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SALEM NURSING & REHAB CENTER OF HOMESTEAD INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SALEM NURSING & REHAB CENTER OF HOMESTEAD INC (EIN 63-1160642)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-06-25
IRS object ID
201231779349300428
Schema version
2010v3.4
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)
Timestamp2012-06-25T13:04:18-05:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOORE STEPHENS LOVELACE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114400 NW 77TH COURT SUITE 306AddressLine1
CityMIAMI LAKESCity
StateFLState
ZIP Code330161507ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN631160642EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SALEM NURSING & REHAB CENTER OF HOMESTEAD INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSALENameControl
Phone3055963288Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1909B PLANTATION BLVDAddressLine1
CityFAIRHOPECity
StateALState
ZIP Code36532ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameOSCAR ROIZName
TitleMANAGERTitle
Phone3055963288Phone
Date Signed2012-06-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAWRENCE SCHIFF CPAName
Phone3058199555Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALFRED COWLEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1909B PLANTATION BLVDAddressLine1
CityFAIRHOPECity
StateALState
ZIP Code36532ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5604165GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization AssociationXTypeOfOrganizationAssociation
Year Formation1996YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S PURPOSE IS TO PROVIDE SKILLED AND INTERMEDIATE CARE NURSING SERVICES TO PRIVATE RESIDENTS AND TO BENEFICIARIES OF FEDERAL AND STATE FUNDED PROGRAMS.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees128TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5337772ProgramServiceRevenuePriorYear
Program Service Revenue CY5603247ProgramServiceRevenueCY
Investment Income Prior Year1262InvestmentIncomePriorYear
Investment Income Current Year918InvestmentIncomeCurrentYear
Other Revenue Prior Year61OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5339095TotalRevenuePriorYear
Total Revenue Current Year5604165TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2781726SalariesEtcPriorYear
Salaries Etc Current Year2987161SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2640527OtherExpensePriorYear
Other Expenses Current Year3172613OtherExpensesCurrentYear
Total Expenses Prior Year5422253TotalExpensesPriorYear
Total Expenses Current Year6159774TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-83158RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-555609RevenuesLessExpensesCY
Total Assets BOY5900232TotalAssetsBOY
Total Assets EOY5794249TotalAssetsEOY
Total Liabilities BOY7651783TotalLiabilitiesBOY
Total Liabilities EOY8101409TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1751551NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2307160NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION'S PURPOSE IS TO PROVIDE SKILLED AND INTERMEDIATE CARE NURSING SERVICES TO PRIVATE RESIDENTS AND TO BENEFICIARIES OF FEDERAL AND STATE FUNDED PROGRAMS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5130254Expense
Revenue5603247Revenue
DescriptionTHE ORGANIZATION'S PURPOSE IS TO PROVIDE SKILLED AND INTERMEDIATE CARE NURSING SERVICES TO PRIVATE RESIDENTS AND TO BENEFICIARIES OF FEDERAL AND STATE FUNDED PROGRAMS.Description
Total Program Service Expense5130254TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees128NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body0MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1OSCAR ROIZBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3055963288TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110850 SW 113 PLACEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33176ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ALFRED COWLEY
CHAIRMANX000
DONALD FOLKENBERG
DIRECTORX000
GARY LIGHT
DIRECTORX000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AGENCY FOR HEALTHCARE ADMINISTRATION
2727 MAHAN DRIVETALLAHASSEEFL32308QUALITY ASSESSMENT363990
SYSCO FOOD SERVICES
PO BOX 64000-AMIAMIFL33164FOOD AND DIETARY SUPPLIES226054
ROOF MASTER
1550 SW 216TH STREETMIAMIFL33170CONTRACTOR172025
OMNICARE INC
PO BOX 715268COLUMBUSOH43271PHARMACY162294
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM62300044360494436049
PROGRAM SERVICE REVENU62300011671981167198
FieldValueIRS element (for citing)
Total Program Service Revenue5603247TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column918TotalRevenueColumn
Exclusion$918ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5604165TotalRevenueColumn
Related Or Exempt Function Income5603247RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$918ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2553038Total
Program Services2396826ProgramServices
Management And General156212ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total226509Total
Program Services226509ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total207614Total
Program Services184589ProgramServices
Management And General23025ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total258840Total
Management And General258840ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total43761Total
Management And General43761ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13700Total
Management And General13700ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total384715Total
Program Services4830ProgramServices
Management And General379885ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10482Total
Program Services10482ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10809Total
Program Services10786ProgramServices
Management And General23ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total15364Total
Program Services2522ProgramServices
Management And General12842ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total362050Total
Program Services362050ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total298073Total
Program Services298073ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total62782Total
Management And General62782ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT SERVICES519272519272
SUPPLIES26239324898613407
FOOD229319229319
BAD DEBT EXPENSE163108163108
UTILITIES141573141573

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total396372Total
Program Services331329ProgramServices
Management And General65043ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6159774Total
Program Services5130254ProgramServices
Management And General1029520ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY270310BOY
EOY220783EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY668475BOY
EOY371315EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY75145BOY
EOY134877EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5341899LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2368862LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2769571BOY
EOY2973037EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2116731BOY
EOY2094237EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5900232BOY
EOY5794249EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2827891BOY
EOY3267207EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY27070BOY
EOY37620EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4785000BOY
EOY4785000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11822BOY
EOY11582EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7651783BOY
EOY8101409EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1751551BOY
EOY-2307160EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1751551BOY
EOY-2307160EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5900232BOY
EOY5794249EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-555609ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4334371CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4468779CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4997593CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5337772CurrentTaxYearMinus1Year
Current Tax Year5603247CurrentTaxYear
Total24741762Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4334371CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4468779CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4997593CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5337772CurrentTaxYearMinus1Year
Current Tax Year5603247CurrentTaxYear
Total24741762Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50924741762PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41092CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30676CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3793CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1262CurrentTaxYearMinus1Year
Current Tax Year918CurrentTaxYear
Total77741Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41092CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30676CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3793CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1262CurrentTaxYearMinus1Year
Current Tax Year918CurrentTaxYear
Total77741Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years545CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years574CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34405CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61CurrentTaxYearMinus1Year
Total35585Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4376008CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4500029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5035791CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5339095CurrentTaxYearMinus1Year
Current Tax Year5604165CurrentTaxYear
Total24855088Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99540PublicSupportPercentage509
Prior Year Support Percentage0.99430PriorYearSupportPercentage
Investment Income Percentage0.00310InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00420PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis153000OtherCostOrOtherBasis
Book Value153000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3803730OtherCostOrOtherBasis
Depreciation1734285Depreciation
Book Value2069445BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis782391OtherCostOrOtherBasis
Depreciation248228Depreciation
Book Value534163BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis585619OtherCostOrOtherBasis
Depreciation372671Depreciation
Book Value212948BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17159OtherCostOrOtherBasis
Depreciation13678Depreciation
Book Value3481BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2973037TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS WHOSE USE IS LIMITED1830213
BOND ISSUANCE COSTS139134
OTHER ASSETS6411
DUE FROM THIRD PARTY118479
FieldValueIRS element (for citing)
Total Book Value Other Assets2094237TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESIDENT TRUSTDescription
Amount$11,582Amount
FieldValueIRS element (for citing)
Total Of Amounts11582TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3A MANAGEMENT COMPANY IS RESPONSIBLE FOR THE ORGANIZATION'S ENTIRE OPERATIONS. THE ORGANIZATION IS CURRENTLY UNDERGOING BANKRUPTCY PROCEEDINGS. AS SUCH, THE ORGANIZATION'S BOARD DOES NOT TAKE AN ACTIVE PART IN THE ORGANIZATION'S OPERATIONS.
FORM 990, PART VI, SECTION A, LINE 8ATHE ORGANIZATION IS CURRENTLY UNDERGOING BANKRUPTCY PROCEEDINGS. AS SUCH, THE ORGANIZATION'S BOARD DOES NOT TAKE AN ACTIVE PART IN THE ORGANIZATION'S OPERATIONS.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 IS NOT PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE FILING WITH THE IRS.
THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCALFRED COWLEY - 500 FLOYD ROAD, CALHOUN, GA 30701. DONALD FOLKENBERG - 500 FLOYD ROAD, CALHOUN, GA 30701. GARY LIGHT - 500 FLOYD ROAD, CALHOUN, GA 30701.FORM 990, PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SALEM HOUSING CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 FLOYD RDAddressLine1
CityCALHOUNCity
StateGAState
ZIP Code30701ZIPCode
FieldValueIRS element (for citing)
EIN581849762EIN
Primary ActivitiesINACTIVEPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg