2025-08-21T07:56:32-05:00 2024-09-30 450250958 Eide Bailly LLP 18081 Burt St Ste 200 Omaha NE 680224722 990 2024-01-01 270241402 Tabitha ALF Real Estate Holding Inc TABI 4024837671 4720 Randolph St Lincoln NE 68510 Jon Riewer President & CEO 4024837671 2025-08-21 1 1 Wendy R Cooley CPA P01523804 4023302660 2025-08-21 2024 2025-03-06 01:10:19Z Jon Riewer 4720 Randolph St Lincoln NE 68510 509364 0 X www.tabitha.org X 2009 NE Acquiring, constructing, leasing, and owning an assisted living project for the benefit of Tabitha, Inc. 3 1 0 2 0 0 0 0 666695 507492 2900 1872 0 0 669595 509364 0 0 0 0 0 0 0 0 0 916770 687652 916770 687652 -247175 -178288 6221892 5562922 9592292 9418617 -3370400 -3855695 None 0 0 687652 507492 Acquiring, constructing, leasing, and owning an assisted living project for the benefit of Tabitha, Inc. 687652 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 1 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Darin Ohe 2182912216 801 Main Ave Ste 201 Moorhead MN 56560 X X Brian Shanks President & CEO 0.10 50.50 X X 0 0 0 Aimee Baumann Secretary/Treasurer & CFO 0.10 53.50 X X 0 0 0 Eric Schafer Chair as of 2/15/24 0.10 0.70 X X 0 0 0 Mark Hesser Chair thru 2/15/24 0.10 0.60 X X 0 0 0 0 0 0 Assisted living lease 531110 507492 507492 507492 1872 1872 509364 507492 0 1872 199398 199398 448091 448091 40163 40163 687652 687652 0 0 89188 71619 213116 0 35751 48530 14018927 8946494 5384444 5072433 499393 370340 6221892 5562922 22330 22300 9569962 9396317 9592292 9418617 X -3370400 -3855695 -3370400 -3855695 6221892 5562922 X -178288 -307007 X 0 1 X 1 1 1 X X 1 Tabitha Inc 470377998 10 1 443087 0 1 443087 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 13259312 8312719 4946593 759615 633775 125840 5072433 Escrow Deposits 69663 Reserve for Replacement 300677 370340 X 509364 0 509364 0 509364 687652 0 687652 0 687652 Part X, Line 2: Management believes that it has appropriate support for any income tax positions taken, and, as such does not have any uncertain tax positions that are material to the financial statements. Form 990, Part VI, Section A, line 2 The officers and board members have a business relationship. Form 990, Part VI, Section A, line 6 The sole member of Tabitha ALF Real Estate Holding, Inc. is Tabitha, Inc. Form 990, Part VI, Section A, line 7a The President & CEO and Chief Financial Officer of Tabitha, Inc., the sole member, are ex-officio members of the Board of Directors with voice and vote. The remaining members of the Board of Directors are elected by Tabitha, Inc. Form 990, Part VI, Section A, line 8b The Organization does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the Board of Directors and the Board of Directors of Tabitha, Inc. before filing with the IRS. The President & CEO and CFO review the Form 990. Form 990, Part VI, Section B, line 12c Each officer, director and committee member shall file annually with the Secretary a conflict of interest statement and disclosure statement in a form adopted by the Board, which statement shall become a part of the records of the Corporation. The statement affirms each person a) has received a copy of the conflict of interest policy; b) has read and understands the policy; c) has agreed to comply with the policy; d) understands the Organization is charitable and must engage primarily in activities which accomplish one of more of its tax-exempt purposes to maintain its federal tax exemption. Each person who files shall notify the Secretary of any pertinent changes in the statement during the course of the year. In the event a question comes before the Board or a standing or special committee in which a director or committee member has a recorded or unrecorded conflict, the director or committee member shall state the existence and nature of the conflict for the record and shall refrain from voting. Form 990, Part VI, Section B, line 15 The President & CEO and CFO are compensated by Tabitha, Inc., a related organization that is the sole member of Tabitha ALF Real Estate Holding, Inc. Tabitha, Inc. has processes in place to review compensation. Form 990, Part VI, Section C, line 19 The Organization makes the governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part VII, Line 1a The officers are compensated by Tabitha, Inc., a related entity. Compensation is not shown on Part VII this year due to filing a short year Form 990. Form 990, Part XI, line 9: Transfer to Tabitha, Inc. -443,087. Transfer from Tabitha, Inc. 136,080. Tabitha Inc 4720 Randolph Street Lincoln NE 68510 470377998 Elder care services NE 501(c)(3) Line 10 N/A 0 The Tabitha Foundation 4720 Randolph Street Lincoln NE 68510 470636199 Fundraising and support to Tabitha, Inc. NE 501(c)(3) Line 12a, I Tabitha Inc 0 Tabitha Grand Island Inc 3940 Ewoldt Street Grand Island NE 68803 843824792 Elder care services NE 501(c)(3) Line 10 Tabitha Inc 0 Tabitha Home Health Care & Hospice 1044 North 115th Street Suite 200 Omaha NE 68154 873957968 Home Health Care and Hospice NE N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 1 1