2025-10-27T13:47:25-05:00 2025-06-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990PF 2024-07-01 470690851 COFFMAN-LEVI CHARITABLE TRUST INC DBA GOLD CREST RETIREMENT CENTER COFF 4029887115 200 LEVI LANE ADAMS NE 683018830 CHRIS GRAMANN CHAIRMAN 4029887115 2025-10-21 1 0 STEVEN K PLACKE P00078534 3083827850 2025-10-20 2024 2025-03-06 01:10:19Z X 19496980 X 264476 121948 121948 121948 6000 0 0 5758682 0 5758682 6151106 121948 5880630 6750 0 6750 0 3220024 0 3220024 0 305464 0 305464 0 20966 0 20966 0 245526 0 245526 0 255232 0 255232 109136 0 109136 0 13466 0 13466 0 4631 0 4631 0 1707283 0 1707283 0 5888478 0 5888478 0 0 0 5888478 0 5888478 0 262628 121948 0 994185 927909 927909 332227 452540 332227 332227 26102 26102 3034171 3153451 3153451 12051209 7122614 4726886 4928595 15045895 9843 11396 11396 9217625 9379680 19496980 499248 426070 54772 27377 554020 453447 X 8663605 8926233 8663605 8926233 9217625 9379680 8663605 262628 0 8926233 0 8926233 X 1988-08-25 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 1 WWW.GOLDCREST.NET JENNIFER GRAFF 4029887115 200 LEVI LANE ADAMS NE 68301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WES SIEFKES PO BOX 33 ADAMS NE 68301 BOARD MEMBER 2.00 1250 0 0 CHRIS GRAMANN PO BOX 106 ADAMS NE 68310 CHAIRMAN 2.00 1250 0 0 RONALD SUTTER 415 N 21ST BEATRICE NE 68310 BOARD MEMBER 2.00 1250 0 0 JULIE KEALY 7500 N HAMPTON ROAD LINCOLN NE 68506 SECRETARY 2.00 1750 0 0 JOE GRAMANN PO BOX 106 ADAMS NE 68301 BOARD MEMBER 2.00 1250 0 0 JENNIFER GRAFF 200 LEVI LANE ADAMS NE 68301 EXECUTIVE DIRECTOR 40.00 132500 0 0 KILI KRAUTER 200 LEVI LANE ADAMS NE 68301 DIRECTOR OF NURSING 40.00 96530 0 0 0 NONE 0 OPERATE AND MAINTAIN A FACILITY FOR THE LONG-TERM CARE, COMFORT, AND MAINTENANCE OF THE ELDERLY. 4767268 0 0 7569 50000 57569 0 0 57569 864 56705 2835 X 0 0 590268 590268 1988-08-25 X 0 0 590268 758554 1730979 84175 3163976 0 0 0 0 0 590268 758554 1730979 84175 3163976 1890 1741 1555 1543 6729 X 0 0 PRIVATE CARE REVENUE 2146454 ASSISTED LIVING CARE REVENUE 1057614 DAYCARE REVENUE 446835 MEDICARE/MEDICAID PMTS 1961781 14 121948 6000 BEAUTY SHOP NET INCOME 1839 MEAL INCOME 16184 FARM INCOME 4275 DUPLEX INCOME (NET) 101246 MISCELLANEOUS INCOME 3454 RENT - HOUSE 19000 0 121948 5764682 5886630 1A 1A - 1E INCOME FROM OPERATION OF LONG-TERM CARE FACILITY. 11A 11A - 11E INCOME FROM LONG-TERM CARE FACILITY SUPPORT SERVICES. 0 0 0 0 0 0 0 0 0 0 X X 1 NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES-ARPA 301 CENTENNIAL MALL SOUTH LINCOLN NE 68509 35478 X 2 NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES-DAYCARE 301 CENTENNIAL MALL SOUTH LINCOLN NE 68509 213945 X INDIRECT ACCOUNTING FEES 20966 0 20966 0 NOT APPLICABLE CERTIFICATES OF DEPOSIT FMV 242357 242357 CERTIFICATES OF DEPOSIT FMV 2911094 2911094 ACCRUED INTEREST RECEIVABLE 9843 11396 11396 ADVERTISING 38731 0 38731 0 DUES AND LICENSES 11238 0 11238 0 FOOD 269265 0 269265 0 LIABILITY INSURANCE 62231 0 62231 0 PROPERTY INSURANCE 89706 0 89706 0 MISCELLANEOUS 12714 0 12714 0 OFFICE SUPPLIES 13572 0 13572 0 MEDICARE SERVICES & SUPPLIES 195713 0 195713 0 CONTRACTED SERVICES 652237 0 652237 0 REPAIRS AND MAINTENANCE 50048 0 50048 0 RESIDENT BENEFITS 14048 0 14048 0 SUPPLIES 229284 0 229284 0 TELEPHONE 13270 0 13270 0 CLINIC FEES AND SUPPLIES 7200 0 7200 0 COMPUTER SUPPORT 39138 0 39138 0 LEASE EXPENSE 8888 0 8888 0 PRIVATE CARE REVENUE 2146454 2146454 ASSISTED LIVING CARE REVENUE 1057614 1057614 DAYCARE REVENUE 446835 446835 MEDICARE/MEDICAID PMTS 1961781 1961781 BEAUTY SHOP NET INCOME 1839 1839 MEAL INCOME 16184 16184 FARM INCOME 4275 4275 DUPLEX INCOME (NET) 101246 101246 MISCELLANEOUS INCOME 3454 3454 RENT - HOUSE 19000 19000 RESIDENT CASH 1578 1037 DAMAGE DEPOSITS-DUPLEXES/TOWNHOUSES 28210 26340 RESIDENT CARE ADVANCES 24984 0 PAYROLL TAXES 245526 0 245526 0