2022-11-14T09:17:46-06:00 2021-12-31 420714325 RSM US LLP 30 S Wacker Drive Ste 3300 Chicago IL 60606 990 2021-01-01 760784971 John Knox Village of Florida Foundation Inc JOHN 9547834000 651 SW 6th Street Pompano Beach FL 33060 Mark Dobosz Executive Director 9547834000 2022-11-08 1 Mark Dobosz XXX-XX-XXXX Rebekuh Eley P01247672 3126343400 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Katherine Frazer 651 SW 6th Street Pompano Beach FL 33060 7319958 0 X www.jkvfoundation.com X 2003 FL To enhance and improve the lifestyle and future well-being of John Knox Village residents. 10 10 0 10 0 0 1038324 1912085 0 0 333162 915309 0 0 1371486 2827394 168876 1001969 0 0 237120 85365 0 0 0 126657 1025519 532653 2112853 838833 714541 15245908 16895257 21495 59731 15224413 16835526 To enhance and improve the lifestyle and future well-being of John Knox Village residents through effective acquisition and stewardship of contributions from both caring residents and members of the surrounding community. 0 0 1889761 1001969 0 The Foundation holds various endowment funds and contributions that are used to support the residents, projects and programs of John Knox Village of Florida, Inc. 1889761 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 FL X X Bruce Chittenden 9547834000 651 SW 6th Street Pompano Beach FL 33060 Katherine Frazer President 2.50 X X 0 0 0 Richard Mellett Vice President 2.50 X X 0 0 0 Sondra St Martin Secretary 2.50 X X 0 0 0 Tom McKay Board Liaison 2.50 2.50 X 0 0 0 Carol Frei Director 2.50 X 0 0 0 Lucinda Golfin Ortigao Director 2.50 X 0 0 0 Suzanne E Higgins Director 2.50 X 0 0 0 Darryl L Hinkle Director 2.50 X 0 0 0 Tom McDowell Director 2.50 X 0 0 0 Bea Wilbur Director 2.50 X 0 0 0 Mark Dobosz Executive Director 40.00 X 0 154610 34184 0 154610 34184 0 0 1 0 0 1912085 1912085 545782 545782 4862091 4492564 369527 369527 369527 2827394 0 0 915309 1001969 1001969 65603 65603 20 20 13934 13934 5808 5808 187497 187497 15062 15062 20533 20533 115886 115886 30471 30471 14250 14250 Program Related Expense 641820 641820 2112853 1889761 223092 0 828201 998450 57705 308951 441683 13797159 14985518 311597 411901 15245908 16895257 21495 59731 21495 59731 X 1454350 1758918 13770063 15076608 15224413 16835526 15245908 16895257 714541 896572 0 X 0 1 X 1 0 X 683419 491435 943416 1038324 1912085 5068679 683419 491435 943416 1038324 1912085 5068679 996900 4071779 303879 272517 316810 255063 545782 1694051 6762730 0.60210 0.62610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8876777 1381764 758494 1453025 9564010 8005457 264126 821159 213965 8876777 10920345 9649 -2602944 321593 8005457 11316242 15825 -379491 32231 10920345 10793176 16956 544369 38259 11316242 0.00000 0.62151 0.37849 0 0 0 X Part V, Line 4: To provide assistance to John Knox Village of Florida, Inc. Part X, Line 2: The Foundation is a nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the IRC. The Corporation's income tax returns are subject to review and examination by federal, state and local authorities. The Corporation is not aware of any activities that would jeopardize its tax-exempt status. 0 John Knox Village of Florida Inc 651 SW 6th Street Pompano Beach FL 33060 591800721 501(c)(3) 1001969 0 General Operating Support 1 0 0 0 0 0 0 0 0 0 0 Mark Dobosz Executive Director 0 143812 0 0 0 10798 0 2751 0 31433 0 188794 0 0 Part I, Line 3 The Executive Director's compensation is determined and paid by John Knox Village of Florida, Inc. ("JKV"). JKV used the following to establish compensation: - Compensation Committee - Independent Compensation Consultant - Form 990 of other organizations - Approval by the Board or Compensation Committee Form 990, Part VI, Section A, line 4 During 2021, the Bylaws were amended to expand the purpose of John Knox Village of Florida Foundation, Inc. (the "Foundation"). The Foundation is organized exclusively for charitable, educational, and scientific purposes, including for such purposes, the making of distributions to organizations that qualify as exempt organizations under Section 501(c)(3) of the Internal Revenue Code of 1986. Form 990, Part VI, Section A, line 7a The Board of Directors shall be elected by the Executive Committee of tbe Board of Directors of John Knox Village of Florida, Inc., a related entity. Form 990, Part VI, Section B, line 11b The Form 990 is submitted to the Foundation Board of Directors for review and approval prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The Board of Directors are required to disclose in writing any personal interest in a prospective vendor, related party, etc. No contract or other transaction between the JKV Foundation and one or more of its directors or any other corporation, firm, association or entity in which one or more of its directors are directors or officers or are financially interested, shall be either void or voidable because of such relationship or interest or because such director or directors are present at the meeting of the board of directors or a committee thereof which authorizes, approves or ratifies such contract or transaction or because of his or their votes are counted for such purpose if: (A) the fact of such relationship or interest is disclosed or known to the board of directors or committee which authorizes, approves or ratifies the contract or transactions by a vote or consent sufficient for the purpose without counting the votes or consents of such interested directors; or (B) the contract or transaction is fair and reasonable to the JKV Foundation at the time it is authorized by the board of directors or committee thereof. Common or interested directors may be counted in determining the presence of a quorum at a meeting of the board of directors or a committee thereof which authorizes, approves or ratifies such contract or transactions. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy and financial statements are available to the public upon request. John Knox Village of Florida Inc 651 SW 6th Street Pompano Beach FL 33060 591800721 Retirement Community FL 501(c)(3) Line 10 N/A 0 John Knox Home Health Agency Inc 651 SW 6th Street Pompano Beach FL 33060 592823932 Home Health FL John Knox Village of Florida Inc C 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0