| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 2,745 | 2,745 | 2,745 | |
| TAX RETURN PREPARATION | 3,500 | 3,500 | 3,500 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| BUILDING | 1968-01-01 | 553,980 | 553,980 | S/L | 40.0000 | ||||
| SOULARIUM | 2000-10-15 | 42,027 | 42,027 | S/L | 15.0000 | ||||
| FURN & FIX | 2005-06-30 | 75,256 | 200DB | 7.0000 | |||||
| ADDITION | 1997-01-01 | 122,302 | 84,865 | S/L | 33.0000 | 3,706 | |||
| FIRE SUPPRESSION | 2009-06-01 | 264,936 | 136,896 | S/L | 20.0000 | 13,247 | |||
| FURNITURE | 2009-02-03 | 1,134 | 1,134 | S/L | 10.0000 | ||||
| IMPROVEMENTS | 2009-10-27 | 41,025 | 22,219 | S/L | 20.0000 | 2,051 | |||
| PAINTING | 2009-10-27 | 13,513 | 6,878 | S/L | 20.0000 | 676 | |||
| FLOORING | 2008-03-05 | 3,264 | 1,930 | S/L | 20.0000 | 163 | |||
| FURN & FIX | 2008-09-01 | 13,994 | 13,994 | S/L | 10.0000 | ||||
| DOOR | 2008-11-27 | 1,619 | 898 | S/L | 20.0000 | 81 | |||
| ART & FURN | 2008-12-02 | 3,695 | 3,695 | S/L | 10.0000 | ||||
| STOVE | 2010-03-09 | 17,615 | 17,322 | S/L | 10.0000 | 294 | |||
| RES HALL LIGHTING | 2010-03-15 | 17,564 | 17,271 | S/L | 10.0000 | 293 | |||
| HALL VASES & FLOWERS | 2010-03-15 | 1,877 | 1,845 | S/L | 10.0000 | 32 | |||
| FURNITURE | 2010-04-20 | 3,523 | 3,405 | S/L | 10.0000 | 118 | |||
| VARIOUS | 2010-04-23 | 868 | 839 | S/L | 10.0000 | 29 | |||
| STOVE | 2010-04-27 | 2,349 | 2,270 | S/L | 10.0000 | 79 | |||
| FURN & FIX | 2010-08-16 | 1,450 | 1,353 | S/L | 10.0000 | 97 | |||
| WEST DOOR | 2010-08-24 | 2,596 | 969 | S/L | 25.0000 | 104 | |||
| HEALTH EQUIPMENT | 2010-09-20 | 1,109 | 1,026 | S/L | 10.0000 | 83 | |||
| CAFE | 2010-10-18 | 5,313 | 4,870 | S/L | 10.0000 | 443 | |||
| CAFE & DINING ROOM | 2010-10-18 | 1,572 | 1,441 | S/L | 10.0000 | 131 | |||
| SOLARIUM AREA | 2010-11-05 | 5,770 | 2,116 | S/L | 25.0000 | 231 | |||
| ROOF | 2010-09-30 | 38,158 | 14,118 | S/L | 25.0000 | 1,526 | |||
| ROOF | 2010-12-16 | 4,125 | 1,485 | S/L | 25.0000 | 165 | |||
| SLIDING DOOR - PELLA | 2009-01-27 | 1,619 | 399 | S/L | 40.0000 | 40 | |||
| LAND | 1968-01-01 | 116,819 | |||||||
| VENTS LOUVERED | 2011-05-18 | 3,600 | 2,060 | S/L | 15.0000 | 240 | |||
| BEDS - 7 | 2011-07-30 | 5,950 | 5,950 | S/L | 7.0000 | ||||
| CAFE & HALLWAYS | 2011-02-13 | 2,208 | 1,312 | S/L | 15.0000 | 147 | |||
| 3 OAK BENCHES | 2011-09-07 | 1,950 | 1,950 | S/L | 7.0000 | ||||
| FURN & FIX | 2011-08-29 | 800 | 800 | S/L | 7.0000 | ||||
| DRESSERS | 2011-11-28 | 2,447 | 2,447 | S/L | 7.0000 | ||||
| SOLARIUM FLOOR | 2011-01-04 | 3,890 | 3,890 | S/L | 7.0000 | ||||
| ROOF | 2011-01-07 | 1,750 | 1,050 | S/L | 15.0000 | 117 | |||
| FIRE DOOR | 2011-02-15 | 2,972 | 1,767 | S/L | 15.0000 | 198 | |||
| FASCIA | 2001-04-12 | 4,125 | 2,406 | S/L | 15.0000 | 275 | |||
| IMPOVEMENTS | 2012-06-30 | 206,153 | 33,500 | S/L | 40.0000 | 5,154 | |||
| GREAT ROOM IMPOVEMENT | 2012-03-06 | 11,391 | 8,923 | S/L | 10.0000 | 1,139 | |||
| GREAT ROOM | 2012-03-06 | 6,888 | 5,396 | S/L | 10.0000 | 689 | |||
| CT- INNOVATIONS | 2013-03-26 | 29,702 | 19,306 | S/L | 10.0000 | 2,970 | |||
| DUMPSTER FENCE | 2013-04-09 | 1,668 | 1,084 | S/L | 10.0000 | 167 | |||
| DESIGN ONE | 2013-06-25 | 1,056 | 686 | S/L | 10.0000 | 106 | |||
| CT INNOVATIONS | 2013-07-02 | 3,602 | 2,341 | S/L | 10.0000 | 360 | |||
| WASHER - LOOMUS BROS | 2013-10-22 | 3,821 | 2,484 | S/L | 10.0000 | 382 | |||
| WASHER - LOOMIS BROS | 2013-10-22 | 3,901 | 2,536 | S/L | 10.0000 | 390 | |||
| CONSTRUTION INTBLGD | 2013-03-28 | 1,943 | 316 | S/L | 40.0000 | 49 | |||
| PRIOR CONSTRUTION | 2013-01-01 | 124,327 | 20,203 | S/L | 40.0000 | 3,108 | |||
| BEISHIR LOCK & SECURITY | 2014-01-13 | 1,223 | 961 | S/L | 7.0000 | 175 | |||
| ST LOUIS AUTO SPRINKLER | 2014-05-22 | 1,681 | 1,321 | S/L | 7.0000 | 240 | |||
| SOUND ROOM | 2014-07-22 | 3,238 | 2,544 | S/L | 7.0000 | 463 | |||
| KOVAC HVAC | 2014-02-21 | 2,365 | 1,858 | S/L | 7.0000 | 338 | |||
| KOVAC H0VAC | 2014-04-07 | 1,279 | 1,005 | S/L | 7.0000 | 183 | |||
| 4 BEDS | 2014-04-07 | 5,630 | 4,424 | S/L | 7.0000 | 804 | |||
| PICNIC TABLES | 2014-06-17 | 2,466 | 1,938 | S/L | 7.0000 | 352 | |||
| LIFT CHAIR STORE | 2014-10-10 | 786 | 617 | S/L | 7.0000 | 112 | |||
| ENERCO - SIGN | 2014-06-30 | 3,485 | 2,738 | S/L | 7.0000 | 498 | |||
| FONTANA CONTRACTING | 2014-07-01 | 48,948 | 6,735 | S/L | 40.0000 | 1,225 | |||
| FONTANTA CONTRACTING | 2014-08-31 | 2,390 | 876 | S/L | 15.0000 | 160 | |||
| ENERCO | 2014-10-21 | 3,640 | 2,002 | S/L | 10.0000 | 364 | |||
| PROF MEDICAL | 2015-03-17 | 1,551 | 997 | S/L | 7.0000 | 222 | |||
| PROFESSIONAL MEDICAL | 2015-04-15 | 3,889 | 2,500 | S/L | 7.0000 | 556 | |||
| NEW SIGN | 2015-09-25 | 13,350 | 4,005 | S/L | 15.0000 | 890 | |||
| HVAC RESIDENTIAL WING | 2016-11-30 | 38,807 | 9,055 | S/L | 15.0000 | 2,587 | |||
| HVAC REDISENTIAL | 2017-06-30 | 139,476 | 23,246 | S/L | 15.0000 | 9,297 | |||
| FURNACE ELECTRIC | 2018-01-29 | 7,591 | 1,012 | S/L | 15.0000 | 506 | |||
| HVAC HOUSEKEEPING | 2018-06-30 | 18,699 | 2,493 | S/L | 15.0000 | 1,247 | |||
| HVAC HOUSEKEEPING | 2019-06-30 | 71,456 | 2,382 | S/L | 15.0000 | 4,764 | |||
| STEAM TABLE | 2018-02-28 | 4,005 | 1,144 | S/L | 7.0000 | 572 | |||
| DISHWASHER | 2018-09-20 | 3,269 | 934 | S/L | 7.0000 | 467 | |||
| ICE MAKER | 2018-05-04 | 2,780 | 794 | S/L | 7.0000 | 397 | |||
| GAS CLOTHES DRYER | 2018-12-18 | 4,266 | 1,229 | S/L | 7.0000 | 609 | |||
| 2015 VOLVO | 2018-06-11 | 28,355 | 11,342 | S/L | 5.0000 | 5,671 | |||
| MICROWAVE | 2018-05-04 | 2,987 | 854 | S/L | 7.0000 | 427 | |||
| COOK STOVE | 2020-02-24 | 4,039 | S/L | 7.0000 | 481 | ||||
| DUMPSTER FENCE | 2020-07-15 | 3,975 | S/L | 15.0000 | 133 | ||||
| MICROWAVE | 2018-05-04 | 2,987 | 854 | S/L | 7.0000 | 426 |
| Name | Date Acquired | How Acquired | Date Sold | Purchaser Name | Gross Sales Price | Basis | Basis Method | Sales Expenses | Total (net) | Accumulated Depreciation |
|---|---|---|---|---|---|---|---|---|---|---|
| PUBICALLY TRADED SECURITIES | PURCHASE | 189,266 | 251,264 | -61,998 | ||||||
| PUBICALLY TRADED SECURITIES | PURCHASE |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE STOCKS | 4,959,351 |
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|---|---|---|---|
| BUILDINGS & EQUIPMENT & LAND | 2,102,890 | 1,238,365 | 864,525 | 981,345 |
| LAND | 116,819 | 116,819 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL | 1,408 | 1,408 | 1,408 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| OTHER ASSETS | 39,901 |
| Description | Amount |
|---|---|
| PAYROLL LIABILITIES | 25,633 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| EXPENSES | ||||
| CONTRACT EMPLOYEES NURSING | 246,036 | |||
| EMPLOYMENT EXPENSES | 12,623 | |||
| FOOD | 91,972 | |||
| MEDICAL EQUIPMENT | 1,933 | |||
| MEDICAL SUPPLIES | 63,214 | |||
| MEDICINE AND PHARMACY | 8,023 | |||
| OTHER EXPENSES | 7,366 | |||
| RESIDENT ACTIVITIES | 8,862 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| RESIDENT FEES PRIVATE PAY | 1,672,065 | 1,672,065 | |
| RESIDENT FEES CHARITABLE | 150,784 | 150,784 | |
| OTHER RESIDENT FEES | 1,119 | 1,119 | |
| FAIR MARKET ADJUSTMENT | 473,347 | 473,347 | 473,347 |
| GAINS ON SALE OF INVESTMENTS | 91,860 | 91,860 | 91,860 |
| GAS & OIL REVUES | 112 | 112 | 112 |
| FUND RAISING | 4,984 | 4,984 | |
| MARKETING | 6,930 | 6,930 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MEDICAL CARE | 4,640 | |||
| MANAGEMENT FEES - INVESTMENTS | 29,927 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| AUTO | 336 |