ST THERESE OF DEEPHAVEN SENIOR LIVING: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ST THERESE OF DEEPHAVEN SENIOR LIVING (EIN 46-1529192)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-11-11
IRS object ID
202213159349305356
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)
Return2022-11-11T13:36:35-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN842953567PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TRIMNERBECKHAM PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11750 TYSONS BLVD SUITE 1500AddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461529192EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST THERESE OF DEEPHAVEN SENIOR LIVINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTTHBusinessNameControlTxt
Phone9524734422PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line118323 MINNETONKA BOULEVARDAddressLine1Txt
CityDEEPHAVENCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55391ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREVEREND LEONARD ANDRIEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9524734422PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstREVERENDPersonFirstNm
Person LastLEONARD ANDRIEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID TRIMNERPreparerPersonNm
PTINP00444822PTIN
Phone7036631756PhoneNum

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 OfficerREVEREND LEONARD ANDRIEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line118323 MINNETONKA BOULEVARDAddressLine1Txt
CityDEEPHAVENCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55391ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,782,154GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionOWNERSHIP OF FACILITIES FOR SERVING THE AGED.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$320,759CYContributionsGrantsAmt
PY Program Service Revenue$4,376,702PYProgramServiceRevenueAmt
CY Program Service Revenue$4,461,324CYProgramServiceRevenueAmt
PY Investment Income$689PYInvestmentIncomeAmt
CY Investment Income$71CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,377,391PYTotalRevenueAmt
CY Total Revenue$4,782,154CYTotalRevenueAmt
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$2,190,030PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,410,589CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,385,302PYOtherExpensesAmt
CY Other Expenses$2,481,898CYOtherExpensesAmt
PY Total Expenses$4,575,332PYTotalExpensesAmt
CY Total Expenses$4,892,487CYTotalExpensesAmt
PY Revenues Less Expenses-$197,941PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$110,333CYRevenuesLessExpensesAmt
Total Assets BOY-$3,836,533TotalAssetsBOYAmt
Total Assets EOY-$3,946,866TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,836,533NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,946,866NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSUPPORT, PROMOTE, AND ADMINISTER THE CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SOCIAL MINISTRY OF THE CHURCH OF SAINT THERESE OF DEEPHAVEN TO MEET THE NEEDS OF THE AGING POPULATION. THIS IS CONDUCTED BY OWNING, LEASING, OPERATING, AND CONDUCTING (DIRECTLY OR INDIRECTLY) THE ACTIVITIES AND FACILITIES FOR THE HEALTHCARE, HOUSING, EDUCATION, SOCIAL SERVICES, AND FINANCIAL SECURITY FOR THE AGED. THE CHURCH CONTRIBUTED VACANT LAND FOR THE DEVELOPMENT AND OPERATION OF THIS SENIOR HOUSING FACILITY TO BE OWNED AND OPERATED BY ST. THERESE SENIOR LIVING, LLC (DBA DEEPHAVEN WOODS SENIOR LIVING). THE ORGANIZATION OWNS 90% OF ST. THERESE SENIOR LIVING, LLC, WHICH DEVELOPED AND OPERATED THE SENIOR LIVING FACILITY ADJACENT TO THE CHURCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,673,216ExpenseAmt
Revenue$4,461,324RevenueAmt
DescOPERATED A SENIOR LIVING FACILITY ADJACENT TO THE CHURCH TO MEET THE NEEDS OF THE AGING POPULATION IN THE COMMUNITY BY ADMINISTERING AND COORDINATING ACTIVITIES AND FACILITIES FOR HEALTHCARE, EDUCATION, SOCIAL SERVICES, AND FINANCIAL SECURITY.Desc
Total Program Service Expenses$3,673,216TotalProgramServiceExpensesAmt
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 Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonREVEREND LEONARD ANDRIEPersonNm
Phone9524734422PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line118323 MINNETONKA BOULEVARDAddressLine1Txt
CityDEEPHAVENCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55391ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
FR LEONARD ANDRIE
PRESIDENT2.0040.00Yes (X)Yes (X)$0$32,501$0
DOUGLAS JANDRO
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MARY JO MARTIN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
RONALD WATSON
BOARD MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$32,501TotReportableCompRltdOrgAmt
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
Government Grants$320,759GovernmentGrantsAmt
Total Contributions$320,759TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPARTNERSHIP INCOMEDesc
Business623000BusinessCd
Total Revenue Column$4,461,324TotalRevenueColumnAmt
Related Or Exempt Func Income$4,461,324RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,461,324TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$71TotalRevenueColumnAmt
Exclusion$71ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,782,154TotalRevenueColumnAmt
Related Or Exempt Func Income$4,461,324RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$71ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,966,237TotalAmt
Program Services$1,474,678ProgramServicesAmt
Management And General$491,559ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$17,048TotalAmt
Program Services$12,786ProgramServicesAmt
Management And General$4,262ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$302,949TotalAmt
Program Services$227,212ProgramServicesAmt
Management And General$75,737ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$124,355TotalAmt
Program Services$93,266ProgramServicesAmt
Management And General$31,089ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$30,296TotalAmt
Management And General$30,296ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$51,556TotalAmt
Program Services$51,556ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,371TotalAmt
Program Services$19,028ProgramServicesAmt
Management And General$6,343ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$181,544TotalAmt
Program Services$136,158ProgramServicesAmt
Management And General$45,386ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$178,312TotalAmt
Program Services$133,734ProgramServicesAmt
Management And General$44,578ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$774,129TotalAmt
Program Services$580,597ProgramServicesAmt
Management And General$193,532ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$567,607TotalAmt
Program Services$425,705ProgramServicesAmt
Management And General$141,902ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$41,149TotalAmt
Program Services$30,862ProgramServicesAmt
Management And General$10,287ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DUES AND FEES$234,468$234,468
FOOD$161,241$161,241
REAL ESTATE TAXES$131,663$131,663
REPAIRS$54,014$54,014

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$50,548TotalAmt
Program Services$37,911ProgramServicesAmt
Management And General$12,637ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,892,487TotalAmt
Program Services$3,673,216ProgramServicesAmt
Management And General$1,219,271ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY-$3,836,533BOYAmt
EOY-$3,946,866EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,836,533BOYAmt
EOY-$3,946,866EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$3,836,533BOYAmt
EOY-$3,946,866EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,836,533BOYAmt
EOY-$3,946,866EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,836,533BOYAmt
EOY-$3,946,866EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$110,333ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE CHURCH OF ST THERESE OF DEEPHAVENBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN410790147EIN
Organization Type1OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$3,683,049OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$3,683,049OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF DEEPHAVEN MN
A41600509024379CAL02013-04-01$15,795,807HOUSING & HEALTHCARE FACILITY000
CITY OF DEEPHAVEN MN
B4160050902013-04-01$1,615,510HOUSING & HEALTHCARE FACILITY000
CITY OF DEEPHAVEN MN
C41600509024379CAR72013-04-01$1,935,000HOUSING & HEALTHCARE FACILITY000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmt
A$15,890,000$1,351,646$612,319$315,916$528,197$12,515,9272014000Yes (1)
B$1,625,000$46,069$287,408$806,933$467,9982014000Yes (1)$1,625,000$6,893
C$1,935,000$104,526$107,231$38,700$89,995$1,527,0932014000Yes (1)$935,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AYes (1)00000Yes (1)
BYes (1)00000Yes (1)
CYes (1)00000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)0000Yes (1)
B000Yes (1)0000Yes (1)
C000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2CFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS PART OF A JOINT VENTURE WITH ANOTHER 501(C)(3) ORGANIZATION TO OWN, DEVELOP AND OPERATE SENIOR LIVING FACILITIES TO HELP MEET THE RELIGIOUS, EDUCATION, CHARITABLE AND FINANCIAL SECURITY OF THE AGING POPULATION IN THE COMMUNITY. THE JOINT VENTURE, ST. THERESE SENIOR LIVING DBA DEEPHAVEN WOODS SENIOR LIVING (THE "JOINT VENTURE") WAS THE BORROWER OF TAX-EXEMPT AND TAXABLE BONDS, THE CLOSING OF WHICH WAS EFFECTIVE ON APRIL 1, 2013. THE ORGANIZATION IS NOT THE BORROWER; THE JOINT VENTURE IS THE BORROWER. THE ORGANIZATION OWNS 90% OF THE JOINT VENTURE. THE JOINT VENTURE REPORTS THE LIABILITY ON FORM 1065, SCHEDULE L. THE ORGANIZATION PROVIDES THE INFORMATION RELATED TO THE TAX-EXEMPT BOND ISSUES ON THIS FORM 990 SCHEDULE K.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION IS ORGANIZED UNDER THE MINNESOTA NONPROFIT ACT, WHICH ALLOWS MEMBERS. THE SOLE MEMBER IS THE CHURCH OF SAINT THERESE OF DEEPHAVEN, WHICH HAS THE AUTHORITY TO APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER HAS THE AUTHORITY TO APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER HAS THE RESERVED POWERS TO AMEND THE ARTICLES AND BYLAWS; DISSOLVE THE CORPORATION; APPROVE THE SALE OF TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; APPROVE THE MERGER OR CONSOLIDATION OF THE CORPORATION, AND APPROVE POLICIES AND PROCEDURES PERTAINING TO ADHERENCE TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE.
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT, AND THEN IT WAS REVIEWED AND APPROVED BY THE ORGANIZATION'S AUTHORIZED OFFICER. A COPY OF THE RETURN WAS DISTRIBUTED TO THE ENTIRE BOARD FOR REVIEW AND COMMENT PRIOR TO FILING WITH IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE BYLAWS OF THE CORPORATION CONTAIN THE CONFLICT OF INTEREST POLICY, AND EACH BOARD MEMBER AND THE OFFICER HAS A COPY OF THE BYLAWS AND POLICY. THE POLICY REQUIRES THE DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST AND RECUSAL BY THE PERSON WHO MAY HAVE A CONFLICT. THIS IS ENFORCED AT ALL MATTERS THAT COME BEFORE THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, INCLUDING CONFLICT OF INTEREST POLICY, ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THE CHURCH OF ST THERESE OF DEEPHAVENBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line118323 MINNETONKA BOULEVARDAddressLine1Txt
CityDEEPHEAVENCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55391ZIPCd
FieldValueIRS element (for citing)
EIN410790147EIN
Primary ActivitiesCHURCHPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 1PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST THERESE SENIOR LIVING LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line118025 MINNETONKA BOULEVARDAddressLine1Txt
CityDEEPHAVENCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55391ZIPCd
FieldValueIRS element (for citing)
EIN900931661EIN
Primary ActivitiesSENIOR LIVINGPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST THERESE OF DEEPHAVEN SENIOR LIVINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$4,782,154ShareOfTotalIncomeAmt
Share Of EOY Assets$12,375,970ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.90000OwnershipPct
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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