MENNO-HAVEN INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MENNO-HAVEN INC (EIN 23-6276101)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-12
IRS object ID
201111639349300001
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-06-12T10:16:22-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SMITH ELLIOTT KEARNS & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1804 WAYNE AVENUEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN236276101EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MENNO-HAVEN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMENNNameControl
Phone7172621000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVENUEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRODNEY E MASONName
TitleCEOTitle
Phone7172621000Phone
Date Signed2011-05-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY P HALL CPAName
Phone7172633910Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonRODNEY E MASONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41960628GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MENNOHAVEN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE THE QUALITY OF LIFE THROUGH RESPONSIVE CHRISTIAN HUMAN SERVICES IN A CARING COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees692TotalNbrEmployees
Total Nbr Volunteers570TotalNbrVolunteers
Total Gross UBI169791TotalGrossUBI
Net Unrelated Business Txbl Income-301688NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year480295ContributionsGrantsPriorYear
Contributions Grants Current Year597467ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24221786ProgramServiceRevenuePriorYear
Program Service Revenue CY37734090ProgramServiceRevenueCY
Investment Income Prior Year-341116InvestmentIncomePriorYear
Investment Income Current Year682185InvestmentIncomeCurrentYear
Other Revenue Prior Year318271OtherRevenuePriorYear
Other Revenue Current Year192096OtherRevenueCurrentYear
Total Revenue Prior Year24679236TotalRevenuePriorYear
Total Revenue Current Year39205838TotalRevenueCurrentYear
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 Year15037314SalariesEtcPriorYear
Salaries Etc Current Year18974596SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year233540TotalFundrsngExpCurrentYear
Other Expense Prior Year10781266OtherExpensePriorYear
Other Expenses Current Year19096819OtherExpensesCurrentYear
Total Expenses Prior Year25818580TotalExpensesPriorYear
Total Expenses Current Year38071415TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1139344RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1134423RevenuesLessExpensesCY
Total Assets BOY92089119TotalAssetsBOY
Total Assets EOY106027524TotalAssetsEOY
Total Liabilities BOY81938762TotalLiabilitiesBOY
Total Liabilities EOY93308822TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10150357NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12718702NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENHANCE THE QUALITY OF LIFE THROUGH RESPONSIVE CHRISTIAN HUMAN SERVICES IN A CARING COMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15549223Expense
Revenue19342318Revenue
DescriptionORGANIZATION MAINTAINS A LICENSED SKILLED NURSING FACILITY. PROVIDES ROOM & BOARD AND NURSING CARE, MEDICAL AND REHAB SERVICES, SOCIAL SERVICES, AND ACTIVITY PROGRAMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense13187092Expense
Revenue10579994Revenue
DescriptionORGANIZATION MAINTAINS A LICENSED ASSISTED LIVING AND RESIDENTIAL LIVING FACILITY. PROVIDES ROOM & BOARD, LIMITED NURSING CARE, MEDICAL AND REHAB SERIVCES, SOCIAL SERVICES AND ACTIVITY PROGRAMS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4874946Expense
Revenue7811778Revenue
DescriptionORGANIZATION MAINTAINS INDEPENDENT LIVING UNITS FOR INDIVIDUALS WHO WISH TO MAINTAIN MORE INDEPENDENCE, BUT DESIRE ACCESS TO THE FOLLOWING SUPPORT SERVICES: EMERGENCY NURSE CALL, GROUNDS MAINTENANCE, MEDICAL AND TRANS. SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense33611261TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096153NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees692NumberOfEmployees
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 Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
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 FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RODNEY E MASONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7172621000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12011 SCOTLAND AVENUEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode

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
LLWELLYN MARTIN
BOARD CHAIRMAN0.40XX000
DALE HORST
VICE CHAIRMAN0.50XX000
MARTHA WALKER
BOARD SECRETARY0.40XX000
LYNN ROTZ
BOARD TREASURER0.30XX000
JOSEPH HULOCK
ASST. SECRETARY/TREASURER0.40XX000
BRADLEY MARTIN
DIRECTOR0.30X000
LEO MARTIN
DIRECTOR0.30X000
PHARES BITIKOFER
DIRECTOR0.20X000
DARRELL BAER
DIRECTOR0.40X000
GLENN WINGERT
DIRECTOR0.20X000
WAYNE YEAGER
DIRECTOR0.20X000
JOANNE STAMM
BOARD RESIDENT REPRESENTATIVE0.20X000
RODNEY MASON
CHIEF EXECUTIVE OFFICER40.00X17933408383
JACK PARSON
CHIEF FINANCIAL OFFICER40.00X15485606974
TIMOTHY JOHNSON
CHIEF OPERATIONS OFFICER40.00X10911207586
CHARLES NELSON
CHIEF OFFICER OF GIFT PLAN40.00X11708106281
WENDY COWAN
CHIEF OFFICER OF MARKETING40.00X9918901890
DENNIS TRAVERS
CHIEF OFFICER OF HUMAN RESOURCES40.00X9434307185
DR ZACHARY SIMPSON
MEDICAL DIRECTOR40.0014963900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org903554TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation38299TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CURA HOSPITALITY
PO BOX 827276PHILADELPHIAPA19182DIETARY SERVICES1650862
REHABCARE GROUP INC
PO BOX 503534ST LOUISMO63150THERAPY SERVIES1396174
CONTINUING CARE RX INC
PO BOX 12899PHILADELPHIAPA19176PHARMACY887757
FEESERS INC
5561 GRAYSON ROADHARRISBURGPA17111FOODSERVICE DISTRIBUTOR579972
MCCONKEY & CO INC
2555 KINGSTON RD STE 100YORKPA17402INSURANCE563536
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
All Other Contributions597467AllOtherContributions
Total Contributions597467TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING & PERSONAL CAR6230003127188931271889
OTHER RESIDENT SERVICE62300036279703627970
LIFE LEASE CONTRACTS62300028342312834231
FieldValueIRS element (for citing)
Total Program Service Revenue37734090TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column631151TotalRevenueColumn
Exclusion$631,151ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2798539Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2747505Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities51034Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column51034TotalRevenueColumn
Exclusion$51,034ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events29590GrossIncomeFundraisingEvents
Fundraising Direct Expenses7285FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column22305TotalRevenueColumn
Exclusion$22,305ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPHYSICIAN/FOOD SERVICEDescription
Business Code722100BusinessCode
Total Revenue Column169791TotalRevenueColumn
Unrelated Business Revenue169791UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue169791TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column39205838TotalRevenueColumn
Related Or Exempt Function Income37734090RelatedOrExemptFunctionIncome
Unrelated Business Revenue169791UnrelatedBusinessRevenue
Exclusion$704,490ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total792217Total
Management And General668855ManagementAndGeneral
Fundraising123362Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14806065Total
Program Services13261162ProgramServices
Management And General1512569ManagementAndGeneral
Fundraising32334Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total157446Total
Program Services131043ProgramServices
Management And General24509ManagementAndGeneral
Fundraising1894Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2100295Total
Program Services1802332ProgramServices
Management And General281017ManagementAndGeneral
Fundraising16946Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1118573Total
Program Services961195ProgramServices
Management And General147446ManagementAndGeneral
Fundraising9932Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30775Total
Management And General30775ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1561090Total
Program Services1425154ProgramServices
Management And General135606ManagementAndGeneral
Fundraising330Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total361790Total
Program Services200ProgramServices
Management And General361415ManagementAndGeneral
Fundraising175Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2479890Total
Program Services2276584ProgramServices
Management And General182661ManagementAndGeneral
Fundraising20645Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total153521Total
Program Services50061ProgramServices
Management And General100387ManagementAndGeneral
Fundraising3073Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3322973Total
Program Services3322973ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total56808Total
Program Services32024ProgramServices
Management And General24487ManagementAndGeneral
Fundraising297Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total42123Total
Management And General42123ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2505486Total
Program Services2483135ProgramServices
Fundraising22351Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4252734Total
Program Services4134793ProgramServices
Management And General117941ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total306296Total
Program Services130600ProgramServices
Management And General175696ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT RESIDENTIAL SERV37247763474034250742
MISCELLANEOUS2182161117391042762201
BAD DEBTS68763265466109
EQUIPMENT RENTAL & MAIN1157811578

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38071415Total
Program Services33611261ProgramServices
Management And General4226614ManagementAndGeneral
Fundraising233540Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1795BOY
EOY2300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7286809BOY
EOY4261462EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY46035BOY
EOY16299EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1786367BOY
EOY2251745EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY9200000BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY189090BOY
EOY235605EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY807846BOY
EOY1071231EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis121286745LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec47036079LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY59089843BOY
EOY74250666EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11601693BOY
EOY21752856EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2079641BOY
EOY2185360EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY92089119BOY
EOY106027524EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3242879BOY
EOY3800257EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY21457543BOY
EOY26775622EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY44395000BOY
EOY43965000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY2558BOY
EOY3323EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8355891BOY
EOY12033349EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4484891BOY
EOY6731271EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY81938762BOY
EOY93308822EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4335681BOY
EOY5714127EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4657337BOY
EOY5824289EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1157339BOY
EOY1180286EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10150357BOY
EOY12718702EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92089119BOY
EOY106027524EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1134423ReconcilationRevenueExpenses
Reconcilation Other Changes1433922ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years279106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1374654CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years656949CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year480295CurrentTaxYearMinus1Year
Current Tax Year597467CurrentTaxYear
Total3388471Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20597688CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21654174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23212281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24221786CurrentTaxYearMinus1Year
Current Tax Year37734090CurrentTaxYear
Total127420019Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20876794CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23028828CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23869230CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24702081CurrentTaxYearMinus1Year
Current Tax Year38331557CurrentTaxYear
Total130808490Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9225CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1625CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1895CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2490CurrentTaxYearMinus1Year
Current Tax Year4340CurrentTaxYear
Total19575Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9225CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1625CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1895CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2490CurrentTaxYearMinus1Year
Current Tax Year4340CurrentTaxYear
Total19575Total
FieldValueIRS element (for citing)
Public Support Total509130788915PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years263443CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years412877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years340160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year167364CurrentTaxYearMinus1Year
Current Tax Year631151CurrentTaxYear
Total1814995Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years263443CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years412877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years340160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year167364CurrentTaxYearMinus1Year
Current Tax Year631151CurrentTaxYear
Total1814995Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26949CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23027CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25920CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16132CurrentTaxYearMinus1Year
Current Tax Year29590CurrentTaxYear
Total121618Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21167186CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23464732CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24235310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24885577CurrentTaxYearMinus1Year
Current Tax Year38992298CurrentTaxYear
Total132745103Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98530PublicSupportPercentage509
Prior Year Support Percentage0.98580PriorYearSupportPercentage
Investment Income Percentage0.01370InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01250PriorYrInvestIncomePercentage
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)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5814676BeginningOfYearBalance
Contributions319799Contributions
Investment Earnings Or Losses739004InvestmentEarningsOrLosses
Other Expenditures346850OtherExpenditures
End Of Year Balance6526629EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4358246BeginningOfYearBalance
Contributions253953Contributions
Investment Earnings Or Losses1280534InvestmentEarningsOrLosses
Other Expenditures78057OtherExpenditures
End Of Year Balance5814676EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5986053BeginningOfYearBalance
Contributions213400Contributions
Investment Earnings Or Losses-1540291InvestmentEarningsOrLosses
Other Expenditures300916OtherExpenditures
End Of Year Balance4358246EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.18080PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.81920TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2806265OtherCostOrOtherBasis
Book Value2806265BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis89674434OtherCostOrOtherBasis
Depreciation28941883Depreciation
Book Value60732551BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23795351OtherCostOrOtherBasis
Depreciation15031962Depreciation
Book Value8763389BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5010695OtherCostOrOtherBasis
Depreciation3062234Depreciation
Book Value1948461BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings74250666TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
GIFT ANNUITIES$602,709
OBLIGATION UNDER INTEREST RATE SWAP$6,128,562
FieldValueIRS element (for citing)
Total Of Amounts6731271TotalOfAmounts
Total Revenue39205838TotalRevenue
Total Expenses38071415TotalExpenses
Excess Or Deficit For Year1134423ExcessOrDeficitForYear
Net Unrealized GL On Investments479077NetUnrealizedGLOnInvestments
Other$954,845OtherAmount
Total Adjustments1433922TotalAdjustments
Excess Or Deficit Per FS2568345ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt37974072TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments479077NetUnrealizedGainsInvestments
Other Revenues-1710843OtherRevenues
Revenue Not Rptd F990-1231766RevenueNotRptdF990
Revenue Subtotal39205838RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99039205838TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38078700TotExpensesEtcAuditedFinclStmt
Other Expenses Included7285OtherExpensesIncluded
Expenses Not Rptd F9907285ExpensesNotRptdF990
Expenses Subtotal38071415ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038071415TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT FUNDS ARE MAINTAINED FOR THE BENEFIT OF OUR RESIDENTS.
PART X:WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS WOULD BE CLASSIFIED AS EXPENSES AGAINST OTHER OPERATING REVENUE IN THE STATEMENT OF OPERATIONS. AT DECEMBER 31, 2010 AND 2009 THERE WAS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. TAX YEARS SUBSEQUENT TO 2006 ARE OPEN FOR EXAMINATION.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
CHANGE IN FAIR VALUE OF DERIVATIVES -1,741,075. COMBINATION OF NET ASSETS FROM MENNO HAVEN PENN HALL, INC 2,672,973. CHANGE IN VALUE OF PERPETUAL TRUST 22,947.PART XI, LINE 8 - OTHER ADJUSTMENTS:
CHANGE IN FAIR VALUE OF DERIVATIVES -1,741,075. CHANGE IN VALUE OF PERPETUAL TRUST 22,947. SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 7,284. ROUNDING 1.PART XII, LINE 2D - OTHER ADJUSTMENTS:
SPECIAL EVENT EXPENSES NETTED AGAINST FUNDRAISING INCOME 7,284. ROUNDING 1.PART XIII, LINE 2D - OTHER ADJUSTMENTS:
THE ORGANIZATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATIONS NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ON JANUARY 1, 2008 WITH NO IMPACT ON THE FINANCIAL STATEMENTS. WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS WOULD BE CLASSIFIED AS EXPENSES AGAINST OTHER OPERATING REVENUE IN THE STATEMENT OF OPERATIONS. AT DECEMBER 31, 2010 THERE WAS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event129590GrossReceiptsEvent1
Gross Revenue Event129590GrossRevenueEvent1
Cash Prizes Event180CashPrizesEvent1
Non Cash Prizes Event12006NonCashPrizesEvent1
Rent Facility Costs Event13268RentFacilityCostsEvent1
Food And Beverage Event11821FoodAndBeverageEvent1
Other Direct Expenses Event1110OtherDirectExpensesEvent1
Gross Receipts Total29590GrossReceiptsTotal
Gross Revenue Total Events29590GrossRevenueTotalEvents
Cash Prizes Total Events80CashPrizesTotalEvents
Non Cash Prizes Total Events2006NonCashPrizesTotalEvents
Rent Facility Costs Total Events3268RentFacilityCostsTotalEvents
Food And Beverage Total Events1821FoodAndBeverageTotalEvents
Other Direct Expenses Total Events110OtherDirectExpensesTotalEvents
Direct Expense Summary Events7285DirectExpenseSummaryEvents
Net Income Summary22305NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RODNEY MASON
17307905400085500083830187717000
JACK PARSON
151094000376204609023650161830000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationCHIEF OFFICERS RECEIVED ADDITIONAL COMPENSATION AT THE REQUEST OF THE BOARD. THEY WERE GIVEN THE OPTION OF CASH OR INVESTMENT IN THEIR 457 PLAN.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
232261213353273AG02006-08-1529250000CONSTRUCTION, FURNISHING, AND EQUIPMENT000
FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
232261213353273AH82008-01-1018850000REFINANCING OF SERIES 2001 AND 2006 PRIOR BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrowAmount UnspentAmountUnspent
292500005786752867132520080011
1885000024547028910571001134718241705123

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011000.002100.002600.004701
011000.002100.002600.004701

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
WELLS FARGO
11130.00000000000000001
WELLS FARGO
11130.00000000000000001

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2THE MARKETING DIRECTOR IS DISTANTLY RELATED TO A BOARD MEMBER. THERE HAVE BEEN NO ITEMS THAT WOULD BE CONSIDERED A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS CONTRACTED WITH A MANAGEMENT COMPANY TO MANAGE AND DIRECT FOOD SERVICES.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THIS FORM.
CONFLICT OF INTEREST FORMS ARE REVIEWED BY THE CEO AND ANY DISCLOSED CONFLICTS ARE DISCUSSED WITH THE EXECUTIVE COMMITTEE OR APPROPRIATE OFFICERS OF THE GOVERNING BODY.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION RANGES FOR THE CEO, OR TOP MANAGAMENT OFFICIALS IS DETERMINED BY A COMPENSATION SURVEY OR STUDY USING PRIMARILY THE PENNSYLVANIA ASSOCIATION OF NON-PROFIT HOMES FOR THE AGING(PANPHA) PARENT AGENCY WAGE SURVEY OF SIMILAR SIZE FACILITIES. PANPHA IS AN ASSOCIATION OF SENIOR SERVICES IN THE STATE OF PENNSYLVANIA. THE EXECUTIVE COMMITTEE OF THE BOARD ALSO HAS THE LIBERTY TO UTILIZE SURVEYS OF SIMILAR OPERATIONS IF THEY CHOOSE TO DO SO. COMPENSATION RANGES FOR OTHER OFFICERS AND KEY EMPLOYEES ARE ALSO DETERMINED BY A COMPENSATION SURVEY USING THE PANPHA PARENT AGENCY WAGE SURVEY. DISCRETION OF WHERE THEY FALL WITHIN RANGES IS DETERMINED BY EXPERIENCE AND KNOWLEDGE AND IS DETERMINED BY THEIR SENIOR MANAGER.FORM 990, PART VI, SECTION B, LINE 15
THE ORGNIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS ADMINISTRATIVE OFFICES LOCATED AT 2011 SCOTLAND AVE., CHAMBERSBURG, PA 17201.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 479,077. CHANGE IN FAIR VALUE OF DERIVATIVES -1,741,075. COMBINATION OF NET ASSETS FROM MENNO HAVEN PENN HALL, INC 2,672,973. CHANGE IN VALUE OF PERPETUAL TRUST 22,947. TOTAL TO FORM 990, PART XI, LINE 5: 1,433,922.FORM 990, PART XI, LINE 5:
CONSOLIDATED FINANCIAL STATEMENT AUDIT AND SELECTION OF ACCOUNTANTSTHE ORGANIZATION IS PART OF A CONSOLIDATED AUDIT WITH RELATED ENTITY MANNO-HAVEN PENN HALL, INC. THE ORGANIZATION'S FINANCE COMMITTE IS RESPONSIBLE FOR THE OVERSIGHT OF THIS CONSOLIDATED AUDIT AND MAKES RECOMMENDATIONS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH IS APPRROVED BY THE FULL BOARD OF DIRECTORS.FORM 990, PART XI, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MENNO HAVEN AUXILIARY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12075 SCOTLAND AVENUEAddressLine1
CityCHAMBERSBURGCity
StatePAState
ZIP Code17201ZIPCode
FieldValueIRS element (for citing)
EIN251673680EIN
Primary ActivitiesSUPPORT OF THE CAMPUSES OF MENNO HAVEN AND PENN HALL CCRC'S.PrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501 (C)(3)ExemptCodeSection
Public Charity StatusPUBLIC CHARITYPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MENNO HAVEN AUXILARY INCBusinessNameLine1
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 Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MENNO HAVEN AUXILIARY INC
M6275FMV
MENNO HAVEN AUXILIARY INC
N20080FMV
MENNO HAVEN AUXILIARY INC
C66553FMV

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