2023-11-07T14:52:12-06:00 2023-06-30 842953567 TRIMNERBECKHAM PLLC 1750 TYSONS BLVD SUITE 1500 MCLEAN VA 22102 990 2022-07-01 461529192 ST THERESE OF DEEPHAVEN SENIOR LIVING STTH 9524734422 18323 MINNETONKA BOULEVARD DEEPHAVEN MN 55391 REVEREND LEONARD ANDRIE PRESIDENT 9524734422 2023-11-07 1 REVEREND LEONARD ANDRIE XXX-XX-XXXX 0 DAVID TRIMNER P00444822 7036631756 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z REVEREND LEONARD ANDRIE 18323 MINNETONKA BOULEVARD DEEPHAVEN MN 55391 5114071 0 X N/A X 2012 MN OWNERSHIP OF FACILITIES FOR SERVING THE AGED. 4 3 0 3 0 0 320759 0 4461324 5114004 71 67 0 0 4782154 5114071 0 0 0 0 2410589 2778227 0 0 0 2481898 2496112 4892487 5274339 -110333 -160268 -3946866 -4107134 0 0 -3946866 -4107134 X SUPPORT, PROMOTE, AND ADMINISTER THE CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SOCIAL MINISTRY OF THE CHURCH OF SAINT THERESE OF DEEPHAVEN TO MEET THE NEEDS OF THE AGING POPULATION. THIS IS CONDUCTED BY OWNING, LEASING, OPERATING, AND CONDUCTING (DIRECTLY OR INDIRECTLY) THE ACTIVITIES AND FACILITIES FOR THE HEALTHCARE, HOUSING, EDUCATION, SOCIAL SERVICES, AND FINANCIAL SECURITY FOR THE AGED. THE CHURCH CONTRIBUTED VACANT LAND FOR THE DEVELOPMENT AND OPERATION OF THIS SENIOR HOUSING FACILITY TO BE OWNED AND OPERATED BY ST. THERESE SENIOR LIVING, LLC (DBA DEEPHAVEN WOODS SENIOR LIVING). THE ORGANIZATION OWNS 90% OF ST. THERESE SENIOR LIVING, LLC, WHICH DEVELOPED AND OPERATED THE SENIOR LIVING FACILITY ADJACENT TO THE CHURCH. 0 0 3960047 5114004 OPERATED A SENIOR LIVING FACILITY ADJACENT TO THE CHURCH TO MEET THE NEEDS OF THE AGING POPULATION IN THE COMMUNITY BY ADMINISTERING AND COORDINATING ACTIVITIES AND FACILITIES FOR HEALTHCARE, EDUCATION, SOCIAL SERVICES, AND FINANCIAL SECURITY. 3960047 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 0 0 0 0 1 0 0 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 4 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X REVEREND LEONARD ANDRIE 9524734422 18323 MINNETONKA BOULEVARD DEEPHAVEN MN 55391 FR LEONARD ANDRIE PRESIDENT 2.00 40.00 X X 0 32380 1176 DOUGLAS JANDRO VICE PRESIDENT 1.00 X X 0 0 0 MARY JO MARTIN SECRETARY 1.00 X X 0 0 0 RONALD WATSON BOARD MEMBER 1.00 X 0 0 0 0 32380 1176 0 0 0 0 0 PARTNERSHIP INCOME 623000 5114004 5114004 5114004 67 67 5114071 5114004 0 67 2351609 1763707 587902 22856 17142 5714 257841 193381 64460 145921 109441 36480 33807 33807 61732 61732 26491 19868 6623 139072 104304 34768 187992 140993 46999 771115 578336 192779 535604 401703 133901 48169 36127 12042 DUES AND FEES 245318 245318 FOOD 187398 187398 REAL ESTATE TAXES 145441 145441 REPAIRS 60468 60468 53505 40129 13376 5274339 3960047 1314292 0 -3946866 -4107134 -3946866 -4107134 0 0 X 0 0 0 0 -3946866 -4107134 -3946866 -4107134 -3946866 -4107134 -160268 0 X 0 0 0 X X 1 THE CHURCH OF ST THERESE OF DEEPHAVEN 410790147 1 1 0 3960047 1 0 3960047 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 A CITY OF DEEPHAVEN MN 416005090 24379CAL0 2013-04-01 15795807 HOUSING & HEALTHCARE FACILITY 0 0 0 B CITY OF DEEPHAVEN MN 416005090 2013-04-01 1615510 HOUSING & HEALTHCARE FACILITY 0 0 0 C CITY OF DEEPHAVEN MN 416005090 24379CAR7 2013-04-01 1935000 HOUSING & HEALTHCARE FACILITY 0 0 0 A 15890000 1414595 612319 315916 528197 12515927 2014 0 0 0 1 B 1625000 16 46069 287408 806933 467998 6893 2014 0 0 0 1 C 1935000 104001 107231 38700 89995 1527093 2014 0 0 0 1 A 1 0 0 0 0 0 1 B 1 0 0 0 0 0 1 C 1 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 PART IV, LINE 2C THE ORGANIZATION IS PART OF A JOINT VENTURE WITH ANOTHER 501(C)(3) ORGANIZATION TO OWN, DEVELOP AND OPERATE SENIOR LIVING FACILITIES TO HELP MEET THE RELIGIOUS, EDUCATION, CHARITABLE AND FINANCIAL SECURITY OF THE AGING POPULATION IN THE COMMUNITY. THE JOINT VENTURE, ST. THERESE SENIOR LIVING DBA DEEPHAVEN WOODS SENIOR LIVING (THE "JOINT VENTURE") WAS THE BORROWER OF TAX-EXEMPT AND TAXABLE BONDS, THE CLOSING OF WHICH WAS EFFECTIVE ON APRIL 1, 2013. THE ORGANIZATION IS NOT THE BORROWER; THE JOINT VENTURE IS THE BORROWER. THE ORGANIZATION OWNS 90% OF THE JOINT VENTURE. THE JOINT VENTURE REPORTS THE LIABILITY ON FORM 1065, SCHEDULE L. THE ORGANIZATION PROVIDES THE INFORMATION RELATED TO THE TAX-EXEMPT BOND ISSUES ON THIS FORM 990 SCHEDULE K. THE REBATE COMPUTATION WAS PERFORMED ON APRIL 28, 2023. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION IS ORGANIZED UNDER THE MINNESOTA NONPROFIT ACT, WHICH ALLOWS MEMBERS. THE SOLE MEMBER IS THE CHURCH OF SAINT THERESE OF DEEPHAVEN, WHICH HAS THE AUTHORITY TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE AUTHORITY TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE RESERVED POWERS TO AMEND THE ARTICLES AND BYLAWS; DISSOLVE THE CORPORATION; APPROVE THE SALE OF TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; APPROVE THE MERGER OR CONSOLIDATION OF THE CORPORATION, AND APPROVE POLICIES AND PROCEDURES PERTAINING TO ADHERENCE TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT, AND THEN IT WAS REVIEWED AND APPROVED BY THE ORGANIZATION'S AUTHORIZED OFFICER. A COPY OF THE RETURN WAS DISTRIBUTED TO THE ENTIRE BOARD FOR REVIEW AND COMMENT PRIOR TO FILING WITH IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BYLAWS OF THE CORPORATION CONTAIN THE CONFLICT OF INTEREST POLICY, AND EACH BOARD MEMBER AND THE OFFICER HAS A COPY OF THE BYLAWS AND POLICY. THE POLICY REQUIRES THE DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST AND RECUSAL BY THE PERSON WHO MAY HAVE A CONFLICT. THIS IS ENFORCED AT ALL MATTERS THAT COME BEFORE THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, INCLUDING CONFLICT OF INTEREST POLICY, ARE AVAILABLE UPON REQUEST. THE CHURCH OF ST THERESE OF DEEPHAVEN 18323 MINNETONKA BOULEVARD DEEPHEAVEN MN 55391 410790147 CHURCH MN 501(C)(3) LINE 1 N/A 0 ST THERESE SENIOR LIVING LLC 18025 MINNETONKA BOULEVARD DEEPHAVEN MN 55391 900931661 SENIOR LIVING MN ST THERESE OF DEEPHAVEN SENIOR LIVING RELATED 5114071 11900085 0 0 0.90000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0