2026-05-15T14:41:28-05:00 2025-06-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-07-01 450310153 Maple Manor Care Center MAPL 7012562987 1116 9th Avenue Langdon ND 58249 Dawn Bunn Administrator 7012562987 2026-05-14 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-05-14 2024 2025-03-06 01:10:19Z Dawn Bunn 1116 9th Avenue Langdon ND 58249 5750330 0 X www.mmcarecenter.com X 1995 ND Residential and Nursing Care 5 5 80 7 0 0 16848 20472 5142041 5632409 48874 97449 0 0 5207763 5750330 0 0 0 0 2774352 2716141 0 0 0 3486375 3508662 6260727 6224803 -1052964 -474473 11370888 10715460 7281469 6992144 4089419 3723316 None 0 0 5321083 5632409 Maple Manor Care Center is a 49-bed nursing home and a 24-unit congregate housing facility located in Langdon, North Dakota. The Care Center provides residential and nursing care to persons in a long term care setting. 5321083 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 6 0 1 80 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X Tammy Close 7012562987 1116 9th Avenue North Langdon ND 58249 Charles Jordan President 0.50 0.00 X X 0 0 0 Sara Goodman Vice President 0.50 0.00 X X 0 0 0 Jennifer Busse Secretary 0.50 0.00 X X 0 0 0 Jodi Myrvik Director 0.50 0.00 X 0 0 0 Hilary Petri Director 0.50 0.00 X 0 0 0 Kayla Gallagher Director until Oct 2025 0.50 0.00 X 0 0 0 Brittany Farris Director until Oct 2025 0.50 0.00 X 0 0 0 Dawn Bunn Administrator 60.00 0.00 X 156301 0 15010 156301 0 15010 1 0 1 0 Prime Time Healthcare LLC PO BOX 3544 Omaha NE 681030544 Contract Nursing 646791 Fusion Medical Staffing PO BOX 30131 Omaha NE 681031231 Contract Nursing 590951 DTN Staffing 1200 Collins Ave Mandan ND 58554 Contract Nursing 568015 3 20472 20472 Resident Service Reven 623000 5261050 5261050 Independent Living Rev 623000 350755 350755 20604 20604 5632409 97449 97449 5750330 5632409 0 97449 X 185381 185381 27035 27035 2104557 1971450 133107 30538 27912 2626 196258 182201 14057 172372 150048 22324 5533 5533 160126 160126 1324243 1323968 275 601 601 112186 89543 22643 117849 23509 94340 266240 252950 13290 11197 6974 4223 33363 5102 28261 301983 271785 30198 497269 454740 42529 147195 7790 139405 Dietary Expense 198215 198215 Bad Debt 157469 157469 Equipment Rental & Main 87836 87664 172 Medical Supplies 58441 58441 28916 24287 4629 6224803 5321083 903720 0 4960573 4266378 582493 1075716 15924 15924 32487 36639 15313212 10310493 5123853 5002719 580270 265369 75288 52715 11370888 10715460 416353 423402 6759999 6478430 43453 51221 61664 39091 7281469 6992144 X 4089419 3723316 4089419 3723316 11370888 10715460 -474473 108370 0 X 0 1 X 0 0 X 916867 842107 5662 16848 20472 1801956 4683867 5251691 5936370 5142041 5632409 26646378 5600734 6093798 5942032 5158889 5652881 28448334 0 1761509 1687388 2124894 2059620 2582675 10216086 1761509 1687388 2124894 2059620 2582675 10216086 18232248 59083 10744 27276 48874 97449 243426 59083 10744 27276 48874 97449 243426 5659817 6104542 5969308 5207763 5750330 28691760 0.63550 0.64780 0.00850 0.00760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 220965 220965 9002146 5555730 3446416 5740926 4694738 1046188 349175 60025 289150 5002719 Right of Use Lease Liability 39091 39091 X 5858700 108370 108370 5750330 0 5750330 6224803 0 6224803 0 6224803 Part IV, Line 2b: The Care Center acts as custodian for the funds of the residents. The Care Center also holds security deposits of residents in its congregate housing facility. These funds are included in cash and cash equivalents and accounts payable in the financial statements. Part X, Line 2: The Care Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Care Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. X 0 0 X 0 0 0 0 0 0 0 0 0 Dawn Bunn Administrator 156301 0 0 0 0 0 2399 0 19812 0 178512 0 0 0 Part I, Line 1a Maple Manor pays for Dawn Bunn's housing. Payments are made directly from Maple Manor to the lessor. This benefit was approved by the board. Payments were not included in Dawn's taxable wages. Part I, Line 1b No substantiation is required as payments are made directly from Maple Manor to the lessor. A City of Langdon ND 456002108 2015-09-16 9176500 Refund bonds issued 2/26/2009 and 12/28/2011 0 0 0 A 2692043 9176500 136742 9039758 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 1 0 0 0 0 A 0 Jeffery Bunn Husband of Dawn Bunn, Administrator of Organization 27035 Payment of Compensation - Jeffery is a Dietary Aid for Maple Manor Care Center. 0 Form 990, Part VI, Section A, line 1a The President only votes in the case of a tie. Form 990, Part VI, Section A, line 2 Brittany Farris and Kayla Gallagher have a business relationship Form 990, Part VI, Section A, line 8b There are no committees that can act on behalf of the board. Form 990, Part VI, Section B, line 11b Upon receipt of the draft Form 990, the organization will email a copy to the board members for their review and comment prior to filing the Form 990 with the IRS. Form 990, Part VI, Section B, line 12c On an annual basis, the Board of Directors is required to sign a conflict of interest policy disclosing any potential conflicts. If a potential conflict exists, compliance with the conflict of interest policy is monitored at the annual board meeting. Form 990, Part VI, Section B, line 15a The Board performs an annual review of the Administrator's salary. Comparable data is gathered from the North Dakota Long Term Care Association. Documentation of the review is included in the board minutes. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available upon request. Form 990, Part IX, line 11g Contract Services: Program service expenses 1,323,323. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,323,323. Professional Fees: Program service expenses 645. Management and general expenses 0. Fundraising expenses 0. Total expenses 645. Contract Services - Med Rec: Program service expenses 0. Management and general expenses 275. Fundraising expenses 0. Total expenses 275.