Civic Intelligence

Shady Rest Care Pavilion Inc

EIN 65-0850574 • 501(c)3 • Fort Myers, FL

View Organization Page

Profile

To provide skilled nursing care.

6200 Whiskey Creek DrFort Myers, FL 33919

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2022

Liabilities / Revenue

34th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $500k-$1M nonprofits • Source year 2022

Net Margin

99th percentile

99%

Higher net margin than 99% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2021 to 2022

Revenue Growth

100th percentile

35988%

Faster revenue growth than 100% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $22,406 (-100%) from 2021

Liabilities

Down

$0

Down $724,759 (-100%) from 2021

Net Assets

Up

$0

Up $702,353 (+100%) from 2021

Operations
Liabilities / Revenue34th percentileNet Margin99th percentile

Revenue

Up

$712,368

Up $710,394 (+35988%) from 2021

Expenses

Down

$10,015

Down $400,146 (-98%) from 2021

Net Income

Up

$702,353

Up $1,110,540 (+272%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth2nd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0-$5.0MAssets 2010: $6,695,043Liabilities 2010: $1,453,313Net Assets 2010: $5,241,7302010Assets 2011: $7,474,239Liabilities 2011: $1,643,660Net Assets 2011: $5,830,5792011Assets 2012: $7,759,567Liabilities 2012: $1,545,162Net Assets 2012: $6,214,4052012Assets 2013: $8,113,078Liabilities 2013: $1,753,929Net Assets 2013: $6,359,1492013Assets 2014: $8,821,974Liabilities 2014: $2,210,697Net Assets 2014: $6,611,2772014Assets 2015: $9,407,338Liabilities 2015: $2,402,184Net Assets 2015: $7,005,1542015Assets 2016: $9,585,817Liabilities 2016: $2,225,078Net Assets 2016: $7,360,7392016Assets 2017: $8,391,688Liabilities 2017: $3,085,030Net Assets 2017: $5,306,6582017Assets 2018: $9,452,442Liabilities 2018: $4,415,727Net Assets 2018: $5,036,7152018Assets 2019: $1,692,710Liabilities 2019: $222,966Net Assets 2019: $1,469,7442019Assets 2020: $158,808Liabilities 2020: $452,974Net Assets 2020: -$294,1662020Assets 2021: $22,406Liabilities 2021: $724,759Net Assets 2021: -$702,3532021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0
Open 2022 Filing

Operations Trend

Revenue Growth100th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $14,661,9242010Expenses 2011: $15,009,4482011Revenue 2012: $14,634,458Expenses 2012: $14,250,632Net Income 2012: $383,8262012Expenses 2013: $15,061,1172013Revenue 2014: $15,546,713Expenses 2014: $15,294,585Net Income 2014: $252,1282014Revenue 2015: $16,726,422Expenses 2015: $16,332,545Net Income 2015: $393,8772015Revenue 2016: $16,558,186Expenses 2016: $16,236,095Net Income 2016: $322,0912016Revenue 2017: $16,526,551Expenses 2017: $17,518,503Net Income 2017: -$991,9522017Revenue 2018: $15,854,424Expenses 2018: $16,369,535Net Income 2018: -$515,1112018Revenue 2019: $3,949,640Expenses 2019: $5,846,836Net Income 2019: -$1,897,1962019Revenue 2020: $10,870Expenses 2020: $1,774,780Net Income 2020: -$1,763,9102020Revenue 2021: $1,974Expenses 2021: $410,161Net Income 2021: -$408,1872021Revenue 2022: $712,368Expenses 2022: $10,015Net Income 2022: $702,3532022

Highlighted filing

2022

Revenue$712,368
Expenses$10,015
Net Income$702,353
Open 2022 Filing

Filings

Most recent year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$712,368
Expenses
$10,015
Net income
$702,353
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.71$0.01$0.70
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.02$0.72$0.70$0.00$0.41$0.41
2020Detailed filing. Detailed filing data is available for this year.$0.16$0.45$0.29$0.01$1.77$1.76
2019Detailed filing. Detailed filing data is available for this year.$1.69$0.22$1.47$3.95$5.85$1.90
2018Detailed filing. Detailed filing data is available for this year.$9.45$4.42$5.04$15.9$16.4$0.52
2017Detailed filing. Detailed filing data is available for this year.$8.39$3.09$5.31$16.5$17.5$0.99
2016Detailed filing. Detailed filing data is available for this year.$9.59$2.23$7.36$16.6$16.2$0.32
2015Detailed filing. Detailed filing data is available for this year.$9.41$2.40$7.01$16.7$16.3$0.39
2014Detailed filing. Detailed filing data is available for this year.$8.82$2.21$6.61$15.5$15.3$0.25
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.11$1.75$6.36$15.1
2012Summary only. Only limited summary data is available for this year.$7.76$1.55$6.21$14.6$14.3$0.38
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.47$1.64$5.83$15.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.70$1.45$5.24$14.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2021 to Sep 30, 2022
Signed
May 8, 2023
Return Version
2021v4.2
Gross Receipts
$712,368
Mission and Program Overview

Mission

To provide skilled nursing care.

Operation of a skilled nursing facility.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$22,406$0▼ $22,406
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$22,406$0▼ $22,406
Other Assets Total-$0-
Liabilities
Other Liabilities$724,759$0▼ $724,759
Total Liabilities$724,759$0▼ $724,759
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-702,353$0▲ $702,353
Total Net Assets Fund Balance$-702,353$0▲ $702,353
Total Liabilities and Net Assets / Fund Balance$22,406$0▼ $22,406
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
Robert L MurrayPresident & Chair
Jo StecherVice Chair
Arie J VanduijnSecretary
Sheila CarlsonTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$10
Other Revenue
$712,358
Change in Net Assets
$702,353
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$10,015
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal-$4,821-$4,821
Fees for Services Accounting-$2,927-$2,927
Other Expenses-$2,267-$2,267
Total Functional Expenses$0$10,015$0$10,015
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“An accounting firm prepares the form 990 and returns the draft to management of the organization. Management checks the returns and has any suggested changes made before distributing it to the board of directors. The return is sent to all board of directors members with their monthly board packets so that the return can be reviewed before the monthly board of directors meeting. At the meeting, an overview of the return is provided and any questions are answered. After the board meeting, the 990 is filed.”

Form 990, Part VI, Section C, Line 19

“PROVIDED UPON REQUEST.”

Filing and Contact Details

Filer

Filer Name
Shady Rest Care Pavilion Inc
EIN
65-0850574
Phone
2399851210
Address
6200 WHISKEY CREEK DR, FORT MYERS, FL 33919

Signing Officer

Name
Robert Murray
Title
President
Phone
2399851210
Signed
2023-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Murray
Formed
1998
Legal Domicile
Fl
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
4

Preparer

Firm
Markham Norton Mosteller Wright & Co
Address
8961 CONFERENCE DRIVE SUITE 1, FORT MYERS, FL 33919
Preparer
Karen Mosteller
Phone
2394335554
Raw XML Appendix398 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/BooksInCareOfDetail/PhoneNum02399851210
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt06200 WHISKEY CREEK DR
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
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IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
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IRS990/Form990ProvidedToGvrnBodyInd01
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
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IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
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IRS990/NetUnrelatedBusTxblIncmAmt00
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IRS990/NondeductibleContributionsInd00
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IRS990/OtherExpensesGrp/Desc0BANK SERVICE CHARGES
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0MISCELLANEOUS REVENUE - 2017 AMOUNT: $ 50,465. 2018 AMOUNT: $ 19,606. 2019 AMOUNT: $ 10,627. 2020 AMOUNT: $ 1,934. DEBT FORGIVENESS INCOME - 2021 AMOUNT: $ 712,368.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0ACTUAL COST
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt02203 NORTH LOIS AVENUE STE 812
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0TAMPA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0FL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd033607
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AN ACCOUNTING FIRM PREPARES THE FORM 990 AND RETURNS THE DRAFT TO MANAGEMENT OF THE ORGANIZATION. MANAGEMENT CHECKS THE RETURNS AND HAS ANY SUGGESTED CHANGES MADE BEFORE DISTRIBUTING IT TO THE BOARD OF DIRECTORS. THE RETURN IS SENT TO ALL BOARD OF DIRECTORS MEMBERS WITH THEIR MONTHLY BOARD PACKETS SO THAT THE RETURN CAN BE REVIEWED BEFORE THE MONTHLY BOARD OF DIRECTORS MEETING. AT THE MEETING, AN OVERVIEW OF THE RETURN IS PROVIDED AND ANY QUESTIONS ARE ANSWERED. AFTER THE BOARD MEETING, THE 990 IS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PROVIDED UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd2N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SHADY REST FOUNDATION INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1ALL ABOUT HOME CARE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2PAGE HEALTHCARE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0300274280
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1208542270
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2208542312
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVIDE A FACILITY AND SUPPORT TO SHADY REST CARE PAVILION, INC.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1PROVIDE HOME HEALTH SERVICES.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2PROVIDE MANAGEMENT SERVICES TO RELATED ORGANIZATIONS.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt2LINE 11
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt06200 WHISKEY CREEK DR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt16200 WHISKEY CREEK DR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt26200 WHISKEY CREEK DR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0FORT MYERS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1FORT MYERS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm2FORT MYERS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd033919
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd133919
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd233919
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0FL
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt022406
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt022406
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt010015
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt010015
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0724759
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0724759
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-702353
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0712368
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0712368
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt04
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt022406
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt06200 WHISKEY CREEK DR
IRS990/USAddress/CityNm0FORT MYERS
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd033919
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ROBERT MURRAY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum02399851210
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-05-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SHADY REST CARE PAVILION INC
ReturnHeader/Filer/BusinessNameControlTxt0SHAD
ReturnHeader/Filer/EIN0650850574
ReturnHeader/Filer/PhoneNum02399851210
ReturnHeader/Filer/USAddress/AddressLine1Txt06200 WHISKEY CREEK DR
ReturnHeader/Filer/USAddress/CityNm0FORT MYERS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd033919
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0331068007
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MARKHAM NORTON MOSTELLER WRIGHT & CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt08961 CONFERENCE DRIVE SUITE 1
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0FORT MYERS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd033919
ReturnHeader/PreparerPersonGrp/PhoneNum02394335554
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KAREN MOSTELLER
ReturnHeader/ReturnTs02023-05-08T17:44:10-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0ROBERT
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0MURRAY
ReturnHeader/TaxPeriodBeginDt02021-10-01
ReturnHeader/TaxPeriodEndDt02022-09-30
ReturnHeader/TaxYr02021

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