Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE FRANKLIN UNITED METHODIST HOME INC
Employer identification number
35-0988712
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
(1)
SOUTH INDIANA CONFERENCE-UNITED METHODIST CHURCH
356001642
501(C)(3)
Yes
Yes
Yes
500
Total
500
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
THE FRANKLIN UNITED METHODIST HOME INC
Employer identification number
35-0988712
Identifier
Return Reference
Explanation
Form 990, Part VI, Section A, line 2
THE FRANKLIN UNITED METHODIST HOME, INC. SHARES COMMON BOARD MEMBERS WITH ASBURY TOWERS RETIREMENT COMMUNITY, INC. AND FRANKLIN/GLENBURN HOME, INC. ADDITIONALLY, AT SEPTEMBER 30, 2011, THE FRANKLIN UNITED METHODIST HOME, INC. HAD A LOAN FROM THE FRANKLIN/GLENBURN HOME. ALSO AT SEPTEMBER 30, 2011, THE FRANKLIN UNITED METHODIST HOME, INC. HAD A LOAN TO ASBURY TOWERS RETIREMENT COMMUNITY, INC.
Form 990, Part VI, Section B, line 11
THE FRANKLIN UNITED METHODIST HOME'S FORM 990 IS REVIEWED BY THE CFO AND CONTROLLER BEFORE IT IS FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12c
THE FRANKLIN UNITED METHODIST HOME HAS SET UP A HOTLINE FOR EMPLOYEES TO CALL IF ANY EMPLOYEE SUSPECTS OR HAS KNOWLEDGE OF A CONFLICT OF INTEREST OR ANY OTHER SIMILAR ISSUES.
Form 990, Part VI, Section B, line 15
THE FRANLIN UNITED METHODIST HOME'S BOARD OVERSEES A HUMAN RESOURCES COMMITTEE WHO LOOKS AT RESUMES, EXPERIENCE, AND ALSO REVIEWS COMPENSATION FOR SIMILAR POSITIONS IN THE INDUSTRY IN THE GEOGRAPHICAL AREA.
Form 990, Part VI, Section C, line 19
THE FRANKLIN UNITED METHODIST HOME MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Changes in Net Assets or Fund Balances:
Form 990, Part XI, line 5:
Net unrealized losses on investments: -96,320. Prior period adjustments due to settlement of swap agreements -1,905,348. Reclassification of net assets 12,898. Total to Form 990, Part XI, Line 5: -1,988,770.
FINANCIAL STATEMENT OVERSIGHT
FORM 990, PART XI, LINE 2C:
NO CHANGE FROM THE PREVIOUS YEAR HAS OCCURRED IN REGARDS TO THE FINANCIAL STATEMENT OVERSIGHT PROCESS AND SELECTION OF THE INDEPENDENT ACCOUNTANT FROM THE PREVIOUS YEAR.
DESCRIPTION OF PURPOSE
990 SCHEDULE K, PART I, LINE A, COLUMN F
THE ECONOMIC DEVELOPMENT REVENUE REFUNDING AND IMPROVEMENT BONDS SERIES 2010 (THE FRANKLIN UNITED METHODIST HOME, INC. PROJECT) (THE "BONDS"), WERE ISSUED FOR THE PURPOSE OF PROVIDING FUNDS TO BE USED, TOGETHER WITH OTHER AVAILABLE FUNDS: (1) TO FINANCE, REIMBURSE OR REFINANCE ALL OR ANY PART OF THE COST OF THE ACQUISITION, CONSTRUCTION AND/OR EQUIPPING OF THE FOLLOWING: (a) WESLEY CENTER INTERIOR UPGRADES AND REPAIRS; (b) WESLEY CENTER ROOF REPLACEMENTS AND BUILDING REPAIRS; (c) COTTAGE REPAIRS, INCLUDING INTERIORS AND DRIVEWAYS, SIDEWALK AND ROOFS; AND (d) CERTAIN OTHER RENOVATIONS TO THE CAMPUS OF THE FRANKLIN UNITED METHODIST HOME, INC.'S COMPREHENSIVE RETIREMENT CARE COMMUNITY, INCLUIDNG THE PURCHASE OF FURNITURE AND EQUIPMENT; ALL OF WHICH IS TO BE OWNED AND OPERATED BY THE FRANKLIN UNITED METHODIST HOME, INC. (THE "2010 PROJECT"), INCLUDING, WITHOUT LIMITATION: (i.) THE COST OF THE THE ACQUISITION, CONSTRUCTION AND INSTALLATION OF THE 2010 PROJECT; (ii.) THE INCIDENTAL AND RELATED COSTS OF THE ACQUISITION, CONSTRUCTION AND INSTALLATION OF THE 2010 PROJECT; (iii.) THE COST OF ANY PROPERTY INTEREST IN THE 2010 PROJECT; (iv.) THE COST OF THE ARCHITECTURAL, ENGINEERING, LEGAL AND RELATED SERVICES, THE COST OF THE PREPARATION OF PLANS, SPECIFICATIONS, STUDIES, SURVEYS AND ESTIMATES OF COST AND REVENUE, AND ALL OTHER EXPENSES NECESSARY OR INCIDENT TO PLANNING, PROVIDING OR DETERMINING THE NEED FOR OR THE FEASIBILITY AND PRACTICABILITY OF THE 2010 PROJECT; AND (v) THE COST OF ANY FINANCING CHARGES; (2) TO CURRENTLY REFUND THE ECONOMIC DEVELOPMENT REVENUE REFUNDING AND IMPROVEMENT BONDS, SERIES 2007 (THE FRANKLIN UNITED METHODIST HOME, INC. PROJECT), DATED AUGUST 6, 2007, ISSUED BY THE CITY OF FRANKLIN, INDIANA, IN THE AGGREGATE PRINCIPAL AMOUNT OF $25,000,000, OF WHICH $24,580,000 IN PRINCIPAL AMOUNT IS CURRENTLY OUTSTANDING; (3) TO FUND THE PLEDGE ACCOUNT TO BE HELD BY THE HUNTINGTON NATIONAL BANK (THE "PURCHASER") PURSUANT TO THE BANK BONDOWNER AGREEMENT, DATED AS OF MAY 1, 2010, BETWEEN THE PURCHASER AND THE BORROWER, AS ADDITIONAL COLLATERAL FOR THE SECURITY OF THE BONDS, WHILE HELD BY THE PURCHASER; AND (4) TO PAY THE COSTS OF THE ISSUANCE OF THE BONDS.
PROCEEDS
FORM 990, SCHEDULE K, PART II, LINE 5, COLUMN A
THE ENTIRETY OF SUCH AMOUNT RELATES TO ISSUANCE COSTS AND NONE OF SUCH AMOUNT RELATES TO CREDIT ENHANCEMENT.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.