STRATEGY STUDIO / PUBLIC DATA EXPLORER

SEASHORE CAMPGROUNDS RETIREMENT HOME INC: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
SEASHORE CAMPGROUNDS RETIREMENT HOME INC (EIN 64-0429943)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202423199349105267
Schema version
2023v5.1
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)
Return2024-11-14T16:16:15-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201941244PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1661 SUNNYBROOK ROAD STE 100AddressLine1Txt
CityRIDGELANDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39157ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640429943EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEASHORE CAMPGROUNDS RETIREMENT HOMEBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSEASBusinessNameControlTxt
Phone6628448977PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1567AddressLine1Txt
CityTUPELOCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38802ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM ZUELZKEPersonNm
Person TitleVP FOR FINANCEPersonTitleTxt
Phone6628448977PhoneNum
Signature2024-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMIE WHITTINGTON DEAN CPAPreparerPersonNm
PTINP01082167PTIN
Phone6013261000PhoneNum
Preparation2024-10-28PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$13,038,148FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$18,538InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$18,538InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$18,538InterestOnSavingsAdjNetIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$3,144,228OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$3,144,228OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$3,162,766TotalRevAndExpnssAmt
Total Net Invst Incm$18,538TotalNetInvstIncmAmt
Total Adj Net Incm$3,162,766TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$1,324,700OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$114,502OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$1,210,198OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$319,686PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$224,978PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$94,708PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$2,220LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$2,200LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$10,104AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$10,104AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$989,600OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$199,134OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$790,466OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$26InterestRevAndExpnssAmt
Interest Net Invst Incm$0InterestNetInvstIncmAmt
Interest Adj Net Incm$26InterestAdjNetIncmAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$596,341DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$596,341DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$518,996OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$518,996OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$12,490TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$12,490TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$695,111OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$398,570OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$296,541OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$4,469,274TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$1,558,345TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,910,909TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$4,469,274TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$1,558,345TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$2,910,909TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$1,306,508ExcessRevenueOverExpensesAmt
Net Investment Income$18,538NetInvestmentIncomeAmt
Adjusted Net Income$1,604,421AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,202CashBOYAmt
Cash EOY$1,199CashEOYAmt
Cash EOYFMV$1,199CashEOYFMVAmt
Sav And Temp Cash Invst BOY$9,450SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$17,277SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$17,277SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$44,698AcctRcvblAmt
Acct Rcvbl Allwnc Dbtfl Acct$47,149AcctRcvblAllwncDbtflAcctAmt
Acct Rcvbl BOY$14,121AcctRcvblBOYAmt
Acct Rcvbl EOY-$2,451AcctRcvblEOYAmt
Acct Rcvbl EOYFMV-$2,451AcctRcvblEOYFMVAmt
Inventories BOY$14,787InventoriesBOYAmt
Inventories EOY$14,787InventoriesEOYAmt
Inventories EOYFMV$14,787InventoriesEOYFMVAmt
Prepaid Expenses BOY$12,520PrepaidExpensesBOYAmt
Prepaid Expenses EOY$14,380PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$14,380PrepaidExpensesEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$19,554,901LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,645,830LandBldgEquipAccumDeprecAmt
Land BOY$13,381,327LandBOYAmt
Land EOY$12,909,071LandEOYAmt
Land EOYFMV$12,909,071LandEOYFMVAmt
Other Assets BOY$81,255OtherAssetsBOYAmt
Other Assets EOY$83,885OtherAssetsEOYAmt
Other Assets EOYFMV$83,885OtherAssetsEOYFMVAmt
Total Assets BOY$13,514,662TotalAssetsBOYAmt
Total Assets EOY$13,038,148TotalAssetsEOYAmt
Total Assets EOYFMV$13,038,148TotalAssetsEOYFMVAmt
Accounts Payable BOY$88,263AccountsPayableBOYAmt
Accounts Payable EOY$89,265AccountsPayableEOYAmt
Deferred Revenue BOY$1,911,802DeferredRevenueBOYAmt
Deferred Revenue EOY$1,831,885DeferredRevenueEOYAmt
Mortgages And Notes Payable BOY$7,602,461MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$7,402,084MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$8,023,655OtherLiabilitiesBOYAmt
Other Liabilities EOY$9,025,269OtherLiabilitiesEOYAmt
Total Liabilities BOY$17,626,181TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,348,503TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY-$4,111,519NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY-$5,326,965NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets EOY$16,610DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY-$4,111,519TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY-$5,310,355TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$13,514,662TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$13,038,148TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY-$4,111,519TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$1,306,508ExcessRevenueOverExpensesAmt
Other Increases$107,674OtherIncreasesAmt
Subtotal-$5,310,353SubtotalAmt
Other Decreases$2OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY-$5,310,355TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$258InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$258SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$258TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$258TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (1)PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.MSS.ORGWebsiteAddressTxt
Individual With BooksJIM ZUELZKEIndividualWithBooksNm
Phone6628448977PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1567AddressLine1Txt
CityTUPELOCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38802ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ALICE GRAHAM
14352 WILLIAMBURG DRIVEGULFPORTMS38507BOARD MEMBER0.25$0$0$0
ANNE-MICHELLE DANIEL
PO BOX 1567TUPELOMS38802VICE PRES/LEADERSHIP DEV.0.25$0$0$0
BILL WEST
PO BOX 173COLUMBUSMS397030173CHAIR0.25$0$0$0
CHARLES DUBRA
13040 ANDY DRGULFPORTMS39503BOARD MEMBER0.25$0$0$0
CHRISTIE VANCE
PO BOX 1567TUPELOMS38802VICE PRES/COO0.24$0$0$0
DAN HULL
5204 NORRIS AVEGULFPORTMS39507BOARD MEMBER0.25$0$0$0
DAVE DENNIS
PO BOX 6181GULFPORTMS39506BOARD MEMBER0.25$0$0$0
DAVE VINCENT
231 OAKWOOD DRGULFPORTMS39507BOARD MEMBER0.25$0$0$0
HEATHER SPRAGUE
118 SEASHORE TRAILGULFPORTMS39503BOARD MEMBER0.25$0$0$0
JAMES PAT SMITH
14077 WEST OLD RIVER TRAILGULFPORTMS39503CHAIRMAN0.25$0$0$0
JEANNE CANTIN
PO BOX 1567TUPELOMS38802VICE PRESIDENT/HR0.25$0$0$0
JEFF LAWSON
2621 RUE PALAFOXBILOXIMS39531SECRETARY0.25$0$0$0
JENNIFER PERSECHINO
PO BOX 1567TUPELOMS38802EXECUTIVE DIRECTOR40.00$0$0$0
JIM ZUELZKE
PO BOX 1567TUPELOMS38802VICE PRESIDENT FINANCE0.25$0$0$0
JOHN L LIPSOMB
24250 ARCADIA FARM RDPASS CHRISTIANMS39751BOARD MEMBER0.25$0$0$0
KAYE BERNHEIM
PO BOX 7081GULFPORTMS39506BOARD MEMBER0.25$0$0$0
MARGARET MCKENZIE
1906 COURTNEY LANEBILOXIMS39532BOARD MEMBER0.25$0$0$0
MICHEAL GILREATH
MICHEAL H GILREATHGULFPORTMS39503BOARD MEMBER0.25$0$0$0
NATE BARKUM
180251 GREENLEAVES DRGULFPORTMS39503BOARD MEMBER0.25$0$0$0
RUFUS M SMITH
4 PINE HAVENGULFPORTMS39503BOARD MEMBER0.25$0$0$0
RUTH BISHOP
1020 SECOND STREETGULFPORTMS39501VICE-CHAIRMAN0.25$0$0$0
STEVE MCALILLY
PO BOX 1567TUPELOMS38802PRESIDENT/CEO0.25$0$0$0
VERA THOMAS
13232 DEDEAUX DRGULFPORTMS39503BOARD MEMBER0.25$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
UNIDINE CORPORATION
PO BOX 102289ATLANTAGA303682289DINING SERVICES$662,274
MISSISSIPPI METHODIST SENIOR SERVICE
PO BOX 1567TUPELOMS38802MANAGEMENT$238,541
SHIFTKEY LLC
PO BOX 735913DALLASTX753735913SCHEDULING$92,738
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE COVE AT SEASHORE HIGHLANDS OFFERS ASSISTED LIVING IN 50 SUITES IN A BEAUTIFUL BUILDING. THE STAFF SERVES RESIDENT NEEDS WITH INDIVIDUALIZED CARE.Description1Txt
Expenses1$2,758,351Expenses1Amt
Description2THE VILLAS AT SEASHORE HIGHLANDS ARE DESIGNED FOR INDEPENDENT, ACTIVE OLDER ADULTS WHERE A VARIETY OF SERVICES ARE AVAILABLE.Description2Txt
Expenses2$152,557Expenses2Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$11,725AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$11,725TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$11,725AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$176CashDeemedCharitableAmt
Net Vl Noncharitable Assets$11,549NetVlNoncharitableAssetsAmt
Minimum Investment Return$577MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,910,909ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,910,909QualifyingDistributionsAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$577CurrentYearAmt
Year1$30Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$607TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$490CurrentYearAmt
Year1$26Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$516TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$2,910,909CurrentYearAmt
Year1$2,807,548Year1Amt
Year2$1,187,091Year2Amt
Year3$695,616Year3Amt
Total$7,601,164TotalAmt

Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$2,910,909CurrentYearAmt
Year1$2,807,548Year1Amt
Year2$1,187,091Year2Amt
Year3$695,616Year3Amt
Total$7,601,164TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Current Year$13,038,148CurrentYearAmt
Year1$13,514,662Year1Amt
Year2$19,526,774Year2Amt
Year3$19,325,322Year3Amt
Total$65,404,906TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Current Year$13,038,148CurrentYearAmt
Year1$13,514,662Year1Amt
Year2$19,526,774Year2Amt
Year3$19,325,322Year3Amt
Total$65,404,906TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Current Year$385CurrentYearAmt
Year1$20Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$405TotalAmt

Total Support TotalSupportGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Public Support Type PublicSupportType

FieldValueIRS element (for citing)
Total$0TotalAmt

Largest Support From EO LargestSupportFromEOGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Investment Income GrossInvestmentIncomeGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd
Total Grant Or Contri Pd Dur Yr$0TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Revenue Dtl ProgramServiceRevenueDtl (5 entries)

DescDescBusinessBusinessCdRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmtExclusionExclusionCdExclusionExclusionAmt
BEAUTY SHOP623990$21,231
EMPLOYEE AND GUEST MEALS72251303$2,873
FOOD SERVICES722513$9,597
OTHER SERVICES623990$89,916
RENTALS623990$3,020,611

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion03ExclusionCd
Exclusion$18,538ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$21,411ExclusionAmt
Related Or Exempt Function Incm$3,141,355RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$3,162,766TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (4 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
1AREVENUE FROM SERVICES PROVIDED TO ELEDERS LIVING IN THE FACILITIES
1CREVENUE FROM SERVICES PROVIDED TO ELEDERS LIVING IN THE FACILITIES
1DREVENUE FROM SERVICES PROVIDED TO ELEDERS LIVING IN THE FACILITIES
1EREVENUE GENERATED IN PROVIDING LIVING QUARTERS TO ELDERS

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$10,104Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$10,104AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$2,220LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$2,200AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BOND SINKING FUND$47,388$50,018$50,018
TENANT DEPOSITS$10,439$10,439$10,439
OTHER REFUNDABLE DEPOSITS$23,428$23,428$23,428

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescROUNDINGDesc
Amt$2Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
AMORTIZATION OF LOAN EXPENSE$7,500$0$7,500$0
AUTO & GENERAL INSURANCE$50,323$0$5,693$44,630
BAD DEBT EXPENSE$16,182$0$16,182$0
COMPUTER MAINT & SUPPLIES$27,521$0$27,521$0
CONFERENCE & MEETINGS$517$0$517$0
DIETARY & RAW FOOD$155,594$0$0$155,594
DUES & SUBSCRIPTIONS$5,811$0$5,811$0
MAINTENANCE SERVICES$133,081$0$133,081$0
MISCELLANEOUS$104,970$0$77,805$27,165
OFFICE EXPENSE$122,192$0$55,138$67,054
PUBLIC RELATIONS$69,322$0$69,322$0
SUPPLIES & MEDICATIONS$2,098$0$0$2,098

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
BEAUTY SHOP$21,231$21,231
EMPLOYEE AND GUEST MEALS$2,873$2,873
FOOD SERVICES$9,597$9,597
OTHER SERVICES$89,916$89,916
RENTALS$3,020,611$3,020,611

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescDESIGNATED GIFT TRANSFERS - OTHERDesc
Amt$107,674Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (4 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
RESIDENTS' REFUNDABLE DEPOSITS$4,670,170$4,675,793
ACCRUED BOND INTEREST$26,880$26,150
ACCRUED INTEREST$5$0
DUE TO AFFILIATES$3,326,600$4,323,326

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MANAGEMENT FEE$142,031$0$142,031$0
OTHER PROFESSIONAL FEE$847,569$0$57,103$790,466