Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 07-01-2015 , and ending 06-30-2016
Name of foundation
North Central Independent Living Inc
 
Number and street (or P.O. box number if mail is not delivered to street address)107 Cranes Roost Court
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Elizabethtown, KY42701
A Employer identification number

31-1072316
B Telephone number (see instructions)

(270) 765-2605
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$394,245J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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 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) 46,433
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 113 113 113
4 Dividends and interest from securities...      
5a Gross rents............ 41,834   41,834
b Net rental income or (loss) -39,773
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain......... 0
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).......      
12 Total. Add lines 1 through 11........ 88,380 113 41,947
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages...... 1,720 0 1,720 0
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 7,500 0 7,500 0
c Other professional fees (attach schedule).... Click to see attachment 5,941 0 5,941 0
17 Interest............... 21,066 0 21,066 0
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion... Click to see attachment 30,955 0 30,955
20 Occupancy.............. 17,134 0 17,134 0
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 29,610 0 29,610 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 113,926 0 113,926 0
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 113,926 0 113,926 0
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -25,546
b Net investment income (if negative, enter -0-) 113
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
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............. 7,804 35,990 35,990
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet8,257
Less: allowance for doubtful accounts bullet3,058 1,939 5,199 5,199
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 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..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
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 bullet698,373
Less: accumulated depreciation (attach schedule) bullet446,329 273,866 Click to see attachment252,044 252,044
15 Other assets (describe bullet) Click to see attachment128,698 Click to see attachment101,012 Click to see attachment101,012
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 412,307 394,245 394,245
Liabilities 17 Accounts payable and accrued expenses.......... 143,172 157,675
18 Grants payable..................    
19 Deferred revenue.................   220
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 546,502 538,673
22 Other liabilities (describe bullet) Click to see attachment2,886 Click to see attachment3,476
23 Total liabilities (add lines 17 through 22)......... 692,560 700,044
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. -280,253 -305,799
25 Temporarily restricted...............    
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 instructions)..... -280,253 -305,799
31 Total liabilities and net assets/fund balances (see instructions). 412,307 394,245
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
-280,253
2
Enter amount from Part I, line 27a .....................
2
-25,546
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
-305,799
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
-305,799
Form 990-PF (2015)
Form 990-PF (2015)
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  
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 instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
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 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))
2014 41,673 7,401 5.630726
2013 28,919 5,160 5.604457
2012 36,878 3,093 11.923052
2011 10,180 1,653 6.158500
2010 2,678 1,593 1.681105
2
Total of line 1, column (d) .....................
230.997840
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
6.199568
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
21,570
5
Multiply line 4 by line 3......................
5
133,725
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1
7
Add lines 5 and 6........................
7
133,726
8
Enter qualifying distributions from Part XII, line 4.............
8
11,625
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.
Form 990-PF (2015)
Form 990-PF (2015)
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 Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 2
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 0
3 Add lines 1 and 2........................... 3 2
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 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 0
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 2
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 2015 estimated taxBullet   RefundedBullet 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 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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
 
 
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
    Yes
     
    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 instructions)
    bulletKY
    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 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    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
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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 instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    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 ofbulletCommunicare Inc Telephone no.bullet (270) 765-2605

    Located atbullet107 Cranes Roost CourtElizabethtownKY ZIP+4bullet42701
    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 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    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 instructions)? ........
    1b
     
     
    ........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 2015?.............
    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 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    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 instructions.) ..............
    2b
     
     
    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 2015 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 2015.)..................
    3b
     
     
    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 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    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 4945(d)(4)(A)? (see 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 instructions)? ......
    5b
     
     
    .........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
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    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 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
    John Elder Chairman
    0.50     		0 0 0
    107 Cranes Roost Court
    Elizabethtown,KY42701
    Peter Denton Vice-Chairman
    0.50     		0 0 0
    107 Cranes Roost Court
    elizabethtown,KY42701
    Lloyd Henderson Secretary-Treasurer
    0.50     		0 0 0
    107 Cranes Roost Court
    elizabethtown,KY42701
    DAn Simpson CEO Communicare Inc.
    1.00     		0 0 0
    107 Cranes Roost Court
    elizabethtown,KY42701
    2 Compensation of five highest-paid employees (other than those included on line 1—see 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 0
    3 Five highest-paid independent contractors for professional services (see 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.............bullet0
    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 To provide housing for the mentally and physically disabled. 99,414
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see 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 instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see 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
    0
    b
    Average of monthly cash balances.......................
    1b
    21,898
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    21,898
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    21,898
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    328
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    21,570
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,079
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
     
    b
    Income tax for 2015. (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 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 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
    0
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    11,625
    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
    11,625
    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 instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    11,625
    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 (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7  
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........  
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$  
    a Applied to 2014, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2015 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2015.    
    (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 instructions ...........     		 
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		 
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see 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 2015, enter the date of the ruling.......bullet
     
    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) 2015 (b) 2014 (c) 2013 (d) 2012
    0 0 0 0 0
    b 85% of line 2a ......... 0 0 0 0 0
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		11,625 41,673 28,919 36,878 119,095
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		0 0 0 0 0
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		11,625 41,673 28,919 36,878 119,095
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ...... 394,245 412,306 291,142 267,374 1,365,067
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		 394,245 412,306 291,142 267,374 1,365,067
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		        0
    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) ....     		        0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		        0
    (3) Largest amount of support
    from an exempt organization    		         0
    (4) Gross investment income         0
    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 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 or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    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 0
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    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 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....          
    3
    Interest on savings and temporary cash investments ...........     		    14 113  
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......         -39,773
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 113 -39,773
    13Total. Add line 12, columns (b), (d), and (e)..................
    13-39,660
    (See worksheet in line 13 instructions 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 foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    5a The entity's charitable purpose is to provide housing to the mentally disabled.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    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
    Sign Here
    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) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    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.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    North Central Independent Living Inc
     
    Employer identification number

    31-1072316
    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 on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    North Central Independent Living Inc
          		Employer identification number
    31-1072316
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    Section 8 Housing Assistance Paymen  
    457 7th Street SW
     
    Washington, DC20410

    		$ 46,433


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    North Central Independent Living Inc
          		Employer identification number

    31-1072316
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (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) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    North Central Independent Living Inc
          		Employer identification number

    31-1072316
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (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) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    North Central Independent Living Inc
    EIN:
    31-1072316
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Audit Expense 7,500 0 7,500 0

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

    TY 2015 AmortizationSchedule
    Name:
    North Central Independent Living Inc
    EIN:
    31-1072316
    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
    Loan Costs 2014-09-01 47,579 1,133 420.000000000000 1,359 0 1,359 2,492

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

    TY 2015 DepreciationSchedule
    Name:
    North Central Independent Living Inc
    EIN:
    31-1072316
    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
    Land 1988-01-01 36,483   L   0 0 0  
    Building 1988-01-01 476,597 327,099 SL 40.000000000000 11,915 0 11,915  
    Vinyl Siding 1997-09-05 3,970 3,970 SL 10.000000000000 0 0 0  
    AC 1996-08-15 1,500 1,500 SL 10.000000000000 0 0 0  
    AC Apt 9 1997-03-05 1,500 1,500 SL 10.000000000000 0 0 0  
    Fence 1997-07-01 824 824 SL 7.000000000000 0 0 0  
    AC 1997-07-02 1,450 1,450 SL 10.000000000000 0 0 0  
    AC Apt 4 1998-12-28 1,550 1,550 SL 10.000000000000 0 0 0  
    AC Repair 1998-10-28 537 537 SL 10.000000000000 0 0 0  
    AC Apt 12 1999-06-11 1,600 1,600 SL 10.000000000000 0 0 0  
    AC Apt 2 1999-11-05 1,600 1,600 SL 10.000000000000 0 0 0  
    AC Apt 12 1999-12-07 1,550 1,550 SL 10.000000000000 0 0 0  
    Carpet Apt 2 & 11 2000-08-18 1,361 1,361 SL 5.000000000000 0 0 0  
    Carpet 7 2000-10-13 692 692 SL 5.000000000000 0 0 0  
    AC Apt 3 2001-02-01 1,600 1,600 SL 10.000000000000 0 0 0  
    Heat Pump Comp 2001-04-11 600 600 SL 5.000000000000 0 0 0  
    Vacuum Cleaner 1992-09-11 372 372 SL 5.000000000000 0 0 0  
    Storage Shed 1992-10-29 765 765 SL 10.000000000000 0 0 0  
    AC 1993-11-30 1,038 1,038 SL 10.000000000000 0 0 0  
    Refrigerator Apt 14 2000-04-25 289 289 SL 7.000000000000 0 0 0  
    Refrigerator Apt 9 2001-11-26 289 289 SL 7.000000000000 0 0 0  
    Washer 2002-02-12 347 347 SL 7.000000000000 0 0 0  
    Dryer 2002-02-12 297 297 SL 7.000000000000 0 0 0  
    Refridgerator Apt 8 2002-02-13 289 289 SL 7.000000000000 0 0 0  
    Rocking Chairs 2002-07-24 162 162 SL 5.000000000000 0 0 0  
    Refridgerator Apt 1 2002-08-28 289 289 SL 7.000000000000 0 0 0  
    Refridgerator Apt 12 2003-05-14 258 258 SL 7.000000000000 0 0 0  
    AC Apt 11 2002-07-27 1,700 1,700 SL 10.000000000000 0 0 0  
    Building Repairs 2002-09-26 1,490 1,490 SL 10.000000000000 0 0 0  
    Heat Pump 10 2003-03-21 1,650 1,650 SL 5.000000000000 0 0 0  
    Carpet 3 2003-06-03 677 677 SL 5.000000000000 0 0 0  
    Furniture 1988-01-01 500 500 SL 5.000000000000 0 0 0  
    Roof 2003-12-17 2,160 2,160 SL 10.000000000000 0 0 0  
    Bath Kitchen Countertops 2003-07-16 241 241 SL 10.000000000000 0 0 0  
    Table and Chairs 2003-07-17 478 478 SL 7.000000000000 0 0 0  
    Fence 2004-08-18 2,450 2,450 SL 5.000000000000 0 0 0  
    Carpet Hallway 2005-01-27 3,594 3,594 SL 5.000000000000 0 0 0  
    Carpet Unit 5 2006-01-27 802 802 SL 5.000000000000 0 0 0  
    Carpet Unit 9 2006-04-10 862 862 SL 5.000000000000 0 0 0  
    AC Unit 2 2005-10-13 298 292 SL 10.000000000000 6 0 6  
    Water Heater- Unit 5 2005-12-01 475 475 SL 5.000000000000 0 0 0  
    Appliances unit 13 2006-06-22 590 590 SL 7.000000000000 0 0 0  
    Heat Pump 10 2006-10-11 848 737 SL 10.000000000000 85 0 85  
    AC 2006-12-21 732 621 SL 10.000000000000 73 0 73  
    Resurface Parking Lot 2007-10-10 5,950 3,968 SL 10.000000000000 595 0 595  
    Carpet 6 2007-07-17 808 773 SL 5.000000000000 0 0 0  
    Carpet & Vinyl Apt 14 2010-04-01 2,307 2,307 SL 5.000000000000 0 0 0  
    Heat Pump 2011-04-26 1,630 1,358 SL 5.000000000000 272 0 272  
    Sign 2010-11-30 1,049 962 SL 5.000000000000 87 0 87  
    Carpet 2011-11-16 2,144 1,555 SL 5.000000000000 429 0 429  
    Flooring 2012-05-21 2,151 1,337 SL 5.000000000000 430 0 430  
    Painting & Repairs 2012-06-21 4,234 2,562 SL 5.000000000000 847 0 847  
    Water Heater and Painting 2012-06-30 1,651 990 SL 5.000000000000 330 0 330  
    Carpet 2012-09-21 2,286 1,266 SL 5.000000000000 457 0 457  
    Carpet 2012-09-21 2,178 1,208 SL 5.000000000000 436 0 436  
    Remodel Apt 2012-09-21 6,444 1,785 SL 10.000000000000 644 0 644  
    Carpet 2013-01-15 4,499 2,212 SL 5.000000000000 900 0 900  
    Apt 15 AC Window Unit 2013-03-12 842 385 SL 5.000000000000 168 0 168  
    Countertop 2013-03-12 1,221 280 SL 10.000000000000 122 0 122  
    Apt 11 Countertop 2013-03-12 600 138 SL 10.000000000000 60 0 60  
    Apt 15 Flooring 2013-03-12 4,400 2,017 SL 5.000000000000 880 0 880  
    Flooring 2013-03-12 972 445 SL 5.000000000000 194 0 194  
    Used Hot Water Heater 2013-01-08 405 197 SL 5.000000000000 81 0 81  
    Water Heater 2013-01-14 742 364 SL 5.000000000000 148 0 148  
    Apt 8 New Water Heater 2013-02-11 703 335 SL 5.000000000000 141 0 141  
    Apt 9 New Water Heater 2013-02-11 703 335 SL 5.000000000000 141 0 141  
    Apt 11 New Water Heater 2013-02-11 703 335 SL 5.000000000000 141 0 141  
    Apt 12 New Water Heater 2013-02-11 703 335 SL 5.000000000000 141 0 141  
    Apt 13 New Water Heater 2013-02-01 703 335 SL 5.000000000000 141 0 141  
    Apt 14 New Water Heater 2013-02-11 703 335 SL 5.000000000000 141 0 141  
    Apt 7 Window 2013-04-02 842 378 SL 5.000000000000 168 0 168  
    Apt 14 Window 2013-04-02 842 378 SL 5.000000000000 168 0 168  
    Apt 7 Flooring 2013-03-19 3,299 1,457 SL 5.000000000000 660 0 660  
    FLooring 2013-03-19 2,397 1,058 SL 5.000000000000 479 0 479  
    Refridgerator 2012-09-07 341 147 SL 7.000000000000 49 0 49  
    Stove 2012-09-07 349 150 SL 7.000000000000 50 0 50  
    Painting Apts 3,5,15 2013-10-07 2,222 777 SL 5.000000000000 444 0 444  
    Windows 2014-03-11 2,526 673 SL 5.000000000000 505 0 505  
    Flooring 2013-07-01 4,232 1,692 SL 5.000000000000 846 0 846  
    Flooring 2013-07-01 3,219 1,288 SL 5.000000000000 644 0 644  
    Flooring 2013-07-01 3,558 1,424 SL 5.000000000000 712 0 712  
    Water Heater Replacement 2013-11-15 743 242 SL 5.000000000000 149 0 149  
    Windows 2014-02-04 1,684 477 SL 5.000000000000 337 0 337  
    Water Heater 2014-01-16 696 203 SL 5.000000000000 139 0 139  
    Flooring Apt 3 2014-01-13 3,397 990 SL 5.000000000000 679 0 679  
    Flooring Apt 5 2014-01-13 3,397 990 SL 5.000000000000 679 0 679  
    Heat Pump 2014-01-17 1,746 509 SL 5.000000000000 349 0 349  
    Water Heater 2014-01-16 696 203 SL 5.000000000000 139 0 139  
    Stove 2014-02-04 379 77 SL 7.000000000000 54 0 54  
    Stove 2014-01-31 424 86 SL 7.000000000000 61 0 61  
    Installation of Windows 2015-01-14 6,736 225 SL 15.000000000000 449 0 449  
    Gutters, stairways, siding, sheathing 2015-03-09 3,770 84 SL 15.000000000000 251 0 251  
    Floor replacement, installation, vinyl flooring 2015-06-01 3,403 57 SL 5.000000000000 681 0 681  
    Floor replacement 2015-06-03 3,048 51 SL 5.000000000000 610 0 610  
    Building Improvements 2015-06-30 24,715   SL 15.000000000000 1,648 0 1,648  
    Building Improvements 2016-06-30 11,625   SL 15.000000000000 0 0 0  

    TY 2015 LandEtcSchedule2
    Name:
    North Central Independent Living Inc
    EIN:
    31-1072316
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Land 36,483 0 36,483  
    Building 476,597 339,014 137,583  
    Vinyl Siding 3,970 3,970 0  
    AC 1,500 1,500 0  
    AC Apt 9 1,500 1,500 0  
    Fence 824 824 0  
    AC 1,450 1,450 0  
    AC Apt 4 1,550 1,550 0  
    AC Repair 537 537 0  
    AC Apt 12 1,600 1,600 0  
    AC Apt 2 1,600 1,600 0  
    AC Apt 12 1,550 1,550 0  
    Carpet Apt 2 & 11 1,361 1,361 0  
    Carpet 7 692 692 0  
    AC Apt 3 1,600 1,600 0  
    Heat Pump Comp 600 600 0  
    Vacuum Cleaner 372 372 0  
    Storage Shed 765 765 0  
    AC 1,038 1,038 0  
    Refrigerator Apt 14 289 289 0  
    Refrigerator Apt 9 289 289 0  
    Washer 347 347 0  
    Dryer 297 297 0  
    Refridgerator Apt 8 289 289 0  
    Rocking Chairs 162 162 0  
    Refridgerator Apt 1 289 289 0  
    Refridgerator Apt 12 258 258 0  
    AC Apt 11 1,700 1,700 0  
    Building Repairs 1,490 1,490 0  
    Heat Pump 10 1,650 1,650 0  
    Carpet 3 677 677 0  
    Furniture 500 500 0  
    Roof 2,160 2,160 0  
    Bath Kitchen Countertops 241 241 0  
    Table and Chairs 478 478 0  
    Fence 2,450 2,450 0  
    Carpet Hallway 3,594 3,594 0  
    Carpet Unit 5 802 802 0  
    Carpet Unit 9 862 862 0  
    AC Unit 2 298 298 0  
    Water Heater- Unit 5 475 475 0  
    Appliances unit 13 590 590 0  
    Heat Pump 10 848 822 26  
    AC 732 694 38  
    Resurface Parking Lot 5,950 4,563 1,387  
    Carpet 6 808 773 35  
    Carpet & Vinyl Apt 14 2,307 2,307 0  
    Heat Pump 1,630 1,630 0  
    Sign 1,049 1,049 0  
    Carpet 2,144 1,984 160  
    Flooring 2,151 1,767 384  
    Painting & Repairs 4,234 3,409 825  
    Water Heater and Painting 1,651 1,320 331  
    Carpet 2,286 1,723 563  
    Carpet 2,178 1,644 534  
    Remodel Apt 6,444 2,429 4,015  
    Carpet 4,499 3,112 1,387  
    Apt 15 AC Window Unit 842 553 289  
    Countertop 1,221 402 819  
    Apt 11 Countertop 600 198 402  
    Apt 15 Flooring 4,400 2,897 1,503  
    Flooring 972 639 333  
    Used Hot Water Heater 405 278 127  
    Water Heater 742 512 230  
    Apt 8 New Water Heater 703 476 227  
    Apt 9 New Water Heater 703 476 227  
    Apt 11 New Water Heater 703 476 227  
    Apt 12 New Water Heater 703 476 227  
    Apt 13 New Water Heater 703 476 227  
    Apt 14 New Water Heater 703 476 227  
    Apt 7 Window 842 546 296  
    Apt 14 Window 842 546 296  
    Apt 7 Flooring 3,299 2,117 1,182  
    FLooring 2,397 1,537 860  
    Refridgerator 341 196 145  
    Stove 349 200 149  
    Painting Apts 3,5,15 2,222 1,221 1,001  
    Windows 2,526 1,178 1,348  
    Flooring 4,232 2,538 1,694  
    Flooring 3,219 1,932 1,287  
    Flooring 3,558 2,136 1,422  
    Water Heater Replacement 743 391 352  
    Windows 1,684 814 870  
    Water Heater 696 342 354  
    Flooring Apt 3 3,397 1,669 1,728  
    Flooring Apt 5 3,397 1,669 1,728  
    Heat Pump 1,746 858 888  
    Water Heater 696 342 354  
    Stove 379 131 248  
    Stove 424 147 277  
    Installation of Windows 6,736 674 6,062  
    Gutters, stairways, siding, sheathing 3,770 335 3,435  
    Floor replacement, installation, vinyl flooring 3,403 738 2,665  
    Floor replacement 3,048 661 2,387  
    Building Improvements 24,715 1,648 23,067  
    Loan Costs 47,579 2,492 45,087  
    Building Improvements 11,625 0 11,625  


    TY 2015 OtherAssetsSchedule
    Name:
    North Central Independent Living Inc
    EIN:
    31-1072316
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Insurance Escrow 20,260 59,660 59,660
    Deposits 2,912 3,750 3,750
    Reserve for Replacement 59,080 37,602 37,602
    Other 46,446 0 0


    TY 2015 OtherExpensesSchedule
    Name:
    North Central Independent Living Inc
    EIN:
    31-1072316
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Repairs & Maint 17,318 0 17,318 0
    Information Technology 1,070 0 1,070 0
    Other 734 0 734 0
    Insurance 9,129 0 9,129 0
    Amortization 1,359 0 1,359 0


    TY 2015 OtherLiabilitiesSchedule
    Name:
    North Central Independent Living Inc
    EIN:
    31-1072316
    Description Beginning of Year - Book Value End of Year - Book Value
    Deposits 2,886 3,476


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    North Central Independent Living Inc
    EIN:
    31-1072316
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Management Fee 5,941 0 5,941 0