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Nonprofit · EIN 47-0841274

FAIRBURY ASSISTED LIVING FACILITY

Also known as CEDARWOOD ASSISTED LIVING

Tax-exempt · FAIRBURY, NE 68352

Financials

$2.7M$2.4M2022$2.7M$2.5M2023$2.6M$2.5M2024
Revenue Expenses · by fiscal year end
Financials of FAIRBURY ASSISTED LIVING FACILITY by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
September 30, 2025990$2,584,983$2,508,685$76,298$3,649,513$471,702$3,177,811
September 30, 2024990$2,739,144$2,475,699$263,445$3,432,369$368,304$3,064,065
September 30, 2023990$2,700,900$2,376,205$324,695$3,007,640$311,615$2,696,025
Financial details: 990 for the year ended September 30, 2025

Revenue

Contributions, gifts and grants
$59,084
of which government grants
$58,084
Program service revenue
$2,457,387
Investment income
$68,512
Other revenue
$0

Expenses

Grants and similar amounts paid
$0
Other salaries and wages
$1,025,613
Salaries, compensation and benefits (total)
$1,179,730
Professional fundraising fees
$0
Accounting fees
$15,851
Occupancy
$71,264
Travel
$6,766
Depreciation
$150,626
Program services (functional)
$2,145,151
Management and general (functional)
$363,534

Balance sheet and other

Total assets, start of year
$3,432,369
Total assets, end of year
$3,649,513
Total liabilities, end of year
$471,702
Net assets, end of year
$3,177,811
Land, buildings and equipment
$1,547,235
Publicly traded securities
$768,548
Net assets without donor restrictions
$3,177,811
Gross receipts
$2,584,983
Employees
43
Volunteers
8
Year formed
2001
State of legal domicile
NE

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended September 30, 2025, highest compensation first.

NameTitleHours / weekCompensation
RICK STANTONPRESIDENT
Trustee or director, Officer
1$0
STEPHANIE BOLDTVICE PRESIDENT
Trustee or director, Officer
1$0
CHANCE KLASEKSECRETARY
Trustee or director, Officer
1$0
JON PEPPMULLERTREASURER
Trustee or director, Officer
1$0
MIKE GASTONMEMBER
Trustee or director
1$0
PAT GANYOMEMBER
Trustee or director
1$0
WILLIAM WELCHINTERIM CEO (THRU 1/25)
Officer
1$0
HOLLY WOLFFCEO
Officer
1$0
990 for the year ended September 30, 2024: 11 people
NameTitleHours / weekCompensation
RICK STANTONPRESIDENT
Trustee or director, Officer
1$0
STEPHANIE BOLDTVICE PRESIDENT
Trustee or director, Officer
1$0
CHANCE KLASEKSECRETARY
Trustee or director, Officer
1$0
JON PEPPMULLERTREASURER
Trustee or director, Officer
1$0
DAVID REESEVICE PRESIDENT (THRU 08/24)
Trustee or director, Officer
1$0
REGINA BERGHTREASURER (THRU 08/24)
Trustee or director, Officer
1$0
MIKE GASTONMEMBER
Trustee or director
1$0
PAT GANYOMEMBER
Trustee or director
1$0
DICK HOPPEMEMBER (THRU 08/24)
Trustee or director
1$0
WILLIAM WELCHINTERIM CEO
Officer
1$0
BURKE KLINECEO (THRU 08/24)
Officer
1$0
990 for the year ended September 30, 2023: 7 people
NameTitleHours / weekCompensation
RICK STANTONCHAIRMAN
Trustee or director, Officer
1$0
DAVID REESEVICE CHAIRMAN
Trustee or director, Officer
1$0
CHANCE KLASEKSECRETARY
Trustee or director, Officer
5$0
REGINA BERGHTREASURER
Trustee or director, Officer
1$0
PAT GANYOMEMBER
Trustee or director
1$0
DICK HOPPEMEMBER
Trustee or director
1$0
BURKE KLINEPRESIDENT
Officer
1$0

Address and contacts

Address (IRS master file)
828 22ND ST, FAIRBURY, NE 68352-1202
In care of
% WILLIAM WELCH PRES
Principal officer (990 for 2024)
CHANCE KLASEK, 2200 H STREET PO BOX 277, FAIRBURY, NE 68352
Signed the 990
CHANCE KLASEK, SECRETARY
Phone
(402) 729-6100
Return prepared by
EIDE BAILLY ADVISORY LLC

Mission

TO PROVIDE THE HIGHEST QUALITY OF HOSPITALITY, SERVICES, ACTIVITIES, SECURITY, COMPANIONSHIP AND FREEDOM TO TENANTS IN A CARING AND LOVING ENVIRONMENT THEY ARE PROUD TO CALL HOME.

990 for the year ended September 30, 2025

Program accomplishments

  • CEDARWOOD ASSISTED LIVING FACILITY WAS CONSTRUCTED ADJACENT TO JEFFERSON COMMUNITY HEALTH CENTER, INC. (JCHC), A NEBRASKA NON-PROFIT HOSPITAL EXEMPT FROM INCOME TAXES UNDER I.R.C. 501(C)(3). THE PURPOSE OF THE 50-UNIT FACILITY IS TO MEET AN IDENTIFIABLE COMMUNITY NEED IN THE FAIRBURY AREA, AND TO DEVELOP A MORE COMPREHENSIVE CONTINUUM OF HEALTH CARE THAT COMPLEMENTS THE HEALTH CARE SERVICES ALREADY AVAILABLE ON THE CAMPUS OF JCHC. SIXTY-SEVEN RESIDENTS WERE SERVED FROM OCTOBER 2024 THROUGH SEPTEMBER 2025. TEN OF THESE RESIDENTS QUALIFIED UNDER THE MEDICAID WAIVER PROGRAM. TOTAL DAYS OF CARE PROVIDED WERE 17,709.
    Expenses $2,145,151 · revenue $2,457,387

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in September, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025September 30, 2026February 16, 2027Not due yet
2024September 30, 2025February 17, 2026990 on file
2023September 30, 2024February 18, 2025990 on file

IRS record

EIN
47-0841274
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Publicly supported organization (509(a)(2))
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
2001
Accounting year ends
September
Files
Form 990 or 990-EZ
Category (NTEE)
Human services (P75)
Assets (IRS master file)
$3,649,513
Income (IRS master file)
$2,584,983

Filing history

FormYear endedRevenueExpensesAssetsReturn
990September 2025$2,584,983$2,508,685$3,649,513XML
990September 2024$2,739,144$2,475,699$3,432,369XML
990September 2023$2,700,900$2,376,205$3,007,640XML
990September 2022$2,003,558$2,045,278$2,570,376IRS
990September 2021–––IRS
990September 2020–––IRS
990September 2019–––IRS
990September 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 47-0841274).

Questions about FAIRBURY ASSISTED LIVING FACILITY

What is the EIN of FAIRBURY ASSISTED LIVING FACILITY?
The employer identification number (EIN) of FAIRBURY ASSISTED LIVING FACILITY is 47-0841274.
Is FAIRBURY ASSISTED LIVING FACILITY tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2001.
Are donations to FAIRBURY ASSISTED LIVING FACILITY tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does FAIRBURY ASSISTED LIVING FACILITY file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of FAIRBURY ASSISTED LIVING FACILITY due?
The return for tax year 2025 (the year ending September 30, 2026) is due February 16, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
When did FAIRBURY ASSISTED LIVING FACILITY last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended September 2025.
Who is the principal officer of FAIRBURY ASSISTED LIVING FACILITY?
The 990 for the year ended September 30, 2025 names CHANCE KLASEK.
Who are the officers and directors of FAIRBURY ASSISTED LIVING FACILITY?
The 990 for the year ended September 30, 2025 lists 8 people; 0 received compensation from the organization.
How much revenue does FAIRBURY ASSISTED LIVING FACILITY have?
On its 990 for the year ended September 30, 2025 it reported revenue of $2,584,983, expenses of $2,508,685 and total assets of $3,649,513 at year end.

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