PINE RIVER GROUP HOME INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: PINE RIVER GROUP HOME INC (EIN 41-1305200)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-03-30
IRS object ID: 201100899349300620
Schema version: 2010v3.2
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-03-30T14:40:17-07:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mathias C Justin Ltd	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4325 W Woodman St Box 90	AddressLine1
City	Pequot Lakes	City
State	MN	State
ZIP Code	56472	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	411305200	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Pine River Group Home Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PINE	NameControl
Phone	2185874888	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 96	AddressLine1
City	Pine River	City
State	MN	State
ZIP Code	56474	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Nathan Kempka	Name
Title	Chairman	Title
Date Signed	2011-03-30	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Mathias C Justin	Name
Phone	2185685242	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	2527681	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.pinerivergrouphome.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	To enhance the community welfare through the development of group homes for developmentally disabled residents and to develop and provide community based services for these residents.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	85	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	25	ContributionsGrantsPriorYear
Contributions Grants Current Year	6248	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2719594	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2343360	ProgramServiceRevenueCY
Investment Income Prior Year	16544	InvestmentIncomePriorYear
Investment Income Current Year	-54804	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	2736163	TotalRevenuePriorYear
Total Revenue Current Year	2294804	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2151995	SalariesEtcPriorYear
Salaries Etc Current Year	1945226	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	469218	OtherExpensePriorYear
Other Expenses Current Year	405480	OtherExpensesCurrentYear
Total Expenses Prior Year	2621213	TotalExpensesPriorYear
Total Expenses Current Year	2350706	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	114950	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-55902	RevenuesLessExpensesCY
Total Assets BOY	1685450	TotalAssetsBOY
Total Assets EOY	1438354	TotalAssetsEOY
Total Liabilities BOY	566327	TotalLiabilitiesBOY
Total Liabilities EOY	375133	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1119123	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1063221	NetAssetsOrFundBalancesEOY
Mission Description	To enhance the community welfare through the development of group homes for developmentally disabled residents and to develop and provide community based services for these residents.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2095839	Expense
Description	Care for Developmentally handicapped. Intermediate care facility for developmentally handicapped and supervised living facility. 6 group homes and 2 appartments in operation serving approximately 27 residents and 20 to 25 in-home individuals.	Description
Total Program Service Expense	2095839	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	8	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	85	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Ed Bettino	NamePerson
Telephone Number	2185874888	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	103 5th Street PO Box 96	AddressLine1
City	Pine River	City
State	MN	State
ZIP Code	56474	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee
Susan Longstaff
Director	1.00	X	0	0	0
Sue Buche
Director	1.00	X	0	0	0
Sarah Myhill
Treasurer	1.00	X	0	0	0	X
Nathan Kempka
Chairman	1.00	X	0	0	0	X
Lloyd Solarz
Vice Chair	1.00	X	0	0	0	X
LaVonne Solarz
Director	1.00	X	0	0	0
Katy Botz
Director	1.00	X	0	0	0
John Puleo
Secretary	1.00	X	0	0	0	X
Gary Root
Director	1.00	X	0	0	0
Ed Bettino
Executive Direc	40.00		71923	0	0		X
Dick Buche
Director	1.00	X	0	0	0
Bev Wignes
Director	1.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	71923	TotalReportableCompFromOrg
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	6248	AllOtherContributions
Total Contributions	6248	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Residents	Description
Total Revenue Column	2343360	TotalRevenueColumn
Related Or Exempt Function Income	2343360	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2343360	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9979	TotalRevenueColumn
Exclusion	$9,979	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	168094	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	232877	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-64783	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-64783	TotalRevenueColumn
Related Or Exempt Function Income	-64783	RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2294804	TotalRevenueColumn
Related Or Exempt Function Income	2278577	RelatedOrExemptFunctionIncome
Exclusion	$9,979	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	71923	Total
Management And General	71923	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1389579	Total
Program Services	1384158	ProgramServices
Management And General	5421	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	13917	Total
Program Services	13917	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	341061	Total
Program Services	315902	ProgramServices
Management And General	25159	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	128746	Total
Program Services	100387	ProgramServices
Management And General	28359	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	4800	Total
Management And General	4800	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	271	Total
Management And General	271	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5546	Total
Management And General	5546	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	22791	Total
Program Services	22791	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	37169	Total
Program Services	37169	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	17384	Total
Management And General	17384	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	52106	Total
Program Services	45509	ProgramServices
Management And General	6597	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	54005	Total
Management And General	54005	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Repairs and Maintenance	14567	14567
Maintenance Personal Services	17575	17575
Food	71755	71755
Contract Services	33921	33921
Bookkeeping	15656		15656

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	57934	Total
Program Services	38188	ProgramServices
Management And General	19746	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2350706	Total
Program Services	2095839	ProgramServices
Management And General	254867	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	317846	BOY
EOY	316548	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	170193	BOY
EOY	173607	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	219532	BOY
EOY	183987	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	37115	BOY
EOY	9304	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1133005	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	715825	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	667550	BOY
EOY	417180	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	18526	BOY
EOY	10610	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	254688	BOY
EOY	327118	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1685450	BOY
EOY	1438354	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	57813	BOY
EOY	71273	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	508514	BOY
EOY	303860	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	566327	BOY
EOY	375133	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1119123	BOY
EOY	1063221	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1119123	BOY
EOY	1063221	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1685450	BOY
EOY	1438354	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-55902	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	58	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	25	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	25	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25	CurrentTaxYearMinus1Year
Current Tax Year	6248	CurrentTaxYear
Total	6381	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2341725	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2347151	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2648183	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2719594	CurrentTaxYearMinus1Year
Current Tax Year	2343360	CurrentTaxYear
Total	12400013	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2341783	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2347176	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2648208	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2719619	CurrentTaxYearMinus1Year
Current Tax Year	2349608	CurrentTaxYear
Total	12406394	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	12406394	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17638	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	21227	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	21737	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	16543	CurrentTaxYearMinus1Year
Current Tax Year	9979	CurrentTaxYear
Total	87124	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17638	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	21227	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	21737	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	16543	CurrentTaxYearMinus1Year
Current Tax Year	9979	CurrentTaxYear
Total	87124	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1051	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	100	CurrentTaxYearMinus3Years
Total	1151	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2360472	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2368503	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2669945	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2736162	CurrentTaxYearMinus1Year
Current Tax Year	2359587	CurrentTaxYear
Total	12494669	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99290	PublicSupportPercentage509
Prior Year Support Percentage	0.99280	PriorYearSupportPercentage
Investment Income Percentage	0.00700	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00710	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20689	OtherCostOrOtherBasis
Book Value	20689	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	555477	OtherCostOrOtherBasis
Book Value	555477	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	262186	OtherCostOrOtherBasis
Book Value	262186	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	120593	OtherCostOrOtherBasis
Depreciation	715825	Depreciation
Book Value	-595232	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	174060	OtherCostOrOtherBasis
Book Value	174060	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	417180	TotalOfBookValueLandBuildings
Total Book Value Other Assets	327118	TotalBookValueOtherAssets

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Upone request
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Annual compensation review by Board of Directors
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	No review was or will be conducted.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Dick and Sue Buche husband and wife.Lloyd and LaVonne Solarz husband and wife.