LAKEWOOD HEALTHCARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LAKEWOOD HEALTHCARE INC (EIN 71-0680133)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-14
IRS object ID
201130459349300433
Schema version
2009v1.7
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)
Timestamp2011-02-14T11:48:10-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MALONE & BANKS PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1522 W MAURICEAddressLine1
CityHOT SPRINGSCity
StateARState
ZIP Code71901ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710680133EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKEWOOD CONVALESCENT HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone5012621920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1260 LAKEPARK DRIVEAddressLine1
CityHOT SPRINGSCity
StateARState
ZIP Code71901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBETTY FUNKName
TitlePRESIDENTTitle
Phone5012621920Phone
Date Signed2011-02-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePATSY A MALONEName
Phone5016239422Phone
Date Prepared2011-02-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBETTY FUNKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1234 GLENEAGLE LOOPAddressLine1
CityHOT SPRINGSCity
StateARState
ZIP Code71913ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4182626GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionCARE FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees209TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year40264ContributionsGrantsPriorYear
Contributions Grants Current Year3417ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4310261ProgramServiceRevenuePriorYear
Program Service Revenue CY4138992ProgramServiceRevenueCY
Investment Income Prior Year379InvestmentIncomePriorYear
Investment Income Current Year105InvestmentIncomeCurrentYear
Other Revenue Prior Year39750OtherRevenuePriorYear
Other Revenue Current Year40112OtherRevenueCurrentYear
Total Revenue Prior Year4390654TotalRevenuePriorYear
Total Revenue Current Year4182626TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2660916SalariesEtcPriorYear
Salaries Etc Current Year2753247SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1545691OtherExpensePriorYear
Other Expenses Current Year1501978OtherExpensesCurrentYear
Total Expenses Prior Year4206607TotalExpensesPriorYear
Total Expenses Current Year4255225TotalExpensesCurrentYear
Revenues Less Expenses Prior Year184047RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-72599RevenuesLessExpensesCY
Total Assets BOY1930904TotalAssetsBOY
Total Assets EOY1691412TotalAssetsEOY
Total Liabilities BOY1201437TotalLiabilitiesBOY
Total Liabilities EOY1034544TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY729467NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY656868NetAssetsOrFundBalancesEOY
Mission DescriptionCARE FOR THE ELDERLY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3602183Expense
DescriptionSKILLED NURSING HOME FACILITY ACCOMODATING 80 ELDERLY RESIDENTS, WITH EMPHASIS ON REHABILITATION AND DIGNITY.Description
Total Program Service Expense3602183TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees209NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBETTY FUNKNamePerson
Telephone Number5016228253TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1234 GLENEAGLE LOOPAddressLine1
CityHOT SPRINGSCity
StateARState
ZIP Code71913ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BETTY FUNK
PRESIDENTXX000
JUDY YOUNG
1ST VICE PREXX000
KERI OWEN
2ND VICE PREXX000
BETSY SMITH
SECRETARYXX000
PATTY RODDENBERRY
TREASURERXX000
TAMMY BURKHART
DIRECTORX000
CLYDE COVINGTON
DIRECTORX000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THERAPY ZONEBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line119 BRENTWOODAddressLine1
CityCABOTCity
StateARState
ZIP Code72023ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPIESDescriptionOfServices
Compensation158841Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions3417AllOtherContributions
Total Contributions3417TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING HOME REVENUEDescription
Total Revenue Column4138992TotalRevenueColumn
Related Or Exempt Function Income4138992RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4138992TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column105TotalRevenueColumn
Exclusion$105ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEAL INCOME6230002221722217
INTEREST-BOND FUND1498514985
CNA TRAINING REVENUE15811581

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1329TotalRevenueColumn
Related Or Exempt Function Income1329RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue40112TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4182626TotalRevenueColumn
Related Or Exempt Function Income4179104RelatedOrExemptFunctionIncome
Exclusion$105ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2299589Total
Program Services2145278ProgramServices
Management And General154311ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total261002Total
Program Services245955ProgramServices
Management And General15047ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total192656Total
Program Services180390ProgramServices
Management And General12266ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68289Total
Management And General68289ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1082411Total
Program Services778177ProgramServices
Management And General304234ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4729Total
Management And General4729ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19904Total
Management And General19904ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total148430Total
Program Services146835ProgramServices
Management And General1595ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5869Total
Program Services2320ProgramServices
Management And General3549ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total51116Total
Management And General51116ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total94643Total
Program Services87971ProgramServices
Management And General6672ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26587Total
Program Services15257ProgramServices
Management And General11330ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4255225Total
Program Services3602183ProgramServices
Management And General653042ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY102271BOY
EOY132050EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY429267BOY
EOY293524EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY16110BOY
EOY16722EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY57863BOY
EOY17345EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2221269LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1357620LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY926537BOY
EOY863649EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY398556BOY
EOY367822EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1930904BOY
EOY1691412EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY239052BOY
EOY198387EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY21496EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY865000BOY
EOY760000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY69875BOY
EOY50375EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY27510BOY
EOY4286EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1201437BOY
EOY1034544EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY729467BOY
EOY656868EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY729467BOY
EOY656868EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1930904BOY
EOY1691412EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3910CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2545CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40264CurrentTaxYearMinus1Year
Current Tax Year3417CurrentTaxYear
Total94601Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3731763CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3843861CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3874397CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4310261CurrentTaxYearMinus1Year
Current Tax Year4138992CurrentTaxYear
Total19899274Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3735673CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3846406CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3918862CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4350525CurrentTaxYearMinus1Year
Current Tax Year4142409CurrentTaxYear
Total19993875Total
FieldValueIRS element (for citing)
Public Support Total50919993875PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years619CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1040CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1600CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year379CurrentTaxYearMinus1Year
Current Tax Year105CurrentTaxYear
Total3743Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years619CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1040CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1600CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year379CurrentTaxYearMinus1Year
Current Tax Year105CurrentTaxYear
Total3743Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36152CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32640CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39750CurrentTaxYearMinus1Year
Current Tax Year40111CurrentTaxYear
Total186501Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3772444CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3880086CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3958310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4390654CurrentTaxYearMinus1Year
Current Tax Year4182625CurrentTaxYear
Total20184119Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99060PublicSupportPercentage509
Prior Year Support Percentage0.99070PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis88000OtherCostOrOtherBasis
Book Value88000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1501627OtherCostOrOtherBasis
Depreciation952079Depreciation
Book Value549548BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis436940OtherCostOrOtherBasis
Depreciation325179Depreciation
Book Value111761BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis194702OtherCostOrOtherBasis
Depreciation80362Depreciation
Book Value114340BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings863649TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
DEBT SERVICE RESERVE FUND165001
REPLACEMENT RESERVE FUND111103
MORTGAGE RESERVE FUND35000
COST OF BONDS ISSUANCE34958
BONDS FUND-SERIES A8865
ESCROW-MIP & HAZARD INSURANCE8609
PATIENT DEPOSITS HELD IN TRUST4286
FieldValueIRS element (for citing)
Total Book Value Other Assets367822TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPATIENT DEPOSITS HELD IN TRUSTDescription
Amount$4,286Amount
FieldValueIRS element (for citing)
Total Of Amounts4286TotalOfAmounts
Total Revenue4182626TotalRevenue
Total Expenses4255225TotalExpenses
Excess Or Deficit For Year-72599ExcessOrDeficitForYear
Excess Or Deficit Per FS-72599ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4182626TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4182626RevenueSubtotal
Total Revenue Per Form9904182626TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4255225TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4255225ExpensesSubtotal
Total Expenses Per Form9904255225TotalExpensesPerForm990

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WF FUNK PUBLIC ACCOUNTINGBusinessNameLine1
Business Name Line2WF FUNK PUBLIC ACCOUNTINGBusinessNameLine2
FieldValueIRS element (for citing)
RelationshipPRESIDENTRelationship
Amount Of Transaction28568AmountOfTransaction
Description Of TransactionACCOUNTING SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11NO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ON SITE WITH A 1.00 CHARGE PER PAGE FOR COPIES.
ADDITIONAL INFORMATIONSCHEDULE OSECTION B. LN 15A: THIS IS DONE BUT THERE IS NO CONTEMPORANEOUS SUBSTANTIATION. SECTION B. LN15B: OTHER OFFICERS ELECTED BY THE BOARD OF DIRECTORS ARE DISCUSSED AND VOTED ON AS REFLECTED IN THE MINUTES OF THE MEETINGS OF THE BOARD OF DIRECTORS. THERE ARE NO KEY EMPLOYEES EARNING >100,000.

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