| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 29,965 | 3,904 | 21,998 | 7,967 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| STATEMENT REGARDING SELF DEALING | FORM 990-PF, PART VII-B, LINE 1 | COMMERCE BANCSHARES, WHICH MAY BE A DISQUALIFIED PERSON, PROVIDES ENDOWMENT, THROUGH ITS WHOLLY-OWNED SUBSIDIARY COMMERCE BANK, WITH CHECKING AND SAVINGS ACCOUNT SERVICES. SUCH SERVICES ARE BELIEVED NOT TO BE ACTS OF SELF-DEALING SINCE THEY ARE BELIEVED TO BE GENERAL BANK FUNCTIONS WITHIN THE MEANING OF REGULATION 53.4941(D)-2(C)(4). THE ENDOWMENT COMPENSATES ITS SECRETARY FOR THE PERFORMANCE OF PERSONAL SERVICES. SUCH PAYMENT IS NOT AN ACT OF SELF-DEALING UNDER CODE SECTION 4941(D)(2)(E), SINCE THE SERVICES ARE REASONABLE AND NECESSARY TO THE CARRYING OUT OF THE ENDOWMENT'S EXEMPT PURPOSE AND THE COMPENSATION IS NOT EXCESSIVE. |
| STATEMENT REGARDING STATUS AS AN OPERATING FOUNDATION | FORM 990-PF, PART XIV | UNDER THE PROVISION OF SECTION 4942(J)(5) OF THE INTERNAL REVENUE CODE, JOHN C. PROCTOR ENDOWMENT QUALIFIES AS A PRIVATE OPERATING FOUNDATION. WITH THE ENACTMENT OF SECTION 4942(J)(5) BY THE REVENUE ACT OF 1978, LONG-TERM CARE FACILITIES SUCH AS JOHN C. PROCTOR ENDOWMENT ARE NO LONGER REQUIRED TO MEET THE 85% DISTRIBUTION TEST. JOHN C. PROCTOR ENDOWMENT MEETS THE "ENDOWMENT TEST" REQUIREMENT FOR EXEMPTION, SINCE THE ORGANIZATION DISTRIBUTED AT LEAST 2/3 OF ITS MINIMUM INVESTMENT RETURN. |
| STATEMENT REGARDING BUSINESS ACTIVITIES | FORM 990-PF, PART XVI-B | THE JOHN C. PROCTOR ENDOWMENT WAS ESTABLISHED SO ADEQUATE CARE COULD BE PROVIDED FOR THE AGED. TO ACCOMPLISH THESE OBJECTIVES, THOSE INDIVIDUALS WHO ARE RESIDENTS OF PROCTOR HOME MUST HELP PROVIDE SOME CAPITAL TO COVER EXPENDITURES. THE GROSS RECEIPTS FROM BUSINESS ACTIVITIES, INCOME FROM PROGRAM SERVICES AND MISCELLANEOUS INCOME REPRESENT FUNDS PROVIDED BY RESIDENTS AND THUS CONTRIBUTE IMPORTANTLY TO THE ENDOWMENT'S EXEMPT PURPOSES. |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| REAL ESTATE | 553,762 | 0 | 553,762 | 28,423,153 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| OTHER INVESTMENTS | AT COST | 497,491 | 497,491 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| BUILDINGS AND FURNISHINGS | 3,264,740 | 2,063,695 | 1,201,045 | 1,201,045 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL | 831 | 108 | 610 | 221 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| INVENTORY OF FARM CROPS | 31,157 | 24,757 | 24,757 |
| INVESTMENT IN INSURANCE GROUP | 210,241 | 105,668 | 105,668 |
| FOOD INVENTORY | 22,000 | 22,000 | 22,000 |
| Description | Amount |
|---|---|
| TRANSFER TO RELATED ORGANIZATION | 2,103,646 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FOOD | 596,811 | 0 | 414,366 | 182,445 |
| DRUGS & INFIRMARY SUPPLIES | 71,250 | 0 | 49,469 | 21,781 |
| MEDICAL AND DENTAL | 24,589 | 0 | 17,072 | 7,517 |
| SUPPLIES | 238,015 | 0 | 165,254 | 72,761 |
| INSURANCE | 104,933 | 0 | 72,855 | 32,078 |
| HOSPITAL AND AMBULANCE | 221 | 0 | 153 | 68 |
| CONSULTANT FEES | 83,626 | 0 | 58,061 | 25,564 |
| RESIDENT ACTIVITIES | 28,227 | 0 | 19,598 | 8,629 |
| MISCELLANEOUS | 101,982 | 0 | 70,807 | 31,176 |
| TELEPHONE/CABLE | 42,871 | 0 | 29,766 | 13,106 |
| REPAIRS AND MAINTENANCE | 275,731 | 706 | 191,656 | 84,075 |
| AUTO EXPENSE | 18,169 | 0 | 12,615 | 5,554 |
| DUES & SUBSCRIPTIONS | 8,333 | 0 | 5,786 | 2,547 |
| TRAINING | 2,290 | 0 | 1,590 | 700 |
| DISPOSAL SERVICES | 34,741 | 0 | 24,120 | 10,620 |
| FUNERALS | 6,895 | 0 | 4,787 | 2,108 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| GROSS SALES | 5,188,168 | 5,188,168 | |
| MISCELLANEOUS INCOME | 158,451 | 158,451 |
| Description | Amount |
|---|---|
| TRANSFER FROM RELATED ORGANIZATION | 2,840,193 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| NURSING HOME TAXES | 164,604 | 0 | 114,285 | 50,320 |