2022-02-09T17:28:06-06:00 2021-03-31 111986323 MARCUM LLP 9 PARKWAY NORTH SUITE 200 DEERFIELD IL 60015 990 2020-04-01 201060468 THREE CROWNS FOUNDATION THRE 8473288700 2323 MCDANIEL AVENUE EVANSTON IL 602012519 JEAN JUSTIE CHIEF FINANCIAL OFFICER 8473288700 2022-02-09 1 JEAN JUSTIE 999009999 ARIANA WARREN P01441395 8472826300 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JEAN JUSTIE 2323 MCDANIEL AVENUE EVANSTON IL 602012519 7365195 0 X N/A X 2004 IL THE FOUNDATION PROVIDES ADMINISTRATIVE ASSISTANCE, MANAGEMENT ADVICE, INVESTMENT ADVICE & FINANCIAL ASSISTANCE TO THREE CROWNS PARK A 501(C)(3) ORGANIZATION 8 7 2 0 0 0 150736 183528 0 353921 258347 514531 332425 0 741508 1051980 208784 19226 0 0 423176 433071 0 0 0 26334 143967 658294 596264 83214 455716 10970165 2907085 87429 213443 10882736 2693642 THE FOUNDATION PROVIDES ADMINISTRATIVE ASSISTANCE, MANAGEMENT ADVICE, INVESTMENT ADVICE AND FINANCIAL ASSISTANCE TO THREE CROWNS PARK, A 501(C)(3) ORGANIZATION PROVIDING LONG-TERM CARE TO OLDER ADULTS. 0 0 19226 19226 353921 SUPPORT FOR THREE CROWNS PARK, A RELATED ORGANIZATION. 19226 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 2 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 1 1 0 IL X DENNIS H TRAUTVETTER 8473288700 2323 MCDANIEL AVENUE EVANSTON IL 60201 PHIL HEMMER ASST SECRETARY/EXECUTIVE DIRECTOR 5.00 35.00 X X 206274 0 5829 JAMES E ELSASS CHAIRPERSON 1.00 X X 0 0 0 KATHLEEN GILLESPIE VICE-CHAIRPERSON 1.00 X X 0 0 0 JEFFREY LATER SECRETARY 1.00 X X 0 0 0 BILL STAFFORD TREASURER 1.00 X X 0 0 0 CATHY GRIMSTED DIRECTOR 1.00 X 0 0 0 JANET GOELZ HOFFMAN DIRECTOR 1.00 X 0 0 0 RICH JONES DIRECTOR 1.00 X 0 0 0 DENNIS H TRAUTVETTER CFO 8.00 32.00 X 183880 0 5196 LISA DYE INTERIM ED 15.00 25.00 X 0 120638 8888 390154 120638 19913 2 0 1 0 0 183528 183528 MANAGEMENT FEE 900099 353921 353921 353921 90952 90952 6736794 6313215 423579 423579 423579 1051980 353921 0 514531 X 19226 19226 398157 398157 11354 11354 1546 1546 22014 22014 11695 11695 130860 130860 PAYROLL SERVICES 1379 1379 MISCELLANEOUS 23 23 CORPORATE FILING FEES 10 10 596264 19226 577038 0 781269 566290 4376063 1029 1029 5774422 2004050 37382 335716 10970165 2907085 52685 138152 34744 75291 87429 213443 X 10741700 2556667 141036 136975 10882736 2693642 10970165 2907085 X 455716 612997 -9257807 X 0 1 X 1 0 X X 1 THREE CROWNS PARK 362030089 10 1 9257807 0 1 9257807 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 PART IV, SECTION E, LINE 2A: IN ADDITION TO MANAGEMENT ASSISTANCE AND ADVICE, THREE CROWNS FOUNDATION PROVIDED SUBSTANTIAL FUNDING TO THREE CROWNS PARK (TCP) - OVER $9 MILLION - COMMITTING THE MAJORITY OF ITS ASSETS TO ENABLE TCP TO SURVIVE THROUGH THE PANDEMIC. PART IV, SECTION E, LINE 2B: IN THE ABSENCE OF SUPPORT FROM THREE CROWNS FOUNDATION, THE CROWNS PARK WOULD STILL UNDERTAKE THESE ACTIVITIES AS THE ORGANIZATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITH THE MISSION TO CARE FOR THE ELDERLY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 407727 161906 0 569633 1 X 0 DUE FROM THREE CROWNS PARK 335716 335716 CHARITABLE GIFT ANNUITIES 5593 DONATIONS PAYABLE 69698 75291 PART IV, LINE 2B: THREE CROWNS FOUNDATION IS THE CUSTODIAN FOR CERTAIN ENDOWMENTS OF ITS RELATED PARTY, THREE CROWNS PARK (TCP) - AND COMMITTED THE MAJORITY OF ITS ASSETS TO ENABLE TCP TO SURVIVE THROUGH THE PANDEMIC. 1 SCHOLARSHIPS 9 19226 PART I, LINE 2: FUNDING IS PROVIDED TO THE FOUNDATION BY ITS RESIDENTS. RESIDENTS AND THE FOUNDATION DEVELOPMENT DIRECTOR COMPRISE THE SCHOLARSHIP COMMITTEE. THE COMMITTEE SOLICITS APPLICATIONS, INTERVIEWS APPLICANTS AND AWARDS SCHOLARSHIPS. TUITION SUPPORT (SCHOLARSHIP) IS PAID DIRECTLY TO THE EDUCATIONAL INSTITUTION. X X 0 0 0 0 0 0 0 0 0 PHIL HEMMER ASST SECRETARY/EXECUTIVE DIRECTOR 206274 0 0 0 0 0 5829 0 0 0 212103 0 0 0 DENNIS H TRAUTVETTER CFO 183880 0 0 0 0 0 5196 0 0 0 189076 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT MAY ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT FORM 990 IS PROVIDED TO THE BOARD AT A BOARD MEETING AT WHICH THE FORM 990 IS REVIEWED. THE TAX RETURN IS FILED AFTER BOARD ACCEPTANCE AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12 ALTHOUGH THE FILING ORGANIZATION HAS A WRITTEN CONFLICTS OF INTEREST POLICY, THE ANNUAL ATTESTATION REQUIRED BY THE POLICY WAS NOT OBTAINED IN THE PERIOD COVERED BY THIS FORM 990. THE ORGANIZATION AFFILIATED WITH COVENANT LIVING COMMUNITIES AND SERVICES (CLCS) ON JULY 1, 2021, AND WILL ADOPT THE POLICIES OF CLCS GOING FORWARD, WHICH WILL INCLUDE OBTAINING AN ANNUAL ATTESTATION. FORM 990, PART VI, SECTION B, LINE 15 ANNUAL SALARY INCREASES ARE MERIT BASED AND ARE COMPARED WITH INDUSTRY STANDARDS. FORM 990, PART VI, SECTION C, LINE 19 MAKING FINANCIAL STATEMENT AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC THEY ARE ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, LINES 13 AND 14: THE FILING ORGANIZATION DOES NOT HAVE A WRITTEN WHISTLEBLOWER POLICY OR A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. THE FILING ORGANIZATION AFFILIATED WITH COVENANT LIVING COMMUNITIES AND SERVICES (CLCS) ON JULY 1, 2021, AND WILL ADOPT THE POLICIES OF CLCS GOING FORWARD. THOSE POLICIES WILL INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 130,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,000. FINANCIAL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 860. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 860. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS -9,257,807. THREE CROWNS PARK 2323 MCDANIEL AVENUE EVANSTON IL 60201 362030089 LONG-TERM CARE FACILITY IL 501(C)(3) LINE 10 N/A 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 THREE CROWNS PARK L 353921 ACTUAL THREE CROWNS PARK Q 335716 ACTUAL THREE CROWNS PARK R 9257807 ACTUAL