NEW HAMPSHIRE ODD FELLOWS HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NEW HAMPSHIRE ODD FELLOWS HOME (EIN 02-0222167)
Tax period
2010-05-01 to 2011-04-30
Filed
2011-09-06
IRS object ID
201122499349300352
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)
Timestamp2011-09-06T08:06:58-05:00Timestamp
Tax Period End Date2011-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOWE RILEY & HOWE PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1660 CHESTNUT STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code031043500ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020222167EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEW HAMPSHIRE ODD FELLOWS HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWHNameControl
Phone6032256644Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 PLEASANT STREETAddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNE PURINGTONName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone6032256644Phone
Date Signed2011-08-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLANCE R TURGEONName
Phone6036273838Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1PRESIDENTIAL OAKSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonANNE PURINGTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 PLEASANT STREETAddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10981701GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PRESIDENTIALOAKS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1883YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE ASSISTED LIVING AND NURSING CARE IN A RETIREMENT COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees234TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year22526ContributionsGrantsPriorYear
Contributions Grants Current Year83079ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8734045ProgramServiceRevenuePriorYear
Program Service Revenue CY8779543ProgramServiceRevenueCY
Investment Income Prior Year50777InvestmentIncomePriorYear
Investment Income Current Year-52742InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year8584OtherRevenueCurrentYear
Total Revenue Prior Year8807348TotalRevenuePriorYear
Total Revenue Current Year8818464TotalRevenueCurrentYear
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 Year6170624SalariesEtcPriorYear
Salaries Etc Current Year5700694SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3365831OtherExpensePriorYear
Other Expenses Current Year3295635OtherExpensesCurrentYear
Total Expenses Prior Year9536455TotalExpensesPriorYear
Total Expenses Current Year8996329TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-729107RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-177865RevenuesLessExpensesCY
Total Assets BOY8190383TotalAssetsBOY
Total Assets EOY7931053TotalAssetsEOY
Total Liabilities BOY4698643TotalLiabilitiesBOY
Total Liabilities EOY4286857TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3491740NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3644196NetAssetsOrFundBalancesEOY
Mission DescriptionNH ODD FELLOWS HOME, DBA PRESIDENTIAL OAKS, IS COMMITTED TO PROVIDING INNOVATIVE OPPORTUNITIES TO OUR COMMUNITY SO THAT IT MAY REACH ITS POTENTIAL IN AN ATMOSPHERE OF COMPASSION, DIGNITY, AND RESPECT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8076323Expense
Revenue8788127Revenue
DescriptionPROVIDED BOARD AND CARE FOR AN AVERAGE OF 107 RESIDENTS PER DAY DURING THE YEARDescription
Total Program Service Expense8076323TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees234NumberOfEmployees
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THERESA WOJTKIEWICZ FINANCE DIRECTORBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6032256644TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 PLEASANT STREETAddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JOHN FARWELL
TRUSTEE1.00X000
THOMAS JOHNSON JR
PRESIDENT2.40X000X
CARLA MESSER
VICE PRESIDENT1.00X000X
ROBERT DUFRESNE
TREASURER1.10X000X
RUSSELL GRAYSHAN
TRUSTEE1.00X000
ROBERT W WRIGHT JR
SECRETARY1.00X000X
CARROLL LEONE
TRUSTEE1.00X000
DAVID J WYATT
TRUSTEE1.00X000
JOYCE HIGGINS
TRUSTEE1.00X000
SUMNER WOODWARD
TRUSTEE1.00X000
JAMES LAWRENCE
TRUSTEE1.00X000
RAYMOND DESPRES
TRUSTEE1.00X000
ANNE M PURINGTON
CEO & ADMINISTRATOR40.0010000008755X
FieldValueIRS element (for citing)
Total Reportable Comp From Org100000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation8755TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SYNERTEXBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17540 N 19TH AVE SUITE 200AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85021ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesREHABILITATION SERVICESDescriptionOfServices
Compensation543238Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions83079AllOtherContributions
Total Contributions83079TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionBOARD AND CAREDescription
Business Code623000BusinessCode
Total Revenue Column8779543TotalRevenueColumn
Related Or Exempt Function Income8779543RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8779543TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column79764TotalRevenueColumn
Exclusion$79,764ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2030731Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2163237Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-132506Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-132506TotalRevenueColumn
Exclusion-$132,506ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code623000BusinessCode
Total Revenue Column8584TotalRevenueColumn
Related Or Exempt Function Income8584RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue8584TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8818464TotalRevenueColumn
Related Or Exempt Function Income8788127RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$52,742ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total108741Total
Management And General108741ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4347607Total
Program Services4063352ProgramServices
Management And General284255ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total21898Total
Program Services15492ProgramServices
Management And General6406ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total835891Total
Program Services719062ProgramServices
Management And General116829ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total386557Total
Program Services351591ProgramServices
Management And General34966ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6733Total
Management And General6733ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total53920Total
Management And General53920ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total7228Total
Management And General7228ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total590371Total
Program Services590371ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20047Total
Program Services1153ProgramServices
Management And General18894ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19147Total
Management And General19147ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total420850Total
Program Services420850ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total2893Total
Program Services2868ProgramServices
Management And General25ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7530Total
Management And General7530ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total260588Total
Program Services260588ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total440651Total
Program Services440651ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total128977Total
Program Services31649ProgramServices
Management And General97328ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NURSING QUALITY ENHANCE330864330864
SUPPLIES31757825182865750
FOOD276213276213
MEDICARE ANCILLARIES218484218484

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total193561Total
Program Services101307ProgramServices
Management And General92254ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8996329Total
Program Services8076323ProgramServices
Management And General920006ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50349BOY
EOY93727EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY398330BOY
EOY275134EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY835972BOY
EOY600321EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY92360BOY
EOY35387EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15499461LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11362427LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4251398BOY
EOY4137034EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2516891BOY
EOY2746129EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY30992BOY
EOY28608EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14091BOY
EOY14713EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8190383BOY
EOY7931053EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY744343BOY
EOY669490EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3940209BOY
EOY3602654EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14091BOY
EOY14713EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4698643BOY
EOY4286857EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY808765BOY
EOY848254EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY123204BOY
EOY235092EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2559771BOY
EOY2560850EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3491740BOY
EOY3644196EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8190383BOY
EOY7931053EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-177865ReconcilationRevenueExpenses
Reconcilation Other Changes330321ReconcilationOtherChanges
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 Years30852CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20262CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14097CurrentTaxYearMinus1Year
Current Tax Year83079CurrentTaxYear
Total175865Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8904266CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8618546CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9235920CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8734045CurrentTaxYearMinus1Year
Current Tax Year8779543CurrentTaxYear
Total44272320Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8935118CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8646121CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9256182CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8748142CurrentTaxYearMinus1Year
Current Tax Year8862622CurrentTaxYear
Total44448185Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50944448185PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years208529CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years266116CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129541CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56764CurrentTaxYearMinus1Year
Current Tax Year79764CurrentTaxYear
Total740714Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years208529CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years266116CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129541CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56764CurrentTaxYearMinus1Year
Current Tax Year79764CurrentTaxYear
Total740714Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year8584CurrentTaxYear
Total8584Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9143647CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8912237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9385723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8804906CurrentTaxYearMinus1Year
Current Tax Year8950970CurrentTaxYear
Total45197483Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98340PublicSupportPercentage509
Prior Year Support Percentage0.98200PriorYearSupportPercentage
Investment Income Percentage0.01640InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01800PriorYrInvestIncomePercentage
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2494908BeginningOfYearBalance
Contributions1079Contributions
Investment Earnings Or Losses298789InvestmentEarningsOrLosses
Other Expenditures72542OtherExpenditures
End Of Year Balance2722234EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2109713BeginningOfYearBalance
Contributions913Contributions
Investment Earnings Or Losses513780InvestmentEarningsOrLosses
Other Expenditures129498OtherExpenditures
End Of Year Balance2494908EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2874662BeginningOfYearBalance
Contributions918Contributions
Investment Earnings Or Losses-669414InvestmentEarningsOrLosses
Other Expenditures96453OtherExpenditures
End Of Year Balance2109713EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.91550PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.08450TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis200OtherCostOrOtherBasis
Book Value200BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13340369OtherCostOrOtherBasis
Depreciation9583905Depreciation
Book Value3756464BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2140392OtherCostOrOtherBasis
Depreciation1778522Depreciation
Book Value361870BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18500OtherCostOrOtherBasis
Book Value18500BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4137034TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPATIENT CASH HELD IN TRUST PAYABLEDescription
Amount$14,713Amount
FieldValueIRS element (for citing)
Total Of Amounts14713TotalOfAmounts
Total Revenue8818464TotalRevenue
Total Expenses8996329TotalExpenses
Excess Or Deficit For Year-177865ExcessOrDeficitForYear
Net Unrealized GL On Investments357569NetUnrealizedGLOnInvestments
Prior Period Adjustments-27248PriorPeriodAdjustments
Total Adjustments330321TotalAdjustments
Excess Or Deficit Per FS152456ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9176033TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments357569NetUnrealizedGainsInvestments
Revenue Not Rptd F990357569RevenueNotRptdF990
Revenue Subtotal8818464RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908818464TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8996329TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8996329ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908996329TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THESE FUNDS ARE FOR THE GENERAL USES AND PURPOSES OF THE ORGANIZATION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE HOME RECOGNIZES THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF MANAGEMENT DETERMINES IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERIT OF THE POSITION. MANAGEMENT HAS DETERMINED THAT AS OF APRIL 30, 2011 AND 2010, THE HOME DID NOT TAKE ANY TAX POSITIONS WHICH DO NOT MEET THE CRITERIA FOR RECOGNITION.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 7AAREA ODD FELLOW AND REBEKAH LODGES SELECT ONE INCORPORATOR PER LODGE WHOM MAY VOTE ON THE TRUSTEES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BBY-LAW CHANGES ARE SUBJECT TO APPROVAL BY THE INCORPORATORS.
FORM 990, PART VI, SECTION B, LINE 11THE ACCOUNTING FIRM PREPARES THE FORM 990 AND THE FINANCE DIRECTOR, THE CEO AND BOARD OF DIRECTORS REVIEW THE FORM.
THE POLICY IS REVIEWED ANNUALLY AT A BOARD OF DIRECTORS MEETING.FORM 990, PART VI, SECTION B, LINE 12C
EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE PERSONNEL COMMITTEE AND ANY SALARY INCREASES ARE PRESENTED TO THE FINANCE COMMITTEE, WHICH IS DOCUMENTED IN THE MINUTES. HOWEVER, THERE IS NO REVIEW BY INDEPENDENT PERSONS,OR COMPARABILITY STUDY PERFORMED.
REQUESTS FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE EVALUATED ON A CASE BY CASE BASIS.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 357,569. PRIOR PERIOD ADJUSTMENTS: -27,248. TOTAL TO FORM 990, PART XI, LINE 5: 330,321.FORM 990, PART XI, LINE 5:
THE 4/30/10 FORM 990 WAS FILED PRIOR TO THE RELEASE OF THE 4/30/10 AUDITED FINANCIAL STATEMENTS. AN ADJUSTING ENTRY WAS POSTED TO FISCAL YEAR 2010 AFTER THE 990 WAS FILED. THIS ADJUSTMENT HAS BEEN REPORTED AS A PRIOR PERIOD ADJUSTMENT TO THE 4/30/11 FORM 990. DUE TO THE SMALL DOLLAR AMOUNT, AN AMENDED 4/30/10 FORM 990 WAS NOT FILED.FORM 990, PART XI, LINE 5
NO CHANGES IN COMMITTEE RESPONSIBILITIES.PART XII, LINE 2C

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