GREEN COUNTRY VILLAGE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- GREEN COUNTRY VILLAGE INC (EIN 73-1246126)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-06-11
- IRS object ID
- 201511629349300861
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-06-11T16:45:15-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 471209122 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STOTTS ARCHAMBO MUEGGENBORG & BARCLAY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SE OSAGE AVE | AddressLine1Txt |
| City | BARTLESVILLE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 740033931 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731246126 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN COUNTRY VILLAGE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GREE | BusinessNameControlTxt |
| Phone | 9183352086 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1025 SWAN DRIVE | AddressLine1Txt |
| City | BARTLESVILLE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74006 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE PELZER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9183352086 | PhoneNum |
| Signature | 2015-05-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH E MUEGGENBORG | PreparerPersonNm |
| PTIN | P00121285 | PTIN |
| Phone | 9183360008 | PhoneNum |
| Preparation | 2015-06-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIKE PELZER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1025 SE SWAN DR | AddressLine1Txt |
| City | BARTLESVILLE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,279,302 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GREENCOUNTRYVILLAGE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | THE PURPOSE OF THE ORGANIZATION IS TO PROVIDE ELDERLY AND/OR HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES SPECIALLY DESIGNED TO MEET THEIR PHYSICAL, SOCIAL, SPIRITUAL, AND PSYCHOLOGICAL NEEDS IN A RELIGIOUS SETTING, AND TO PROMOTE THE HEALTH, SECURITY, HAPPINESS, AND USEFULNESS IN LONGER LIVING OF THE RESIDENTS WITHOUT REGARD TO RACE, CREED, COLOR, OR NATIONAL ORIGIN. THE CHARGES FOR SUCH FACILITIES AND SERVICES ARE TO BE PREDICATED UPON THE PROVISION, MAINTENANCE, AND OPERATION THEREOF ON A NON -PROFIT BASIS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 146 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,069 | PYContributionsGrantsAmt |
| CY Contributions Grants | $500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,306,311 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,270,838 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$8,205 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,964 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,299,175 | PYTotalRevenueAmt |
| CY Total Revenue | $5,279,302 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,133,849 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,243,163 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,753,101 | PYOtherExpensesAmt |
| CY Other Expenses | $2,811,713 | CYOtherExpensesAmt |
| PY Total Expenses | $4,886,950 | PYTotalExpensesAmt |
| CY Total Expenses | $5,054,876 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $412,225 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $224,426 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,572,402 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,557,579 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,787,758 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,541,217 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $784,644 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,016,362 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PURPOSE OF THE ORGANIZATION IS TO PROVIDE ELDERLY AND/OR HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES SPECIALLY DESIGNED TO MEET THEIR PHYSICAL, SOCIAL, SPIRITUAL, AND PSYCHOLOGICAL NEEDS IN A RELIGIOUS SETTING, AND TO PROMOTE THE HEALTH, SECURITY, HAPPINESS, AND USEFULNESS IN LONGER LIVING OF THE RESIDENTS WITHOUT REGARD TO RACE, CREED, COLOR, OR NATIONAL ORIGIN. THE CHARGES FOR SUCH FACILITIES AND SERVICES ARE TO BE PREDICATED UPON THE PROVISION, MAINTENANCE, AND OPERATION THEREOF ON A NON -PROFIT BASIS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,053,058 | ExpenseAmt |
| Desc | PROVIDE THE ELDERLY AND/OR HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SPECIFIED SERVICES TO PROMOTE HEALTH, SECURITY, HAPPINESS AND USEFULNESS IN LONGER LIVING. | Desc |
| Total Program Service Expenses | $4,053,058 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 146 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LIFE CARE SERVICE LLC | PersonNm |
| Phone | 5158754545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 LOCUST ST SUITE 820 | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503092334 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| WILLIAM DAUSSES | |||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GINGER GRIFFIN | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| BERTHA LANCKRIET | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| H MICHAEL MAY | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| WILLIAM MILLIS | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| BECKY LIEHR | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| STEVE SMITH | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| STEVE GROGAN | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| DAYNA MCCOY | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| GLENDA GARRISON | |||||
| VICE PRESIDE | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID NELSON | |||||
| TREASURER | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR KEVIN TULLY | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| PAT POINDEXTER | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| DR GERALD REED | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| KATHI SWANSON | |||||
| MEMBER | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIFE CARE SERVICES LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 LOCUST ST SUITE 820 | AddressLine1Txt |
| City | DES MOINES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANAGEMENT | ServicesDesc |
| Compensation | $413,099 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $500 | AllOtherContributionsAmt |
| Total Contributions | $500 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| ROOM & BOARD SERVICES | $5,238,674 | $5,238,674 |
| OTHER RESIDENT SERVICES | $29,554 | $29,554 |
| MISCELLANEOUS | $2,610 | $2,610 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,270,838 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,964 | TotalRevenueColumnAmt |
| Exclusion | $7,964 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,279,302 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,270,838 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $7,964 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,861,679 | TotalAmt |
| Program Services | $1,647,262 | ProgramServicesAmt |
| Management And General | $214,417 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,320 | TotalAmt |
| Program Services | $216,054 | ProgramServicesAmt |
| Management And General | $27,266 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,164 | TotalAmt |
| Program Services | $122,657 | ProgramServicesAmt |
| Management And General | $15,507 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,475 | TotalAmt |
| Management And General | $209,475 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800 | TotalAmt |
| Management And General | $1,800 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,500 | TotalAmt |
| Management And General | $15,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,086 | TotalAmt |
| Program Services | $77,880 | ProgramServicesAmt |
| Management And General | $169,206 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,643 | TotalAmt |
| Management And General | $53,643 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,120 | TotalAmt |
| Program Services | $136,958 | ProgramServicesAmt |
| Management And General | $35,162 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,094 | TotalAmt |
| Management And General | $48,094 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,404 | TotalAmt |
| Program Services | $259,404 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,271 | TotalAmt |
| Program Services | $8,784 | ProgramServicesAmt |
| Management And General | $4,487 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,037 | TotalAmt |
| Program Services | $4,524 | ProgramServicesAmt |
| Management And General | $11,513 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,016 | TotalAmt |
| Program Services | $383,016 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,143 | TotalAmt |
| Program Services | $522,143 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,876 | TotalAmt |
| Management And General | $91,876 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD & BEVERAGE | $397,575 | $397,575 | |
| REPAIR & MAINTENANCE | $221,251 | $205,865 | $15,386 |
| TELEPHONE | $48,339 | $48,339 | |
| ACTIVITIES | $32,698 | $32,698 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,385 | TotalAmt |
| Program Services | $38,238 | ProgramServicesAmt |
| Management And General | $40,147 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,054,876 | TotalAmt |
| Program Services | $4,053,058 | ProgramServicesAmt |
| Management And General | $1,001,818 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $903,695 | BOYAmt |
| EOY | $1,059,466 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,135,798 | BOYAmt |
| EOY | $996,512 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,861 | BOYAmt |
| EOY | $108,478 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,295 | BOYAmt |
| EOY | $143,882 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,086,869 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,720,844 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,428,300 | BOYAmt |
| EOY | $5,366,025 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $902,453 | BOYAmt |
| EOY | $883,216 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,572,402 | BOYAmt |
| EOY | $8,557,579 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,211 | BOYAmt |
| EOY | $426,729 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,347 | BOYAmt |
| EOY | $21,288 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,368,200 | BOYAmt |
| EOY | $7,093,200 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,787,758 | BOYAmt |
| EOY | $7,541,217 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,644 | BOYAmt |
| EOY | $1,016,362 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,644 | BOYAmt |
| EOY | $1,016,362 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,572,402 | BOYAmt |
| EOY | $8,557,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $224,426 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,292 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,637 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $525 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $609 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,069 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $500 | CurrentTaxYearAmt |
| Total | $4,340 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,735,245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,528,473 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,962,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,306,311 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,270,838 | CurrentTaxYearAmt |
| Total | $24,803,142 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,736,882 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,528,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,962,884 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,307,380 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,271,338 | CurrentTaxYearAmt |
| Total | $24,807,482 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $24,807,482 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,641 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,428 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,964 | CurrentTaxYearAmt |
| Total | $14,069 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,641 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,428 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,964 | CurrentTaxYearAmt |
| Total | $14,069 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,738,523 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,530,426 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,964,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,309,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,279,302 | CurrentTaxYearAmt |
| Total | $24,821,551 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99940 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $703,859 | OtherCostOrOtherBasisAmt |
| Book Value | $703,859 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $703,859 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BOND INDENTURES-HELD BY TRUSTEE | $878,302 |
| CONSTRUCTION IN PROGRESS | $4,914 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $883,216 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $5,286,594 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $7,292 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $7,292 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,279,302 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $5,279,302 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,054,876 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $5,054,876 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,054,876 | TotalExpensesPerForm990Amt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REVENUE BONDS SERIES 2005 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issued | 2005-01-01 | BondIssuedDt |
| Issue Price | $9,140,000 | IssuePriceAmt |
| Purpose | REPLACE THE BARTLESVILLE DEVELOPMENT AUTHORITY REVENUE BONDS (GREEN COUNTRY | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | false | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | REVENUE BONDS SERIES 2005 VILLAGE, INC. PROJECT) SERIES 1996 AND 1998A BONDS | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE PURPOSE OF THE ORGANIZATION IS TO PROVIDE ELDERLY AND/OR HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES SPECIALLY DESIGNED TO MEET THEIR PHYSICAL, SOCIAL, SPIRITUAL, AND PSYCHOLOGICAL NEEDS IN A RELIGIOUS SETTING, AND TO PROMOTE THE HEALTH, SECURITY, HAPPINESS, AND USEFULNESS IN LONGER LIVING OF THE RESIDENTS WITHOUT REGARD TO RACE, CREED, COLOR, OR NATIONAL ORIGIN. THE CHARGES FOR SUCH FACILITIES AND SERVICES ARE TO BE PREDICATED UPON THE PROVISION, MAINTENANCE, AND OPERATION THEREOF ON A NON -PROFIT BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 3 | LIFE CARE SERVICE, LLC, 400 LOCUST ST., SUITE 820, DES MOINES, IA 50309- 2334 |
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PART XI, LINE 9 | UNREALIZED LOSS ON INVESTMENTS 0 |