| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Accounting | 14,675 | 0 | 14,675 | 0 |
| Item No. | 1 |
|---|---|
| Lender's Name | Androscoggin Bank |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 1,008,000 |
| Balance Due | 724,125 |
| Date of Note | 2012-06 |
| Maturity Date | 2027-12 |
| Repayment Terms | Monthly P&I |
| Interest Rate | 5.000000000000 |
| Security Provided by Borrower | Mortgage |
| Purpose of Loan | Purchase real estate |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 2 |
|---|---|
| Lender's Name | Androscoggin Bank |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 400,000 |
| Balance Due | 0 |
| Date of Note | 2012-06 |
| Maturity Date | 2017-12 |
| Repayment Terms | Monthly P&I |
| Interest Rate | 5.000000000000 |
| Security Provided by Borrower | Mortgage |
| Purpose of Loan | Capital improvements |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 3 |
|---|---|
| Lender's Name | Net Development Corp |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 541,250 |
| Balance Due | 485,681 |
| Date of Note | 2012-06 |
| Maturity Date | 2032-06 |
| Repayment Terms | Monthly P&I |
| Interest Rate | 6.000000000000 |
| Security Provided by Borrower | Mortgage |
| Purpose of Loan | Purchase real estate |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 4 |
|---|---|
| Lender's Name | Androscoggin Bank |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 14,450 |
| Balance Due | 0 |
| Date of Note | 2012-11 |
| Maturity Date | 2017-11 |
| Repayment Terms | Monthly P&I |
| Interest Rate | 5.000000000000 |
| Security Provided by Borrower | Vehicle |
| Purpose of Loan | Purchase vehicle |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 5 |
|---|---|
| Lender's Name | Androscoggin Bank |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 24,000 |
| Balance Due | 0 |
| Date of Note | 2012-09 |
| Maturity Date | 2017-10 |
| Repayment Terms | Monthly P&I |
| Interest Rate | 5.000000000000 |
| Security Provided by Borrower | Vehicle |
| Purpose of Loan | Purchase vehicle |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 6 |
|---|---|
| Lender's Name | ANDROSCOGGIN BANK |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 24,400 |
| Balance Due | 1,182 |
| Date of Note | 2014-08 |
| Maturity Date | 2018-09 |
| Repayment Terms | MONTHLY P&I |
| Interest Rate | 5.000000000000 |
| Security Provided by Borrower | VEHICLE |
| Purpose of Loan | PURCHASE VEHICLE |
| Description of Lender Consideration | |
| Consideration FMV |
| Item No. | 7 |
|---|---|
| Lender's Name | MaineCare |
| Lender's Title | |
| Relationship to Insider | |
| Original Amount of Loan | 142,030 |
| Balance Due | 90,030 |
| Date of Note | 2016-10 |
| Maturity Date | 2019-10 |
| Repayment Terms | $4000 per month principal |
| Interest Rate | 0.000000000000 |
| Security Provided by Borrower | Unsecured |
| Purpose of Loan | Repayment of overpayments |
| 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 | 20,751 | 17,719 | 17,719 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Activities Program | 7,542 | 0 | 7,542 | 0 |
| ADMIN - DATA PROCESSING FEES | 100,000 | 0 | 100,000 | 0 |
| Bank and late fees | 925 | 0 | 925 | 0 |
| Dues and subscriptions | 2,982 | 0 | 2,982 | 0 |
| Insurance | 66,107 | 0 | 66,107 | 0 |
| Marketing and promotions | 2,331 | 0 | 2,331 | 0 |
| Medical and Operating Supplies | 141,158 | 0 | 141,158 | 0 |
| Nursing and Pharmacy | 2,729 | 0 | 2,729 | 0 |
| Office Expense | 11,324 | 0 | 11,324 | 0 |
| Payroll service fees | 5,419 | 0 | 5,419 | 0 |
| Food and Dietary Supplies | 45,430 | 0 | 45,430 | 0 |
| Employee recruitment and retention | 15,757 | 0 | 15,757 | 0 |
| AUTO EXPENSES | 1,806 | 0 | 1,806 | 0 |
| Admin - Resident expenses | 303 | 0 | 303 | 0 |
| Amortization | 3,033 | 0 | 3,033 | 0 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| DAY HAB PROGRAM | 338,593 | 338,593 | |
| ICF/MR REVENUE | 3,370,685 | 3,370,685 | |
| MISCELLANEOUS REVENUE | 4,736 | 4,736 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| DUE TO/FROM NCA | 112,535 | 112,101 |
| DUE TO/FROM NC MGT | 459 | 435 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MANAGEMENT FEE EXPENSE | 40,000 | 0 | 40,000 | 0 |
| Admin - Professional Fees | 2,034 | 0 | 2,034 | 0 |
| Admin - Legal fees | 131 | 0 | 131 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| Provider and other taxes | 218,144 | 0 | 218,144 | 0 |