Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2010
For calendar year 2010, or tax year beginning 06-01-2010 , and ending 05-31-2011
G
Check all that apply:
Name of foundation
THE FARMINGTON HOME FOR AGED PEOPLE
 

Number and street (or P.O. box number if mail is not delivered to street address)204 MAIN STREET   Room/suite
City or town, state, and ZIP code
FARMINGTON, ME04938
A Employer identification number

01-0217212
B Telephone number (see page 10 of the instructions)

(207) 778-4745
C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,018,992J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 13,300
2 Check bullet
3 Interest on savings and temporary cash investments 4,277 4,277 4,277
4 Dividends and interest from securities...... 59,437 59,437 59,437
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 45,500
b Gross sales price for all assets on line 6a 461,999
7 Capital gain net income (from Part IV, line 2)... 45,500
8 Net short-term capital gain......... 45,500
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 642,707    
12 Total. Add lines 1 through 11........ 765,221 109,214 109,214
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 368,353 10,000 10,000 358,353
15 Pension plans, employee benefits....... 4,365     4,365
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 9,200     9,200
c Other professional fees (attach schedule).... Click to see attachment 21,323 14,581 14,581 6,742
17 Interest............... 8,475     8,475
18 Taxes (attach schedule) (see page 14 of the instructions) Click to see attachment 30,263 1,465 1,465 28,798
19 Depreciation (attach schedule) and depletion... Click to see attachment 52,669    
20 Occupancy.............. 52,924 2,646 2,646 50,278
21 Travel, conferences, and meetings....... 2,171     2,171
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 221,622     220,354
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 771,365 28,692 28,692 688,736
25 Contributions, gifts, grants paid........ 0 0
26 Total expenses and disbursements. Add lines 24 and 25 771,365 28,692 28,692 688,736
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -6,144
b Net investment income (if negative, enter -0-) 80,522
c Adjusted net income (if negative, enter -0-)... 80,522
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 36,707 50,012 50,012
2 Savings and temporary cash investments.......... 216,525 233,267 233,267
3 Accounts receivable bullet10,569
Less: allowance for doubtful accounts bullet   3,133 10,569 10,569
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges........... 22,041    
10a Investments—U.S. and state government obligations (attach schedule) 576,147 591,692 591,692
b Investments—corporate stock (attach schedule)........ 1,492,150 1,648,682 1,648,682
c Investments—corporate bonds (attach schedule)........ 46,957 123,354 123,354
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet1,389,215
Less: accumulated depreciation (attach schedule) bullet1,031,602 382,737 Click to see attachment357,613 357,613
15 Other assets (describe bullet) Click to see attachment5,071 Click to see attachment3,803 Click to see attachment3,803
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,781,468 3,018,992 3,018,992
Liabilities 17 Accounts payable and accrued expenses.......... 11,698 21,770
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 245,000 Click to see attachment200,000
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 256,698 221,770
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 2,523,040 2,795,012
25 Temporarily restricted................ 1,730 2,210
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,524,770 2,797,222
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,781,468 3,018,992
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 2,524,770
2 Enter amount from Part I, line 27a...................... 2 -6,144
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 278,596
4 Add lines 1, 2, and 3.......................... 4 2,797,222
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 2,797,222
Form 990-PF (2010)
Form 990-PF (2010)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 45,500
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . . 		Bracket 3 45,500
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2009      
2008      
2007      
2006      
2005      
2 Total of line 1, column (d) ...................... 2  
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3  
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7  
8 Enter qualifying distributions from Part XII, line 4.............. 8  
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions on page 18.
Form 990-PF (2010)
Form 990-PF (2010)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter: 1997-08-06(attach copy of letter if necessary–see instructions)
b 1 N/A
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3  
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5  
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet0 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
No
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bullet
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV...........................
    9
    Yes
     
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletARTHUR PERRYTREASURER Telephone no.bullet (207) 778-4745
    Located atbullet204 MAIN STREETFARMINGTONME ZIP+4bullet04938
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
    No
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
    No
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
    No
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    Katie Wyman Trustee
    2.00     		0    
    578 Fairbanks Road
    Farmington,ME04938
    Tim Thompson Trustee
    2.00     		0    
    POBox 825
    Farmington,ME04938
    Meredith Kendall Trustee
    2.00     		0    
    184 Voter Hill Road
    Farmington,ME04938
    Kate Bean Trustee
    2.00     		0    
    POBox 933
    Farmington,ME04938
    Robert Lively Trustee
    2.00     		0    
    POBox 616
    Wilton,ME04294
    Richard Harvey Trustee
    2.00     		0    
    105 Sunny Hill Drive
    Farmington,ME04938
    Carolyn Eaton Trustee
    2.00     		0    
    63 Savage Road
    Industry,ME04938
    Jan Brinkman Trustee
    2.00     		0    
    POBox 199
    West Farmington,ME04992
    John Bogar Trustee
    2.00     		0    
    314 Morrison Hill Road
    Farmington,ME04938
    Robert BeanIII Trustee
    2.00     		0    
    POBox 933
    Farmington,ME04938
    Melinda Brubaker Trustee
    2.00     		0    
    573 Mosher Hill Road
    Farmington,ME04938
    Dan Adams Trustee
    2.00     		0    
    445 Waterville Road
    Skowhegan,ME04976
    Arthur Perry Treasurer
    5.00     		0    
    127 Stewart Avenue
    Farmington,ME04938
    Claire Andrews Clerk
    2.00     		0    
    148 Perham Street
    Farmington,ME04938
    Joan Patterson Vice President
    5.00     		0    
    110 Court Street
    Farmington,ME04938
    Craig Jordan President
    10.00     		0    
    214 Fairbanks Road
    Farmington,ME04938
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 N/A 0
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,239,491
    b
    Average of monthly cash balances.......................
    1b
    275,107
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    385,632
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,900,230
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d..........................
    3
    2,900,230
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    43,503
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,856,727
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    142,836
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
     
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4.............................
    5
     
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
     
    Part XII
    Qualifying Distributions (see page 25 of the instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    688,736
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    688,736
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    688,736
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus     		(b)
    Years prior to 2009     		(c)
    2009     		(d)
    2010
    1 Distributable amount for 2010 from Part XI, line 7  
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2010:
    a From 2005.......  
    b From 2006.......  
    c From 2007.......  
    d From 2008.......  
    e From 2009.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$  
    a Applied to 2009, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)    		  
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...     		 
    d Applied to 2010 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2010.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...     		 
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........     		 
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........     		 
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........     		 
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............     		 
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2006....  
    b Excess from 2007....  
    c Excess from 2008....  
    d Excess from 2009....  
    e Excess from 2010....  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
    1997-08-06
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
    80,522 39,949 145,834 94,122 360,427
    b 85% of line 2a ......... 68,444 33,957 123,959 80,004 306,364
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		688,736 668,459 658,673 665,748 2,681,616
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		688,736 668,459 658,673 665,748 2,681,616
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		94,272 104,515 97,125 110,363 406,275
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    The Farmington Home for Aged People
    204 Main Street
    Farmington,ME04938
    bThe form in which applications should be submitted and information and materials they should include:
    A written request that includes the name,address,telephone number of the person or organization making the request.
    cAny submission deadlines:
    None
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    None
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    Total .................................bullet 3a  
    bApproved for future payment
    Total ..................................bullet 3b  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments         4,277
    4 Dividends and interest from securities....         59,437
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory         45,500
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aResident Fees         642,707
    bOther Income          
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..     751,921
    13Total. Add line 12, columns (b), (d), and (e)...................
    13751,921
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    11 Medicaid payments and resident fees provide the necessary funds to operate the facility and perform elderly care services.
    348 Interest and dividends and rental income provide funds to offset operating expenses for the organization.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2010)
    Additional Data


    Software ID: 10000105
    Software Version: 2010v3.2


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2010
    Name of organization
    THE FARMINGTON HOME FOR AGED PEOPLE
     
    Employer identification number

    01-0217212
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule—
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
    Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part I
    Name of organization
    THE FARMINGTON HOME FOR AGED PEOPLE
          		Employer identification number

    01-0217212
    Part I
    Contributors (see Instructions)
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
    1
     
     

    Estate of Martha Wasgatt    
    204 Main Street
       
    Farmington, ME   04938

    		$12,500




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Aggregate contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  




    (Complete Part II if there is
    a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part II
    Name of organization
    THE FARMINGTON HOME FOR AGED PEOPLE
          		Employer identification number

    01-0217212
    Part II
    Noncash Property (see Instructions)
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
    Page 1 of 1 of Part III
    Name of organization
    THE FARMINGTON HOME FOR AGED PEOPLE
          		Employer identification number

    01-0217212
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b)
    Purpose of gift    		 (c)
    Use of gift    		 (d)
    Description of how gift is held
     
    (e)
    Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

    Additional Data


    Software ID: 10000105
    Software Version: 2010v3.2

    TY 2010 AccountingFeesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting Fees 9,200 0 0 9,200

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2010 DepreciationSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    SECURITY SYSTEM 2010-12-16 898   91 10.0000 37      
    COMPUTER - HEC ATX 2010-11-17 1,107   91 10.0000 55      
    BOX SPRING 2010-09-30 135   91 10.0000 9      
    COMPUTER - AMD SEMPRON 2010-08-05 525   91 10.0000 44      
    VACUUM CLEANER 2010-07-29 285   91 10.0000 24      
    AIRCONDITIONER 2010-07-15 374   91 10.0000 34      
    ELECTRICAL IMPROVEMENTS 2010-12-14 2,156   91 39.0000 28      
    DOOR INSTALATION 2010-10-06 468   91 39.0000 8      
    KITCHEN RENOVATION 2010-08-25 21,597   91 39.0000 415      
    EQUIPMENT (B of A) 2010-05-31 511   91 10.0000 51      
    COMMUNICATION SYSTEM 2010-04-09 6,393 107 91 10.0000 639      
    EQUIPMENT (B of A) 2009-11-06 2,795 163 91 10.0000 280      
    NEW SIGN 2009-10-22 755 44 91 10.0000 76      
    FURNACE 2010-05-25 4,427   91 39.0000 114      
    PORCH FLOOR 2010-04-09 3,940 17 91 39.0000 101      
    ELECTRIC IMPROVE. 2010-04-08 1,424 6 91 39.0000 37      
    DRYER VENTING 2010-03-18 693 3 91 39.0000 18      
    PORCH AWNING 2010-04-09 8,866 38 91 39.0000 227      
    IMPROVE. (FARM. CONST) 2009-12-10 4,947 63 91 39.0000 127      
    ICE MAKER 2009-05-29 200 30 91 10.0000 20      
    EQUIPMENT 2009-05-07 374 56 91 10.0000 37      
    DRYER 2008-12-16 575 87 91 10.0000 58      
    LAPTOP 2008-12-10 400 60 91 10.0000 40      
    EQUIPMENT 2008-10-08 1,500 225 91 10.0000 150      
    EQUIPMENT 2008-07-31 120 18 91 10.0000 12      
    AIR CONDITIONER 2008-06-09 274 41 91 10.0000 27      
    EQUIPMENT 2007-12-05 566 142 91 10.0000 57      
    SIMPLEX 2007-09-26 6,052 1,613 91 10.0000 605      
    COMPUTER 2007-10-31 2,332 602 91 10.0000 233      
    EQUIPMENT 2007-07-27 400 113 91 10.0000 40      
    APPLIANCES 2007-06-27 890 260 91 10.0000 89      
    EQUIPMENT 2007-05-14 449 139 91 10.0000 45      
    EQUIPMENT 2007-04-02 257 82 91 10.0000 26      
    EQUIPMENT 2007-03-12 1,230 400 91 10.0000 123      
    EQUIPMENT 2007-03-02 1,340 436 91 10.0000 134      
    EQUIPMENT 2007-02-05 1,398 467 91 10.0000 140      
    EQUIPMENT 2007-02-02 348 117 91 10.0000 35      
    EQUIPMENT 2007-01-22 500 167 91 10.0000 50      
    EQUIPMENT 2007-01-05 729 249 91 10.0000 73      
    EQUIPMENT 2006-10-27 1,650 591 91 10.0000 165      
    EQUIPMENT 2006-09-06 200 75 91 10.0000 20      
    EQUIPMENT 2006-08-04 510 195 91 10.0000 51      
    EQUIPMENT 2006-07-19 2,339 897 91 10.0000 234      
    EQUIPMENT 2005-11-15 2,071 949 91 10.0000 207      
    FURNITURE UPHOLSTERING 2005-04-10 1,000 517 91 10.0000 100      
    EQUIPMENT 2005-01-12 309 168 91 10.0000 31      
    FURNITURE 2004-09-15 1,600 920 91 10.0000 160      
    COPIER 2004-10-27 2,480 1,385 91 10.0000 248      
    DESK CHAIR 2004-09-29 418 238 91 10.0000 42      
    EQUIPMENT 2004-06-29 925 546 91 10.0000 93      
    SOUND SYSTEM 2003-12-03 2,421 1,573 91 10.0000 242      
    EQUIPMENT 2004-02-29 247 156 91 10.0000 25      
    EQUIPMENT 2004-02-04 500 317 91 10.0000 50      
    FURNITURE 2003-11-18 545 357 91 10.0000 55      
    EQUIPMENT 2003-07-15 300 208 91 10.0000 30      
    APPLIANCES 2003-06-16 1,745 1,210 91 10.0000 175      
    TABLES & CHAIRS 2003-08-16 7,113 4,799 91 10.0000 711      
    WATER HEATERS 2003-05-20 4,220 2,989 91 10.0000 422      
    TRACTOR 2003-04-14 3,699 2,652 91 10.0000 370      
    DISHWASHER 2003-04-09 2,800 2,007 91 10.0000 280      
    APPLIANCES 2000-07-31 907 895 91 10.0000 12      
    SHREDDER 2000-06-22 262 258 91 10.0000 4      
    EQUIPMENT 2000-06-22 453 446 91 10.0000 7      
    BUILDING EXPANSION 1995-09-01 717,236 528,964 91 20.0000 35,862      
    ELECTRIC IMPROVE. 2008-10-30 397 16 91 39.0000 10      
    ELECTRIC IMPROVE. 2008-09-15 1,613 70 91 39.0000 41      
    PAVING 2007-10-15 2,500 168 91 39.0000 64      
    IMPROVEMENTS 2007-06-22 900 68 91 39.0000 23      
    IMPROVEMENTS 2008-05-30 410 22 91 39.0000 11      
    IMPROVEMENTS 2007-12-14 435 27 91 39.0000 11      
    IMPROVEMENTS 2007-12-13 4,500 283 91 39.0000 115      
    IMPROVEMENTS 2007-08-22 5,200 372 91 39.0000 133      
    IMPROVEMENTS 2007-06-11 7,500 568 91 39.0000 192      
    IMPROVEMENTS 2007-03-12 4,657 382 91 39.0000 119      
    ELECTRIC IMPROVE. 2007-02-19 367 30 91 39.0000 9      
    IMPROVEMENTS 2006-03-08 4,828 522 91 39.0000 124      
    IMPROVEMENTS 2006-01-27 12,592 1,413 91 39.0000 323      
    IMPROVEMENTS 2005-12-12 7,647 874 91 39.0000 196      
    IMPROVEMENTS 2005-10-10 1,804 213 91 39.0000 46      
    IMPROVEMENTS 2005-08-01 6,446 791 91 39.0000 165      
    IMPROVEMENTS 2004-10-24 17,666 2,529 91 39.0000 453      
    IMPROVEMENTS 2004-04-30 835 255 91 20.0000 42      
    IMPROVEMENTS 2004-05-04 15,042 4,575 91 20.0000 752      
    IMPROVEMENTS 2003-10-22 8,120 2,673 91 20.0000 406      
    CURTAINS 2002-09-18 2,915 1,488 91 15.0000 194      
    IMPROVEMENTS 2002-10-30 4,884 1,850 91 20.0000 244      
    CARPET 2002-04-09 4,013 2,177 91 15.0000 268      
    ELECTRIC IMPROVE. 2001-08-19 1,713 998 91 15.0000 114      
    IMPROVEMENTS 2000-11-16 2,252 1,425 91 15.0000 150      
    ADDITIONS 1998-11-30 40,036 30,694 91 15.0000 2,669      
    THIRD FLOOR RENOVATION 1998-04-30 22,600 13,654 91 20.0000 1,130      
    FURNACE 1997-06-30 15,025 9,701 91 20.0000 751      

    TY 2010 LandEtcSchedule2
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Land 12,100   12,100 12,100
    Buildings 1,277,366 967,336 310,030 310,030
    Machinery and Equipment 84,749 49,266 35,483 35,483
    Auto./Transportation Equip. 15,000 15,000    


    TY 2010 MortgagesAndNotesPayableSch 
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Total Mortgage Amount: 200000


    TY 2010 OtherAssetsSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Net Intangible Assets 5,071 3,803 3,803


    TY 2010 OtherExpensesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Residents' Medical Expenses 2,465     2,465
    Repairs & Maintenance 41,667     41,667
    Insurance 31,455     31,455
    Household Activities 16,553     16,553
    Health Insurance 55,357     55,357
    Food & Provisions 61,234     61,234
    Casual Labor 710     710
    Amortization 1,268      
    Administrative Expense 10,913     10,913


    TY 2010 OtherIncomeSchedule2
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Resident Fees 642,707    


    TY 2010 OtherIncreasesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Description Amount
    Net Unrealized Gains on Investments 278,116
    Change in Restricted Fund 480


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Other Professional Fees 21,323 14,581 14,581 6,742


    TY 2010 TaxesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN: 01-0217212
    Software ID:10000105
    Software Version:2010v3.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Payroll Taxes 29,250 1,465 1,465 27,785
    Maine Provider Tax 1,013     1,013