2023-11-08T15:14:16-06:00 2022-12-31 480567703 KCOE ISOM LLP 1605 N WATERFRONT PARKWAY SUITE 200 WICHITA KS 672066635 990 2022-01-01 481232810 COUNTRY LIVING INC COUN 6208425858 420 N 5TH AVENUE ANTHONY KS 67003 KATHY FRANCIS PRESIDENT 6208425524 2023-11-01 1 KATHY FRANCIS XXX-XX-XXXX 1 JESSICA KINSINGER P01618277 3166850222 2023-11-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KATHY FRANCIS 470 W STATE RD 1 ANTHONY KS 67003 1236833 0 X WWW.COUNTRYLIVINGINC.COM X 2000 KS COUNTRY LIVING IS AN ASSISTED LIVING CENTER DEDICATED TO PROVIDING QUALITY HOUSING TO THE SENIORS IN OUR COMMUNITY AT AN AFFORDABLE PRICE. 79 79 21 7 0 0 365866 187427 578541 662669 -21895 114404 91 68 922603 964568 0 0 0 0 375537 433659 0 0 0 298982 310613 674519 744272 248084 220296 1701742 1721555 1073586 1049562 628156 671993 OPERATION OF AN ASSISTED LIVING FACILITY TO PROVIDE QUALITY HOUSING FOR FIFTEEN RESIDENTS. 0 0 542707 677243 OPERATION OF AN ASSISTED LIVING FACILITY SERVING FIFTEEN RESIDENTS NEEDS. 125831 82353 OPERATION OF AN ASSISTED LIVING FACILITY PROVIDING FOR FOUR MEDICAID RESIDENT ROOMS. 668538 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 21 1 0 0 0 0 0 0 0 0 0 0 X 79 79 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 1 1 0 KS X X CYNTHIA ASH 6208425858 420 N 5TH AVE ANTHONY KS 67003 X KATHERINE FRANCIS PRESIDENT 1.00 X X 0 0 0 JOSEPH BRUMMER VICE PRESIDENT 2.00 X X 0 0 0 MARTHA HADSALL SECRETARY 1.00 X X 0 0 0 RONALD POOR DIRECTOR 1.00 X 0 0 0 GERALD WOLFF DIRECTOR 1.00 X 0 0 0 PATRICIA BERTHOLF TREASURER 1.00 X X 0 0 0 KRISTIN STOUGHTON DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 0 187427 167497 187427 ASSISTED LIVING FEES 623000 662669 662669 662669 17545 17545 369124 272265 96859 96859 96859 MISCELLANEOUS 900003 68 68 68 964568 759596 0 17545 372717 309293 63424 24916 22646 2270 36026 25986 10040 4100 4100 3461 3461 6539 6539 50839 50839 45285 45285 61736 61736 52109 52109 FOOD 41675 41675 REPAIRS 35812 35812 SUPPLIES 5397 5397 MISCELLANEOUS 3321 3321 339 339 744272 668538 75734 0 0 112333 852 5368 2299657 1165576 1166035 1134081 385876 161895 148979 307878 1701742 1721555 79585 94627 937148 880982 56853 73953 1073586 1049562 X 10100 10200 0 0 618056 661793 628156 671993 1701742 1721555 X 220296 -176559 100 X 0 0 0 X 59947 87551 124009 126455 187427 585389 604100 726679 565089 578541 662669 3137078 664047 814230 689098 704996 850096 3722467 0 0 0 3722467 4165 -8918 2240 12051 17545 27083 4165 -8918 2240 12051 17545 27083 668212 805312 691338 717047 867641 3749550 0.99280 0.99690 0.00720 0.00310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6524 6524 2001396 919326 1082070 291737 246250 45487 1134081 EDWARD JONES INVESTMENT PORTFOLIO 161895 F 161895 RESIDENT APT DEPOSIT RESERVES 50994 F HADSALL FUND 4965 F GUIDED FLEX 251919 F 307878 RESIDENT DEPOSITS 50900 PAYROLL LIABILITIES 23053 73953 X 5 167497 FMV 0 0 1 PART I, LINE 32B: EDWARD JONES WAS USED AS BROKER TO SELL DONATED SECURITIES. FORM 990, PART VI, SECTION A, LINE 6 COUNTRY LIVING, INC. IS A CORPORATION AND HAS SEVENTY NINE MEMBERS OR SHAREHOLDERS IN THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE SHAREHOLDERS OF THE ORGANIZATION MEET ANNUALLY TO ELECT THE DIRECTORS OF THE ORGANIZATION FOR THE FOLLOWING YEAR. THE DIRECTORS ELECT THE OFFICERS OF THE CORPORATION FOR A ONE YEAR TERM. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED AND PLACED ON FILE IN THE BUSINESS OFFICE OF THE COUNTRY LIVING, INC. FACILITY FOR THE REST OF THE DIRECTORS TO EXAMINE. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE DIRECTOR OR ADMINISTRATOR OF THE FACILITY HAS AN ANNUAL EVALUATION. THEIR COMPENSATION IS REVIEWED ANNUALLY BY COMPARING THEIR JOB SKILLS WITH SIMILAR POSITIONS WITHIN THE COMMUNITY AND SURROUNDING COMMUNITIES. THE COMPENSATION IS SET BASED UPON THEIR SKILLS AND COMPARABLE SURROUNDING COMMUNITY COMPENSATION COMPARABLES. FORM 990, PART VI, SECTION C, LINE 19 THE MONTHLY FINANCIAL STATEMENTS ARE PREPARED BY THE ADMINISTRATOR AND REVIEWED BY THE TREASURER. THEY ARE THEN PROVIDED TO THE OTHER DIRECTORS AND REVIEWED AT A MONTHLY OPERATIONAL MEETING. THE FINANCIAL STATEMENTS ARE THEN FILED AND MADE AVAILABLE TO ALL CORPORATE SHAREHOLDERS AND THE PUBLIC DURING NORMAL OFFICE HOURS OF THE FACILTY'S ADMINSTRATOR. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC KATHERINE FRANCIS - 470 W. ST. RD. #2, ANTHONY, KS 67003. JOSEPH BRUMMER - 302 N. BLUFF, ANTHONY, KS 67003. MARTHA HADSALL - 731 N. WEST AVE, ANTHONY, KS 67003. RONALD POOR - 211 W. GARFIELD, ANTHONY, KS 67003. GERALD WOLFF - 586 EAST STATE ROAD 44, ANTHONY, KS 67003. PATRICIA BERTHOLF - 306 W STATE ROAD 2, ANTHONY, KS 67003. KRISTIN STOUGHTON - 932 NE 20 RD, FREEPORT, KS 67049. FORM 990, PART XI, LINE 9: MEMBERSHIP 100.