THREE CROWNS PARK: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THREE CROWNS PARK (EIN 36-2030089)
Tax period
2021-04-01 to 2021-09-30
Filed
2022-08-11
IRS object ID
202202239349302755
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-11T16:09:05-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362030089EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THREE CROWNS PARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTHREBusinessNameControlTxt
Phone8473288700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12323 MCDANIEL AVENUEAddressLine1Txt
CityEVANSTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP602012519ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEAN E JUSTIEPersonNm
Person TitleCFOPersonTitleTxt
Phone8473288700PhoneNum
Signature2022-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEANPersonFirstNm
Person LastJUSTIEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAMANTHA BECKERPreparerPersonNm
PTINP01344887PTIN
Phone3122071040PhoneNum
Preparation2022-08-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRI S CUNLIFFEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O CLCS 5700 OLD ORCHARD ROADAddressLine1Txt
CitySKOKIECityNm
State AbbreviationILStateAbbreviationCd
ZIP60077ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,563,267GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THREECROWNSPARK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionCARE FOR SENIOR ADULTS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,751PYContributionsGrantsAmt
CY Contributions Grants$231CYContributionsGrantsAmt
PY Program Service Revenue$11,528,012PYProgramServiceRevenueAmt
CY Program Service Revenue$5,450,552CYProgramServiceRevenueAmt
PY Investment Income$339,854PYInvestmentIncomeAmt
CY Investment Income$92,503CYInvestmentIncomeAmt
PY Other Revenue$1,409,341PYOtherRevenueAmt
CY Other Revenue$19,981CYOtherRevenueAmt
PY Total Revenue$13,288,958PYTotalRevenueAmt
CY Total Revenue$5,563,267CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,329,848PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,632,197CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$193,404CYTotalFundraisingExpenseAmt
PY Other Expenses$13,584,013PYOtherExpensesAmt
CY Other Expenses$4,687,952CYOtherExpensesAmt
PY Total Expenses$20,913,861PYTotalExpensesAmt
CY Total Expenses$8,320,149CYTotalExpensesAmt
PY Revenues Less Expenses-$7,624,903PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,756,882CYRevenuesLessExpensesAmt
Total Assets BOY$57,003,328TotalAssetsBOYAmt
Total Assets EOY$96,598,789TotalAssetsEOYAmt
Total Liabilities BOY$88,135,184TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,389,780TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$31,131,856NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$209,009NetAssetsOrFundBalancesEOYAmt
MissionAS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, THREE CROWNS PARK CELEBRATES GOD'S GIFT OF LIFE IN CHRISTIAN COMMUNITY. WE FOLLOW THE GREAT COMMANDMENT TO LOVE AND SERVE GOD AND ONE ANOTHER AS TAUGHT BY JESUS CHRIST. (SEE SCHEDULE O)MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,071,527ExpenseAmt
Revenue$5,468,433RevenueAmt
DescPROVIDE LONG-TERM CARE FOR THE ELDERLY RANGING FROM RESIDENTIAL LIVING TO ASSSISTED LIVING TO PERMANENT HEALTH-CARE.Desc
Total Program Service Expenses$6,071,527TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEAN E JUSTIEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7738782294PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O CLCS - 5700 OLD ORCHARD ROADAddressLine1Txt
CitySKOKIECityNm
State AbbreviationILStateAbbreviationCd
ZIP60077ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
PHIL HEMMER - END 63021
ASSISTANT SECRETARY AND CEO35.005.00Yes (X)Yes (X)$0$0$0
DAVID C FEINSTEIN
VICE-CHAIRPERSON - END 6/30/211.000.00Yes (X)Yes (X)$0$0$0
THOMAS J MUSZYNSKI
TREASURER - END 6/30/211.000.00Yes (X)Yes (X)$0$0$0
TERRI S CUNLIFFE
DIRECTOR/CLCS PRESIDENT/CEO1.0058.00Yes (X)Yes (X)$0$0$0
MATTHEW MANLOVE
DIRECTOR0.101.90Yes (X)$0$0$0
SARAH BENTLEY
DIRECTOR0.101.90Yes (X)$0$0$0
JANET CREANEY
DIRECTOR0.101.90Yes (X)$0$0$0
NANCY FLOWERS
DIRECTOR0.500.50Yes (X)$0$0$0
JANET GOELZ HOFFMAN
DIRECTOR - END 6/30/210.101.90Yes (X)$0$0$0
PEGGY NELSON - END 63021
DIRECTOR1.000.00Yes (X)$0$0$0
RONNA HOFFBERG - END 63021
DIRECTOR1.000.00Yes (X)$0$0$0
KATHLEEN GILLESPIE
DIRECTOR0.500.50Yes (X)$0$0$0
WILLIAM STAFFORD
DIRECTOR0.500.50Yes (X)$0$0$0
DENNIS H TRAUTVETTER
CFO - END 6/30/2132.008.00Yes (X)$0$0$0
JEAN E JUSTIE
CFO/TREASURER/ASST SECRETARY1.0058.00Yes (X)$0$0$0
DAVID G ERICKSON
SR VP & GEN COUNSEL/ASST SECRETARY1.0058.00Yes (X)$0$0$0
AMY LACROIX
SVP, COMMUNITY OPS/ASST SECRETARY1.0058.00Yes (X)$0$0$0
WILLIAM RABE
SR VP ENTERPRISE OPS/ASST SECRETARY1.0058.00Yes (X)$0$0$0
EMILY WARNYGORA
ASSISTANT SECRETARY1.0058.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$231AllOtherContributionsAmt
Total Contributions$231TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROUTINE SERVICES623000$4,436,614$4,436,614
ENTRANCE FEE623000$981,437$981,437
ANCILLARY SERVICES623000$31,707$31,707
MEALS623000$794$794
FieldValueIRS element (for citing)
Total Program Service Revenue$5,450,552TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,137TotalRevenueColumnAmt
Exclusion$61,137ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,100RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,100RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,100TotalRevenueColumnAmt
Exclusion$2,100ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,366SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$31,366SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,366TotalRevenueColumnAmt
Exclusion$31,366ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescSUPPORT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$17,881TotalRevenueColumnAmt
Related Or Exempt Func Income$17,881RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,881OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,563,267TotalRevenueColumnAmt
Related Or Exempt Func Income$5,468,433RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$94,603ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,937,349TotalAmt
Program Services$2,294,585ProgramServicesAmt
Management And General$553,344ManagementAndGeneralAmt
Fundraising$89,420FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$76,905TotalAmt
Program Services$60,482ProgramServicesAmt
Management And General$14,764ManagementAndGeneralAmt
Fundraising$1,659FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$400,761TotalAmt
Program Services$356,868ProgramServicesAmt
Management And General$40,783ManagementAndGeneralAmt
Fundraising$3,110FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$217,182TotalAmt
Program Services$170,412ProgramServicesAmt
Management And General$40,051ManagementAndGeneralAmt
Fundraising$6,719FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,400TotalAmt
Program Services$8,400ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$49,084TotalAmt
Management And General$49,084ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,073,953TotalAmt
Program Services$576,822ProgramServicesAmt
Management And General$479,692ManagementAndGeneralAmt
Fundraising$17,439FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$31,081TotalAmt
Management And General$31,081ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$191,275TotalAmt
Program Services$168,128ProgramServicesAmt
Management And General$22,399ManagementAndGeneralAmt
Fundraising$748FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$285,548TotalAmt
Program Services$255,548ProgramServicesAmt
Management And General$30,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$741TotalAmt
Management And General$741ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,476TotalAmt
Program Services$3,076ProgramServicesAmt
Management And General$400ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$844,371TotalAmt
Program Services$616,169ProgramServicesAmt
Management And General$208,574ManagementAndGeneralAmt
Fundraising$19,628FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,303,565TotalAmt
Program Services$1,680,998ProgramServicesAmt
Management And General$569,020ManagementAndGeneralAmt
Fundraising$53,547FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$133,317TotalAmt
Program Services$133,317ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DINING SERVICE$452,139$452,139
RESIDENT CARE$202,241$202,241
LICENSES AND PERMITS$9,243$9,243
RECRUITING$6,001$6,001

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$906,483TotalAmt
Program Services-$916,901ProgramServicesAmt
Management And General$9,284ManagementAndGeneralAmt
Fundraising$1,134FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,320,149TotalAmt
Program Services$6,071,527ProgramServicesAmt
Management And General$2,055,218ManagementAndGeneralAmt
Fundraising$193,404FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,012,518BOYAmt
EOY$1,417,876EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$5,275EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,277BOYAmt
EOY$19,957EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$193,912BOYAmt
EOY$51,047EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,669,995LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$573,746LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$43,679,371BOYAmt
EOY$49,096,249EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,435,807BOYAmt
EOY$10,448,365EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$33,391,145EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,657,443BOYAmt
EOY$2,168,875EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,003,328BOYAmt
EOY$96,598,789EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,993,553BOYAmt
EOY$1,560,122EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$12,096,225BOYAmt
EOY$13,184,019EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,191,304BOYAmt
EOY$35,767,421EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,854,102BOYAmt
EOY$45,878,218EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$88,135,184BOYAmt
EOY$96,389,780EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$31,635,743BOYAmt
EOY-$299,593EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$503,887BOYAmt
EOY$508,602EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$31,131,856BOYAmt
EOY$209,009EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,003,328BOYAmt
EOY$96,598,789EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,756,882ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$26,973NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$34,124,720OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$413,972CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$328,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$298,651CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,751CurrentTaxYearMinus1YearAmt
Current Tax Year$231CurrentTaxYearAmt
Total$1,052,883TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,052,046CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,733,072CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,319,907CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,528,012CurrentTaxYearMinus1YearAmt
Current Tax Year$5,468,433CurrentTaxYearAmt
Total$58,101,470TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,466,018CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,061,350CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,618,558CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,539,763CurrentTaxYearMinus1YearAmt
Current Tax Year$5,468,664CurrentTaxYearAmt
Total$59,154,353TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$35,314CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,532CurrentTaxYearMinus1YearAmt
Current Tax Year$61,647CurrentTaxYearAmt
Total$146,493TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$35,314CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,532CurrentTaxYearMinus1YearAmt
Current Tax Year$61,647CurrentTaxYearAmt
Total$146,493TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$59,007,860PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$225,310CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$294,082CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$385,797CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$200,091CurrentTaxYearMinus1YearAmt
Current Tax Year$63,237CurrentTaxYearAmt
Total$1,168,517TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$225,310CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$294,082CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$385,797CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$200,091CurrentTaxYearMinus1YearAmt
Current Tax Year$63,237CurrentTaxYearAmt
Total$1,168,517TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$1,409,341CurrentTaxYearMinus1YearAmt
Total$1,409,341TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,691,328CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,355,432CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,004,355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,149,195CurrentTaxYearMinus1YearAmt
Current Tax Year$5,531,901CurrentTaxYearAmt
Total$61,732,211TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95590PublicSupportCY509Pct
Public Support PY5090.96070PublicSupportPY509Pct
Investment Income CY0.01890InvestmentIncomeCYPct
Investment Income PY0.01950InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III:FormAndLineReferenceDesc
ExplanationBECAUSE OF THE SHORT YEAR-END FILING, THE COLUMNS IN SCHEDULE A PART III CORRESPOND TO THE FOLLOWING TAX YEARS: 2017 = FYE 3/31/18 2018 = FYE 3/31/19 2019 = FYE 3/31/20 2020 = FYE 3/31/21 2021 = SHORT YEAR-END 9/30/21ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$503,887BeginningYearBalanceAmt
Investment Earnings Or Losses$4,715InvestmentEarningsOrLossesAmt
End Year Balance$508,602EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$485,530BeginningYearBalanceAmt
Investment Earnings Or Losses$18,357InvestmentEarningsOrLossesAmt
Other Expenditures$0OtherExpendituresAmt
End Year Balance$503,887EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$480,139BeginningYearBalanceAmt
Investment Earnings Or Losses$14,506InvestmentEarningsOrLossesAmt
Other Expenditures$9,115OtherExpendituresAmt
End Year Balance$485,530EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$477,360BeginningYearBalanceAmt
Investment Earnings Or Losses$13,993InvestmentEarningsOrLossesAmt
Other Expenditures$11,214OtherExpendituresAmt
End Year Balance$480,139EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$481,413BeginningYearBalanceAmt
Investment Earnings Or Losses$11,170InvestmentEarningsOrLossesAmt
Other Expenditures$15,223OtherExpendituresAmt
End Year Balance$477,360EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,855,518OtherCostOrOtherBasisAmt
Book Value$4,855,518BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,710,510OtherCostOrOtherBasisAmt
Depreciation$546,246DepreciationAmt
Book Value$43,164,264BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,091,453OtherCostOrOtherBasisAmt
Depreciation$27,500DepreciationAmt
Book Value$1,063,953BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,514OtherCostOrOtherBasisAmt
Book Value$12,514BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$49,096,249TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
REFUNDABLE CONTRACT LIABILITIES$27,708,745
OTHER LIABILITIES$14,907
ENTRANCE FEES$2,470,065
RESIDENT DEPOSITS$368,821
ESTIMATED OBLIGATION TO PROVIDE FUTURE SERVICES$14,650,680
NOTES PAYABLE$665,000
FieldValueIRS element (for citing)
Total Liability$45,878,218TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ENDOWMENT FUND IS TO BE MAINTAINED INTO PERPETUITY. THE PURPOSE OF THE FUND IS TO SUPPORT RESIDENTS WHO ARE EXPERIENCING FINANCIAL HARDSHIP.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745203HPZ92013-04-25$3,035,000RENOVATION OF FACILITY000
ILLINOIS FINANCE AUTHORITY
B86109196745204EUN62017-07-25$35,316,395REFUND PRIOR ISSUE (8/15/06)000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmt
A$3,067,165$167,560$445$60,700$2,838,460000Yes (1)
B$38,031,118$2,714,723$1,264$703,328Yes (1)00Yes (1)$2,120,000$34,611,803

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)
B00Yes (1)Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)000Yes (1)Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/31/2018ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1:AS A MINISTRY OF THE EVANGELICAL COVENANT CHURCH, THREE CROWNS PARK CELEBRATES GOD'S GIFT OF LIFE IN CHRISTIAN COMMUNITY. WE FOLLOW THE GREAT COMMANDMENT TO LOVE AND SERVE GOD AND ONE ANOTHER AS TAUGHT BY JESUS CHRIST. THAT COMPELS US TO AFFIRM THE DIGNITY OF EACH PERSON AND TO PURSUE EXCELLENCE AND FINANCIAL INTEGRITY IN ALL THAT WE DO. AS WE PROVIDE A BROAD RANGE OF RESOURCES, SERVICES AND PROGRAMS TO ENHANCE INDIVIDUAL AND COMMUNITY WELLNESS, WE COLLABORATE WITH RESIDENTS AND FAMILIES TO ACHIEVE THE BEST POSSIBLE RESULTS. WHILE SEEKING TO FOSTER INDEPENDENCE, WE RESPOND TO EACH INDIVIDUAL'S EVOLVING NEEDS IN ORDER TO PROVIDE THE SECURITY THAT ASSURES PEACE OF MIND. IN LIVING OUT THE MISSION, THE COMMUNITY PROVIDES A COMPLETE CONTINUUM OF CARE FROM RESIDENTIAL LIVING THROUGH NURSING CARE. SUCH SERVICES ARE GUIDED BY A SERIES OF VALUES AND GOALS ADDRESSING RESIDENT NEEDS, PRIVACY, SAFETY AND DIGNITY, INCLUDING APPROPRIATE ACCESS TO SERVICES.
FORM 990, PART VI, SECTION A, LINE 3THREE CROWNS PARK DELEGATED CONTROL OVER MANAGEMENT DUTIES TO COVENANT LIVING COMMUNITIES AND SERVICES BEGINNING 7/1/21.
FORM 990, PART VI, SECTION A, LINE 6BEGINNING 7/1/21, COVENANT LIVING SERVICES BECAME THE SOLE MEMBER OF THREE CROWNS FOUNDATION. THREE CROWNS FOUNDATION REMAINS THE SOLE MEMBER OF THREE CROWNS PARK.
FORM 990, PART VI, SECTION A, LINE 7BTHREE CROWNS FOUNDATION, AS THE SOLE MEMBER OF THREE CROWNS PARK, HAS THE RIGHT TO APPROVE THREE CROWNS PARK'S OFFICERS (CHAIR, VICE CHAIR, SECRETARY AND TREASURER) UNTIL 6/30/21. EFFECTIVE 7/1/21, S 2.4 OF BYLAWS INCLUDE RESERVED POWERS TO THE [INDIVIDUAL] MEMBERS SUCH AS APPOINTMENT OF PRESIDENT OF COVENANT LIVING COMMUNITIES AND SERVICES, CHANGES TO MISSION AND STRATEGIC PLAN, APPROVAL OF CERTAIN ACQUISITIONS, DISPOSITIONS AND FINANCINGS, CHANGES TO ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT REVIEW: THE DRAFT FORM 990 WAS REVIEWED BY MULTIPLE LEVELS OF MANAGEMENT INCLUDING THE CHIEF FINANCIAL OFFICER AND THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL. BOARD REVIEW: PRIOR TO FILING, THE 990 PROCESS WAS REVIEWED WITH THE BOARD OF DIRECTORS AT THE BOARD MEETING AND THE FINAL FORM 990 WAS PROVIDED TO EACH BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 12CALTHOUGH THE FILING ORGANIZATION HAS A WRITTEN CONFLICTS OF INTEREST POLICY, THE ANNUAL ATTESTATION REQUIRED BY THE POLICY WAS NOT OBTAINED PRIOR TO 07/01/21. THE ORGANIZATION AFFILIATED WITH COVENANT LIVING COMMUNITIES AND SERVICES (CLCS) ON JULY 1, 2021, AND ADOPTED THE POLICIES OF CLCS, WHICH INCLUDED OBTAINING AN ANNUAL ATTESTATION. COVENANT LIVING COMMUNITIES AND SERVICES HAS AN ADMINISTRATIVE POLICY ON CONFLICT OF INTEREST, IDENTIFYING THE PARAMETERS OF A CONFLICT OF INTEREST AND THE REQUIREMENT TO DISCLOSE ANY SUCH CONFLICT OF INTEREST. THE COVENANT LIVING POLICY IS DISTRIBUTED ANNUALLY TO COVENANT LIVING'S BOARD MEMBERS AND OFFICERS. THEY ARE ASKED TO SIGN ACKNOWLEDGING RECEIPT OF THE POLICY AND TO DISCLOSE IF THEY HAVE ANY CONFLICT OF INTERESTS. IF SOMEONE IS ABSENT FROM THE MEETING OR FAILS TO RETURN THE ACKNOWLEDGMENT, THERE IS A FOLLOW-UP WITH THE INDIVIDUAL UNTIL THE SIGNED ACKNOWLEDGMENT IS PROVIDED. IN ADDITION TO THE ABOVE, A SEPARATE AND MORE COMPREHENSIVE QUESTIONNAIRE IS SENT TO THE BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND OTHER INTERESTED PERSONS. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY COVENANT LIVING'S LEGAL COUNSEL TO DETERMINE IF ANY ACTUAL OR POTENTIAL CONFLICTS EXIST. IF A PERSON BECOMES AN INTERESTED PERSON, HE OR SHE MAY BE CONSIDERED IN DETERMINING WHETHER A QUORUM IS PRESENT. THE INTERESTED PERSON MAY MAKE A SHORT STATEMENT RELATING TO THE TRANSACTION OR ARRANGEMENT IN QUESTION, BUT SHALL NOT BE PRESENT DURING THE DISCUSSION AND SHALL NOT VOTE ON THE MOTION ADDRESSING THE ACTUAL OR POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15COVENANT LIVING COMMUNITIES AND SERVICES BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO COVENANT LIVING'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE COVENANT LIVING'S SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE RESOURCES UTILIZED BY THE COMPENSATION COMMITTEE INCLUDE: 1) INDEPENDENT COMPENSATION CONSULTANT; 2) COMPENSATION SURVEY OR STUDY; 3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST BY CONTACTING THE COVENANT LIVING COMMUNITIES AND SERVICES FINANCE DEPARTMENT AT 773-878-2294.
FORM 990, PART VI, LINE 9:CONTACT INFO FOR DIRECTORS & OFFICERS ALL OF THE ORGANIZATION'S DIRECTORS AND OFFICERS CAN BE CONTACTED AT THIS ADDRESS: COVENANT LIVING COMMUNITIES AND SERVICES, INC. - 5700 OLD ORCHARD ROAD, SKOKIE, IL 60077.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 241,271. MANAGEMENT AND GENERAL EXPENSES 471,439. FUNDRAISING EXPENSES 14,380. TOTAL EXPENSES 727,090. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 335,211. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 335,211. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 340. MANAGEMENT AND GENERAL EXPENSES 8,253. FUNDRAISING EXPENSES 3,059. TOTAL EXPENSES 11,652.
FORM 990, PART XI, LINE 9:NET ASSET TRANSFER 790,564. CHANGE IN NET ASSETS DUE TO ACQUISITION 33,334,156.
FORM 990, PART XII, LINE 2B:EFFECTIVE JULY 1, 2021, THREE CROWNS FOUNDATION, THE SOLE MEMBER OF THREE CROWNS PARK, IS NOW A WHOLLY OWNED SUBSIDIARY OF COVENANT LIVING COMMUNITIES AND SERVICES. AS A RESULT, THE ENTITY IS CHANGING ITS FISCAL YEAR-END FROM MARCH 31 TO SEPTEMBER 30 AND TWO SHORT-PERIOD AUDITS OF THE ENTITY'S FINANCIAL STATEMENTS WERE PERFORMED FOR THE PERIODS APRIL 1, 2021 THROUGH JUNE 30, 2021 AND JULY 1, 2021 THROUGH SEPTEMBER 30, 2021.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EVANGELICAL COVENANT CHURCH
8303 WEST HIGGINS ROADCHICAGOIL60631362167730CHURCHIL501(C)(3)LINE 1N/A0
COVENANT LIVING COMMUNITIES AND SERVICES
5700 OLD ORCHARD RDSKOKIEIL60077363478388MANAGEMENT/SUPPORT SERVICESIL501(C)(3)LINE 12B, II0EVANGELICAL COVENANT CHURCH
COVENANT HEALTH CARE CENTERS
2155 PFINGSTEN ROADNORTHBROOKIL60062521115873CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT HOME ILLINOIS
2625 TECHNY ROADNORTHBROOKIL60062362643638CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT LIVING OF CROMWELL INC
52 MISSIONARY ROADCROMWELLCT06416131740015CONTINUING CARE RETIREMENT COMMUNITYCT501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT HOME OF CHICAGO
2720 W FOSTER AVECHICAGOIL60625363095932ASSISTED LIVING FACILITYIL501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT HOME SERVICES
5700 OLD ORCHARD RDSKOKIEIL60077260744025HOME HEALTH SERVICESIL501(C)(3)LINE 100COVENANT LIVING SERVICES INC
COVENANT HOUSING CORPORATION
5700 OLD ORCHARD RDSKOKIEIL60077364484624MANAGEMENT/SUPPORT SERVICESIL501(C)(3)LINE 12B, II0COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT MINISTRIES OF BENEVOLENCE
5145 N CALIFORNIA AVECHICAGOIL60625363486813CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)LINE 12A, I0EVANGELICAL COVENANT CHURCH
COVENANT PLACE OF LENEXA INC
5700 OLD ORCHARD RDSKOKIEIL60077452693240CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)LINE 100COVENANT LIVING SERVICES INC
COVENANT LIVING OF BIXBY INC
5700 OLD ORCHARD RDSKOKIEIL60077320419173CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)LINE 100COVENANT LIVING SERVICES INC
COVENANT LIVING OF THE GREAT LAKES
2520 LAKE MICHIGAN DRIVE NWGRAND RAPIDSMI49504383244636CONTINUING CARE RETIREMENT COMMUNITYMI501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT LIVING WEST
2550 TREASURE DRIVESANTA BARBARACA93105953472345CONTINUING CARE RETIREMENT COMMUNITYCA501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT LIVING SERVICES
5700 OLD ORCHARD RDSKOKIEIL60077272480652MANAGEMENT/SUPPORT SERVICESIL501(C)(3)LINE 12B, II0COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT LIVING OF COLORADO INC
9153 YARROW STREETWESTMINSTERCO80021841084331CONTINUING CARE RETIREMENT COMMUNITYCO501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT LIVING OF FLORIDA INC
9215 W BROWARD BLVDPLANTATIONFL33324521115870CONTINUING CARE RETIREMENT COMMUNITYFL501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT LIVING AT THE HOLMSTAD
700 W FABYAN PARKWAYBATAVIAIL60510362835154CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT LIVING AT WINDSOR PARK
124 WINDSOR PARK DRIVECAROL STREAMIL60188363385581CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT LIVING OF GENEVA
5700 OLD ORCHARD RDSKOKIEIL60077843227613RENTAL SENIOR HOUSINGIL501(C)(3)LINE 100COVENANT LIVING SERVICES INC
TULSA HILLS COMMUNITY INC
5700 OLD ORCHARD RDSKOKIEIL60077842854729CONTINUING CARE RETIREMENT COMMUNITYIL501(C)(3)LINE 100COVENANT LIVING SERVICES INC
EMC HEALTH INC
2881 GEER ROAD SUITE ATURLOCKCA95382942281314MANAGEMENT/SUPPORT SERVICESCA501(C)(3)LINE 12B, II0COVENANT MINISTRIES OF BENEVOLENCE
COVENANT INITIATIVES FOR CARE INC
5145 N CALIFORNIA AVECHICAGOIL60625271841721MANAGEMENT/SUPPORT SERVICESIL501(C)(3)LINE 12B, II0COVENANT MINISTRIES OF BENEVOLENCE
COVENANT CARE CENTER
9201 WEST BROWARD BLVDPLANTATIONFL33324591948940CONTINUING CARE RETIREMENT COMMUNITYFL501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT PALMS OF MIAMI
9201 WEST BROWARD BLVDPLANTATIONFL33324590653300CONTINUING CARE RETIREMENT COMMUNITYFL501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
COVENANT RETIREMENT COMMUNITIES OF MINNESOTA INC
5825 SAINT CROIX AVENUEMINNEAPOLISMN55422411506900CONTINUING CARE RETIREMENT COMMUNITYMN501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES
CRC FOUNDATION
5700 OLD ORCHARD RD STE 100SKOKIEIL60077300763748FUNDRAISINGIL501(C)(3)LINE 70COVENANT LIVING COMMUNITIES AND SERVICES
THREE CROWNS FOUNDATION
2323 MCDANIEL AVENUEEVANSTONIL60201201060468FOUNDATIONIL501(C)(3)LINE 12B, II0COVENANT LIVING SERVICES INC
COVENANT LIVING OF GOLDEN VALLEY INC
5800 ST CROIX AVEMINNEAPOLISMN55422410841150CONTINUING CARE RETIREMENT COMMUNITYMN501(C)(3)LINE 100COVENANT LIVING COMMUNITIES AND SERVICES

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
COVENANT INTERNATIONAL INSURANCE COMPANY LTD
CRAWFORD HOUSE 50 CEDAR AVENUEHAMILTONBDINSURANCEBDN/AC0
COVENANT TRUST COMPANY
FINANCIAL SERVICESN/AC08303 WEST HIGGINS ROAD 6TH FLOORCHICAGOIL60631363583163IL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THREE CROWNS FOUNDATION
M$228,088ALLOCATION OF ACTUAL COST
THREE CROWNS FOUNDATION
Q$2,113,857ALLOCATION OF ACTUAL COST
THREE CROWNS FOUNDATION
S$1,300,000ALLOCATION OF ACTUAL COST

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.