPY DIVISIO
PO BOX 503534ST LOUISMO63105THERAPIES170093
HEALTH PARTNERS
NW 3600 PO BOX 1450MINNEAPOLISMN55485HEALTH INSURANCE141286
DHS MEDICAL CARE SURCHARGE
540 CEDAR STST PAULMN55101SURCHARGE135120
US FOODS
NW 6059 PO BOX 1450MINNEAPOLISMN55485FOOD/SUPPLIES122369
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations27670RelatedOrganizations
Total Contributions27670TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM62300018343131834313
RESIDENT REVENUE62300015891371589137
RENTAL REVENUE6230004460444604
MISCELLANEOUS INCOME62300033523352
FieldValueIRS element (for citing)
Total Program Service Revenue3471406TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3677TotalRevenueColumn
Exclusion$3,677ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS INCOME90009986418$86,418
MEAL REVENUE62300067395$67,395
DAY CARE REVENUE62300017050$17,050
FieldValueIRS element (for citing)
Total Other Revenue170863TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3673616TotalRevenueColumn
Related Or Exempt Function Income3471406RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$174,540ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total80269Total
Management And General80269ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1763035Total
Program Services1638066ProgramServices
Management And General124969ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6015Total
Program Services4565ProgramServices
Management And General1450ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total163249Total
Program Services124819ProgramServices
Management And General38430ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total136207Total
Program Services103578ProgramServices
Management And General32629ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total83642Total
Program Services54494ProgramServices
Management And General29148ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total468Total
Management And General468ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14115Total
Management And General14115ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total346169Total
Program Services279659ProgramServices
Management And General66510ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total35720Total
Management And General35720ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total201921Total
Program Services170284ProgramServices
Management And General31637ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total144511Total
Program Services144511ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1609Total
Program Services1609ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19197Total
Program Services15434ProgramServices
Management And General3763ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total116976Total
Program Services116976ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total166702Total
Program Services166702ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total37858Total
Program Services2516ProgramServices
Management And General35342ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD COSTS174226174226
MINNESOTA SURCHARGE135120135120
REAL ESTATE TAXES2193821938
MISCELLANEOUS EXPENSE1427314273
MINOR EQUIPMENT1253812538

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total29851Total
Program Services15436ProgramServices
Management And General14415ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3705609Total
Program Services3182471ProgramServices
Management And General523138ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY81450BOY
EOY75512EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY126131BOY
EOY91876EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY261773BOY
EOY271935EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12761BOY
EOY11849EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY45644BOY
EOY43905EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5459767LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2345636LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3204232BOY
EOY3114131EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY125373BOY
EOY181749EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY97135BOY
EOY111266EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3954499BOY
EOY3902223EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY192623BOY
EOY232449EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2420949BOY
EOY2377679EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY336040BOY
EOY319201EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2949612BOY
EOY2929329EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1004887BOY
EOY972894EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1004887BOY
EOY972894EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3954499BOY
EOY3902223EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-31993ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Years224016CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57320CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23473CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54288CurrentTaxYearMinus1Year
Current Tax Year25969CurrentTaxYear
Total385066Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3637864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3711392CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3460096CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3419521CurrentTaxYearMinus1Year
Current Tax Year3471406CurrentTaxYear
Total17700279Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3861880CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3768712CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3483569CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3473809CurrentTaxYearMinus1Year
Current Tax Year3497375CurrentTaxYear
Total18085345Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years224016CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57320CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23473CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23470CurrentTaxYearMinus1Year
Current Tax Year28998CurrentTaxYear
Total357277Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years903440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1320765CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1392852CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1323617CurrentTaxYearMinus1Year
Current Tax Year1234064CurrentTaxYear
Total6174738Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1127456CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1378085CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1416325CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1347087CurrentTaxYearMinus1Year
Current Tax Year1263062CurrentTaxYear
Total6532015Total
FieldValueIRS element (for citing)
Public Support Total50911553330PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8666CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6746CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5851CurrentTaxYearMinus1Year
Current Tax Year5378CurrentTaxYear
Total33171Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8666CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6746CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5851CurrentTaxYearMinus1Year
Current Tax Year5378CurrentTaxYear
Total33171Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year170863CurrentTaxYear
Total170863Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3868410CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3777378CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3490315CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3479660CurrentTaxYearMinus1Year
Current Tax Year3673616CurrentTaxYear
Total18289379Total
FieldValueIRS element (for citing)
Public Support Percentage5090.63170PublicSupportPercentage509
Prior Year Support Percentage0.64650PriorYearSupportPercentage
Investment Income Percentage0.00180InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00180PriorYrInvestIncomePercentage
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$78MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB78TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Historic StructureXHistoricStructure
Total Number Of Easements1TotalNumberOfEasements
Total Acreage0.50TotalAcreage
Nmbr Hist Struct Easements1NmbrHistStructEasements
Nmbr Hist Struct Easements After0NmbrHistStructEasementsAfter
Nmbr Easements Modified0NmbrEasementsModified
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy Monitoring0WrittenPolicyMonitoring
Staff Hours Spent On Enforcement0.00StaffHoursSpentOnEnforcement
Expenses Incurred For Enforcement0ExpensesIncurredForEnforcement
Sect170h Requirements Satisfied1Sect170hRequirementsSatisfied

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis65505OtherCostOrOtherBasis
Book Value65505BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4535956OtherCostOrOtherBasis
Depreciation1734266Depreciation
Book Value2801690BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis834369OtherCostOrOtherBasis
Depreciation611370Depreciation
Book Value222999BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23937OtherCostOrOtherBasis
Book Value23937BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3114131TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESIDENT DEPOSITS & TRUST FUNDS PAY$13,707
ASSET RETIREMENT OBLIGATION$233,170
DUE TO FOUNDATION$72,324
FieldValueIRS element (for citing)
Total Of Amounts319201TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF HOW ORGANIZATION REPORTS CONSERVATION EASEMENTS:PART II, LINE 9:FACILITY IS ADJACENT TO THE GUNDERSON HOUSE WHICH IS ON THE NATIONAL HISTORIC REGISTRY, AND COVENENTS APPLY TO RECENT PROPERTY DEVELOPMENTS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:BOTH THE HOME AND THE FOUNDATION HAVE BEEN GRANTED EXEPMT STATUS RELATIVE TO FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. THE HOME AND FOUNDATION FOLLOW THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE HOME OR FOUNDATION AS A RESULT OF THIS STANDARD. THE HOME AND FOUNDATION FILE AS TAX-EXEMPT ORGANIZATIONS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE 2008, 2009, AND 2010 TAX YEARS OF THE HOME AND FOUNDATION ARE OPEN FOR EXAMINATION BY THE IRS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE ADMINISTRATOR, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES. MEMBERS OF THE BOARD OF DIRECTORS ALSO REVIEW AND APPROVE FORM 990 PRIOR TO FILING.
ADMINISTRATION WILL BE RESPONSIBLE TO COMMUNICATE THIS POLICY TO EACH OFFICER, DIRECTOR, AND TRUSTEE SERVING KSH OR ANY OF ITS SUBSIDIARIES AND OTHERS AS THEY ARE NEWLY APPOINTED TO SUCH RULES. IF THERE IS A PERSON WITH A CONFLICT OR POTENTIAL CONFLICT, THEY SHALL REFRAIN FROM VOTING OR OTHERWISE ATTEMPT TO EXERT ANY INFLUENCE OF KSH.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF DIRECTORS DETERMINE AND REVIEW THE CEO. THE CEO, WITH THE HELP FROM THE BOARD DETERMINE'S AND REVIEWS THE OTHER KEY EMPLOYEES. THE LAST REVIEWS WERE IN 2011.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
FORM 990, PART XI, LINE 2C: THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED ANNUALLY BY AN INDEPENDENT ACCOUNTANT, RECEIVING AN UNQUALIFIED OPINION AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND 2010. THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1KENYON SUNSET HOME FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1127 GUNDERSON BLVDAddressLine1
CityKENYONCity
StateMNState
ZIP Code55946ZIPCode
FieldValueIRS element (for citing)
EIN411694615EIN
Primary ActivitiesSUPPORTING ORGANIZATIONPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11, TYPE IIPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KENYON SUNSET HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
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 Org0LoansOrGuaranteesToOtherOrg
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1ALL TRANSACTIONS WERE UNDER 50000 THEREFORE NOT REQUIRED TO BE DISCLOSEDBusinessNameLine1