2021-05-13T15:21:20-05:00 2020-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2019-07-01 030594291 899 CHARLESTON 899C 6504333600 899 EAST CHARLESTON ROAD PALO ALTO CA 94303 MARY CONNICK CFO 6504333600 2021-05-13 1 MICHAEL LUMSDEN P01262236 4159561500 2021-05-13 2019 2022-09-23 18:48:47Z MOLDAW RESIDENCES ELYSE GERSON 899 EAST CHARLESTON ROAD PALO ALTO CA 94303 16732164 0 X WWW.MOLDAW.ORG X 2006 CA TO PROVIDE RESIDENTIAL FACILITIES DESIGNATED TO MEET THE NEEDS OF AGED PERSONS AND ADDRESS THE WELL-BEING OF THE RESIDENTS. 9 8 139 38 0 0 350498 110322 15763100 16206917 242764 274775 -24063 140150 16332299 16732164 0 0 0 0 4917719 5494743 0 0 185970 13692706 12997891 18610425 18492634 -2278126 -1760470 145777237 145194279 188846171 189619784 -43068934 -44425505 X WE SUPPORT THE HIGHEST LEVEL OF INDEPENDENCE FOR EACH INDIVIDUAL BY PROMOTING THE PURSUIT OF A HEALTHFUL LIFESTYLE AND COMMUNITY INVOLVEMENT ON OUR MULTI-GENERATIONAL CAMPUS. WE SEEK TO PRESERVE JEWISH COMMUNITY VALUES AND TRADITIONS, WHILE SERVING THE DIVERSE CULTURES AND BACKGROUNDS OF THE ENTIRE PENINSULA REGION IN OFFERING A COMPLETELY UNIQUE RETIREMENT OPTION - "UNRETIREMENT!" 0 0 15600946 0 16206917 SEE SCHEDULE O 15600946 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 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 0 0 1 0 0 0 1 48 0 1 139 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X MARY CONNICK 4155622650 302 SILVER AVENUE SAN FRANCISCO CA 94112 X DANIEL RUTH TRUSTEE/EXECUTIVE VICE PRESIDENT 8.00 4.00 X 0 965745 117739 MICHAEL SKAFF CHIEF OPERATING OFFICER 5.00 5.00 X 0 414782 10587 VICTOR MEINKE CFO (THROUGH 5/2020) 6.00 4.00 X 0 323224 67542 SHERIE KOSHOVER CHIEF ADVANCEMENT OFFICER 2.00 2.00 X 0 282216 46440 ALEXANDER BEN-ISRAEL EXECUTIVE DIRECTOR (THROUGH 6/2020) 40.00 0.00 X 229471 0 12506 MICHELLE DELOS SANTOS ASSISTANT ED/INT ED (AS OF 6/2020) 40.00 0.00 X 118903 0 10572 JANELL HAAG DIRECTOR, SALES AND MARKETING 40.00 0.00 X 131705 0 12157 ARIELLE O HENDEL FUND DEVELOPMENT DIRECTOR 40.00 0.00 X 108473 0 12971 MARY CONNICK CFO (AS OF 6/2020) 6.00 4.00 X 0 0 0 LARRY MARKS CO-CHAIR 1.00 1.00 X X 0 0 0 DAVID STEIRMAN CO-CHAIR 1.00 1.00 X X 0 0 0 NIEL DAVIDSON TREASURER 1.00 0.00 X X 0 0 0 MARLENE LEVENSON SECRETARY 1.00 0.00 X X 0 0 0 JEAN BLACKBURN TRUSTEE 1.00 0.00 X 0 0 0 ELLEN BROWN MD TRUSTEE 1.00 0.00 X 0 0 0 RITA GHATAK TRUSTEE 1.00 0.00 X 0 0 0 GINA ROSENFIELD TRUSTEE 1.00 0.00 X 0 0 0 588552 1985967 290514 4 0 1 0 JEWISH SENIOR LIVING GROUP 302 SILVER AVENUE SAN FRANCISCO CA 94112 MANAGEMENT/ADMINISTRATIVE SERVICES 1154616 ALL ABOUT PARKING INC 100 S ELLSWORTH AVE 203 SAN MATEO CA 94403 PARKING 364215 2 13693 96629 110322 RESIDENT FEES 623000 12895624 12895624 AMORT OF ENTRANCE FEES 623000 2790861 2790861 OTHER OPERATING REV 623000 520432 520432 16206917 274775 274775 REIMBURSEMENTS 900099 140150 140150 140150 16732164 16206917 0 414925 369948 36995 332953 4000481 3675285 208835 116361 47117 41702 1883 3532 736184 665693 62787 7704 341013 298348 33972 8693 320616 320616 78232 78232 88049 88049 1643140 1449924 193216 99620 99620 60014 34373 24349 1292 655594 655594 838843 824938 13905 11821 8032 3611 178 3653014 3653014 3803172 3483706 277251 42215 330109 330109 FOOD COSTS 811057 801668 9389 DUES & FEES 273636 241691 31945 DINING/KITCHEN SUPPLIES 136036 136036 MEDICAL SUPPLIES 29044 29044 0 0 165894 120877 39022 5995 18492634 15600946 2705718 185970 5537695 5646473 10434821 18052878 159974 187811 335000 523800 19117 18843 106213 102381 149888013 45103009 108221896 104785004 12558901 6938491 8403620 8938598 145777237 145194279 1237014 1400017 9368484 8714102 67010416 66104751 111230257 113400914 188846171 189619784 X -50880680 -52531903 7811746 8106398 -43068934 -44425505 145777237 145194279 X -1760470 61435 342464 X 0 1 X 1 0 X 128413 111575 26789 350498 110322 727597 13785678 14546513 15920061 15763100 16206917 76222269 13914091 14658088 15946850 16113598 16317239 76949866 125000 93870 9500 20530 71071 319971 0 125000 93870 9500 20530 71071 319971 76629895 27223 118440 145183 242764 274775 808385 27223 118440 145183 242764 274775 808385 140150 140150 13941314 14776528 16092033 16356362 16732164 77898401 0.98370 0.98480 0.01040 0.00700 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: REIMBURSEMENTS - 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 140,150. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7745850 342464 8088314 7403415 342435 7745850 6994719 408696 7403415 6233945 93870 666904 6994719 6075044 125000 33901 6233945 0.00000 0.58290 0.41710 0 1 1 13118538 13118538 127718909 37409489 90309420 3028478 2201888 826590 6022088 5491632 530456 104785004 BENEFICIAL INTEREST IN JHSLF 8089314 DEPOSITS HELD BY HOME OWNERS ASSOCIATION 709134 DUE FROM AFFILIATED ORGANIZATION 140150 8938598 REFUNDABLE DEPOSITS 971600 REFUNDABLE ENTRANCE FEES 107690838 LOAN PAYABLE TO JHSLF 4719476 DUE TO AFFILIATED ORGANIZATIONS 19000 113400914 X 17136063 61435 342464 403899 16732164 0 16732164 18492634 0 18492634 0 18492634 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROVIDE SUPPORT FOR RESIDENTS OF MOLDAW RESIDENCES OR ACCEPTED APPLICANTS WHO CANNOT AFFORD A PORTION OF EITHER THE ENTRY FEE OR THE CONTINUING MONTHLY COSTS, AND INCLUDES ACCUMULATED EARNINGS THEREON THAT HAVE NOT YET BEEN EXPENDED. PART X, LINE 2: U.S. GAAP REQUIRES THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAX AUTHORITY. THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN. THEREFORE, NO LIABILITY HAS BEEN RECORDED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN JHSLF 342,464. X X X 0 1 0 0 0 0 0 0 0 DANIEL RUTH TRUSTEE/EXECUTIVE VICE PRESIDENT 0 727388 0 50000 0 188357 0 108400 0 9339 0 1083484 0 134484 MICHAEL SKAFF CHIEF OPERATING OFFICER 0 345455 0 52500 0 16827 0 8400 0 2187 0 425369 0 0 VICTOR MEINKE CFO (THROUGH 5/2020) 0 290955 0 32269 0 0 0 58400 0 9142 0 390766 0 0 SHERIE KOSHOVER CHIEF ADVANCEMENT OFFICER 0 246736 0 26713 0 8767 0 45502 0 938 0 328656 0 0 ALEXANDER BEN-ISRAEL EXECUTIVE DIRECTOR (THROUGH 6/2020) 199681 0 29790 0 0 0 3900 0 8606 0 241977 0 0 0 PART I, LINE 4B DURING THE 2019 CALENDAR YEAR, A RELATED ORGANIZATION CONTRIBUTED THE FOLLOWING AMOUNTS TO THE FOLLOWING INDIVIDUALS' SUPPLEMENTAL 457(F) RETIREMENT PLAN, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): DANIEL RUTH - $100,000 VICTOR MEINKE - $50,000 SHERIE KOSHOVER - $38,087 ADDITIONALLY, DUE TO VESTING OF THE 457(F) RETIREMENT PLAN, DANIEL RUTH RECOGNIZED $134,438 OF TAXABLE COMPENSATION FROM A RELATED ORGANIZATION, WHICH HAS BEEN REPORTED WITHIN "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F). A CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY 680164610 2014-11-20 81435953 REFINANCING OF EXISTING BOND AND TERM LOAN DEBT 0 0 0 A 4010000 81435953 4428069 1448074 75559810 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/06/2019 FORM 990, PART III, LINE 4A: CONSTRUCTION AND OPERATION OF 193 MAINTENANCE-FREE APARTMENTS, INCLUDING 170 UNITS FOR INDEPENDENT LIVING, 12 FOR ASSISTED LIVING, AND 11 UNITS FOR SPECIALIZED MEMORY SUPPORT, IN BUILDINGS THROUGHOUT THE PEDESTRIAN-FRIENDLY TAUBE-KORET CAMPUS FOR JEWISH LIFE, THE FIRST AND ONLY JEWISH-SPONSORED SENIOR LIVING COMMUNITY IN THE REGION SOUTH OF SAN FRANCISCO, CALIFORNIA. THE GOAL OF THIS UNIQUE NEIGHBORHOOD DESIGN IS TO FOSTER OPPORTUNITIES FOR OLDER ADULTS TO ENGAGE WITH INDIVIDUALS OF ALL AGES AS THEY PARTICIPATE IN ACTIVITIES AND ORGANIZATIONS ON THE CAMPUS. AS A CONTINUING CARE RETIREMENT COMMUNITY, 899 CHARLESTON (DBA MOLDAW RESIDENCES) ALSO PROVIDES FOR RESIDENTS' FUTURE HEALTHCARE, AS NEEDED. IN ADDITION TO HAVING ACCESS TO PERSONALIZED ASSISTED LIVING SERVICES MEMORY SUPPORT RESIDENCES ON CAMPUS, RESIDENTS ARE ALSO AFFORDED PRIORITY ACCESS TO SKILLED NURSING CARE THROUGH AN AFFILIATION WITH THE HEBREW HOME FOR AGED DISABLED. DURING THE YEAR, MOLDAW RESIDENCES PROVIDED INDEPENDENT LIVING AND MEMORY SUPPORT LIVING TO ELDERLY RESIDENTS. THERE WERE 228 RESIDENTS AT JUNE 30, 2020. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION PAYS A MANAGEMENT FEE TO JEWISH SENIOR LIVING GROUP, A RELATED ORGANIZATION WHO PROVIDES MANAGEMENT, MARKETING, AND OTHER SUPPORTING SERVICES TO 899 CHARLESTON; THE ORGANIZATION'S TOP EXECUTIVE (DANIEL RUTH) AND TOP FINANCIAL OFFICIAL (VICTOR MEINKE/MARY CONNICK) ARE BOTH COMPENSATED BY JEWISH SENIOR LIVING GROUP. TOTAL PAYMENTS TO JEWISH SENIOR LIVING GROUP FOR THESE MANAGEMENT, MARKETING, AND OTHER SUPPORTING SERVICES TOTALED $1,154,616 DURING THE 6/30/2020 FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION DOES NOT HAVE "MEMBERS" BY DEFINITION OF THE BYLAWS; HOWEVER, THE FORM 990 INSTRUCTIONS ALSO DEFINE A "MEMBER" AS ANY PERSON (INCLUDING A CORPORATION OR OTHER LEGAL ENTITY) WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE, INCLUDING ELECTING MEMBERS OF THE GOVERNING BODY. AS SUCH, IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, 899 CHARLESTON HAS ONE SOLE MEMBER: JEWISH SENIOR LIVING GROUP. FORM 990, PART VI, SECTION A, LINE 7A JEWISH SENIOR LIVING GROUP, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, APPOINTS A MAJORITY OF THE TRUSTEES OF 899 CHARLESTON. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE TAX PREPARATION FIRM IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE STAFF. MANAGEMENT OF THE ORGANIZATION THEN REVIEWS THE COMPLETED FORM 990 AND FOLLOWS UP WITH THE TAX PREPARATION FIRM TO ANSWER ANY UNRESOLVED QUESTIONS. A COMPLETE COPY OF THE FORM 990 IS THEN PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. EACH TRUSTEE, OFFICER, AND KEY EMPLOYEE OF THE ORGANIZATION SIGNS A CONFLICT OF INTEREST STATEMENT AND DISCLOSURE FORM. THE BOARD OF TRUSTEES REVIEWS AND DETERMINES IF ANY CONFLICTS OF INTEREST EXIST AND TAKES THE APPROPRIATE ACTION AS OUTLINED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, WHICH INCLUDES RECUSAL FROM ANY DECISION-MAKING PROCESS INVOLVING A CONFLICTED INDIVIDUAL. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE ANNUAL COMPENSATION PACKAGE FOR THE EXECUTIVE DIRECTOR BASED ON VARIOUS FACTORS, INCLUDING DATA COLLECTED FROM AN INDEPENDENT COMPENSATION CONSULTANT (WHO UTILIZES COMPENSATION DATA OBTAINED FROM SURVEYS), PERFORMANCE APPRAISALS, AND NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS IN THE SAME GEOGRAPHICAL AREA. FORM 990, PART VI, SECTION B, LINE 15B HAS BEEN ANSWERED "NO" (AS PROVIDED BY THE FORM 990 INSTRUCTIONS), AS THE ORGANIZATION DOES NOT COMPENSATE ANY ADDITIONAL OFFICERS OR KEY EMPLOYEES; THESE INDIVIDUALS ARE COMPENSATED BY A RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN (B): AVERAGE HOURS PER WEEK REPORTED IN FORM 990, PART VII, SECTION A, COLUMN (B) FOR DANIEL RUTH, MICHAEL SKAFF, VICTOR MEINKE, SHERIE KOSHOVER, AND MARY CONNICK APPEAR LOW AS THESE INDIVIDUALS DEVOTE A PORTION OF THEIR WORKING TIME TO AFFILIATED ORGANIZATIONS WHICH DO NOT MEET THE DEFINITION OF A RELATED ORGANIZATION, PER THE FORM 990 INSTRUCTIONS. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN JHSLF 342,464. JEWISH SENIOR LIVING GROUP 302 SILVER AVENUE SAN FRANCISCO CA 94112 800291740 SEE PART VII CA 501(C)(3) LINE 12A, I N/A 0 BAY AREA JEWISH SENIOR LIFE 302 SILVER AVENUE SAN FRANCISCO CA 94112 455092344 SEE PART VII CA 501(C)(3) LINE 12A, I JEWISH SENIOR LIVING GROUP 1 BAY AREA SENIOR HEALTH SERVICES INC 302 SILVER AVENUE SAN FRANCISCO CA 94015 454293287 MANAGEMENT CO CA N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 M PART II, COLUMN (B): JEWISH SENIOR LIVING GROUP PRIMARY ACTIVITY: TO PROMOTE THE PROVISION OF JEWISH LIVING SERVICES, FACILITIES AND AGING SERVICES IN NORTHERN CALIFORNIA BY PROVIDING SERVICES DESIGNED TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK. PART II, COLUMN (B): BAY AREA JEWISH SENIOR LIFE PRIMARY ACTIVITY: TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK.