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 06-01-2021 , and ending 05-31-2022
Name of foundation
THE FARMINGTON HOME FOR AGED PEOPLE
 
Number and street (or P.O. box number if mail is not delivered to street address)204 MAIN STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FARMINGTON, ME04938
A Employer identification number

01-0217212
B Telephone number (see instructions)

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$4,852,960J 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) 139,088
2 Check bullet.............
3 Interest on savings and temporary cash investments 182 182 182
4 Dividends and interest from securities... 101,568 101,568 101,568
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 86,874
b Gross sales price for all assets on line 6a 262,057
7 Capital gain net income (from Part IV, line 2)... 86,874
8 Net short-term capital gain......... 86,874
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 873,508    
12 Total. Add lines 1 through 11........ 1,201,220 188,624 188,624
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 661,971 10,000 10,000 641,971
15 Pension plans, employee benefits....... 6,790     6,790
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 9,183     9,183
c Other professional fees (attach schedule).... Click to see attachment 30,559 16,436   14,123
17 Interest............... 11,492     11,492
18 Taxes (attach schedule) (see instructions)... Click to see attachment 63,136 765   62,371
19 Depreciation (attach schedule) and depletion... Click to see attachment 33,233    
20 Occupancy.............. 69,343     69,343
21 Travel, conferences, and meetings....... 386     386
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 296,617     296,617
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,182,710 27,201 10,000 1,112,276
25 Contributions, gifts, grants paid....... 0 0
26 Total expenses and disbursements. Add lines 24 and 25 1,182,710 27,201 10,000 1,112,276
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 18,510
b Net investment income (if negative, enter -0-) 161,423
c Adjusted net income (if negative, enter -0-)... 178,624
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............. 136,939 55,961 55,961
2 Savings and temporary cash investments......... 10,639 110,657 110,657
3 Accounts receivable bullet8,530
Less: allowance for doubtful accounts bullet   9,678 8,530 8,530
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) 14,776 Click to see attachment76,877 76,877
b Investments—corporate stock (attach schedule)....... 2,364,353 Click to see attachment2,017,133 2,017,133
c Investments—corporate bonds (attach schedule)....... 372,122 Click to see attachment352,180 352,180
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 bullet2,231,622
Less: accumulated depreciation (attach schedule) bullet1,489,639 775,216 Click to see attachment741,983 2,231,622
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,683,723 3,363,321 4,852,960
Liabilities 17 Accounts payable and accrued expenses.......... 21,939 19,587
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 291,913 Click to see attachment275,993
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 313,852 295,580
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........... 3,367,399 3,064,843
25 Net assets with donor restrictions............ 2,472 2,898
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........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 3,369,871 3,067,741
30 Total liabilities and net assets/fund balances (see instructions). 3,683,723 3,363,321
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
3,369,871
2
Enter amount from Part I, line 27a .....................
2
18,510
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
426
4
Add lines 1, 2, and 3 ..........................
4
3,388,807
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
321,066
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,067,741
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 BANGOR SAVINGS P    
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 262,057   175,183 86,874
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       86,874
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 86,874
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 86,874
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: 1997-08-06(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  
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  
8 Enter any penalty for underpayment of estimated tax. Check here 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  
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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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
     
    No
    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
     
     
    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 addressbullet  
    14
    The books are in care ofbulletTIM THOMPSON Telephone no.bullet (207) 778-4745

    Located atbulletPO BOX 825FARMINGTONME ZIP+4bullet04938
    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
    TIM THOMPSON TREASURER
    5.00     		0 0 0
    PO BOX 825
    FARMINGTON,ME04938
    CRAIG JORDAN PRESIDENT
    10.00     		0 0 0
    214 FAIRBANKS ROAD
    FARMINGTON,ME04938
    KIMBERLY GOOCH CLERK
    2.00     		0 0 0
    232 CLOVER HILL ROAD
    FARMINGTON,ME04938
    JOHN BOGAR TRUSTEE
    2.00     		0 0 0
    314 MORRISON HILL RD
    FARMINGTON,ME04938
    JAN BRINKMAN TRUSTEE
    2.00     		0 0 0
    PO BOX 199
    WEST FARMINGTON,ME04992
    SHELLEY DEANE TRUSTEE
    2.00     		0 0 0
    PO BOX 825
    FARMINGTON,ME04938
    CAROLYN EATON TRUISTEE
    2.00     		0 0 0
    63 SAVAGE RD
    INDUSTRY,ME04938
    MARY FRANK TRUSTEE
    2.00     		0 0 0
    184 HOLLEY ROAD
    FARMINGTON,ME04938
    STEVE GRAY TRUSTEE
    2.00     		0 0 0
    630 MOSHER HILL RD
    FARMINGTON,ME04938
    KELLY KADING TRUSTEE
    2.00     		0 0 0
    PO BOX 266
    FARMINGTON,ME04938
    ROBERT LIVELY PHD TRUSTEE
    2.00     		0 0 0
    PO BOX 616
    WILTON,ME04294
    JEREMY MCFARLANE TRUSTEE
    2.00     		0 0 0
    137 FARMINGTON FALLS RD
    FARMINGTON,ME04938
    JAN ROBERTS TRUSTEE
    2.00     		0 0 0
    383 WILTON RD
    FARMINGTON,ME04938
    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.............bullet  
    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 HOME IS A RESIDENTIAL CARE FACILITY WITH 16 PRIVATE ROOMS FOR OLDER PEOPLE THAT PROVIDES ASSISTANCE WITH DAILY LIVING AND THE MANAGEMENT OF HEA 0
    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.........................bullet  
    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
    2,190,743
    b
    Average of monthly cash balances.......................
    1b
    407,978
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,598,721
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,598,721
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    38,981
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,559,740
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    127,987
    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$ 1,112,276
    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 1,112,276
    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 1,112,276
    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 ......     		1,112,276
    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.... 1,112,276
    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
    1997-08-06
    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
    127,987 46,152 66,431 67,119 307,689
    b 85% (0.85) of line 2a ......... 108,789 39,229 56,466 57,051 261,535
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		1,112,276 1,065,164 1,072,209 1,004,346 4,253,995
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		1,112,276 1,065,164 1,072,209 1,004,346 4,253,995
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		85,325 88,751 81,710 84,549 340,335
    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) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    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 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 (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 ...........     		         
    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 ............     		         
    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) ..      
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
     
    (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.)
    03 PROVIDES FUNDS TO OFFSET OPERATING EXPENSES
    04 PROVIDES FUNDS TO OFFSET OPERATING EXPENSES
    08 PROVIDES FUNDS TO OFFSET OPERATING EXPENSES
    11A PROVIDES FUNDS TO OPERATE AND PERFORM ELDERLY CARE SERVICES
    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 FARMINGTON HOME FOR AGED PEOPLE
     
    Employer identification number

    01-0217212
    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 FARMINGTON HOME FOR AGED PEOPLE
          		Employer identification number
    01-0217212
    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
    JUDITH BJORN
    444 TITCOMB HILL RD
     
    FARMINGTON, ME049389702

    		$ 100,000


    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    THE FARMINGTON HOME FOR AGED PEOPLE
          		Employer identification number

    01-0217212
    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) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    THE FARMINGTON HOME FOR AGED PEOPLE
          		Employer identification number

    01-0217212
    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 FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 9,183 0 0 9,183

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

    TY 2021 DepreciationSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    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
    2006 CHRYSLER 300 2012-09-21 16,934 16,934 SL 7 0 0 0  
    BUILDING EXPANSION 1995-09-01 717,236 717,236 SL 20 0 0 0  
    EXPANSION - PAINT 1995-09-01 40,000 40,000 SL 5 0 0 0  
    EXPANSION - MOVE EQUIP 1995-09-01 55,093 55,093 SL 7 0 0 0  
    EXPANSION - ELEVATOR 1995-09-01 40,000 40,000 SL 10 0 0 0  
    EXPANSION - LANDSCAPE 1995-09-01 12,000 12,000 SL 10 0 0 0  
    BLDG EXPANSION 2015-05-01 568,007 88,598 SL 39 14,564 0 0  
    BLAINE CASEY 2015-07-23 38,114 5,699 SL 39 977 0 0  
    WELCH SIGNAGE 2015-06-19 387 59 SL 39 10 0 0  
    IEC PROJECT LIGHTING 2015-08-20 561 81 SL 39 14 0 0  
    BALANCE 1972-05-31 165,916 165,916 SL 30 0 0 0  
    FURNACE 1997-06-30 15,025 15,025 SL 20 0 0 0  
    THIRD FLOOR RENOVATION 1998-04-30 22,600 22,600 SL 20 0 0 0  
    ADDITIONS 1998-11-30 40,036 40,036 SL 15 0 0 0  
    WALL COVERINGS 1998-11-30 1,706 1,706 SL 8 0 0 0  
    IMPROVEMENTS 2000-11-16 2,252 2,252 SL 15 0 0 0  
    ELECRIC IMPROVEMENTS 2001-08-19 1,713 1,713 SL 15 0 0 0  
    CARPET 2002-04-09 4,013 4,013 SL 15 0 0 0  
    IMPROVEMENTS 2002-10-30 4,884 4,534 SL 20 244 0 0  
    CURTAINS 2002-09-18 2,915 2,915 SL 15 0 0 0  
    IMPROVEMENTS 2003-10-22 8,120 7,139 SL 20 406 0 0  
    IMPROVEMENTS 2004-05-04 15,042 12,847 SL 20 752 0 0  
    IMPROVEMENTS 2004-04-30 835 717 SL 20 42 0 0  
    IMPROVEMENTS 2004-10-24 17,666 7,512 SL 39 453 0 0  
    IMPROVEMENTS 2005-08-01 6,446 2,606 SL 39 165 0 0  
    IMPROVEMENTS 2005-10-10 1,804 719 SL 39 46 0 0  
    IMPROVEMENTS 2005-12-12 7,647 3,030 SL 39 196 0 0  
    IMPROVEMENTS 2006-01-27 12,592 4,966 SL 39 323 0 0  
    IMPROVEMENTS 2006-03-08 4,828 1,886 SL 39 124 0 0  
    ELECTRIC IMPROVEMENTS 2007-02-19 367 129 SL 39 9 0 0  
    IMPROVEMENTS 2007-03-12 4,657 1,691 SL 39 119 0 0  
    IMPROVEMENTS 2007-06-11 7,500 2,680 SL 39 192 0 0  
    IMPROVEMENTS 2007-08-22 5,200 1,835 SL 39 133 0 0  
    IMPROVEMENTS 2007-12-13 4,500 1,548 SL 39 115 0 0  
    IMPROVEMENTS 2007-12-14 435 148 SL 39 11 0 0  
    IMPROVEMENTS 2008-05-30 410 143 SL 39 11 0 0  
    IMPROVEMENTS 2007-06-22 900 321 SL 39 23 0 0  
    PAVING 2007-10-15 2,500 872 SL 39 64 0 0  
    ELECTRIC IMPROVEMENT 2008-09-15 1,613 521 SL 39 41 0 0  
    ELECTRIC IMPROVEMENT 2008-10-30 397 126 SL 39 10 0 0  
    IMPROVE FARM CONST 2009-12-10 4,947 1,460 SL 39 127 0 0  
    PORCH AWNING 2010-04-09 8,866 2,535 SL 39 227 0 0  
    DRYER VENTING 2010-03-18 693 201 SL 39 18 0 0  
    ELECTRIC IMPROVEMENT 2010-04-08 1,424 413 SL 39 37 0 0  
    PORCH FLOOR 2010-04-09 3,940 1,128 SL 39 101 0 0  
    FURNACE 2010-05-25 4,427 1,254 SL 39 114 0 0  
    KITCHEN RENOVATION 2010-08-25 21,597 5,955 SL 39 554 0 0  
    DOOR INSTALATION 2010-10-06 468 128 SL 39 12 0 0  
    ELECRICAL IMPROVEMENTS 2010-12-14 2,156 578 SL 39 55 0 0  
    IMPROVEMENTS - PAINT EXT 2011-06-28 5,120 1,299 SL 39 131 0 0  
    SEWER LINE - BASEMENT 2012-01-11 3,200 772 SL 39 82 0 0  
    RANGE GUARD 2012-07-31 1,596 362 SL 39 41 0 0  
    EASTERN FIRE SERVICES 2012-08-30 4,588 1,032 SL 39 118 0 0  
    SMOKE DETECTORS SIMPLEX 2012-10-01 5,319 1,179 SL 39 136 0 0  
    TELEPHONE LINE 2001-10-01 509 113 SL 39 13 0 0  
    FLOORING 2013-07-23 918 188 SL 39 24 0 0  
    ROOF 2014-03-12 15,950 2,965 SL 39 409 0 0  
    KITCHEN REMODEL TAYLOR 2014-08-21 34,230 5,926 SL 39 878 0 0  
    KITCHEN FLOOR 2015-05-29 6,702 1,032 SL 39 172 0 0  
    BUNKER & SAVAGE DESIGN 2015-06-22 650 100 SL 39 17 0 0  
    NORTHLAND FLOORING 2015-11-17 2,054 291 SL 39 53 0 0  
    CRAIG BOONE ARCHITECT 2016-04-27 1,610 208 SL 39 41 0 0  
    BOUFFARDS CARPET 2016-02-04 1,021 139 SL 39 26 0 0  
    IMPROVEMENTS RIDLEY 2016-06-24 6,570 826 SL 39 168 0 0  
    BOUFFARDS CARPET 2017-03-10 2,569 280 SL 39 66 0 0  
    GAZEBO 12 2018-05-18 8,503 654 SL 39 218 0 0  
    CARPET CORRIDOR 2017-08-30 4,621 443 SL 39 118 0 0  
    HEAT PUMP INSTALLATION 2018-06-25 4,330 324 SL 39 111 0 0  
    GAZEBO 12 2018-08-08 8,503 618 SL 39 218 0 0  
    GAZEBO TECHNO POSTS 2018-08-14 6,200 450 SL 39 159 0 0  
    GAZEBO ADA RAMP 2019-05-30 6,399 328 SL 39 164 0 0  
    LAND 1972-05-31 12,100 0 NDA   0 0 0  
    COMPUTER 1998-03-31 2,494 2,494 SL 5 0 0 0  
    FURNITURE 1998-03-31 4,060 4,060 SL 7 0 0 0  
    COMPUTER 1998-11-30 2,415 2,415 SL 5 0 0 0  
    EQUIPMENT 1998-11-30 3,354 3,354 SL 10 0 0 0  
    EQUIPMENT 2000-06-22 453 453 SL 10 0 0 0  
    SHREDDER 2000-06-22 262 262 SL 10 0 0 0  
    APPLIANCES 2000-07-31 907 907 SL 10 0 0 0  
    DISHWASHER 2003-04-09 2,800 2,800 SL 10 0 0 0  
    TRACTOR 2003-04-14 3,699 3,699 SL 10 0 0 0  
    WATER HEATERS 2003-05-20 4,220 4,220 SL 10 0 0 0  
    TABLES & CHAIRS 2006-08-16 7,113 7,113 SL 10 0 0 0  
    APPLIANCES 2003-06-16 1,745 1,745 SL 10 0 0 0  
    EQUIPMENT 2003-07-15 300 300 SL 10 0 0 0  
    FURNITURE 2003-11-18 545 545 SL 10 0 0 0  
    EQUIPMENT 2004-02-04 500 500 SL 10 0 0 0  
    EQUIPMENT 2004-02-29 247 247 SL 10 0 0 0  
    SOUND SYSTEM 2003-12-03 2,421 2,421 SL 10 0 0 0  
    EQUIPMENT 2004-06-29 925 925 SL 10 0 0 0  
    DESK CHAIR 2004-09-29 418 418 SL 10 0 0 0  
    COPIER 2004-10-27 2,480 2,480 SL 10 0 0 0  
    FURNITURE 2004-09-15 1,600 1,600 SL 10 0 0 0  
    EQUIPMENT 2005-01-12 309 309 SL 10 0 0 0  
    FURNITURE UPHOLSTERING 2005-04-10 1,000 1,000 SL 10 0 0 0  
    EQUIPMENT 2005-11-15 2,071 2,071 SL 10 0 0 0  
    EQUIPMENT 2006-07-19 2,339 2,339 SL 10 0 0 0  
    EQUIPMENT 2006-08-04 510 510 SL 10 0 0 0  
    EQUIPMENT 2006-09-06 200 200 SL 10 0 0 0  
    EQUIPMENT 2006-10-27 1,650 1,650 SL 10 0 0 0  
    EQUIPMENT 2007-01-05 729 729 SL 10 0 0 0  
    EQUIPMENT 2007-01-22 500 500 SL 10 0 0 0  
    EQUIPMENT 2007-02-02 348 348 SL 10 0 0 0  
    EQUIPMENT 2007-02-05 1,398 1,398 SL 10 0 0 0  
    EQUIPMENT 2007-03-02 1,340 1,340 SL 10 0 0 0  
    EQUIPMENT 2007-03-12 1,230 1,230 SL 10 0 0 0  
    EQUIPMENT 2007-04-02 257 257 SL 10 0 0 0  
    EQUIPMENT 2007-05-14 449 449 SL 10 0 0 0  
    APPLIANCES 2007-06-27 890 890 SL 10 0 0 0  
    EQUIPMENT 2007-07-27 400 400 SL 10 0 0 0  
    COMPUTER 2007-10-31 2,332 2,332 SL 10 0 0 0  
    SIMPLEX 2007-09-26 6,052 6,052 SL 10 0 0 0  
    EQUIPMENT 2007-12-05 566 566 SL 10 0 0 0  
    AIR CONDITIONER 2008-06-09 274 257 SL 10 0 0 0  
    EQUIPMENT 2008-07-31 120 120 SL 10 0 0 0  
    EQUIPMENT 2008-10-08 1,500 1,475 SL 10 0 0 0  
    LAPTOP 2008-12-10 400 400 SL 10 0 0 0  
    DRYER 2008-12-16 575 575 SL 10 0 0 0  
    EQUIPMENT 2009-05-07 374 374 SL 10 0 0 0  
    ICE MAKER 2009-05-29 200 200 SL 10 0 0 0  
    NEW SIGN 2009-10-22 755 755 SL 10 0 0 0  
    EQUIPMENT B OF A 2009-11-06 2,795 2,795 SL 10 0 0 0  
    COMMUNICATION SYSTEM 2010-04-09 6,393 6,393 SL 10 0 0 0  
    EQUIPMENT B OF A 2010-05-31 511 511 SL 10 0 0 0  
    AIRCONDITIONER 2010-07-15 374 374 SL 10 0 0 0  
    VACUUM CLEANER 2010-07-29 285 285 SL 10 0 0 0  
    COMPUTER - AMD SEMPRON 2010-08-05 525 525 SL 10 0 0 0  
    BOX SPRING 2010-09-30 135 135 SL 10 0 0 0  
    COMPUTER - HEC ATX 2010-11-17 1,107 1,107 SL 10 0 0 0  
    SECURITY SYSTEM 2010-12-16 898 898 SL 10 0 0 0  
    EQUIPMENT SEARS 2011-08-02 300 295 SL 10 5 0 0  
    FURNITURE BOUFARDS 2011-11-25 270 257 SL 10 13 0 0  
    ARM CHAIRS 2 2012-04-17 770 699 SL 10 71 0 0  
    PROTABLE ICE MAKER 2012-05-30 229 207 SL 10 22 0 0  
    EQUIPMENT 2012-05-30 1,433 1,287 SL 10 143 0 0  
    COPYSTAR 2050 2012-10-18 600 515 SL 10 60 0 0  
    APPLIANCE CJ 2012-10-26 800 687 SL 10 80 0 0  
    REFRIGERATOR CJ 2012-11-14 1,650 1,416 SL 10 165 0 0  
    EQUIPMENT MISC 2012-11-30 893 757 SL 10 89 0 0  
    FREEZER 2013-06-06 912 728 SL 10 91 0 0  
    SOLARIZE WINDOW 2013-06-06 696 560 SL 10 70 0 0  
    AIRCONDITIONER 2013-07-05 2,854 2,257 SL 10 285 0 0  
    FURNITURE BOUFARDS 2013-07-23 500 392 SL 10 50 0 0  
    GRILL CJS 2013-07-23 650 509 SL 10 65 0 0  
    EQUIPMENT B OF A 2013-08-01 207 164 SL 10 21 0 0  
    FURNITURE BOUFFARDS 2013-10-24 431 326 SL 10 43 0 0  
    EQUIPMENT NORHT CENTER 2013-10-24 4,484 3,398 SL 10 448 0 0  
    FURNITURE BOUFFARDS 2013-12-06 933 698 SL 10 93 0 0  
    AIR CONDITIONER 2014-06-19 270 187 SL 10 27 0 0  
    SERVICE CART 2014-07-08 799 553 SL 10 80 0 0  
    ICE MAKER 2014-07-14 140 97 SL 10 14 0 0  
    KENMORE EQUIPMENT 2014-07-31 206 143 SL 10 21 0 0  
    ICE MAKER 2015-05-11 155 96 SL 10 15 0 0  
    CHAIRS 3 2015-05-21 1,265 761 SL 10 126 0 0  
    LAUNDRY EQUIPMENT 2015-05-22 6,370 3,822 SL 10 637 0 0  
    CHAIRS W A MITCHELL 2015-05-15 15,100 9,186 SL 10 1,510 0 0  
    EXPENET 2 COMPUTERS 2015-06-01 2,243 1,344 SL 10 224 0 0  
    EQUIPMENT C CARD 2015-06-10 236 144 SL 10 24 0 0  
    LYNN-HOM TV 2015-06-23 1,170 692 SL 10 117 0 0  
    DIRECT SUPPLY BEVERAGE 2015-06-29 1,757 1,041 SL 10 176 0 0  
    CJ FREEZER 2015-07-16 589 344 SL 10 59 0 0  
    CJ REFRIGERATOR 2015-07-27 850 496 SL 10 85 0 0  
    FURNITURE GALLERY 2015-08-01 1,365 798 SL 10 136 0 0  
    CJ REFRIGERATOR 2015-09-28 750 425 SL 10 75 0 0  
    EQUIPMENT M S HAYDEN 2015-10-13 400 227 SL 10 40 0 0  
    CJ COOKSTOVE 2016-03-17 6,000 3,100 SL 10 600 0 0  
    MIXER S GREENLEAF 2015-05-26 400 240 SL 10 40 0 0  
    ICE MAKER 2016-06-13 1,450 725 SL 10 145 0 0  
    WINDOW INSULATORS 2016-07-01 430 211 SL 10 43 0 0  
    CHAIRS MITCHELL 2016-08-12 1,764 851 SL 10 176 0 0  
    SMALL APPLIANCES 2016-11-30 791 356 SL 10 79 0 0  
    HEAT PUMP 2018-05-30 4,330 1,299 SL 10 433 0 0  
    WINDOW SHADES 2017-07-14 2,030 795 SL 10 203 0 0  
    COMPUTER 2017-06-23 1,605 629 SL 10 160 0 0  
    DRYER 2017-12-21 725 248 SL 10 72 0 0  
    GENERATOR 2018-03-07 5,640 1,833 SL 10 564 0 0  
    AIR COMPRESSOR 2018-07-31 1,619 459 SL 10 162 0 0  
    ROLLAWAY BED 2018-11-02 370 96 SL 10 37 0 0  
    HP COMPUTER 2019-01-07 399 97 SL 10 40 0 0  
    KENMORE VACUUM 2019-01-30 342 79 SL 10 34 0 0  
    FOLDING TABLES 2018-06-29 1,100 321 SL 10 110 0 0  
    SIMPLEX ALARM SYSTEM 2018-07-31 12,000 3,400 SL 10 1,200 0 0  
    UTILITY CART 2020-09-18 235 15 SL 10 23 0 0  
    CORDLESS VACCUUM 2021-04-12 295 4 SL 10 29 0 0  
    CALL BELLS 2019-07-29 2,163 101 SL 39 55 0 0  
    BLINDS 2019-12-13 4,000 154 SL 39 103 0 0  
    SECURITY SYSTEM 2019-07-20 1,809 85 SL 39 46 0 0  
    MODEM EXPERNET 2019-06-28 150 29 SL 10 15 0 0  
    EQUIPMENT DIRECT SUPPLY 2020-04-02 320 37 SL 10 32 0 0  

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 352,180 352,180

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK 2,017,133 2,017,133

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    US Government Securities - End of Year Book Value:

    76,877
    US Government Securities - End of Year Fair Market Value:

    76,877
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2021 LandEtcSchedule2
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    AUTO TRANSPORTATION EQUIPMENT 16,934 16,934 0 16,934
    MACHINERY AND EQUIPMENT 179,019 148,476 30,543 179,019
    BUILDINGS 2,023,569 1,324,229 699,340 2,023,569
    LAND 12,100 0 12,100 12,100


    TY 2021 MortgagesAndNotesPayableSch
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Total Mortgage Amount:  

    Item No. 1
    Lender's Name FRANKLIN SAVINGS BANK
    Lender's Title  
    Relationship to Insider  
    Original Amount of Loan 375,000
    Balance Due 275,993
    Date of Note 2015-01
    Maturity Date 2035-05
    Repayment Terms  
    Interest Rate 4.0
    Security Provided by Borrower  
    Purpose of Loan BUILDING IMPROVEMENTS
    Description of Lender Consideration  
    Consideration FMV 0


    TY 2021 OtherDecreasesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Description Amount
    CHANGE IN UNREALIZED GAINS 321,066


    TY 2021 OtherExpensesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    RESIDENTS MEDICAL EXPENSES 6,594 0 0 6,594
    HOUSEHOLD ACTIVITIES 27,724 0 0 27,724
    ADMINISTRATIVE 7,281 0 0 7,281
    FOOD 71,894 0 0 71,894
    REPAIRS AND MAINTENANCE 42,770 0 0 42,770
    INSURANCE 36,556 0 0 36,556
    HEALTH INSURANCE 96,788 0 0 96,788
    PUBLIC RELATIONS AND WEBSITE 4,059 0 0 4,059
    EDUCATION 2,951 0 0 2,951


    TY 2021 OtherIncomeSchedule2
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    RESIDENT FEES 873,508 0 0


    TY 2021 OtherIncreasesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Description Amount
    CHANGE IN RESTRICTED ASSETS 426


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 16,436 16,436 0 0
    OTHER PROFESSIONAL FEES 14,123 0 0 14,123


    TY 2021 TaxesSchedule
    Name:
    THE FARMINGTON HOME FOR AGED PEOPLE
    EIN:
    01-0217212
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MAINE PROVIDER TAX 14,208 0 0 14,208
    PAYROLL TAXES 48,928 765 0 48,163