2024-05-07T15:37:00-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990 2023-01-01 760784971 JOHN KNOX VILLAGE OF FLORIDA FOUNDATION INC JOHN 9547834000 651 SW 6TH STREET POMPANO BEACH FL 33060 DOUGLAS FOLSOM CFO 9547834000 2024-04-29 1 DOUGLAS FOLSOM 999009999 1 TINA HENTON P00630282 4078021200 2024-04-29 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z CLARK RECHKEMMER 651 SW 6TH STREET POMPANO BEACH FL 33060 6906744 0 X WWW.JKVFOUNDATION.COM X 2003 FL TO ENHANCE AND IMPROVE THE LIFESTYLE AND FUTURE WELL-BEING OF JOHN KNOX VILLAGE RESIDENTS. 7 7 0 15 0 0 4065440 821688 0 0 257334 541267 0 0 4322774 1362955 434381 894403 0 0 48742 35371 0 0 0 1101922 359383 1585045 1289157 2737729 73798 16712819 17054834 74872 721641 16637947 16333193 TO ENHANCE AND IMPROVE THE LIFESTYLE AND FUTURE WELL-BEING OF JOHN KNOX VILLAGE RESIDENTS THROUGH EFFECTIVE ACQUISTIONS AND STEWARDSHIP OF CONTRIBUTIONS FROM BOTH CARING RESIDENTS AND MEMBERS OF THE SURROUNDING COMMUNITY. 0 0 1003834 894403 THE FOUNDATION HOLDS VARIOUS ENDOWMENT FUNDS AND CONTRIBUTIONS THAT ARE USED TO SUPPORT THE RESIDENTS, PROJECTS AND PROGRAMS OF JOHN KNOX VILLAGE OF FLORIDA, INC. 1003834 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 FL X X MARK DOBOSZ 9547844757 651 VILLAGE DRIVE POMPANO BEACH FL 33060 CLARK RECHKEMMER DIRECTOR/PRESIDENT (THRU 11.23) 2.50 0.00 X X 0 0 0 BETH HAND DIRECTOR/TREASURER 2.50 0.00 X X 0 0 0 CAROL FREI DIRECTOR/SECRETARY 2.50 0.00 X X 0 0 0 TERRY COLLI BOARD LIASON 2.50 2.50 X 0 0 0 LUCINDA GOLFIN ORTIGAO DIRECTOR (THRU 11.23) 2.50 0.00 X 0 0 0 DENNIS FITCH DIRECTOR 2.50 0.00 X 0 0 0 HUNTER CRAIG DIRECTOR 2.50 0.00 X 0 0 0 RICHARD SHAPIRO DIRECTOR (THRU 11.23) 2.50 0.00 X 0 0 0 LORETTA NEFF DIRECTOR 2.50 0.00 X 0 0 0 BRUCE VOELKEL DIRECTOR 2.50 0.00 X 0 0 0 MARK DOBOSZ EXECUTIVE DIRECTOR 40.00 1.00 X 0 204451 21306 0 204451 21306 1 0 1 0 0 821688 821688 470350 470350 5614706 5543789 70917 70917 70917 1362955 0 0 541267 894403 894403 29446 29446 610 610 2895 2895 2420 2420 249996 249996 92 92 35235 35235 16184 16184 20508 20508 13031 13031 65 65 DIETARY 24152 24152 RESIDENT ACTIVITIES 120 120 1289157 1003834 285323 0 564211 327822 520699 869215 191202 102423 0 11704 14147802 15569035 1288905 174635 16712819 17054834 74872 4165 0 717476 74872 721641 X 3289024 3532577 13348923 12800616 16637947 16333193 16712819 17054834 X 73798 1045966 -1424518 X 0 1 X 1 0 X 943416 1038324 1912085 4065440 821688 8780953 943416 1038324 1912085 4065440 821688 8780953 1097981 7682972 316810 255063 545782 372079 470350 1960084 10741037 0.71530 0.72830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6466804 36463 935353 -26305 7464925 9564010 110562 -1334532 1873236 6466804 8876777 1381764 758494 1453025 9564010 8005457 264126 821159 213965 8876777 10920345 9649 -2602944 321593 8005457 0.99295 0.00705 0 0 0 ANNUITY PAYMENT LIABILITY 717476 717476 PART V, LINE 4: TO PROVIDE ASSISTANCE TO JOHN KNOX VILLAGE OF FLORIDA, INC. 0 JOHN KNOX VILLAGE OF FLORIDA INC 651 SW 6TH STREET POMPANO BEACH FL 33060 591800721 501(C)(3) 894403 0 GENERAL OPERATING SUPPORT 1 0 0 0 0 0 0 0 0 0 MARK DOBOSZ EXECUTIVE DIRECTOR 0 182115 0 22336 0 0 0 3892 0 17414 0 225757 0 0 PART I, LINE 3 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED AND PAID BY JOHN KNOX VILLAGE OF FLORIDA, INC. ("JKV"). JKV USED THE FOLLOWING TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF JOHN KNOX VILLAGE OF FLORIDA, INC., A RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS SUBMITTED TO THE FOUNDATION BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING ANY PERSONAL INTEREST IN A PROSPECTIVE VENDOR, RELATED PARTY, ETC. NO CONTRACT OR OTHER TRANSACTION BETWEEN THE JKV FOUNDATION AND ONE OR MORE OF ITS DIRECTORS OR ANY OTHER CORPORATION, FIRM, ASSOCIATION OR ENTITY IN WHICH ONE OR MORE OF ITS DIRECTORS OR OFFICERS OR ARE FINANCIALLY INTERESTED, SHALL BE EITHER VOID OR VOIDABLE BECAUSE OF SUCH RELATIONSHIP OR INTEREST OR BECAUSE SUCH DIRECTOR OR DIRECTORS ARE PRESENT AT THE MEETING OF THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF WHICH AUTHORIZES, APPROVES OR RATIFIES SUCH CONTRACT OR TRANSACTION OR BECAUSE OF HIS OF THEIR VOTES ARE COUNTED FOR SUCH PURPOSE IF: (A) THE FACT OF SUCH RELATIONSHIP OR INTEREST IS DISCLOSED OR KNOWN TO THE BOARD OF DIRECTORS OR COMMITTEE WHICH AUTHORIZES, APPROVES OR RATIFIES SUCH CONTRACT OR TRANSACTION BY VOTE OR CONSENTS OF SUCH INTERESTED DIRECTORS; OR (B) THE CONTRACT IS FAIR AND REASONABLE TO THE JKV FOUNDATION AT THE TIME IT IS AUTHORIZED BY THE BOARD OF DIRECTORS OR COMMITTEE THEREOF. COMMON OR INTERESTED DIRECTORS MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF WHICH AUTHORIZES, APPROVES OR RATIFIES SUCH CONTRACT OR TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 171,570. TRANSFER OF NET ASSET -1,596,088. JOHN KNOX VILLAGE OF FLORIDA INC 651 SW 6TH STREET POMPANO BEACH FL 33060 591800721 RETIREMENT COMMUNITY FL 501(C)(3) LINE 10 0 JOHN KNOX HOME HEALTH AGENCY INC 651 SW 6TH STREET POMPANO BEACH FL 33060 592823932 HOME HEALTH FL JOHN KNOX VILLAGE OF FLORIDA INC C 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0