STRATEGY STUDIO / PUBLIC DATA EXPLORER

CENTER FOR HEALTHY LIVING INC: Form 990PF, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CENTER FOR HEALTHY LIVING INC (EIN 26-4197696)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201513209349100301
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

FieldValueIRS element (for citing)
Return2015-11-16T06:11:22-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561434747PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GREERWALKER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 WEST TRADE ST SUITE 1100AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264197696EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTER FOR HEALTHY LIVING INC DBA THE IVEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone7049092070PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16030 PARK SOUTH DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLYNN IVEYPersonNm
Person TitleCEOPersonTitleTxt
Phone7049092070PhoneNum
Signature2015-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAULA P TILLEYPreparerPersonNm
PTINP00051456PTIN
Phone7043770239PhoneNum
Preparation2015-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Initial Return Former Pub ChrtyYes (X)InitialReturnFormerPubChrtyInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$687,720FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,350,708ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$8InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$8InterestOnSavNetInvstIncmAmt
Gross Rents Rev And Expnss$4,502GrossRentsRevAndExpnssAmt
Gross Rents Adj Net Incm$4,502GrossRentsAdjNetIncmAmt
Net Rental Income Or Loss$4,502NetRentalIncomeOrLossAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$640,451OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$640,451OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$1,995,669TotalRevAndExpnssAmt
Total Net Invst Incm$8TotalNetInvstIncmAmt
Total Adj Net Incm$644,953TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$152,500CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$49,651CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$102,849CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$289,557OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$94,275OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$195,282OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$5,423PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$1,766PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$3,657PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$4,423LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$1,440LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$2,983LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$35,589AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$11,587AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$24,002AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$680,652OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$221,608OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$459,044OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$1,283InterestRevAndExpnssAmt
Interest Net Invst Incm$0InterestNetInvstIncmAmt
Interest Adj Net Incm$418InterestAdjNetIncmAmt
Interest Dsbrs Chrtbl$865InterestDsbrsChrtblAmt
Taxes Rev And Expnss$43,488TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$14,159TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$29,329TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$5,522DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$5,522DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$536,680OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$174,733OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$361,947OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$214,367OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$69,794OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$144,573OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,969,484TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$644,953TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,324,531TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,969,484TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$644,953TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,324,531TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$26,185ExcessRevenueOverExpensesAmt
Net Investment Income$8NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$3,561CashBOYAmt
Cash EOY$31,633CashEOYAmt
Cash EOYFMV$31,633CashEOYFMVAmt
Sav And Temp Cash Invst BOY$80,651SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$100,659SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$100,659SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$911AcctRcvblAmt
Acct Rcvbl BOY$3,920AcctRcvblBOYAmt
Acct Rcvbl EOY$911AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$911AcctRcvblEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$473,580LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22LandBldgEquipAccumDeprecAmt
Land BOY$463,905LandBOYAmt
Land EOY$473,558LandEOYAmt
Land EOYFMV$473,558LandEOYFMVAmt
Other Assets BOY$86,459OtherAssetsBOYAmt
Other Assets EOY$80,959OtherAssetsEOYAmt
Other Assets EOYFMV$80,959OtherAssetsEOYFMVAmt
Total Assets BOY$638,496TotalAssetsBOYAmt
Total Assets EOY$687,720TotalAssetsEOYAmt
Total Assets EOYFMV$687,720TotalAssetsEOYFMVAmt
Accounts Payable BOY$416,862AccountsPayableBOYAmt
Accounts Payable EOY$434,731AccountsPayableEOYAmt
Deferred Revenue EOY$5,170DeferredRevenueEOYAmt
Total Liabilities BOY$416,862TotalLiabilitiesBOYAmt
Total Liabilities EOY$439,901TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$221,634RetainedEarningBOYAmt
Retained Earning EOY$247,819RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$221,634TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$247,819TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$638,496TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$687,720TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$221,634TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$26,185ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$247,819SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$247,819TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$0TaxDueAmt

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 Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNCOrgReportOrRegisterStateCd
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.THEIVEY.COMWebsiteAddressTxt
Individual With BooksWENDY LAXTONIndividualWithBooksNm
Phone7049092070PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line16030 PARK SOUTH DRIVEAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28210ZIPCd
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

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LYNN IVEY
6030 PARK SOUTH DRIVECHARLOTTENC28210PRESIDENT30.00$90,000$0$0
JANET LECLAIR
6030 PARK SOUTH DRIVECHARLOTTENC28210COO40.00$100,000$0$0
WENDY LAXTON
6030 PARK SOUTH DRIVECHARLOTTENC28210CFO20.00$60,000$0$0
GLENN GROSSMAN
6030 PARK SOUTH DRIVECHARLOTTENC28210CHAIR1.00$0$0$0
ANJA WORKMAN
6030 PARK SOUTH DRIVECHARLOTTENC28210DIRECTOR0.50$0$0$0
DON OLIN
6030 PARK SOUTH DRIVECHARLOTTENC28210DIRECTOR0.50$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
EILEEN BEHAN
6030 PARK SOUTH DRIVECHARLOTTENC28210FAMILY RESOURCE DIRE40.00$65,000$0$0
CATHERINE PAYNE
6030 PARK SOUTH DRIVECHARLOTTENC28210PROGRAM DIRECTOR31.50$63,208$0$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADC SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16030 PARK SOUTH ROADAddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28211ZIPCd
FieldValueIRS element (for citing)
Service TypeMANAGEMENT SERVICESServiceTypeTxt
Compensation$107,142CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1MEMORY CARE DAY SERVICES:THE IVEY PROVIDES ADULT DAYCARE SERVICES AND INTEGRATIVE HEALTH AND WELLNESS PROGRAMS, TO APPROXIMATELY 100 OLDER ADULTS LIVING WITH MEMORY LOSS DUE TO ALZHEIMER'S, STROKE AND AGE-RELATED DEMENTIAS, PARKINSON'S, FRAILTY, AND SOCIAL ISOLATION. AS A WHOLE FAMILY SOLUTION, THE IVEY ENABLES PARTICIPATING OLDER ADULTS TO LIVE MORE INDEPENDENTLY, FREEING UP TIME TO MORE THAN 300 FAMILY CAREGIVERS TO RESUME NORMAL DAY-TO-DAY ACTIVITIES. IN ADDITION TO THE LIVELY SOCIAL COMMUNITY, THE UNIQUE HEALTHCARE NEEDS OF PARTICIPANTS ARE MONITORED BY A FULL TIME NURSING TEAM ON STAFF EACH DAY. EACH DAY IS FILLED WITH MEANING AND PURPOSE THROUGH A FULL RANGE OF ENGAGING ACTIVITIES, PHYSICAL EXERCISE, ART AND MUSIC THERAPIES. IN 2013, THE IVEY ADDED TO ITS HEALTH & WELLNESS CORNERSTONE WITH A PARTNERSHIP WITH GENESIS REHAB SERVICES FOR FULL TIME ONSITE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES, BOTH PHYSICIAN-PRESCRIBED AND PROGRAMMATIC.Description1Txt
Expenses1$1,253,223Expenses1Amt
Description2OUTREACH & EDUCATION PROGRAM:PROVIDE OUTREACH AND EDUCATION REACHING OVER 3,700 PEOPLE, INCLUDING MORE THAN 675 CAREGIVERS. CAREGIVER EDUCATION IS PROVIDED THROUGHOUT THE YEAR INCLUDING EDUCATIONAL WORKSHOPS AND PRINTED MATERIALS AVAILABLE IN THE IVEY'S RESOURCE LIBRARY. THE IVEY HOSTS SUPPORT GROUPS FOR YOUNGER-ONSET ALZHEIMER'S CAREGIVERS AND FAMILIES LIVING WITH PARKINSON'S. FREE INFORMATIVE, EDUCATIONAL PRESENTATIONS ARE PROVIDED FOR A VARIETY OF COMMUNITY AND PROFESSIONAL AUDIENCES WHILE ALSO SERVING AS A RESOURCE TO THE MEDIA ON ISSUES AFFECTING THE AGING POPULATION LIVING WITH DEMENTIA. VOLUNTEERS ARE USED TO SUPPORT THE MISSION AND THE IVEY IS BECOMING A LEARNING CENTER FOR INTERNSHIP OPPORTUNITIES WITH 9 UNIVERSITIES IN NC AND THE SOUTHEAST UNDER CONTRACT. THE IVEY ALSO SUPPORTS COMMUNITY ORGANIZATIONS BY PROVIDING ITS VENUE TO HOST MEETINGS AND SPECIAL EVENTS.Description2Txt
Expenses2$186,115Expenses2Amt

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$59,725AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$59,725TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$59,725AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$896CashDeemedCharitableAmt
Net Vl Noncharitable Assets$58,829NetVlNoncharitableAssetsAmt
Minimum Investment Return$2,941MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

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

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,324,531ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,324,531QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$1,324,531AdjustedQualifyingDistriAmt

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$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

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

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$1,324,531CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$1,324,531TotalAmt

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$1,324,531CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$1,324,531TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Current Year$1,961CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$1,961TotalAmt

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 Rev Part VII ProgramServiceRevPartVIIGrp

FieldValueIRS element (for citing)
DescMEMORY CARE DAY SERVICESDesc
Related Or Exempt Function Incm$640,451RelatedOrExemptFunctionIncmAmt

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$8ExclusionAmt

Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp

FieldValueIRS element (for citing)
Exclusion03ExclusionCd
Exclusion$4,502ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$4,510ExclusionAmt
Related Or Exempt Function Incm$640,451RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$644,961TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number1ALineNumberTxt
Relationship StatementTHE ORGANIZATION PROVIDED ADULT DAY MEMORY CARE SERVICES, INCLUDING INTEGRATIVE HEALTH AND WELLNESS PROGRAMS TO APPROXIMATELY 100 SENIORS AND THEIR FAMILIES. THESE SERVICES RELATE DIRECTLY TO THE ORGANIZATION'S MISSION OF DEDICATION TO SERVING INDIVIDUALS WITH MEMORY LOSS AND THEIR FAMILIES.RelationshipStatementTxt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (6 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
DALE HALTON
11530 QUEENS RD PH1CHARLOTTENC28207$955,000Yes (X)
JOHN V MOORE
26727 CONSERVATORY LNCHARLOTTENC28210$231,143Yes (X)
BILL SHARON ALLEN FAMILY FOUNDATION
3810 COLVILLE ROADCHARLOTTENC28207$100,000Yes (X)
NANCY STUBBLEFIELD
48525 DOUBLE EAGLE GATEWAYCHARLOTTENC28210$12,000Yes (X)
THE MULVANEY FAMILY FUND FOUNDATION
51500 ATLANTIC BLVD 206KEY WESTFL33040$10,000Yes (X)
BARBARA GABRIEL
6518 WEBSTER PLACECHARLOTTENC28209$5,500Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$35,589Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$11,587AdjustedNetIncomeAmt
Disbursements Charitable Prps$24,002DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (3 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtComputation MethodComputationMethodTxtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtPrior Year DepreciationPriorYearDepreciationAmtLifeLifeRt
LAND2013-09-30$463,905L$0$0$0
ORGANIZATIONAL COSTS2009-02-05$82,501SL$5,500$0$5,500$27,04215.000000000000
GE WASHER & DRYER2014-12-11$1,304SL$22$0$225.000000000000

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (3 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LAND$463,905$0$463,905
ORGANIZATIONAL COSTS$82,501$32,542$49,959
GE WASHER & DRYER$1,304$22$1,282

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$4,423LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$1,440AdjustedNetIncomeAmt
Disbursements Charitable Prps$2,983DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ORGANIZATION COSTS$55,459$49,959$49,959
SECURITY DEPOSITS$31,000$31,000$31,000

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INSURANCE$14,478$0$4,714$9,764
ADVERTISING$31,875$0$10,378$21,497
OFFICE EXPENSES$10,212$0$3,325$6,887
TECHNOLOGY$38,128$0$12,414$25,714
FOOD AND SUPPLIES$56,824$0$18,501$38,323
MEDICAL AND ACTIVITIES SUPPLIES$20,741$0$6,753$13,988
OUTREACH AND EDUCATION$6,165$0$2,007$4,158
DUES AND SUBSCRIPTIONS$2,724$0$887$1,837
MISCELLANEOUS EXPENSES$9,544$0$3,107$6,437
TRAINING AND PROFESSIONAL DEVELOPMENT$9,338$0$3,040$6,298
PAYROLL ADMINISTRATIVE FEES$12,144$0$3,954$8,190
FUNDRAISING$2,194$0$714$1,480

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMEMORY CARE DAY SERVICESDesc
Revenue And Expenses Per Books$640,451RevenueAndExpensesPerBooksAmt
Adjusted Net Income$640,451AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (8 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MANAGEMENT FEES$172,142$0$56,046$116,096
PROFESSIONAL FUNDRAISING$12,240$0$3,985$8,255
MARKETING$163,647$0$53,281$110,366
PROGRAM SUPPORT$51,281$0$16,696$34,585
CHEF SERVICES$58,515$0$19,051$39,464
CONTRACTED NURSING SERVICES$57,831$0$18,829$39,002
PUBLIC RELATIONS$83,996$0$27,348$56,648
HEALTH CARE PROGRAMS$81,000$0$26,372$54,628

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryPAYROLL TAXESCategoryTxt
Amt$43,488Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$14,159AdjustedNetIncomeAmt
Disbursements Charitable Prps$29,329DisbursementsCharitablePrpsAmt