TY 2021 Form 990PF

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)
	1	Contributions, gifts, grants, etc., received (attach schedule)	247,708
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	89,712	89,712	89,712
5a	Gross rents............	5,436	5,436	5,436
b	Net rental income or (loss) 5,436
6a	Net gain or (loss) from sale of assets not on line 10		435,506
b	Gross sales price for all assets on line 6a 2,427,488
7	Capital gain net income (from Part IV, line 2)...		435,506
8	Net short-term capital gain.........			0
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......		5,106,097	0	5,106,097
12	Total. Add lines 1 through 11........	5,884,459	530,654	5,201,245
	13	Compensation of officers, directors, trustees, etc.	139,777	0	139,777	0
14	Other employee salaries and wages......	1,842,992	0	1,659,537	147,869
15	Pension plans, employee benefits.......	347,223	0	347,223	0
16a	Legal fees (attach schedule).........		1,758	0	1,758	0
b	Accounting fees (attach schedule).......		30,020	0	30,020	0
c	Other professional fees (attach schedule)....		730,129	22,942	730,129	0
17	Interest...............	425,384	0	425,384	0
18	Taxes (attach schedule) (see instructions)...
19	Depreciation (attach schedule) and depletion...		776,193	0	776,193
20	Occupancy..............	440,082	0	440,082	0
21	Travel, conferences, and meetings.......	11,567	0	11,567	0
22	Printing and publications..........
23	Other expenses (attach schedule).......		567,369	0	567,369	0
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	5,312,494	22,942	5,129,039	147,869
25	Contributions, gifts, grants paid.......	300			300
26	Total expenses and disbursements. Add lines 24 and 25	5,312,794	22,942	5,129,039	148,169
	27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	571,665
b	Net investment income (if negative, enter -0-)		507,712
c	Adjusted net income (if negative, enter -0-)...			72,206

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	787,448	895,935	895,935
	2	Savings and temporary cash investments.........	1,405,953	1,924,101	1,924,101
	3	Accounts receivable 24,175
		Less: allowance for doubtful accounts	22,191	24,175	24,175
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........	46,739	68,373	68,373
	10a	Investments—U.S. and state government obligations (attach schedule)	467,678	242,743	242,743
	b	Investments—corporate stock (attach schedule).......	2,557,383	1,740,053	1,740,053
	c	Investments—corporate bonds (attach schedule).......	1,192,241	1,347,784	1,347,784
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis 19,046,235
		Less: accumulated depreciation (attach schedule) 4,566,270	15,130,021	14,479,965	14,479,965
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	21,609,654	20,723,129	20,723,129
	17	Accounts payable and accrued expenses..........	366,491	362,716
	18	Grants payable.................
	19	Deferred revenue.................	74,569	81,892
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......	16,126,129	15,751,479
	22	Other liabilities (describe )	424,035	393,939
	23	Total liabilities (add lines 17 through 22).........	16,991,224	16,590,026
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	464,256	603,175
	25	Net assets with donor restrictions............	4,154,174	3,529,928
		Foundations that do not follow FASB ASC 958, check here
		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).....	4,618,430	4,133,103
	30	Total liabilities and net assets/fund balances (see instructions).	21,609,654	20,723,129

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

4,618,430

Enter amount from Part I, line 27a .....................

571,665

Other increases not included in line 2 (itemize) bullet

Add lines 1, 2, and 3 ..........................

5,190,095

Decreases not included in line 2 (itemize) bullet

1,056,992

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

4,133,103

(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
1 a	Publicly Traded Securities	P
b
c
d
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	2,427,488	1,991,982	435,506
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			435,506
b
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	435,506
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 ...................		3	0

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: 2001-10-19(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	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.......		9	0
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax	Refunded	11

(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
Jack Nieskens	Chairman 1.00	0	0	0
11 Elm Street Peterborough,NH03458
Linda Caracappa	Vice Chair 1.00	0	0	0
11 Elm Street Peterborough,NH03458
Michael Morison	Treasurer 1.00	0	0	0
11 Elm Street Peterborough,NH03458
Liz MacEachran	Secretary 1.00	0	0	0
11 Elm Street Peterborough,NH03458
Carole Connor	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Chris Mann	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Gail Bleakely	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Heather Peterson	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Jack Burnett	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Janet Reilly	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Jeff Crocker	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Laura Gingrass	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Peter LaRoche	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Richard Frechette	Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Jack Ellerkamp	Past Trustee 0.50	0	0	0
11 Elm Street Peterborough,NH03458
Angela Pelletier	Executive Director 40.00	134,500	5,277	0
11 Elm Street Peterborough,NH03458


(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
Julia Osborne	Nurse Manager 40.00	78,899	2,711	0
11 Elm Street Peterborough,NH03458	Nurse Manager 40.00	78,899	2,711	0
Paula Reis	Memory Care Director 40.00	68,212	1,138	0
11 Elm Street Peterborough,NH03458	Memory Care Director 40.00	68,212	1,138	0
Hillary Dean	Licensed Nursing Ass 51.00	64,957	305	0
11 Elm Street Peterborough,NH03458	Licensed Nursing Ass 51.00	64,957	305	0
James Letourneau	Maintenance Director 40.00	63,205	622	0
11 Elm Street Peterborough,NH03458	Maintenance Director 40.00	63,205	622	0
Tobyn Cummings	Marketing Director 40.00	59,759	3,830	0
11 Elm Street Peterborough,NH03458	Marketing Director 40.00	59,759	3,830	0
Total number of other employees paid over $50,000...................				0

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	Operation of 63-bed residential care facility comprised of 25 independent living units, 20 assisted living units and 18 memory care units.	5,289,852
2


3


4

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

		(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: $
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
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
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....

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	(e) Total
	72,206	61,815	78,785	130,779	343,585
b 85% (0.85) of line 2a .........	61,375	52,543	66,967	111,162	292,047
c Qualifying distributions from Part XI, line 4 for each year listed .....	274,306	1,596,326	434,995	85,483	2,391,110
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........	300	0	0	0	300
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....	274,006	1,596,326	434,995	85,483	2,390,810
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 ..	195,277	234,035	179,609	151,411	760,332
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

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:

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
Grand Monadnock Rotary Club Charitable Fund PO Box 354 Peterborough,NH03458	None	PC	General Support	100
Sons of the American Legion 20 Webster Street Jaffrey,NH03452	None	PC	General Support	100
Monadnock Scouters Association 143 Middle Road Hancock,NH03449	None	PC	General Support	100
Total ................................. 3a				300

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
Glendale Senior Dining	Food Services	856,054
749 East Industrial Park Dr Manchester,NH01309	Food Services	856,054
Gessner LLC	Acct/Consulting	82,156
279 Forest Road Hancock,NH03449	Acct/Consulting	82,156

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	(e) Related or exempt function income (See instructions.)
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......			16	5,436
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	435,506
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		530,654	5,106,097

Line No.	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	Room and Board from the residents of the home.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

bApproved for future payment

Total ................................. 3b				0

Name of organization Scott-Farrar Home

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	US Department of Health and Human Services 200 Independence Ave SW Washington, DC20201	$ 237,407	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Name of organization Scott-Farrar Home		Employer identification number 02-0241739

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)


Name of organization Scott-Farrar Home			Employer identification number 02-0241739
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.) $ Use duplicate copies of Part III if additional space is needed.

Name of Bond	End of Year Book Value	End of Year Fair Market Value
40000 Shs 3M Co 2.25% 19 Sep 2026	36,064	36,064
30000 Shs Air Products and Chemicals Inc 3.35% 31 Jul 2024	29,257	29,257
30000 Shs Apple Inc 2.5% 09 Feb 2025	28,617	28,617
25000 Shs Archer-Daniels-Midland Co 2.5% 11 Aug 2026	22,853	22,853
1000 Shs Bank of America Corp Floating 4%	19,050	19,050
50000 Shs Bank of New York Mellon Corp/The 2.2% 16 Aug 2023	49,029	49,029
30000 Shs Berkshire Hathaway Inc 3.125% 15 Mar 2026	28,425	28,425
25000 Shs Caterpillar Financial Services Corp 2.15% 08 Nov 2024	23,678	23,678
50000 Shs Cisco Systems Inc 2.95% 28 Feb 2026	47,223	47,223
50000 Shs CSX Corp 3.25% 01 Jun 2027	45,805	45,805
30000 Shs CVS Health Corp 3.875% 20 Jul 2025	28,934	28,934
30000 Shs Dover Corp 3.15% 15 Nov 2025	28,211	28,211
10000 Shs Elevance Health Inc 1.5% 15 Mar 2026	8,812	8,812
30000 Shs Estee Lauder Cos Inc/The 3.15% 15 Mar 2027	27,711	27,711
30000 Shs Exxon Mobil Corp 3.043% 01 Mar 2026	28,194	28,194
30000 Shs Hartford Financial Services Group Inc/The 2.8% 19 Aug 2029	24,887	24,887
30000 Shs International Business Machines Corp 6.22% 01 Aug 2027	31,386	31,386
2085 Shs iShares 1-5 Year Inv Grade Corp Bond ETF	102,290	102,290
100 Shs iShares 1-5 Year Inv Grade Corp Bond ETF	4,906	4,906
2671 Shs iShares Core U.S. Aggregate Bond ETF	253,478	253,478
800 Shs iShares Core U.S. Aggregate Bond ETF	75,920	75,920
400 Shs iShares iBoxx USD Investment Grade Corporate Bond ETF	40,540	40,540
25000 Shs John Deere Capital Corp 2.375% 15 Oct 2023	24,307	24,307
40000 Shs Manulife Financial Corp 2.484% 19 May 2027	35,480	35,480
1000 Shs MetLife Inc Floating 4%	20,530	20,530
30000 Shs Microsoft Corp 3.3% 06 Feb 2027	28,514	28,514
30000 Shs Nucor Corp 2% 01 Jun 2025	27,573	27,573
30000 Shs PPG Industries Inc 2.4% 15 Aug 2024	28,646	28,646
50000 Shs Rockwell Automation Inc 2.875% 01 Mar 2025	47,750	47,750
50000 Shs Royal Bank of Canada 2.25% 01 Nov 2024	46,978	46,978
30000 Shs State Street Corp 3.7% 20 Nov 2023	29,645	29,645
30000 Shs US Bancorp 3.9% 26 Apr 2028	27,927	27,927
1000 Shs US Bancorp Floating 4.67914%	17,889	17,889
30000 Shs Walmart Inc 3.25% 08 Jul 2029	27,275	27,275

Name of Stock	End of Year Book Value	End of Year Fair Market Value
435 Shs Abbott Laboratories	43,039	43,039
102 Shs Accenture PLC	28,958	28,958
55 Shs Adobe Inc	17,519	17,519
103 Shs Air Products and Chemicals Inc	25,791	25,791
144 Shs Akamai Technologies Inc	12,720	12,720
360 Shs Alphabet Inc	34,024	34,024
420 Shs Amazon.com Inc	43,025	43,025
228 Shs Amphenol Corp	17,289	17,289
295 Shs Apple Inc	45,235	45,235
104 Shs AvalonBay Communities Inc	18,212	18,212
824 Shs Bank of America Corp	29,697	29,697
119 Shs Berkshire Hathaway Inc	35,116	35,116
8 Shs Booking Holdings Inc	14,956	14,956
211 Shs Chevron Corp	38,170	38,170
161 Shs Chubb Ltd	34,597	34,597
615 Shs Cisco Systems Inc	27,939	27,939
192 Shs Cognizant Technology Solutions Corp	11,952	11,952
738 Shs Comcast Corp	23,424	23,424
702 Shs Corning Inc	22,583	22,583
29 Shs Costco Wholesale Corp	14,544	14,544
117 Shs Danaher Corp	29,445	29,445
306 Shs Dominion Resources Inc/VA	21,411	21,411
208 Shs Exxon Mobil Corp	23,048	23,048
77 Shs FedEx Corp	12,342	12,342
172 Shs Home Depot Inc/The	50,935	50,935
257 Shs Intercontinental Exchange Inc	24,562	24,562
30 Shs iShares Core S&P 500 ETF	11,635	11,635
417 Shs iShares Core S&P Mid-Cap ETF	101,135	101,135
537 Shs iShares Core S&P Small-Cap ETF	52,583	52,583
145 Shs Johnson & Johnson	25,226	25,226
376 Shs JPMorgan Chase & Co	47,331	47,331
139 Shs L3Harris Technologies Inc	34,259	34,259
62 Shs Lam Research Corp	25,096	25,096
97 Shs Mastercard Inc	31,833	31,833
222 Shs Microsoft Corp	51,533	51,533
303 Shs NextEra Energy Inc	23,483	23,483
253 Shs NIKE Inc	23,448	23,448
310 Shs Novo Nordisk A/S	33,740	33,740
200 Shs PACCAR Inc	19,366	19,366
206 Shs PepsiCo Inc	37,405	37,405
498 Shs Pfizer Inc	23,182	23,182
227 Shs Procter & Gamble Co/The	30,570	30,570
112 Shs Qualcomm Inc	13,178	13,178
36 Shs Roper Technologies Inc	14,923	14,923
386 Shs Sealed Air Corp	18,381	18,381
569 Shs Starbucks Corp	49,270	49,270
103 Shs Synopsys Inc	30,133	30,133
345 Shs Technology Select Sector SPDR Fund	44,115	44,115
369 Shs Unilever PLC	16,793	16,793
68 Shs UnitedHealth Group Inc	37,750	37,750
1749 Shs Vanguard FTSE Developed Markets ETF	67,459	67,459
781 Shs Vanguard FTSE Emerging Markets ETF	27,686	27,686
509 Shs Verizon Communications Inc	19,021	19,021
1760 Shs Vestas Wind Systems A/S	11,440	11,440
117 Shs Walmart Inc	16,653	16,653
249 Shs Walt Disney Co/The	26,528	26,528
216 Shs Waste Management Inc	34,208	34,208
679 Shs Weyerhaeuser Co	21,001	21,001
169 Shs Zimmer Biomet Holdings Inc	19,156	19,156

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
Land	158,500	0	158,500	158,500
Equipment	813,655	490,913	322,742	322,742
Vehicles	205,675	65,388	140,287	140,287
Buildings and Improvements	17,760,455	3,973,522	13,786,933	13,786,933
Land Improvements	107,950	36,447	71,503	71,503

Description	Revenue and Expenses per Books	Adjusted Net Income
Resident Activities	34,085	34,085
Resident Care	290,451	290,451
Bank Fees	2,572	2,572
Miscellaneous	53,158	53,158
Office & Board	8,123	8,123
Dues & Subscriptions	15,284	15,284
Insurance	85,029	85,029
Supplies	78,667	78,667

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Investment Fees	22,942	22,942	22,942	0
Professional Fees and Purchased Services	707,187	0	707,187	0

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