| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 8,750 | 8,750 |
| Description of Amortized Expenses | Date Acquired, Completed, or Expended | Amount Amortized | Deduction for Prior Years | Amortization Method | Current Year Amortization | Net Investment Income | Adjusted Net Income | Total Amount of Amortization |
|---|---|---|---|---|---|---|---|---|
| AMORTIZATION - ORGANIZATION | 7,902 | 3,951 | 3,951 | 11,853 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| DEPRECIATION - BLDG & IMPROVE | 148,698 | 79,679 | 79,679 | ||||||
| DEPRECIATION - LAND IMPROVEMEN | 11,797 | 6,446 | 6,446 | ||||||
| DEPRECIATION 10 YR EQUIPMENT | 21,148 | 12,056 | 12,056 | ||||||
| DEPRECIATION - EQUIPMENT | 341 | 262 | 262 | ||||||
| DEPRECIATION MOTOR VEHICLES | 13,919 | 9,879 | 9,879 | ||||||
| DEPRECIATION MOTOR VEHICLE | 3,548 | 5,902 | 5,902 | ||||||
| DEPRECIATION LEASEHOLD IMPROV | 46,268 | 22,704 | 22,704 | ||||||
| DEPRECIATION LEASEHOLD IMP | 400 | 200 | 200 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| MAGS VEST | 2002-10 | PURCHASE | 2015-06 | 265 | 265 | |||||
| CONVERSION KIT FOR WHIRLPOOL | 2011-01 | PURCHASE | 2014-09 | 2,595 | -1,643 | 952 | ||||
| 2002 FORD E-350 VAN | 2002-01 | PURCHASE | 2015-04 | 500 | 39,751 | 500 | 39,751 | |||
| NEW TRANSMISSION FOR VAN | 2006-05 | PURCHASE | 2015-04 | 3,300 | 3,300 | |||||
| NEW ENGINE FOR VAN | 2006-03 | PURCHASE | 2015-04 | 6,572 | 6,572 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| CONSTRUCTION WORK IN PROGRESS | ||||
| LAND IMPROVEMENTS | 52,114 | 18,244 | 33,870 | 33,870 |
| BUILDING & IMPROVEMENT | 1,765,846 | 228,377 | 1,537,469 | 1,537,469 |
| EQUIPMENT MAJOR MOVEABLE | 156,999 | 95,451 | 61,548 | 61,548 |
| EQUIP. MAJOR MOVEABLE 10 Y | 2,337 | 611 | 1,726 | 1,726 |
| EQUIPMENT MOTOR VEHICLES | 54,025 | 27,809 | 26,216 | 26,216 |
| EQUIPMENT MOTOR VEHICLES | 30,534 | 5,089 | 25,445 | 25,445 |
| LEASEHOLD IMPROVEMENTS | 329,446 | 119,615 | 209,831 | 209,831 |
| LEASEHOLD IMPROVEMENTS | 3,172 | 1,198 | 1,974 | 1,974 |
| COMPUTER EQUIPMENT | 12,162 | 10,825 | 1,337 | 1,337 |
| LAND | 105,992 | 105,992 | 105,992 |
| Item No. | 1 |
|---|---|
| Lender's Name | ANDROSCOGGIN BANK |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 14450 |
| Balance Due | 7183 |
| Date of Note | 2012-11 |
| Maturity Date | 2017-11 |
| Repayment Terms | MONTHLY P&I |
| Interest Rate | 0.0500 |
| Security Provided by Borrower | VEHICLE |
| Purpose of Loan | PURCHASE VEHICLE |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | ANDROSCOGGIN BANK |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 24000 |
| Balance Due | 11123 |
| Date of Note | 2012-09 |
| Maturity Date | 2017-10 |
| Repayment Terms | MONTHLY P&I |
| Interest Rate | 0.0500 |
| Security Provided by Borrower | VEHICLE |
| Purpose of Loan | PURCHASE VEHICLE |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 3 |
|---|---|
| Lender's Name | ANDROSCOGGIN BANK |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 24400 |
| Balance Due | 19728 |
| Date of Note | 2014-08 |
| Maturity Date | 2018-09 |
| Repayment Terms | MONTHLY P&I |
| Interest Rate | 0.0500 |
| Security Provided by Borrower | VEHICLE |
| Purpose of Loan | PURCHASE VEHICLE |
| Description of Lender Consideration | |
| Consideration FMV |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| ORGANIZATION COSTS | 33,354 | 29,153 | 29,153 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| ACTIVITIES PROGRAM | 8,326 | 8,326 | ||
| ADMIN - DATA PROCESSING FEES | 100,000 | 100,000 | ||
| BANK AND LATE FEES | 229 | 229 | ||
| DUES AND SUBSCRIPTIONS | 2,847 | 2,847 | ||
| HOUSEKEEPING | 3,747 | 3,747 | ||
| INSURANCE | 52,975 | 52,975 | ||
| MARKETING AND PROMOTIONS | 4,061 | 4,061 | ||
| MEDICAL AND OPERATING SUPPLIE | 118,291 | 118,291 | ||
| NURSING AND PHARMACY | 3,352 | 3,352 | ||
| OFFICE EXPENSE | 20,876 | 20,876 | ||
| PAYROLL SERVICE FEES | 7,009 | 7,009 | ||
| DISB. FOR CHARITABLE PURPOSES | -5,611 | 5,611 | ||
| FOOD AND DIETARY SUPPLIES | 45,043 | 45,043 | ||
| EMPLOYEE RECRUITMENT AND RETE | 10,344 | 10,344 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| DAY HAB PROGRAM | 321,409 | 321,409 | |
| ICF/MR REVENUE | 3,117,106 | 3,117,106 | |
| MISCELLANEOUS REVENUE | 7,186 | 7,186 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| DUE TO/FROM NCA | 171,414 | 94,396 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MANAGEMENT FEE EXPENSE | 40,000 | 40,000 | ||
| ADMIN - PROFESSIONAL FEES | 534 | 534 | ||
| DIETARY - CONSULTANT FEES | 54 | 54 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PROVIDER AND OTHER TAXES | 202,865 | 202,865 |