THREE CROWNS PARK: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
THREE CROWNS PARK (EIN 36-2030089)
Tax period
2020-04-01 to 2021-03-31
Filed
2022-02-09
IRS object ID
202230409349301303
Schema version
2020v4.2
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)
Return2022-02-09T17:28:06-06:00ReturnTs
Tax Period End2021-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19 PARKWAY NORTH SUITE 200AddressLine1Txt
CityDEERFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP60015ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-04-01TaxPeriodBeginDt

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 JUSTIEPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone8473288700PhoneNum
Signature2022-02-09SignatureDt
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 PersonARIANA WARRENPreparerPersonNm
PTINP01441395PTIN
Phone8472826300PhoneNum
Preparation2022-02-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEAN JUSTIEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12323 MCDANIEL AVENUEAddressLine1Txt
CityEVANSTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP602012519ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,874,195GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THREECROWNSPARK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY RETIREMENT HOUSING AND HEALTH CARE OPTIONS THAT FOSTER SECURITY, DIGNITY AND INDEPNEDENCE AND PROMOTE PERSONAL GROWTH.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee203TotalEmployeeCnt
Total Volunteers130TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$298,651PYContributionsGrantsAmt
CY Contributions Grants$11,751CYContributionsGrantsAmt
PY Program Service Revenue$13,319,907PYProgramServiceRevenueAmt
CY Program Service Revenue$11,528,012CYProgramServiceRevenueAmt
PY Investment Income$101,549PYInvestmentIncomeAmt
CY Investment Income$339,854CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$1,409,341CYOtherRevenueAmt
PY Total Revenue$13,720,107PYTotalRevenueAmt
CY Total Revenue$13,288,958CYTotalRevenueAmt
PY Grants And Similar Paid$125,818PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,417,280PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,329,848CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,113,094PYOtherExpensesAmt
CY Other Expenses$13,584,013CYOtherExpensesAmt
PY Total Expenses$17,656,192PYTotalExpensesAmt
CY Total Expenses$20,913,861CYTotalExpensesAmt
PY Revenues Less Expenses-$3,936,085PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,624,903CYRevenuesLessExpensesAmt
Total Assets BOY$59,506,395TotalAssetsBOYAmt
Total Assets EOY$57,003,328TotalAssetsEOYAmt
Total Liabilities BOY$85,831,707TotalLiabilitiesBOYAmt
Total Liabilities EOY$88,135,184TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$26,325,312NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$31,131,856NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HIGH QUALITY RETIREMENT HOUSING AND HEALTH CARE OPTIONS THAT FOSTER SECURITY, DIGNITY, AND INDEPENDENCE AND PROMOTE PERSONAL GROWTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$18,433,498ExpenseAmt
Revenue$11,528,012RevenueAmt
DescPROVIDE LONG-TERM CARE FOR THE ELDERLY RANGING FROM RESIDENTIAL LIVING TO ASSSISTED LIVING TO PERMANENT HEALTH-CARE.Desc
Total Program Service Expenses$18,433,498TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 RequiredYes (1)ScheduleJRequiredInd
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 Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee203EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
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 Line1DENNIS H TRAUTVETTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8473288700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12323 MCDANIEL AVENUEAddressLine1Txt
CityEVANSTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP60201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
NANCY FLOWERS
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
DAVID C FEINSTEIN
VICE-CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
THOMAS J MUSZYNSKI
TREASURER1.00Yes (X)Yes (X)$0$0$0
PHIL HEMMER
ASSISTANT SECRETARY AND CEO35.00Yes (X)Yes (X)$0$206,274$5,8295.00
JANET GOELZ HOFFMAN
DIRECTOR1.00Yes (X)$0$0$0
PEGGY NELSON
DIRECTOR1.00Yes (X)$0$0$0
RONNA HOFFBERG
DIRECTOR1.00Yes (X)$0$0$0
DENNIS H TRAUTVETTER
CFO32.00Yes (X)$0$183,880$5,1968.00
MARY BETH DENTZER
HEALTH SERVICES ADMINISTRA40.00$111,841$0$9,268Yes (X)
LISA DYE
INTERIM ED25.00$120,638$0$8,88815.00Yes (X)
THOKO MAVUSO
DIRECTOR OF NURSING40.00$114,391$0$10,754Yes (X)
DAISY COLLIER
LPN40.00$114,061$0$9,609Yes (X)
GINA ESHUIS
DIRECTOR OF MARKETING40.00$103,292$0$2,866Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$564,223TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$390,154TotReportableCompRltdOrgAmt
Total Other Compensation$52,410TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA30368DINING & ENVIR. SERV$1,821,958
HORIZON HEALTHCARE AGENCY
1446 N FOURTH STREETCHILLOCOTHEIL61523NURSING SERVICES$636,807
VILLA HOLISTIC CAREGIVERS
6100 N ALBANY AVENUECHICAGOIL60659NURSING SERVICES$564,079
CUSTOM HOME CARE
2716 PETERSON AVENUECHICAGOIL60659NURSING SERVICES$376,829
FREEDOM HOME CARE
PO BOX 565HIGHLAND PARKIL60035NURSING SERVICES$339,575
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$11,751AllOtherContributionsAmt
Total Contributions$11,751TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT FEES623000$9,648,079$9,648,079
ENTRANCE FEES623000$1,823,521$1,823,521
OTHER REVENUE900099$56,412$56,412
FieldValueIRS element (for citing)
Total Program Service Revenue$11,528,012TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$200,091TotalRevenueColumnAmt
Exclusion$200,091ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,725,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,585,237SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$139,763SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$139,763TotalRevenueColumnAmt
Exclusion$139,763ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PAYCHECK PROTECTION PR900099$1,379,200$1,379,200
INSURANCE CLAIM900099$30,141$30,141
FieldValueIRS element (for citing)
Other Revenue Total$1,409,341OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,288,958TotalRevenueColumnAmt
Related Or Exempt Func Income$11,528,012RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,749,195ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$389,834TotalAmt
Program Services$343,055ProgramServicesAmt
Management And General$46,779ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,258,083TotalAmt
Program Services$5,580,190ProgramServicesAmt
Management And General$677,893ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$150,784TotalAmt
Program Services$133,731ProgramServicesAmt
Management And General$17,053ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$92,638TotalAmt
Program Services$68,783ProgramServicesAmt
Management And General$23,855ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$438,509TotalAmt
Program Services$384,948ProgramServicesAmt
Management And General$53,561ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$457,247TotalAmt
Program Services$103,326ProgramServicesAmt
Management And General$353,921ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,855TotalAmt
Management And General$23,855ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,016TotalAmt
Management And General$11,016ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,145,994TotalAmt
Program Services$2,935,403ProgramServicesAmt
Management And General$210,591ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$185,320TotalAmt
Management And General$185,320ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,015,304TotalAmt
Program Services$986,863ProgramServicesAmt
Management And General$28,441ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$232,978TotalAmt
Program Services$22,147ProgramServicesAmt
Management And General$210,831ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$825,285TotalAmt
Program Services$723,866ProgramServicesAmt
Management And General$101,419ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$644TotalAmt
Program Services$614ProgramServicesAmt
Management And General$30ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,773,102TotalAmt
Program Services$1,609,499ProgramServicesAmt
Management And General$163,603ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,331,045TotalAmt
Program Services$3,023,692ProgramServicesAmt
Management And General$307,353ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,066,911TotalAmt
Program Services$1,002,069ProgramServicesAmt
Management And General$64,842ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
FOOD$914,640$914,640
OTHER$449,887$449,887
LICENSES AND TAXES$112,791$112,791
ACTIVITIES & ASSOC.$37,994$37,994

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,913,861TotalAmt
Program Services$18,433,498ProgramServicesAmt
Management And General$2,480,363ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$224,350BOYAmt
EOY$1,012,518EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$580,706BOYAmt
EOY$24,277EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$59,727BOYAmt
EOY$193,912EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$80,886,287LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,206,916LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,009,868BOYAmt
EOY$43,679,371EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,045,763BOYAmt
EOY$8,435,807EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,585,981BOYAmt
EOY$3,657,443EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$59,506,395BOYAmt
EOY$57,003,328EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,448,295BOYAmt
EOY$1,993,553EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,513,348BOYAmt
EOY$12,096,225EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,792,772BOYAmt
EOY$34,191,304EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,376,063BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,701,229BOYAmt
EOY$39,854,102EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$85,831,707BOYAmt
EOY$88,135,184EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$26,810,842BOYAmt
EOY-$31,635,743EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$485,530BOYAmt
EOY$503,887EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$26,325,312BOYAmt
EOY-$31,131,856EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,506,395BOYAmt
EOY$57,003,328EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$7,624,903ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$86,287NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,732,072OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$247,483CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$413,972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$328,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$298,651CurrentTaxYearMinus1YearAmt
Current Tax Year$11,751CurrentTaxYearAmt
Total$1,300,135TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,148,986CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,052,046CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,733,072CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,319,907CurrentTaxYearMinus1YearAmt
Current Tax Year$11,528,012CurrentTaxYearAmt
Total$66,782,023TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,396,469CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,466,018CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,061,350CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,618,558CurrentTaxYearMinus1YearAmt
Current Tax Year$11,539,763CurrentTaxYearAmt
Total$68,082,158TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$68,082,158PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$273,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$225,310CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$294,082CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$385,797CurrentTaxYearMinus1YearAmt
Current Tax Year$200,091CurrentTaxYearAmt
Total$1,378,600TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$273,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$225,310CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$294,082CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$385,797CurrentTaxYearMinus1YearAmt
Current Tax Year$200,091CurrentTaxYearAmt
Total$1,378,600TotalAmt

Other Income509 OtherIncome509Grp

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

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,669,789CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,691,328CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,355,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,004,355CurrentTaxYearMinus1YearAmt
Current Tax Year$13,149,195CurrentTaxYearAmt
Total$70,870,099TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96070PublicSupportCY509Pct
Public Support PY5090.97990PublicSupportPY509Pct
Investment Income CY0.01950InvestmentIncomeCYPct
Investment Income PY0.02010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$481,413BeginningYearBalanceAmt
Investment Earnings Or Losses$11,170InvestmentEarningsOrLossesAmt
Other Expenditures$15,223OtherExpendituresAmt
End Year Balance$477,360EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$482,788BeginningYearBalanceAmt
Investment Earnings Or Losses$12,682InvestmentEarningsOrLossesAmt
Other Expenditures$14,057OtherExpendituresAmt
End Year Balance$481,413EndYearBalanceAmt
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$98,810OtherCostOrOtherBasisAmt
Book Value$98,810BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,409,503OtherCostOrOtherBasisAmt
Depreciation$31,800,543DepreciationAmt
Book Value$41,608,960BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,356,779OtherCostOrOtherBasisAmt
Depreciation$4,960,656DepreciationAmt
Book Value$1,396,123BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,021,195OtherCostOrOtherBasisAmt
Depreciation$445,717DepreciationAmt
Book Value$575,478BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$43,679,371TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$80,638
ASSETS LIMITED AS TO USE$3,576,805
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,657,443TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
SECURITY DEPOSITS$161,701
RESIDENT DEPOSITS$328,188
BOND PREMIUM - NET OF AMORT.$899,091
ENTRANCE FEES$31,921,030
ESTIMATED OBLIGATION TO PROVIDE FUTURE SERVICES$6,544,092
FieldValueIRS element (for citing)
Total Liability$39,854,102TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$13,288,958TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$13,288,958RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,288,958TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,913,861TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$20,913,861ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,913,861TotalExpensesPerForm990Amt

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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PHIL HEMMER
ASSISTANT SECRETARY AND CEO$0$206,274$0$0$0$0$0$5,829$0$0$0$212,103$0$0
DENNIS H TRAUTVETTER
CFO$0$183,880$0$0$0$0$0$5,196$0$0$0$189,076$0$0

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 ExpendituresCapitalExpendituresAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmt
A$3,066,984$167,380$445$60,700$2,335,908$502,552000Yes (1)
B$35,316,395$2,643,782$1,264$703,328Yes (1)00Yes (1)$2,081,468$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)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/10/2018
PART V:THE FILING ORGANIZATION DOES NOT CURRENTLY HAVE ESTABLISHED WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS ARE TIMELY IDENTIFED AND CORRECTED. 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 PROCEDURES TO ENSURE THAT VIOLATIONS ARE TIMELY IDENTIFED AND CORRECTED IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE TAXPAYER HAS ONE MEMBER/STOCKHOLDER - THREE CROWNS FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ATHREE 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).
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).
FORM 990, PART VI, SECTION B, LINE 11BA 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 12ALTHOUGH 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 15ANNUAL INCREASES ARE MERIT BASED AND ARE COMPARED WITH INDUSTRY STANDARDS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNANCE DOCUMENTS ARE FILED WITH STATE. FINANCIAL STATEMENTS ARE PROVIDED TO PROSPECTIVE RESIDENTS. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC IN THE LIBRARY AT THREE CROWNS PARK.
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 11GCOVID-9 AGENCY FEES: PROGRAM SERVICE EXPENSES 2,376,558. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,376,558. AGENCY FEES - LPNS: PROGRAM SERVICE EXPENSES 528. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528. AGENCY FEES - CNA'S: PROGRAM SERVICE EXPENSES 4,888. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,888. OTHER PROFESSIONALS: PROGRAM SERVICE EXPENSES 840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 840. OTHER PROFESSIONALS: PROGRAM SERVICE EXPENSES 15,537. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,537. RELIGIOUS SERVICES: PROGRAM SERVICE EXPENSES 7,013. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,013. CONSULTING FEES: PROGRAM SERVICE EXPENSES 339. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 339. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 2,476. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,476. NON-EMPLOYEE FEES: PROGRAM SERVICE EXPENSES 139,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 139,200. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 500. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 39,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,870. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 148,951. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 148,951. OTHER PROFESSIONAL DEVELOPMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,270. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,270. NON EMPLOYEE FEES: PROGRAM SERVICE EXPENSES 388,024. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 388,024.
FORM 990, PART XI, LINE 9:TRANSFER FROM THREE CROWNS FOUNDATION 9,257,807. CHANGE IN OBLIGATION TO PROVIDE FUTURE SERVICES -6,544,092. CHANGE IN VALUE IN PERPETUAL TRUST 18,357.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THREE CROWNS FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12323 MCDANIEL AVENUEAddressLine1Txt
CityEVANSTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP60201ZIPCd
FieldValueIRS element (for citing)
EIN201060468EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status12(C)(III)PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
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 OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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