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WESLEYLIFE: Form 990EZ, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WESLEYLIFE (EIN 30-0577845)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201123149349200632
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)
Timestamp2011-11-10T12:43:49-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN300577845EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESLEYLIFEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESLNameControl
Phone5152716789Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15508 NORTHWEST 88TH STREET NO 120AddressLine1
CityJOHNSTONCity
StateIAState
ZIP Code50131ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANK TALLERICOName
TitleCFOTitle
Phone5152716789Phone
Date Signed2011-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Initial ReturnXInitialReturn
Method Of Accounting AccrualXMethodOfAccountingAccrual
Schedule B Not RequiredXScheduleBNotRequired
Web SiteWWW.WESLEYLIFE.ORGWebSite
Organization501c3XOrganization501c3
Gross Receipts Less Than25000XGrossReceiptsLessThan25000
Gross Receipts0GrossReceipts
Other Changes In Net Assets0OtherChangesInNetAssets

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt PurposeWESLEYLIFE IS THE SUPPORTING ORGANIZATION FOR ITS AFFILIATES WHO PROVIDE SENIOR HOUSING, ASSISTED LIVING, SKILLED NURSING SERVICES, HOME AND COMMUNITY BASED SERVICES AND DESIGN AND DEVELOPMENT.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment (2 entries)

Description Program Service AccomDescriptionProgramServiceAccomGrants And AllocationsGrantsAndAllocationsProgram Service ExpensesProgramServiceExpenses
WESLEYLIFE WAS ESTABLISHED IN DECEMBER 2010 AS A SUPPORTING ORGANIZATION FOR WESLEY RETIREMENT SERVICES, INC. (WRS) AND WESLEY COMMUNITY SERVICES, INC. (WCS). WRS WAS ESTABLISHED IN 1947 AS A FAITH-BASED, NON-PROFIT ORGANIZATION AND HAS SINCE DEDICATED ITSELF TO PROVIDING HOUSING, HEALTH CARE, AND SUPPORT SERVICES EXCLUSIVELY TO OLDER ADULTS IN WAYS THAT PROMOTE INDEPENDENCE AND A HEALTHY, ACTIVE LIFESTYLE FOR EVERYONE WE SERVE. WCS WAS ESTABLISHED IN 2006 WITH THE FOCUS OF PROVIDING SERVICES TO OLDER ADULTS AND THE INDIGENT REGARDLESS OF FINANCIAL MEANS THROUGH IN-HOME SUPPORT, ASSISTANCE, MEALS, AND COMPANIONSHIP FOR OLDER ADULTS. OUR MISSION IS TO PROMOTE THE INDEPENDENCE, HEALTH, AND WELL-BEING OF OLDER ADULTS WHEREVER THEY CALL HOME. AS TRENDS IN RETIREMENT LIVING CONTINUE TO CHANGE, WE HAVE RESPONDED WITH AN ARRAY OF SERVICES THAT PROMOTE AND DELIVER FRIENDSHIP AND FELLOWSHIP, A SLATE OF MEANINGFUL ACTIVITIES, LIFELONG LEARNING, AND COMPREHENSIVE HEALTH AND WELLNESS PROGRAMS TO ACCOMMODATE THE EXPECTATIONS OF OUR CUSTOMERS. OUR CORE MISSION SUPPORTS OLDER ADULTS WHEREVER THEY CALL HOME. WESLEYLIFE CURRENTLY OWNS AND OPERATES SEVEN RETIREMENT COMMUNITIES IN IOWA THROUGH WESLEY RETIREMENT SERVICES, INC. (WRS) THAT OFFER A FULL CONTINUUM OF SERVICES. THOSE RETIREMENT COMMUNITIES ARE: WESLEY ACRES IN DES MOINES; HALCYON HOUSE IN WASHINGTON; HERITAGE HOUSE IN ATLANTIC; THE VILLAGE IN INDIANOLA; PARK CENTRE IN NEWTON; EDGEWATER, AN ACTIVE LIFE COMMUNITY IN WEST DES MOINES; AND HEARTHSTONE, A MINISTRY OF WESLEYLIFE IN PELLA. WESLEYLIFE ALSO OPERATES HOME AND COMMUNITY BASED SERVICES THROUGH WESLEY COMMUNITY SERVICES, INC. (WCS) THAT AUGMENT OUR TOTAL SERVICE OFFERING. OUR HOME AND COMMUNITY BASED SERVICES ARE FOCUSED ON PROVIDING SERVICES TO OLDER ADULTS AND INDIGENT REGARDLESS OF FINANCIAL MEANS. WE CONTINUE TO RESPOND TO STUDIES EXPRESSING A GROWING DESIRE AND NEED OF OLDER ADULTS TO RECEIVE SERVICES IN THEIR HOMES BY PROVIDING MEDICARE, MEDICAID, AND PRIVATE PAY HOME CARE SERVICES; MEALS ON WHEELS (MOW), PERSONAL AND ENVIRONMENTAL SERVICES, AND OTHER VOLUNTEER SERVICES WHICH HELP KEEP INDIVIDUALS INDEPENDENT AND ACTIVE IN THEIR HOMES AND THE COMMUNITY. WESLEY ALSO OPERATES TWO ADULT DAY CENTERS - WILLOWBROOK ADULT DAY SERVICES IN NEWTON; AND WESLEY ADULT DAY SERVICES IN DES MOINES. FOR THOSE COMMUNITY MEMBERS APPROACHING END OF LIFE AND NEEDING END OF LIFE CARE, WCS ALSO PROVIDES HOSPICE CARE, WHICH ALLOWS US TO EXTEND OUR MINISTRY AND QUALITY OF CARE.IN 2010, WESLEYLIFE'S SUPPORTING ORGANIZATIONS, WRS AND WCS, PROVIDED HOUSING AND SERVICES FOR MORE THAN 5,000 OLDER IOWANS WHO RECEIVED INDIVIDUALIZED ATTENTION FROM OUR MORE THAN 1,300 PASSIONATE TEAM MEMBERS. AS PART OF OUR MISSION, WE BELIEVE IT IS OUR RESPONSIBILITY TO MAKE THE CITIES AND COMMUNITIES IN WHICH WE OPERATE A BETTER PLACE TO LIVE. WE ARE GUIDED BY OUR CORE VALUES TO PROVIDE QUALITY SERVICES, DEMONSTRATE INTEGRITY, MAINTAIN DIGNITY, FOSTER COMMUNITY, AND DELIVER RESPONSIBLE STEWARDSHIP. WE SERVE OLDER IOWAN'S BY PROVIDING THEM THE QUALITY SERVICES THEY NEED WITH A SERVANT'S HEART. WE ARE COMMITTED TO QUALITY, EXCELLENCE, HOSPITALITY, AND INNOVATION. WHILE ALSO FIRMLY BELIEVING THAT IT IS OUR RESPONSIBILITY TO BE GOOD STEWARDS OF THE MISSION AND ONLY USE THE RESOURCES WE HAVE BEEN PROVIDED IN WAYS THAT WILL BETTER THE LIVES OF OUR CUSTOMERS. AS A NON-PROFIT ORGANIZATION, WE UNDERSTAND THAT OUR RESPONSIBILITY AND OBLIGATION TO OUR COMMUNITIES IS TO OPERATE WITH TOTAL TRANSPARENCY, HONESTY, INTEGRITY, AND THE BEST CARE POSSIBLE. BELOW REFLECTS SOME OF OUR COMMUNITY BENEFITS FROM 2010.- EVERY YEAR OUR STAFF, RESIDENTS, VOLUNTEERS, COMMUNITY MEMBERS, AND BUSINESSES GIVE GENEROUSLY OF THEMSELVES TO BENEFIT THE WELL-BEING OF FELLOW IOWANS. UNIQUE TO WESLEY RETIREMENT SERVICES IS OUR GOOD SAMARITAN/SHEPHERD PROGRAMS. ESTABLISHED MORE THAN 40 YEARS AGO, THIS PROGRAM IS A MEANS OF KEEPING OUR PROMISE TO ASSIST RESIDENTS WHO HAVE OUTLIVED THEIR FINANCIAL RESOURCES. - DURING 2010, THE GOOD SAMARITAN/SHEPHERD PROGRAMS PROVIDED APPROXIMATELY $445,000 WORTH OF CARE AND ASSISTANCE TO IOWA SENIORS WHO HAVE FINANCIAL NEED. BECAUSE OF THIS PROGRAM AND THE GRACIOUS GENEROSITY OF THE COMMUNITY THAT SUPPORTS IT, WESLEY HAS NEVER ASKED ANYONE TO LEAVE THEIR HOME DUE TO LACK OF FUNDS. - WE ALSO FUNDED APPROXIMATELY $436,000 OF GOOD SAMARITAN/SHEPHERD EXPENSES IN CCRC COMMUNITIES WHERE THERE WERE NOT SUFFICIENT GIFTS AND BENEVOLENT FUNDS AVAILABLE TO COVER THE NEEDS OF RESIDENTS WITH LIMITED MEANS. - IN 2010, SERVING OUR REACH TO UNDERSERVED COMMUNITY MEMBERS IN MEDICAID DAYS INCREASED BY 25% OVER LAST YEAR TO 25,000 DAYS. WE INCURRED ALMOST $291,000 IN UNCOMPENSATED CHARITY CARE.- WE PROVIDED OVER $267,000 OF SERVICES TO INDIVIDUALS WHO REQUIRED OUR HELP FOR HOME AND COMMUNITY BASED SERVICES IN WCS BUT HAD LIMITED MEANS TO PAY.- OUR CCRCS CREATED AND CONDUCTED VARIOUS EDUCATIONAL SESSIONS AIMED AT IMPROVING HEALTH OF OLDER ADULTS BY PROMOTING NUTRITION, WELLNESS, AND QUALITY OF LIFE. IN TOTAL, OVER 1,700 OLDER ADULTS LIVING OUTSIDE OUR WESLEY COMMUNITIES PARTICIPATED IN THESE SERVICES. - WE HAVE REACHED MORE THAN 600 OLDER ADULTS WITH 120 OF OUR LIVING WELL SERIES OF LECTURES, EDUCATIONAL TOPICS, AND EVENTS WHICH FOCUS ON ASSISTING COMMUNITY CONSUMERS AND RESIDENTS TO AGE ACTIVELY AND HAVE CONTROL OF THEIR LIFE CHOICES. THROUGH PARTNERSHIPS WITH AREA COLLEGES AND UNIVERSITIES, LOCAL AND REGIONAL AUTHORS, POETS, AND OTHER HEALTH CARE PROVIDERS, WESLEY STAFF WAS AIDED WITH ALMOST 2,500 VOLUNTEER HOURS TO HELP EXECUTE THESE SERVICES EFFECTIVELY.- WE PROVIDED A TRAINING SITE FOR OVER 176 STUDENT NURSES, WELLNESS AND OTHER INTERNS, EQUIPPING THEM WITH ALMOST 6,826 HOURS OF PRACTICAL EXPERIENCE IN THE HEALTHCARE FIELD AND HELPING THEM TO GAIN A BETTER UNDERSTANDING OF SENIOR HEALTH AND WELLNESS.- WE PROVIDED A GATHERING SPACE IN OUR RETIREMENT COMMUNITIES AT NO CHARGE TO LOCAL GROUPS ON 263 OCCASIONS, SERVING ALMOST 4,165 INDIVIDUALS. ADDITIONALLY, OUR COMMUNITIES SERVED AS LOCATIONS TO HOLD SUPPORT GROUP SESSIONS FROM - VISUALLY IMPAIRED TO ALZHEIMER'S TO GRIEF - 93 SESSIONS IN ALL, SERVING 506 FROM THE GREATER COMMUNITY.- WE COORDINATED AND FACILITATED INTERGENERATIONAL ACTIVITIES WITH GRADE SCHOOL-AGE CHILDREN PROMOTING READING AND MENTORING RELATIONSHIPS.- WE CONTINUE TO PROMOTE COMMUNITY LEADERSHIP IN CIVIC AND PROFESSIONAL ORGANIZATIONS.- OUR MEALS ON WHEELS IN WCS PROGRAMS HAS CONTINUED TO SERVE MORE PEOPLE, WITH OVER 254,000 MEALS SERVED IN 2010. APPROXIMATELY 81% OF THESE ARE COST-SUBSIDIZED FOR CLIENTS WHO WOULD NOT OTHERWISE HAVE ACCESS TO A BALANCED, NUTRITIOUS MEAL. THOSE SUPPORTING MEALS ON WHEELS INCLUDE RESOURCE ASSETS FROM WESLEY, PUBLIC FUNDING, UNITED WAY, AND INDIVIDUAL AND CORPORATE DONATIONS. - OUR COMMUNITY BASED SERVICES IN WCS HAS A VOLUNTEER VISITOR PROGRAM AND OVER 3,800 VOLUNTEER HOURS WERE DEDICATED TO THE CORRESPONDING PROGRAM ACTIVITIES. THESE PROGRAMS IMPROVE THE QUALITY LIFE FOR THE MANY OLDER ADULTS WHO DEPEND ON US TO MEET SOME OF THEIR MOST BASIC HUMAN NEEDS. THESE PROGRAMS ENABLE MANY TO STAY IN THEIR OWN HOMES FOR MANY YEARS DELAYING OR ELIMINATING THE NEED FOR INSTITUTIONALIZATION. THE MOST COMMON SERVICES INCLUDE: - TRANSPORTATION - VOLUNTEERS HELP WITH GROCERY SHOPPING AND MEAL DELIVERY FOR THOSE WHO ARE CONFINED TO THEIR HOMES. VOLUNTEERS ALSO ASSIST WITH ERRANDS AND RIDES TO MEDICAL OR OTHER ESSENTIAL APPOINTMENTS.- PHONE - VOLUNTEERS CALL HOMEBOUND ELDERLY AND DISABLED CLIENTS TO MAINTAIN REGULAR CONTACT AND SOCIALIZATION AND CHECK-IN ON THEIR WELL-BEING. - MONEY MANAGEMENT - TRAINED VOLUNTEERS ARE MATCHED WITH FINANCIALLY VULNERABLE OLDER ADULTS TO HELP THEM MAINTAIN THEIR INDEPENDENCE, BE FREE OF FINANCIAL EXPLOITATION, AND INCREASE THEIR FINANCIAL LITERACY. - WCS REACHED OUT TO THE GREATER COMMUNITY TO PROVIDE AND CONDUCT OVER 99 HEALTH/BLOOD PRESSURE SCREENINGS AND EDUCATIONAL SESSIONS THAT REACHED OVER 2,200 OLDER ADULTS. - WCS SERVICE TO THE COMMUNITY ALSO INCLUDED ADMINISTERING 1,100 FREE FLU AND H1N2 VACCINATIONS THROUGHOUT VARIOUS CENTRAL IOWA LOCATIONS. WE ALSO DONATED 1,000 VACCINE DOSES TO HAITI AND 400 DOSES TO THE BLESSMAN MINISTRIES IN AFRICA.- THE WCS HOSPICE PROGRAM ALSO HAS A VOLUNTEER BASE OF 86 TRAINED VOLUNTEERS, OF WHICH 40 WERE ACTIVELY ENGAGED WITH PATIENTS. HOSPICE VOLUNTEERS CONTRIBUTED OVER 1,200 HOURS TO PROVIDE ASSISTANCE TO FAMILIES AND PATIENTS.00
- OTHER COMMUNITY BASED VOLUNTEER PROJECTS IN WCS (BELOW) CONSIST OF PROGRAMS DESIGNED TO MAINTAIN CLIENT INDEPENDENCE AND KEEPING OLDER ADULTS IN THEIR OWN HOMES.- MEALS ON WHEELS ALLOWS EMPLOYEES OF LOCAL BUSINESSES TO VOLUNTEER THEIR TIME TO DELIVER MEALS TO THE HOMES OF LOW INCOME, FRAIL SENIORS, IN POLK COUNTY. THE PROGRAM HAD 11 BUSINESSES PARTICIPATE WITH OVER 2,300 HOURS CONTRIBUTED BY THEIR EMPLOYEES.- MOW BLIZZARD BAGS ARE DELIVERED TO CLIENTS IN THE EVENT OF INCLEMENT WEATHER OR OTHER EMERGENCY SITUATIONS. A STUDENT ORGANIZATION AND CHURCH GROUP VOLUNTEERED THEIR TIME TO ASSEMBLE AT LEAST 500 BAGS. - COLLECTING PERSONAL CARE ITEMS FOR THOSE IN THE HOME CARE AND HOSPICE PROGRAMS. NEARLY 175 HOURS WERE CONTRIBUTED BY 168 VOLUNTEERS.- CHRISTMAS ADOPT-A-CLIENT HAD 34 VOLUNTEERS CONTRIBUTE IN ORDER TO MAKE THE HOLIDAY SEASON SPECIAL FOR A NUMBER OF LOW-INCOME CLIENTS. THESE INDIVIDUALS CONTRIBUTED NEARLY 150 HOURS TO ASSIST WITH THIS SERVICE.00
FieldValueIRS element (for citing)
Info In Schedule O Part IVXInfoInScheduleOPartIV

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
CARROLL BENNETT
5508 NORTHWEST 88TH STREETJOHNSTONIA50131CHAIR2.00000
BOB RUCH
5508 NORTHWEST 88TH STREETJOHNSTONIA50131VICE CHAIR1.00000
JODY LORENCE
5508 NORTHWEST 88TH STREETJOHNSTONIA50131SECRETARY / TREASURER1.00000
JIM VICKERY
5508 NORTHWEST 88TH STREETJOHNSTONIA50131PAST CHAIR1.00000
ANN COWNIE
5508 NORTHWEST 88TH STREETJOHNSTONIA50131BOARD MEMBER1.00000
JOHN MOENCK
5508 NORTHWEST 88TH STREETJOHNSTONIA50131BOARD MEMBER1.00000
CHAD RASMUSSEN
5508 NORTHWEST 88TH STREETJOHNSTONIA50131BOARD MEMBER1.00000
DAN RENEKER
5508 NORTHWEST 88TH STREETJOHNSTONIA50131BOARD MEMBER1.00000
DAVID STOUT
5508 NORTHWEST 88TH STREETJOHNSTONIA50131BOARD MEMBER1.00000
KIRK TYLER
5508 NORTHWEST 88TH STREETJOHNSTONIA50131BOARD MEMBER1.00000
TERESA WAHLERT
5508 NORTHWEST 88TH STREETJOHNSTONIA50131BOARD MEMBER1.00000
ROB KRETZINGER
5508 NORTHWEST 88TH STREETJOHNSTONIA50131CEO1.00000
FieldValueIRS element (for citing)
Info In Schedule O Part VXInfoInScheduleOPartV
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Made Loans To From Officers0MadeLoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FRANK TALLERICO CFOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15508 NW 88TH STREET SUITE 120AddressLine1
CityJOHNSTONCity
StateIAState
ZIP Code50131ZIPCode
FieldValueIRS element (for citing)
Telephone Number5152716559TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Does Org Have Hospital0DoesOrgHaveHospital
Tanning Services Provided0TanningServicesProvided
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction With Control Entity0TransactionWithControlEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule A1FiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
WESLEY COMMUNITY SERVICES INC
203970256501(C)(3)111$0
WESLEY RETIREMENT SERVICES INC
420680440501(C)(3)111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.Declaration

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