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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
THE MARY CULVER HOME
 
Number and street (or P.O. box number if mail is not delivered to street address)221 W WASHINGTON AVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST LOUIS, MO63122
A Employer identification number

43-0662450
B Telephone number (see instructions)

(314) 966-6034
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... 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$6,362,128J Accounting method:
Modified Cash
(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) 459,262
2 Check bullet.............
3 Interest on savings and temporary cash investments 9,623 9,623 9,623
4 Dividends and interest from securities... 103,901 103,901 103,901
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 415,564
b Gross sales price for all assets on line 6a 1,715,514
7 Capital gain net income (from Part IV, line 2)... 415,564
8 Net short-term capital gain......... 9,242
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)....... Click to see attachment 1,932,908 32,432 1,932,908
12 Total. Add lines 1 through 11........ 2,921,258 561,520 2,055,674
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages...... 1,506,523 0 1,506,523 1,506,523
15 Pension plans, employee benefits....... 237,216 0 237,216 237,216
16a Legal fees (attach schedule)......... Click to see attachment 1,267 0 1,267 1,267
b Accounting fees (attach schedule)....... Click to see attachment 4,095 0 4,095 4,095
c Other professional fees (attach schedule).... Click to see attachment 36,001 32,724 3,277 3,277
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 117,568 0 117,568 117,568
19 Depreciation (attach schedule) and depletion... Click to see attachment 72,671 0 72,671
20 Occupancy.............. 181,103 0 181,103 181,103
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 696,578 0 696,578 696,578
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 2,853,022 32,724 2,820,298 2,747,627
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 2,853,022 32,724 2,820,298 2,747,627
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 68,236
b Net investment income (if negative, enter -0-) 528,796
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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............. 67,917 11,600 11,600
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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) 273,015 Click to see attachment221,225 221,225
b Investments—corporate stock (attach schedule)....... 4,959,351 Click to see attachment5,219,799 5,219,799
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 bullet2,277,810
Less: accumulated depreciation (attach schedule) bullet1,368,306 924,018 Click to see attachment909,504 909,504
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 6,224,301 6,362,128 6,362,128
Liabilities 17 Accounts payable and accrued expenses.......... 25,633 13,195
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 25,633 13,195
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 6,198,668 6,348,933
29 Total net assets or fund balances (see instructions)..... 6,198,668 6,348,933
30 Total liabilities and net assets/fund balances (see instructions). 6,224,301 6,362,128
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 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
6,198,668
2
Enter amount from Part I, line 27a .....................
2
68,236
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
82,029
4
Add lines 1, 2, and 3 ..........................
4
6,348,933
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 29 .
6
6,348,933
Form 990-PF (2021)
Form 990-PF (2021)
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.)
1 a CHARLES SCHWAB - PUBLICLY TRADED SECURITIES      
b CHARLES SCHWAB - PUBLICLY TRADED SECURITIES      
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 213,584   204,342 9,242
b 1,501,930   1,095,608 406,322
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       9,242
b       406,322
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 2 415,564
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 9,242
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter: 1974-10-31(attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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  
3 Add lines 1 and 2........................... 3  
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 0
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
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 2022 estimated taxBullet   RefundedBullet 11  
Part VI-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 the instructions
for the 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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 addressbulletMARYCULVERHOME.ORG
    14
    The books are in care ofbulletTHOMAS ALFERMAN Telephone no.bullet (314) 966-6034

    Located atbullet221 W WASHINGTONST LOUISMO ZIP+4bullet63122
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    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?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    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
    AMY LEPPER DIRECTOR
    40.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    THOMAS ALFERMAN PRESIDENT
    4.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    RAY HALGARA VICE PRESIDENT
    2.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    PAT FLYNN SECRETARY
    2.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    JO ANN EMORY BOARD MEMBER
    1.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    KAREN SMITH TREASURER
    2.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    MARIE DAVIS BOARD MEMBER
    1.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    LYN LAWSHE BOARD MEMBER
    1.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    KEVIN MILLER BOARD MEMBER
    1.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    DAVE VORACEK BOARD MEMBER
    1.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    BARB WATKINS BOARD MEMBER
    1.00     		0 0 0
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    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
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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 VIII-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 THE MARY CULVER HOME IS DEDICATED TO PROVIDING LIFE CARE FOR BLIND AND VISUALLY IMPAIRED WOMEN. THE HOME PROVIDES A PLACE OF RESIDENCE. 2,747,627
    2  
    3  
    4  
    Part VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    5,336,695
    b
    Average of monthly cash balances.......................
    1b
    39,759
    c
    Fair market value of all other assets (see instructions)................
    1c
    909,505
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,285,959
    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
    6,285,959
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    94,289
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    6,191,670
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    309,584
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
     
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    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 XII, line 1 ...
    7
     
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7  
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........  
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$  
    a Applied to 2020, 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 2021 distributable amount.....  
    e Remaining amount distributed out of corpus 2,747,627
    5 Excess distributions carryover applied to 2021.    
    (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 2,747,627
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		 
    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) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, enter the date of the ruling ....... bullet
    1974-10-31
    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) 2021 (b) 2020 (c) 2019 (d) 2018
    0 328,563 0 0 328,563
    b 85% (0.85) of line 2a ......... 0 279,279 0 0 279,279
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		2,747,627 4,043,292 0 0 6,790,919
    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 ....     		2,747,627 4,043,292 0 0 6,790,919
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......         0
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		         0
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		206,389 219,042 0 0 425,431
    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 XIV
    Supplementary Information (Complete this part only if the foundation 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 e-mail address of the person to whom applications should be addressed:
    JULIE KOVAC
    221 W WASHINGTON AVE
    ST LOUIS,MO63122
    (314) 966-6034
    JULIE@MARYCULVERHOME.ORG
    bThe form in which applications should be submitted and information and materials they should include:
    ANY FORMAT IS ACCEPTED
    cAny submission deadlines:
    NOT DETERMINED
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    N/A
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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 (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 9,623  
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    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 ............     		    18 415,564  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aMISCELLANEOUS REVENUE     		  5,575      
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 5,575 561,520 1,894,901
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    2,461,996
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    1A RESIDENT FEES
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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) (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) (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 instructions.
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    THE MARY CULVER HOME
     
    Employer identification number

    43-0662450
    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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    THE MARY CULVER HOME
          		Employer identification number
    43-0662450
    Part I
    Contributors
    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
    ANONYMOUS
    221 W WASHINGTON AVE
     
    ST LOUIS, MO63122

    		$ 198,106


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    DOROTHY DAVIS SMITH
    1016 FORT MASON DRIVE
     
    DELTONA, FL32725

    		$ 16,930


    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    THE MARY CULVER HOME
          		Employer identification number

    43-0662450
    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
    1
    		 STOCK $ 198,106 2021-05-31
    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    THE MARY CULVER HOME
          		Employer identification number

    43-0662450
    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) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 4,095 0 4,095 4,095

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

    TY 2021 DepreciationSchedule
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    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
    ONE STORY BUILDING 1968-01-01 553,980 553,980 SL 40.000000000000 0 0 0  
    SOLARIUM ADDITION 2000-10-15 42,027 42,027 SL 15.000000000000 0 0 0  
    FLOOR MATTING 2005-05-02 155 155 SL 10.000000000000 0 0 0  
    REFRIGERATOR RM #7 2005-04-27 1,054 1,054 SL 10.000000000000 0 0 0  
    CHAIRS 2005-12-05 18,642 18,642 SL 10.000000000000 0 0 0  
    REFRIGERATOR 2005-02-24 3,038 3,038 SL 10.000000000000 0 0 0  
    17 TOILETS WITH ADA UNITS 2005-03-08 7,240 7,240 SL 10.000000000000 0 0 0  
    CUSHIONS FOR DINING ROOM CHAIR 2005-09-01 12 12 SL 10.000000000000 0 0 0  
    TABLE TOPS WALLCOVERING 2006-07-13 6,247 6,247 SL 10.000000000000 0 0 0  
    DINNING ROOM FURNITURE 2006-07-13 9,711 9,711 SL 10.000000000000 0 0 0  
    DINNING ROOM FURNITURE 2006-10-24 10,047 10,047 SL 10.000000000000 0 0 0  
    TABLE TOPS WALLCOVERING 2006-11-28 5,699 5,699 SL 10.000000000000 0 0 0  
    LAUNDRY HAMPER 2006-04-18 477 477 SL 10.000000000000 0 0 0  
    PATIO FURNITURE 2006-07-11 225 225 SL 10.000000000000 0 0 0  
    WASING MACHING 2007-06-30 3,778 3,778 SL 10.000000000000 0 0 0  
    DINING ROOM 2007-06-30 9,032 9,032 SL 10.000000000000 0 0 0  
    ADDITION 1997-01-01 122,302 88,571 SL 33.000000000000 3,706 0 3,706  
    DRESSERS 2009-02-03 1,134 1,134 SL 10.000000000000 0 0 0  
    RESIDENTAL HALL LIGHTING 2009-10-27 12,378 6,920 SL 20.000000000000 619 0 619  
    AUDITORIM 2009-10-27 5,938 3,319 SL 20.000000000000 297 0 297  
    CONFERENCE ROON,SANDY'S OFFICE,HALLWAYS,NURSING OF 2009-10-27 8,564 4,788 SL 20.000000000000 428 0 428  
    DINING ROOM RENOVATIONS 2009-07-14 14,145 8,111 SL 20.000000000000 707 0 707  
    FIRE SUPPRESSION SYSTEM 2009-09-01 264,936 150,143 SL 20.000000000000 13,247 0 13,247  
    PAINTING 2009-10-27 13,513 7,554 SL 20.000000000000 676 0 676  
    BACK FLOOR 2008-03-05 3,264 2,093 SL 20.000000000000 163 0 163  
    DRESSERS 2008-09-16 4,314 4,314 SL 10.000000000000 0 0 0  
    WASHING MACHINE 2008-08-22 1,374 1,374 SL 7.000000000000 0 0 0  
    CARPET 2008-09-01 7,460 7,460 SL 10.000000000000 0 0 0  
    2 RECLINERS 2008-10-20 846 846 SL 10.000000000000 0 0 0  
    DOOR 2008-11-27 1,619 979 SL 20.000000000000 81 0 81  
    BLINDS ARTWORK 2008-12-02 3,695 3,695 SL 10.000000000000 0 0 0  
    STOVE 2010-03-09 17,615 17,615 SL 10.000000000000 0 0 0  
    RES. HALL LIGHTING 2010-03-15 17,564 17,564 SL 10.000000000000 0 0 0  
    HALL VASES,FLOWERS,#S 2010-03-15 1,877 1,876 SL 10.000000000000 0 0 0  
    FURNITURE 2010-04-20 3,523 3,523 SL 10.000000000000 0 0 0  
    VARIOUS 2010-04-23 868 868 SL 10.000000000000 0 0 0  
    STOVE 2010-04-27 2,349 2,348 SL 10.000000000000 0 0 0  
    NOT DESCRIBED 2010-08-16 1,450 1,450 SL 10.000000000000 0 0 0  
    WEST DOOR 2010-08-24 2,596 1,073 SL 25.000000000000 104 0 104  
    HEALTH FACILITIES EQUIPMENT 2010-09-20 1,109 1,109 SL 10.000000000000 0 0 0  
    CAFE 2010-10-18 5,313 5,313 SL 10.000000000000 0 0 0  
    CAFE,DINING ROOM 2010-10-18 1,572 1,572 SL 10.000000000000 0 0 0  
    SOLARIUM AREA 2010-11-05 5,770 2,346 SL 25.000000000000 231 0 231  
    ROOF 2010-09-30 38,158 15,645 SL 25.000000000000 1,526 0 1,526  
    ROOF 2010-12-16 4,125 1,650 SL 25.000000000000 165 0 165  
    SLIDING DOOR -PELLA 2009-01-27 1,619 440 SL 40.000000000000 40 0 40  
    LAND 1968-01-01 116,819   L 0 % 0 0 0  
    LOUVERED VENTS 2011-05-18 3,600 2,300 SL 15.000000000000 240 0 240  
    7-BEDS 2011-07-30 5,950 5,950 SL 7.000000000000 0 0 0  
    IMPORVEMENTS CAF HALLWAYS 2011-02-13 2,208 1,460 SL 15.000000000000 147 0 147  
    3 OAK BENCHES 2011-09-07 1,950 1,950 SL 7.000000000000 0 0 0  
    MULTIPLE 2011-08-29 800 800 SL 7.000000000000 0 0 0  
    DRESSERS 2011-11-28 2,448 2,448 SL 7.000000000000 0 0 0  
    SOLARIUM FLOOR 2011-01-04 3,890 3,890 SL 7.000000000000 0 0 0  
    ROOF 2011-01-07 1,750 1,167 SL 15.000000000000 117 0 117  
    FIRE DOOR 2011-02-15 2,972 1,965 SL 15.000000000000 198 0 198  
    FASCIA 2011-04-12 4,125 2,681 SL 15.000000000000 275 0 275  
    IMPROVEMENTS 2012-06-30 206,153 38,654 SL 40.000000000000 5,154 0 5,154  
    DESIGN STUDIO 2012-03-06 11,391 10,062 SL 10.000000000000 1,139 0 1,139  
    DESIGN STUDIO 1 2012-03-06 6,888 6,085 SL 10.000000000000 689 0 689  
    CT-INNOVATIONS 2013-03-26 29,702 22,276 SL 10.000000000000 2,970 0 2,970  
    A CARPENTERS PLUS 2013-04-09 1,668 1,251 SL 10.000000000000 167 0 167  
    DESIGN STUDIO ONE, INC 2013-06-25 1,056 792 SL 10.000000000000 106 0 106  
    CT-INNOVATIONS 2013-07-02 3,602 2,702 SL 10.000000000000 360 0 360  
    LOOMIS BROS. EQUIPMENT CO. 2013-10-22 3,821 2,866 SL 10.000000000000 382 0 382  
    LOOMIS BROS. EQUIPMENT CO. 2013-10-22 3,901 2,926 SL 10.000000000000 390 0 390  
    CONTRUCTION INTEREST 2013-03-28 1,943 365 SL 40.000000000000 49 0 49  
    PRIOR CONSTRUCTION 2013-01-01 124,327 20,378 SL 40.000000000000 3,108 0 3,108  
    BEISHIR LOCK & SECURITY 2014-01-13 1,223 1,201 SL 7.000000000000 0 0 0  
    ST. LOUIS AUTOMATIC SPRINKLER CO. 2014-05-22 1,681 1,561 SL 7.000000000000 100 0 100  
    THE SOUND ROOM 2014-07-22 3,238 3,007 SL 7.000000000000 231 0 231  
    KOVAC COUNTY REFRIGERATION & HEATING 2014-02-21 2,365 2,196 SL 7.000000000000 56 0 56  
    KOVAC COUNTY REFRIGERATION & HEATING 2014-02-27 1,279 1,188 SL 7.000000000000 30 0 30  
    HEALTH FACILITIES EQUIPMENT, INC. 2014-04-07 5,630 5,228 SL 7.000000000000 201 0 201  
    TOM ALFERMAN 2014-06-17 2,466 2,290 SL 7.000000000000 176 0 176  
    LIFT CHAIR STORE 2014-10-10 786 730 SL 7.000000000000 56 0 56  
    ENERCO 2014-06-30 1,745 1,620 SL 7.000000000000 125 0 125  
    ENERCO 2014-06-30 1,740 1,616 SL 7.000000000000 124 0 124  
    FONTANA CONTRACTING, INC. 2014-07-01 48,984 7,960 SL 40.000000000000 1,225 0 1,225  
    FONTANA CONTRACTING, INC. 2014-08-31 2,390 1,036 SL 15.000000000000 159 0 159  
    ENERCO 2014-10-21 3,640 2,366 SL 10.000000000000 364 0 364  
    PROFESSIONAL MEDICAL, INC. 2015-03-17 1,551 1,219 SL 7.000000000000 222 0 222  
    PROFESSIONAL MEDICAL, INC. 2015-04-15 3,889 3,056 SL 7.000000000000 556 0 556  
    NEW SIGN 2015-09-25 13,350 4,895 SL 15.000000000000 890 0 890  
    NEW HVAC SYSTEM 2016-11-30 38,807 11,642 SL 15.000000000000 2,587 0 2,587  
    NEW HVAC SYSTEM 2017-06-30 139,476 32,544 SL 15.000000000000 9,298 0 9,298  
    ELECTRIC FURNACE 2018-01-29 7,591 1,518 SL 15.000000000000 506 0 506  
    NEW HVAC SYSTEM HOUSEKEEPING WING 2018-06-30 18,699 3,740 SL 15.000000000000 1,247 0 1,247  
    NEW HVAC SYSTEM HOUSEKEEPING WING 2019-06-30 71,456 9,527 SL 15.000000000000 4,764 0 4,764  
    STEAM TABLE 2018-02-28 4,005 1,716 SL 7.000000000000 572 0 572  
    MICROWAVE 2018-05-04 2,987 1,280 SL 7.000000000000 427 0 427  
    DISH MACHINE 2018-09-20 3,269 1,401 SL 7.000000000000 467 0 467  
    ICE MAKER 2018-05-04 2,780 1,191 SL 7.000000000000 397 0 397  
    GAS CLOTHES DRYER 2018-12-18 4,266 1,828 SL 7.000000000000 609 0 609  
    2015 VOLVO 2018-06-11 28,355 17,013 SL 5.000000000000 5,671 0 5,671  
    COOK STOVE 2020-02-24 4,039 481 SL 7.000000000000 577 0 577  
    DUMPSTER FENCE 2020-07-15 3,975 133 SL 15.000000000000 265 0 265  
    HVAC KOVAC 2021-01-01 9,828   SL 15.000000000000 655 0 655  
    HVAC KOVAC 2021-01-15 4,924   SL 15.000000000000 328 0 328  
    HVAC KOVAC 2021-01-22 2,480   SL 15.000000000000 152 0 152  
    HVAC KOVAC 2021-02-05 11,798   SL 15.000000000000 721 0 721  
    HVAC KOVAC 2021-03-18 21,479   SL 15.000000000000 1,074 0 1,074  
    HVAC KOVAC 2021-05-11 15,649   SL 15.000000000000 696 0 696  
    HVAC KOVAC 2021-06-16 2,672   SL 15.000000000000 89 0 89  

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCKS 5,219,799 5,219,799

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    US Government Securities - End of Year Book Value:

    221,225
    US Government Securities - End of Year Fair Market Value:

    221,225
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 LandEtcSchedule2
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    ONE STORY BUILDING 553,980 553,980 0  
    SOLARIUM ADDITION 42,027 42,027 0  
    FLOOR MATTING 155 155 0  
    REFRIGERATOR RM #7 1,054 1,054 0  
    CHAIRS 18,642 18,642 0  
    REFRIGERATOR 3,038 3,038 0  
    17 TOILETS WITH ADA UNITS 7,240 7,240 0  
    CUSHIONS FOR DINING ROOM CHAIR 12 12 0  
    TABLE TOPS WALLCOVERING 6,247 6,247 0  
    DINNING ROOM FURNITURE 9,711 9,711 0  
    DINNING ROOM FURNITURE 10,047 10,047 0  
    TABLE TOPS WALLCOVERING 5,699 5,699 0  
    LAUNDRY HAMPER 477 477 0  
    PATIO FURNITURE 225 225 0  
    WASING MACHING 3,778 3,778 0  
    DINING ROOM 9,032 9,032 0  
    ADDITION 122,302 92,277 30,025  
    DRESSERS 1,134 1,134 0  
    RESIDENTAL HALL LIGHTING 12,378 7,539 4,839  
    AUDITORIM 5,938 3,616 2,322  
    CONFERENCE ROON,SANDY'S OFFICE,HALLWAYS,NURSING OF 8,564 5,216 3,348  
    DINING ROOM RENOVATIONS 14,145 8,818 5,327  
    FIRE SUPPRESSION SYSTEM 264,936 163,390 101,546  
    PAINTING 13,513 8,230 5,283  
    BACK FLOOR 3,264 2,256 1,008  
    DRESSERS 4,314 4,314 0  
    WASHING MACHINE 1,374 1,374 0  
    CARPET 7,460 7,460 0  
    2 RECLINERS 846 846 0  
    DOOR 1,619 1,060 559  
    BLINDS ARTWORK 3,695 3,695 0  
    STOVE 17,615 17,615 0  
    RES. HALL LIGHTING 17,564 17,564 0  
    HALL VASES,FLOWERS,#S 1,877 1,876 1  
    FURNITURE 3,523 3,523 0  
    VARIOUS 868 868 0  
    STOVE 2,349 2,348 1  
    NOT DESCRIBED 1,450 1,450 0  
    WEST DOOR 2,596 1,177 1,419  
    HEALTH FACILITIES EQUIPMENT 1,109 1,109 0  
    CAFE 5,313 5,313 0  
    CAFE,DINING ROOM 1,572 1,572 0  
    SOLARIUM AREA 5,770 2,577 3,193  
    ROOF 38,158 17,171 20,987  
    ROOF 4,125 1,815 2,310  
    SLIDING DOOR -PELLA 1,619 480 1,139  
    LAND 116,819 0 116,819  
    LOUVERED VENTS 3,600 2,540 1,060  
    7-BEDS 5,950 5,950 0  
    IMPORVEMENTS CAF HALLWAYS 2,208 1,607 601  
    3 OAK BENCHES 1,950 1,950 0  
    MULTIPLE 800 800 0  
    DRESSERS 2,448 2,448 0  
    SOLARIUM FLOOR 3,890 3,890 0  
    ROOF 1,750 1,284 466  
    FIRE DOOR 2,972 2,163 809  
    FASCIA 4,125 2,956 1,169  
    IMPROVEMENTS 206,153 43,808 162,345  
    DESIGN STUDIO 11,391 11,201 190  
    DESIGN STUDIO 1 6,888 6,774 114  
    CT-INNOVATIONS 29,702 25,246 4,456  
    A CARPENTERS PLUS 1,668 1,418 250  
    DESIGN STUDIO ONE, INC 1,056 898 158  
    CT-INNOVATIONS 3,602 3,062 540  
    LOOMIS BROS. EQUIPMENT CO. 3,821 3,248 573  
    LOOMIS BROS. EQUIPMENT CO. 3,901 3,316 585  
    CONTRUCTION INTEREST 1,943 414 1,529  
    PRIOR CONSTRUCTION 124,327 23,486 100,841  
    BEISHIR LOCK & SECURITY 1,223 1,201 22  
    ST. LOUIS AUTOMATIC SPRINKLER CO. 1,681 1,661 20  
    THE SOUND ROOM 3,238 3,238 0  
    KOVAC COUNTY REFRIGERATION & HEATING 2,365 2,252 113  
    KOVAC COUNTY REFRIGERATION & HEATING 1,279 1,218 61  
    HEALTH FACILITIES EQUIPMENT, INC. 5,630 5,429 201  
    TOM ALFERMAN 2,466 2,466 0  
    LIFT CHAIR STORE 786 786 0  
    ENERCO 1,745 1,745 0  
    ENERCO 1,740 1,740 0  
    FONTANA CONTRACTING, INC. 48,984 9,185 39,799  
    FONTANA CONTRACTING, INC. 2,390 1,195 1,195  
    ENERCO 3,640 2,730 910  
    PROFESSIONAL MEDICAL, INC. 1,551 1,441 110  
    PROFESSIONAL MEDICAL, INC. 3,889 3,612 277  
    NEW SIGN 13,350 5,785 7,565  
    NEW HVAC SYSTEM 38,807 14,229 24,578  
    NEW HVAC SYSTEM 139,476 41,842 97,634  
    ELECTRIC FURNACE 7,591 2,024 5,567  
    NEW HVAC SYSTEM HOUSEKEEPING WING 18,699 4,987 13,712  
    NEW HVAC SYSTEM HOUSEKEEPING WING 71,456 14,291 57,165  
    STEAM TABLE 4,005 2,288 1,717  
    MICROWAVE 2,987 1,707 1,280  
    DISH MACHINE 3,269 1,868 1,401  
    ICE MAKER 2,780 1,588 1,192  
    GAS CLOTHES DRYER 4,266 2,437 1,829  
    2015 VOLVO 28,355 22,684 5,671  
    COOK STOVE 4,039 1,058 2,981  
    DUMPSTER FENCE 3,975 398 3,577  
    HVAC KOVAC 9,828 655 9,173  
    HVAC KOVAC 4,924 328 4,596  
    HVAC KOVAC 2,480 152 2,328  
    HVAC KOVAC 11,798 721 11,077  
    HVAC KOVAC 21,479 1,074 20,405  
    HVAC KOVAC 15,649 696 14,953  
    HVAC KOVAC 2,672 89 2,583  


    TY 2021 LegalFeesSchedule
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 1,267 0 1,267 1,267


    TY 2021 OtherExpensesSchedule
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CONTRACT EMPLOYEES NURSING 179,452 0 179,452 179,452
    FOOD 91,359 0 91,359 91,359
    MEDICAL EQUIPMENT AND SUPPLIES 57,650 0 57,650 57,650
    MEDICINE AND PHARMACY 259,409 0 259,409 259,409
    OTHER EXPENSES 7,481 0 7,481 7,481
    RESIDENT ACTIVITIES 10,661 0 10,661 10,661
    INSURANCE 43,181 0 43,181 43,181
    ADMINISTRATIVE EXPENSES 34,882 0 34,882 34,882
    MARKETING & ADVERTISING 12,255 0 12,255 12,255
    VEHICLE 248 0 248 248


    TY 2021 OtherIncomeSchedule2
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    CAPITAL GAIN DISTRIBUTIONS 32,160 32,160 32,160
    GAS & OIL REVENUE 272 272 272
    PROGRAM SERVICE FEES 1,894,901   1,894,901
    MISCELLANEOUS REVENUE 5,575   5,575


    TY 2021 OtherIncreasesSchedule
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Description Amount
    UNREALIZED GAINS ON INVESTMENTS 82,029


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER PROFESSIONAL FEES 36,001 32,724 3,277 3,277


    TY 2021 TaxesSchedule
    Name:
    THE MARY CULVER HOME
    EIN:
    43-0662450
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 117,568 0 117,568 117,568