2023-11-15T15:07:44-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2022-01-01 560529956 MASONIC AND EASTERN STAR HOME OF NORTH CAROLINA INC MASO 3362990031 700 S HOLDEN ROAD GREENSBORO NC 27407 NIKKI STAFFORD DIRECTOR OF FINANCIAL SERVICES 3362990031 2023-11-08 1 NIKKI STAFFORD 999009999 0 JOHN NORMAN P01506766 7049985200 2023-11-08 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z WHITESTONE NIKKI STAFFORD 700 S HOLDEN ROAD GREENSBORO NC 27407 16237887 0 X WWW.LIVEATWHITESTONE.ORG X 1912 NC AS A RETIREMENT COMMUNITY LEADER SINCE 1912, MASONIC AND EASTERN STAR HOME OF NC IS DEVOTED TO EXCELLENCE IN HOSPITALITY WITH TRADITIONAL VALUES PROMOTING FRATERNAL SERVICE, DIGNITY, DEPENDABILITY, AND CHOICE. 20 20 349 35 0 0 3562571 3002634 11824370 12919438 240595 232393 27236 76344 15654772 16230809 0 0 0 0 7779124 9266607 0 0 31608 8753675 8858803 16532799 18125410 -878027 -1894601 138321577 141338808 121081639 129828898 17239938 11509910 AS A RETIREMENT COMMUNITY LEADER SINCE 1912, MASONIC AND EASTERN STAR HOME OF NC IS DEVOTED TO EXCELLENCE IN HOSPITALITY WITH TRADITIONAL VALUES PROMOTING FRATERNAL SERVICE, DIGNITY, DEPENDABILITY, AND CHOICE. 0 0 11745915 12919438 MASONIC AND EASTERN STAR HOME OF NC PROVIDES RESIDENTIAL, HEALTH CARE, AND OTHER RELATED SERVICES TO ELDERLY RESIDENTS. THE HOME OFFERS INDEPENDENT LIVNG, ASSISTED LIVING, AND SKILLED NURSING SERVICES. 11745915 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 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 0 0 0 1 51 0 349 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X NIKKI STAFFORD 3365104809 700 S HOLDEN RD GREENSBORO NC 27407 GENE JERNIGAN CHAIRMAN 1.00 X X 0 0 0 LARRY THOMPSON JR DIRECTOR 1.00 X 0 0 0 KEVAN FRAZIER DIRECTOR 1.00 X 0 0 0 DON KEHLER DIRECTOR 1.00 X 0 0 0 JON CANUPP DIRECTOR 1.00 X 0 0 0 JOEY TRANSOU DIRECTOR 1.00 X 0 0 0 JERRY RANDY BROWNING III DIRECTOR 1.00 X 0 0 0 BRYANT WEBSTER DIRECTOR 1.00 X 0 0 0 TOMMY MILLS JR DIRECTOR 1.00 X 0 0 0 EDWARD JOHNSON II DIRECTOR 1.00 X 0 0 0 DAVID SAWYER DIRECTOR 1.00 X 0 0 0 RONALD HENSLEY DIRECTOR 1.00 X 0 0 0 ELLEN BROOKS DIRECTOR 1.00 X 0 0 0 MIKE UNDERWOOD SECRETARY 1.00 X X 0 0 0 BETTY JO YOMMER DIRECTOR 1.00 X 0 0 0 DAVID GRIFFITH DIRECTOR 1.00 X 0 0 0 LINDA BURRIS DIRECTOR 1.00 X 0 0 0 LINDA HYATT DIRECTOR 1.00 X 0 0 0 ALLEN HUGHES DIRECTOR 1.00 X 0 0 0 LINDA BONNER DIRECTOR 1.00 X 0 0 0 PAMELA NIKKI STAFFORD DIRECTOR OF FINANCIAL SERV 40.00 X 117904 0 8092 MARIE DUNN DIRECTOR OF MARKETING 40.00 X 127130 0 7442 245034 0 15534 2 0 0 0 LIFE CARE COMPANIES LLC 400 LOCUST ST STE 820 DES MOINES IA 50309 MANAGEMENT COMPANY 1369199 HEALTHPRO HERITAGE PO BOX 69268 BALTIMORE MD 21264 THERAPY SERVICES 453687 2 2972354 30280 3002634 RESIDENT SERVICES AND HEALTH CARE 623000 12919438 12919438 12919438 239471 239471 7078 -7078 -7078 -7078 OTHER INCOME 623000 76344 76344 76344 16230809 12919438 0 308737 7623485 5717614 1886812 19059 231986 173989 57417 580 736283 552212 182230 1841 674853 506140 167026 1687 405677 405677 17938 3752 14044 142 56056 11726 43887 443 677914 141803 530750 5361 727075 436245 290830 35589 7444 27864 281 1030613 654368 376245 1826319 1090849 735470 255624 255624 MEDICAL SUPPLIES & SERV 919415 919415 REPAIRS AND MAINT 912017 364807 547210 FOOD SUPPLIES & SERVICE 846560 634920 211640 OTHER SUPPLIES & ACTIVI 780370 351166 429204 367636 179465 185957 2214 18125410 11745915 6347887 31608 2985338 2001744 54550612 32856928 866083 1424674 60238 64139 264818 291946 115485739 27962671 57538272 87523068 17969973 14929559 4368958 3502851 -398932 -1481109 116217 225008 138321577 141338808 5664234 10673090 12159909 16101323 97372398 96990897 5885098 6063588 121081639 129828898 X 11483414 6918252 5756524 4591658 17239938 11509910 138321577 141338808 X -1894601 -2969320 -866107 X 0 1 X 1 0 X 1489837 1555079 3629654 3562571 2252634 12489775 1489837 1555079 3629654 3562571 2252634 12489775 1574946 10914829 245919 250758 234639 240595 239471 1211382 14939 22434 2792 27236 76344 143745 13844902 74539310 0.78840 0.90690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4859295 -666931 55329 4137035 4551728 380740 73173 4859295 3316368 862918 372442 4551728 3316368 3316368 3316368 3316368 0.80934 0.19066 0 0 1176902 1176902 51355093 24982373 26372720 3621181 2795686 825495 59332563 184612 59147951 87523068 REFUNDABLE ADVANCE FEES 4185487 DEPOSITS ON UNOCCUPIED UNITS 1655873 RESIDENT TRUST FUNDS 182228 LONG TERM ACCOUNTS PAYABLE 40000 6063588 X 16529568 75165 75165 16454403 -223594 -223594 16230809 18125410 0 18125410 0 18125410 PART V, LINE 4: THE HOME'S ENDOWMENTS CONSIST OF A BOARD DESIGNATED OPERATING RESERVE FUND AND DONOR-RESTRICTED ENDOWMENT FUNDS TO PROVIDE BENEVOLENT CARE TO RESIDENTS IN NEED. PART X, LINE 2: MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF THE HOME. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE HOME. THE HOME FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE HOME'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELEASE FROM RESTRICTION 75,165. PART XI, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 30,280. RESTRICTED INVESTMENT INCOME (LOSS) -253,874. X 0 0 0 0 0 0 0 0 0 A PUBLIC FINANCE AUTHORITY 273866124 74444VAD2 2017-11-28 25023276 REFUND 2011A BONDS 0 0 0 B PUBLIC FINANCE AUTHORITY 273866124 74444VAW0 2020-09-10 76438581 EXPANSION OF FACILITIES, DEBT SERVICE, PAY INTEREST AND ISSUANCE COSTS 0 0 0 A 2948276 25023276 24520225 500465 2586 2012 1 0 0 1 B 76438581 5432436 1528767 69477378 1502538 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 0 B 0 1 0 0 0 0 0 0 1 A 0 B 1 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD IF NEEDED AND ALL MEMBERS ARE MEMBERS OF THE BOARD AND HAVE VOTING RIGHTS. FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES (LCS) HAS BEEN ENGAGED BY THE BOARD OF TRUSTEES AS THE MANAGEMENT COMPANY OVER THE COMMUNITY SINCE 2006. FORM 990, PART VI, SECTION A, LINE 7A THE GRAND MASTER APPOINTS THREE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE DIRECTOR OF FINANCIAL SERVICES PRIOR TO BEING FILED. A COPY OF THE RETURN IS AVAILABLE TO BOARD MEMBERS, MANAGEMENT COMPANY REPRESENTATIVES AND ADVANCEMENT/DEVELOPMENT TEAM MEMBERS UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL MONITORING OF CONFLICT OF INTEREST IS PART OF THE DUTIES OF THE CORPORATE COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR CEO, CURRENT OFFICERS, ETC. IS REVIEWED AS A PART OF ANNUAL BUDGET BY THE BOARD OF DIRECTORS, FINANCE COMMITTEE AND PERSONNEL COMMITTEE. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023 FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE UPON REQUEST. THE AUDITED FINANCIALS ARE INCLUDED IN ANNUAL DISCLOSURE AS REQUIRED BY DEPARTMENT OF INSURANCE. FORM 990, PART XI, LINE 9: CHANGE IN THE VALUE OF SPLIT-INTEREST AGREEMENTS -866,107. GRAND LODGE OF THE AF AND AM OF NC PO BOX 6506 RALEIGH NC 27628 560228750 PROVIDE SUPPORT FOR NC MASONS NC 501(C)(8) & (C)(10) 0 GRAND CHAPTER OF THE ORDER OF THE EASTERN STAR OF NC PO BOX 4730 WILMINGTON NC 28406 560239941 CHARITABLE, EDUCATIONAL AND FRATERNAL NC 501(C)(8) & (C)(10) 0 NC MASONIC FOUNDATION INC PO BOX 6506 RALEIGH NC 27628 566049500 RECEIVE DONATIONS AND NC 501(C)(3) LINE 12B, II 0 NC EASTERN STAR FOUNDATION INC PO BOX 2296 GARNER NC 27529 561974972 INVEST FUNDS RAISED TO NC 501(C)(3) PF 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0