MIZPAH ASSISTED LIVING SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MIZPAH ASSISTED LIVING SERVICES (EIN 43-1744746)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-13
IRS object ID
201131339349302853
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)
Timestamp2011-05-13T11:40:23-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES C THOMPSON and CO CPAsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19909 Clayton Rd Ste 206AddressLine1
CitySaint LouisCity
StateMOState
ZIP Code63124ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431744746EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIZPAH ASSISTED LIVING SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIZPNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line16633 DELMAR BLVDAddressLine1
CitySaint LouisCity
StateMOState
ZIP Code63130ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG ELLIOTTName
TitleCFOTitle
Date Signed2011-05-03DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS M SIMPSONName
Phone3149912929Phone
Date Prepared2011-05-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1059896GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionASSISTED LIVING ELDERLY PERSONActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1097638ProgramServiceRevenuePriorYear
Program Service Revenue CY1056122ProgramServiceRevenueCY
Investment Income Prior Year740InvestmentIncomePriorYear
Investment Income Current Year824InvestmentIncomeCurrentYear
Other Revenue Current Year2950OtherRevenueCurrentYear
Total Revenue Prior Year1098378TotalRevenuePriorYear
Total Revenue Current Year1059896TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year485623SalariesEtcPriorYear
Salaries Etc Current Year502362SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year530191OtherExpensePriorYear
Other Expenses Current Year537479OtherExpensesCurrentYear
Total Expenses Prior Year1015814TotalExpensesPriorYear
Total Expenses Current Year1039841TotalExpensesCurrentYear
Revenues Less Expenses Prior Year82564RevenuesLessExpensesPriorYear
Revenues Less Expenses CY20055RevenuesLessExpensesCY
Total Assets BOY2158380TotalAssetsBOY
Total Assets EOY2046966TotalAssetsEOY
Total Liabilities BOY2874039TotalLiabilitiesBOY
Total Liabilities EOY2753016TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-715659NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-706050NetAssetsOrFundBalancesEOY
Mission DescriptionASSISTED LIVING ELDERLY PERSONMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense816575Expense
DescriptionPROVIDING HOUSING MEALS AND ASSISTED PERSONAL CARE TO SENIOR CITIZENSDescription
Total Program Service Expense816575TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
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 OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGreg EllottNamePerson
Telephone Number3147260111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16633 DELMAR BLVDAddressLine1
CitySaint LouisCity
StateMOState
ZIP Code63130ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficer
Aujung Yang Lin
Director as neededX000
Gloria Mills
Director as neededX000
Katy VerHagen
Director as neededX000
Nan Klassan
Director as neededX000
Norma Mahar
Director as neededX000
Maureen Dunn
Director as Needed0001.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING HOME FEESDescription
Business Code623000BusinessCode
Total Revenue Column1056122TotalRevenueColumn
Related Or Exempt Function Income1056122RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1056122TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column824TotalRevenueColumn
Related Or Exempt Function Income824RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2950TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1059896TotalRevenueColumn
Related Or Exempt Function Income1059896RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total408833Total
Program Services321430ProgramServices
Management And General87403ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total63223Total
Program Services49707ProgramServices
Management And General13516ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total30306Total
Program Services23827ProgramServices
Management And General6479ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total64375Total
Management And General64375ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3448Total
Program Services3448ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8696Total
Program Services8696ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total14616Total
Management And General14616ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total36877Total
Management And General36877ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total95092Total
Program Services95092ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total124454Total
Program Services124454ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total68020Total
Program Services68020ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total31538Total
Program Services31538ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES8015980159
TELEPHONE EXPENSE64916491
POSTAGE12131213
BAD DEBT EXPENSE25002500

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1039841Total
Program Services816575ProgramServices
Management And General223266ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY161855BOY
EOY76149EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY95084BOY
EOY105246EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY439BOY
EOY3970EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24933BOY
EOY27282EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2242321LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec672619LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1608084BOY
EOY1569702EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY267985BOY
EOY264617EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2158380BOY
EOY2046966EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY777961BOY
EOY687403EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2096078BOY
EOY2065613EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2874039BOY
EOY2753016EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY-715659BOY
EOY-706050EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-715659BOY
EOY-706050EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2158380BOY
EOY2046966EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses20055ReconcilationRevenueExpenses
Reconcilation Other Changes-10446ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years853781CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years983728CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1008635CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1097638CurrentTaxYearMinus1Year
Current Tax Year1056122CurrentTaxYear
Total4999904Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years853781CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years983728CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1008635CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1097638CurrentTaxYearMinus1Year
Current Tax Year1056122CurrentTaxYear
Total4999904Total
FieldValueIRS element (for citing)
Public Support Total5094999904PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2313CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1961CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year740CurrentTaxYearMinus1Year
Current Tax Year824CurrentTaxYear
Total9518Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2313CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1961CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year740CurrentTaxYearMinus1Year
Current Tax Year824CurrentTaxYear
Total9518Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years995CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years667CurrentTaxYearMinus3Years
Current Tax Year2950CurrentTaxYear
Total4612Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years857089CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years988075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1010596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1098378CurrentTaxYearMinus1Year
Current Tax Year1059896CurrentTaxYear
Total5014034Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99720PublicSupportPercentage509
Prior Year Support Percentage0.99470PriorYearSupportPercentage
Investment Income Percentage0.00190InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis200000InvestmentCostOrOtherBasis
Book Value200000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1819970InvestmentCostOrOtherBasis
Depreciation494375Depreciation
Book Value1325595BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis222351InvestmentCostOrOtherBasis
Depreciation178244Depreciation
Book Value44107BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1569702TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEF FINANCING CST182712
TENANT SECURITY DEP81499
RESERVE FOR RESIDUAL RECEIPTS406
FieldValueIRS element (for citing)
Total Book Value Other Assets264617TotalBookValueOtherAssets
Total Revenue1059896TotalRevenue
Total Expenses1039841TotalExpenses
Excess Or Deficit For Year20055ExcessOrDeficitForYear
Excess Or Deficit Per FS20055ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1059896TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1059896RevenueSubtotal
Total Revenue Per Form9901059896TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1039841TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1039841ExpensesSubtotal
Total Expenses Per Form9901039841TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
01. Management duties delegation (Part VI, line 3)Operational control and responsibility of providing housing meals and assisted personal care to residents Managerial control over the property which involves the upkeep maintenance and improvement of the building and land This also requires the appropriate bookkeeping and reporting requirements mandated by HUD
02. Form 990 governing body review (Part VI, line 11)Form 990 is sent to the Board Chairman for review The Board Chairman then determines how to distribute Form 990
03. Conflict of interest policy compliance (Part VI, line 12c)The organization has each board member sign a conflict of interest form disclosing what if any conflicts of interest the member would have annually
04. Governing documents, etc, available to public (Part VI, line 19)The organization makes public documents available upon request Documents are available in paper or by email
05. Explanation of other changes in net assets or fund balances (Part XI, line 5)THE PROJECT RECORDED A PRIOR ADJUSTMENT TO ACCRUED MORTGAGE INTEREST PAYABLE IN THE AMOUNT OF -10446

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