MENNO OLIVET CARE CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MENNO OLIVET CARE CENTER INC (EIN 46-0306972)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-07-08
IRS object ID: 201221909349300252
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-07-08T20:27:28-00:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	A Jo Wohlenberg PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 341	AddressLine1
City	Menno	City
State	SD	State
ZIP Code	570450341	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	460306972	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MENNO-OLIVET CARE CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MENN	NameControl
Phone	6053875139	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 487	AddressLine1
City	MENNO	City
State	SD	State
ZIP Code	570450487	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Daniel Mehlhaf	Name
Title	President	Title
Date Signed	2012-06-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	A Jo Wohlenberg PC	Name
Phone	6053875302	Phone
Date Prepared	2012-06-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Galen Guthmiller	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	114 South Pearl Street	AddressLine1
City	Menno	City
State	SD	State
ZIP Code	57045	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2222352	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1971	YearFormation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	To provide low-cost nursing home care for elderly residents and provide daycare facilities in a small, rural community	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	110	TotalNbrEmployees
Total Nbr Volunteers	10	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	21107	ContributionsGrantsPriorYear
Contributions Grants Current Year	16851	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2260810	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2196861	ProgramServiceRevenueCY
Investment Income Prior Year	-77	InvestmentIncomePriorYear
Investment Income Current Year	4629	InvestmentIncomeCurrentYear
Other Revenue Current Year	3240	OtherRevenueCurrentYear
Total Revenue Prior Year	2281840	TotalRevenuePriorYear
Total Revenue Current Year	2221581	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1578759	SalariesEtcPriorYear
Salaries Etc Current Year	1621890	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	574334	OtherExpensePriorYear
Other Expenses Current Year	625370	OtherExpensesCurrentYear
Total Expenses Prior Year	2153093	TotalExpensesPriorYear
Total Expenses Current Year	2247260	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	128747	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-25679	RevenuesLessExpensesCY
Total Assets BOY	1596769	TotalAssetsBOY
Total Assets EOY	1559363	TotalAssetsEOY
Total Liabilities BOY	380124	TotalLiabilitiesBOY
Total Liabilities EOY	368397	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1216645	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1190966	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	To provide low-cost nursing home care to elderly resident and to provide daycare/preschool facilities in a small, rural community	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	1990242	Expense
Revenue	2130095	Revenue
Description	49-bed skilled care facility in a small rural community with 88.4 occupancy rate.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	88455	Expense
Grants	8257	Grants
Revenue	86313	Revenue
Description	Daycare and preschool providing 33,881 hours to 50 children of the staff and community.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	2078697	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	110	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	A Jo Wohlenberg CPA PC	NamePerson
Telephone Number	6053875302	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 341	AddressLine1
City	Menno	City
State	SD	State
ZIP Code	570450341	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Key EmployeeKeyEmployee	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
Judith Headley
Administrator	040.00	X	X	54649	0	0
Galen Guthmiller
President	001.00			240	0	0	X
Dan Mehlhaf
Vice-President	001.00			260	0	0	X
Lori Woehl
Secretary	001.00			0	0	0	X
Steven Mettler
Treasurer	001.00			280	0	0	X
Donna Friesen
Director	001.00			280	0	0	X
Terrie Fischer
Director	001.00	X		260	0	0
Kaleb Hight
Administrator	040.00	X		9808	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	65777	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Fundraising Events	4929	FundraisingEvents
Government Grants	8257	GovernmentGrants
All Other Contributions	3665	AllOtherContributions
Noncash Contributions	1515	NoncashContributions
Total Contributions	16851	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Room Service Private Private Svcs	623000	992601	992601
Medicare/Medicaid	623000	1069121	1069121
Outpatient Therapies	623000	9681	9681
DayCare/Preschool Revenue	624410	83216	83216
Meals Sold Other	623000	13757	13757

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	28485	TotalRevenueColumn
Related Or Exempt Function Income	28435	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2196861	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4702	TotalRevenueColumn
Related Or Exempt Function Income	4702	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3580	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	340	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3240	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3240	TotalRevenueColumn
Related Or Exempt Function Income	3250	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	358	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	431	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-73	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-73	TotalRevenueColumn
Related Or Exempt Function Income	-73	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	8131	CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2221581	TotalRevenueColumn
Related Or Exempt Function Income	2204690	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	72753	Total
Management And General	72753	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1417899	Total
Program Services	1352236	ProgramServices
Management And General	65663	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	23671	Total
Program Services	21757	ProgramServices
Management And General	1914	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	107567	Total
Program Services	98102	ProgramServices
Management And General	9465	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	105	Total
Management And General	105	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	11195	Total
Management And General	11195	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	113668	Total
Program Services	113653	ProgramServices
Management And General	15	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2601	Total
Program Services	2601	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10681	Total
Program Services	5739	ProgramServices
Management And General	4942	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	112303	Total
Program Services	112303	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	1042	Total
Program Services	182	ProgramServices
Management And General	860	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1924	Total
Program Services	1884	ProgramServices
Management And General	40	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	72312	Total
Program Services	72312	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	36918	Total
Program Services	36918	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Food purchases	113219	113219
Supplies	137117	137117
Licenses/Fees	8444	8444
Miscellaneous	3841	2230	1611

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2247260	Total
Program Services	2078697	ProgramServices
Management And General	168563	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	100	BOY
EOY	100	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	383329	BOY
EOY	252863	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	166769	BOY
EOY	202502	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	11791	BOY
EOY	16138	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2357885	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1300446	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	996952	BOY
EOY	1057439	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	37828	BOY
EOY	30321	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1596769	BOY
EOY	1559363	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	150644	BOY
EOY	155431	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	229480	BOY
EOY	212966	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	380124	BOY
EOY	368397	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1122276	BOY
EOY	1093955	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	94369	BOY
EOY	97011	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1216645	BOY
EOY	1190966	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1596769	BOY
EOY	1559363	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-25679	ReconcilationRevenueExpenses
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	true	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2
Public Support Total170	0	PublicSupportTotal170
Public Support Pertcentage170	0.00000	PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7583	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	11260	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	48909	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	21107	CurrentTaxYearMinus1Year
Current Tax Year	16581	CurrentTaxYear
Total	105440	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2013518	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1864041	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2101368	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2260733	CurrentTaxYearMinus1Year
Current Tax Year	2204690	CurrentTaxYear
Total	10444350	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2021101	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1875301	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2150277	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2281840	CurrentTaxYearMinus1Year
Current Tax Year	2221271	CurrentTaxYear
Total	10549790	Total

Field	Value	IRS element (for citing)
Public Support Total509	10549790	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6434	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6580	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3341	CurrentTaxYearMinus2Years
Total	16355	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6434	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6580	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3341	CurrentTaxYearMinus2Years
Total	16355	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Total	0	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2027535	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1881881	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2153618	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2281840	CurrentTaxYearMinus1Year
Current Tax Year	2221271	CurrentTaxYear
Total	10566145	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99850	PublicSupportPercentage509
Prior Year Support Percentage	0.99780	PriorYearSupportPercentage
Investment Income Percentage	0.00150	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00220	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7671	OtherCostOrOtherBasis
Book Value	7671	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1736610	OtherCostOrOtherBasis
Depreciation	884890	Depreciation
Book Value	851720	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	350384	OtherCostOrOtherBasis
Depreciation	201913	Depreciation
Book Value	142383	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	263220	OtherCostOrOtherBasis
Depreciation	197540	Depreciation
Book Value	55665	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1057439	TotalOfBookValueLandBuildings
Total Revenue	2221581	TotalRevenue
Total Expenses	2247260	TotalExpenses
Excess Or Deficit For Year	-25679	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-25679	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	2224666	TotRevenueEtcAuditedFinclStmt
Other Revenues	3085	OtherRevenues
Revenue Not Rptd F990	3085	RevenueNotRptdF990
Revenue Subtotal	2221581	RevenueSubtotal
Total Revenue Per Form990	2221581	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2250345	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	3085	OtherExpensesIncluded
Expenses Not Rptd F990	3085	ExpensesNotRptdF990
Expenses Subtotal	2247260	ExpensesSubtotal
Total Expenses Per Form990	2247260	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
XII	2d	3,085.00 variance plus unrestricted interest 447, plus misc. income 10, less special events expense 3,202, less rental expense 340.
XIII	2d	See Part XII, part 2d

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part VI	11a	Form 990 is reviewed at the board meeting in the month of completion.
Form 990 Part VI	19	The documents, policies, etc. are available for review upon request. There were no requests.
Form 990 Part XII	2c	The board of directors assumes the oversight of the audit by an independent accountant.
Form 990 Part III Program Service Accomplishments	Line 4d Other Activities	Program Service Expenses 88,455, Grants and allocations 8,257, Revenue 86,313 Daycare and preschool providing 33,881 hours to 50 children of the staff and community.
		Form 990, Part III, Line 4d Program Service Expenses 88,455, Grants and allocations 8,257, Revenue 86,313 Daycare and preschool providing 33,881 hours to 50 children of the staff and community. Form 990 Part VI Section B Line 11a Form 990 is reviewed at the board meeting in the month of completion. Form 990 Part VI Section C Line 19 The documents, policies, etc. are available for review upon request. There were no requests. Form 990 Part XII Line 2c The board of directors assumes the oversight of the audit by an independent accountant.