ALDERSLY INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ALDERSLY INC (EIN 94-1156461)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-15
IRS object ID
202132279349300113
Schema version
2019v5.2
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)
Return2021-08-15T13:17:24-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1135 MAIN STREET 9TH FLOORAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941156461EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALDERSLYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALDEBusinessNameControlTxt
Phone4154537425PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 MISSION AVENUEAddressLine1Txt
CitySAN RAFAELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP949013484ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGILBERT CARRASCOPersonNm
Person TitleEXEC. DIRECTORPersonTitleTxt
Phone4154537425PhoneNum
Signature2021-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOUA LOPreparerPersonNm
PTINP01225144PTIN
Phone4157812500PhoneNum
Preparation2021-08-13PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGILBERT CARRASCOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 MISSION AVENUEAddressLine1Txt
CitySAN RAFAELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP949013484ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,780,281GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ALDERSLY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1921FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee117TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$293,446PYContributionsGrantsAmt
CY Contributions Grants$1,362,931CYContributionsGrantsAmt
PY Program Service Revenue$8,586,316PYProgramServiceRevenueAmt
CY Program Service Revenue$8,735,549CYProgramServiceRevenueAmt
PY Investment Income$1,066,942PYInvestmentIncomeAmt
CY Investment Income$913,561CYInvestmentIncomeAmt
PY Other Revenue$280PYOtherRevenueAmt
CY Other Revenue$17,470CYOtherRevenueAmt
PY Total Revenue$9,946,984PYTotalRevenueAmt
CY Total Revenue$11,029,511CYTotalRevenueAmt
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$5,430,779PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,874,426CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$185,632CYTotalFundraisingExpenseAmt
PY Other Expenses$4,741,479PYOtherExpensesAmt
CY Other Expenses$5,186,759CYOtherExpensesAmt
PY Total Expenses$10,172,258PYTotalExpensesAmt
CY Total Expenses$11,061,185CYTotalExpensesAmt
PY Revenues Less Expenses-$225,274PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$31,674CYRevenuesLessExpensesAmt
Total Assets BOY$36,361,569TotalAssetsBOYAmt
Total Assets EOY$38,205,152TotalAssetsEOYAmt
Total Liabilities BOY$14,875,734TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,932,606TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,485,835NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,272,546NetAssetsOrFundBalancesEOYAmt
MissionPROVISION OF HOUSING AND NURSING SERVICES TO SENIOR CITIZENS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,894,541ExpenseAmt
Revenue$8,735,549RevenueAmt
DescMAINTAINED RESIDENTIAL HEALTH CARE FACILITIES FOR SENIOR CITIZENS WHO HAVE ENTERED INTO A CONTINUING CARE AND LODGING AGREEMENT; MAINTAINED NURSING SERVICES HEALTH CARE/ASSISTED LIVING. APPROXIMATELY 100 SENIORS WERE SERVED.Desc
Total Program Service Expenses$8,894,541TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 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 EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee117EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GILBERT CARRASCOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4154537425PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 MISSION AVENUEAddressLine1Txt
CitySAN RAFAELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PETER SCHAKOW
PRESIDENT10.00Yes (X)Yes (X)$0$0$0
ALBERT BORO
SENIOR VICE PRESIDENT10.00Yes (X)Yes (X)$0$0$0
SVEND RYGE
VICE PRESIDENT10.00Yes (X)Yes (X)$0$0$0
GRANT HELLAR
SECRETARY/TREASURER8.00Yes (X)Yes (X)$0$0$0
DAVID TORP THROUGH 122019
FIRST VICE PRESIDENT8.00Yes (X)Yes (X)$0$0$0
TORBEN O BJORN THROUGH 122019
DIRECTOR8.00Yes (X)$0$0$0
HERDIS VOGL
DIRECTOR8.00Yes (X)$0$0$0
ROBERT WILHELM
DIRECTOR8.00Yes (X)$0$0$0
JEPPE LARSEN
DIRECTOR8.00Yes (X)$0$0$0
CYR MILLER THROUGH 122019
DIRECTOR8.00Yes (X)$0$0$0
ED LEWIS
DIRECTOR8.00Yes (X)$0$0$0
PAUL CASTRO
DIRECTOR8.00Yes (X)$0$0$0
LIZETTE BURTIS
DIRECTOR8.00Yes (X)$0$0$0
MICHAEL B HANSEN
FIRST VICE PRESIDENT8.00Yes (X)Yes (X)$0$0$0
GILBERT CARRASCO
EXECUTIVE DIRECTOR40.00Yes (X)$234,358$0$76,051
SAMANTHA DOUGHERTY
ADMINISTRATOR40.00Yes (X)$120,975$0$25,578
ESOSA OMOKARO
DIRECTOR OF NURSES40.00$136,524$0$0Yes (X)
RACHEL KALOIAN
DIRECTOR OF DEVELOPMENT32.00$112,782$0$0Yes (X)
FRANK FERRONI
FACILITIES/MAINTENANCE/SECURITY DIRECTOR40.00$101,282$0$0Yes (X)
ROSANNE ANGEL
DIRECTOR OF SALES40.00$139,705$0$0Yes (X)
LOUISE HECKER
ACCOUNTING SERVICES DIRECTOR40.00$101,028$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$946,654TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$101,629TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
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
LIFE CARE SERVICE
400 LOCUST STREET STE 820DES MOINESIA50309MANAGEMENT SERVICES$797,963
PERKINS EASTMAN ARCHITECTS PC
115 FIFTH AVENUENEW YORKNY10003ARCHITECTS$496,939
SYSCO FOOD SERVICES OF SF
PO BOX 5019FREMONTCA94537FOOD SUPPLY SERVICES$225,509
GREENBRIER DEVELOPMENT LLC
3232 MCKINNEY AVE SUITE 1160DALLASTX75204DEVELOPER$150,082
THINK CONNECTED LLC
365 MAIN STSAN FRANCISCOCA94105IT SUPPORT$131,232
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$1,224,381GovernmentGrantsAmt
All Other Contributions$138,550AllOtherContributionsAmt
Total Contributions$1,362,931TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT CARE FEES623000$2,960,821$2,960,821
HEALTH CARE CENTER FEES623000$2,459,206$2,459,206
ASSISTED LIVING FEES623000$2,420,924$2,420,924
ENTRANCE FEES AMORTIZATION623000$894,598$894,598
FieldValueIRS element (for citing)
Total Program Service Revenue$8,735,549TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$511,980TotalRevenueColumnAmt
Exclusion$511,980ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$77,563RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$69,573RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,990RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,990TotalRevenueColumnAmt
Exclusion$7,990ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$12,082,778SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,681,197SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$401,581SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$401,581TotalRevenueColumnAmt
Exclusion$401,581ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$9,480TotalRevenueColumnAmt
Exclusion$9,480ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,480OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,029,511TotalRevenueColumnAmt
Related Or Exempt Func Income$8,735,549RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$931,031ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$411,364TotalAmt
Program Services$308,523ProgramServicesAmt
Management And General$102,841ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,293,543TotalAmt
Program Services$3,807,376ProgramServicesAmt
Management And General$367,486ManagementAndGeneralAmt
Fundraising$118,681FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$73,119TotalAmt
Program Services$63,970ProgramServicesAmt
Management And General$7,309ManagementAndGeneralAmt
Fundraising$1,840FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$748,257TotalAmt
Program Services$654,631ProgramServicesAmt
Management And General$74,800ManagementAndGeneralAmt
Fundraising$18,826FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$348,143TotalAmt
Program Services$304,581ProgramServicesAmt
Management And General$34,802ManagementAndGeneralAmt
Fundraising$8,760FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$305,694TotalAmt
Program Services$305,694ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$111,073TotalAmt
Management And General$111,073ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$493,055TotalAmt
Program Services$73,548ProgramServicesAmt
Management And General$381,982ManagementAndGeneralAmt
Fundraising$37,525FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$250,867TotalAmt
Management And General$250,867ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$290,791TotalAmt
Program Services$276,251ProgramServicesAmt
Management And General$14,540ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$234,542TotalAmt
Program Services$222,815ProgramServicesAmt
Management And General$11,727ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$386,645TotalAmt
Program Services$364,721ProgramServicesAmt
Management And General$21,924ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,381TotalAmt
Management And General$9,381ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$280,620TotalAmt
Program Services$265,113ProgramServicesAmt
Management And General$15,507ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$767,733TotalAmt
Program Services$698,119ProgramServicesAmt
Management And General$69,614ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$180,676TotalAmt
Program Services$170,431ProgramServicesAmt
Management And General$10,245ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CATERING & FOOD$439,417$439,417
SETTLEMENT EXPENSE$400,000$400,000
MAINTENANCE & REPAIRS$278,549$262,754$15,795
HEALTH CARE ANCILLARIES$230,593$230,593

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$527,123TotalAmt
Program Services$446,004ProgramServicesAmt
Management And General$81,119ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,061,185TotalAmt
Program Services$8,894,541ProgramServicesAmt
Management And General$1,981,012ManagementAndGeneralAmt
Fundraising$185,632FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$461,880BOYAmt
EOY$603,913EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,902,514BOYAmt
EOY$4,695,744EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$217,860BOYAmt
EOY$294,321EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$304,684BOYAmt
EOY$301,987EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,688,199LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,518,154LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,587,144BOYAmt
EOY$10,170,045EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,404,531BOYAmt
EOY$19,597,225EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,482,956BOYAmt
EOY$2,541,917EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,361,569BOYAmt
EOY$38,205,152EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$988,645BOYAmt
EOY$1,777,473EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,707,790BOYAmt
EOY$5,551,670EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,179,299BOYAmt
EOY$8,603,463EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,875,734BOYAmt
EOY$15,932,606EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,247,092BOYAmt
EOY$22,196,936EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$238,743BOYAmt
EOY$75,610EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,485,835BOYAmt
EOY$22,272,546EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,361,569BOYAmt
EOY$38,205,152EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$31,674ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$818,385NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$66,781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,772CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,066CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$293,446CurrentTaxYearMinus1YearAmt
Current Tax Year$1,362,931CurrentTaxYearAmt
Total$1,767,996TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,997,207CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,311,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,316,185CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,586,316CurrentTaxYearMinus1YearAmt
Current Tax Year$8,735,549CurrentTaxYearAmt
Total$41,946,347TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,063,988CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,333,862CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,338,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,879,762CurrentTaxYearMinus1YearAmt
Current Tax Year$10,098,480CurrentTaxYearAmt
Total$43,714,343TotalAmt

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$43,714,343PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$614,662CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$543,717CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$540,594CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$585,951CurrentTaxYearMinus1YearAmt
Current Tax Year$511,980CurrentTaxYearAmt
Total$2,796,904TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$614,662CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$543,717CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$540,594CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$585,951CurrentTaxYearMinus1YearAmt
Current Tax Year$511,980CurrentTaxYearAmt
Total$2,796,904TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$97,612CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$2,593CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,323CurrentTaxYearMinus1YearAmt
Current Tax Year$9,480CurrentTaxYearAmt
Total$112,008TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,776,262CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,877,579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,881,438CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,468,036CurrentTaxYearMinus1YearAmt
Current Tax Year$10,619,940CurrentTaxYearAmt
Total$46,623,255TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93760PublicSupportCY509Pct
Public Support PY5090.93490PublicSupportPY509Pct
Investment Income CY0.06000InvestmentIncomeCYPct
Investment Income PY0.06280InvestmentIncomePYPct
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$8,313,572BeginningYearBalanceAmt
Investment Earnings Or Losses$772,928InvestmentEarningsOrLossesAmt
Other Expenditures$249,407OtherExpendituresAmt
End Year Balance$8,837,093EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,217,790BeginningYearBalanceAmt
Contributions$95,782ContributionsAmt
End Year Balance$8,313,572EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,358,156BeginningYearBalanceAmt
Investment Earnings Or Losses$859,634InvestmentEarningsOrLossesAmt
End Year Balance$8,217,790EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,541,213BeginningYearBalanceAmt
Contributions$4,000ContributionsAmt
Investment Earnings Or Losses$812,943InvestmentEarningsOrLossesAmt
End Year Balance$7,358,156EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,461,252BeginningYearBalanceAmt
Contributions$575,955ContributionsAmt
Investment Earnings Or Losses$504,006InvestmentEarningsOrLossesAmt
End Year Balance$6,541,213EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$232,822OtherCostOrOtherBasisAmt
Book Value$232,822BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,878,624OtherCostOrOtherBasisAmt
Depreciation$9,465,464DepreciationAmt
Book Value$6,413,160BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,680,485OtherCostOrOtherBasisAmt
Depreciation$2,005,748DepreciationAmt
Book Value$1,674,737BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$961,148OtherCostOrOtherBasisAmt
Depreciation$539,094DepreciationAmt
Book Value$422,054BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,935,120OtherCostOrOtherBasisAmt
Depreciation$507,848DepreciationAmt
Book Value$1,427,272BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,170,045TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTEREST AND DIVIDENDS RECEIVABLE$2,313
INVESTMENTS IN RESIDENTIAL REAL ESTATE$1,742,957
ASSETS WHOSE USE IS LIMITED OR RESTRICTED$796,647
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,541,917TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DEPOSITS LIABILITY$44,287
UNEARNED PORTION OF ACCOMMODATION FEES$4,912,356
GUARANTEED REFUNDS$2,726,833
BOND PREMIUM$519,987
ACCRUED SETTLEMENT$400,000
FieldValueIRS element (for citing)
Total Liability$8,603,463TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,736,823TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$818,385NetUnrealizedGainsInvstAmt
Revenue Not Reported$818,385RevenueNotReportedAmt
Revenue Subtotal$10,918,438RevenueSubtotalAmt
Investment Expenses Not Incld$111,073InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$111,073RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,029,511TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,950,112TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,950,112ExpensesSubtotalAmt
Investment Expenses Not Incld2$111,073InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$111,073ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,061,185TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORGANIZATION HAS A BOARD DESIGNATED ENDOWMENT FUND TO PROVIDE FOR GENERAL SUPPORT OF THE ORGANIZATION. THIS FUND IS CLASSIFIED AS UNRESTRICTED NET ASSETS.
PART X, LINE 2:EACH YEAR, MANAGEMENT CONSIDERS WHETHER ANY MATERIAL TAX POSITION THE ORGANIZATION HAS TAKEN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT BELIEVES THAT ANY POSITIONS THE ORGANIZATION HAS TAKEN ARE SUPPORTED BY SUBSTANTIAL AUTHORITY AND, HENCE, DO NOT NEED TO BE MEASURED OR DISCLOSED IN THESE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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

FieldValueIRS element (for citing)
PersonGILBERT CARRASCOPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$209,068BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$22,088BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$3,202OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$54,937DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$21,114NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$310,409TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ABUSINESS TRAVEL GILBERT CARRASCO AND SAMANTHA DOUGHERTY
ADDITIONAL INFORMATIONLIFE CARE SERVICES (LCS), AN UNRELATED ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. THE ORGANIZATION'S EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES AND RECEIVES COMPENSATION ONLY FROM LCS. THE CONTRACTOR PAYMENTS TO LCS REPORTED ON FORM 990, PART VII-B INCLUDE THE EXECUTIVE DIRECTOR'S COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN680164610BondIssuerEIN
CUSIP13080SGG3CUSIPNum
Bond Issued2015-02-24BondIssuedDt
Issue Price$7,095,830IssuePriceAmt
PurposeTO REFINANCE THE 2002 BONDS AND RETAIN EMPLOYMENT AT THE EXISTING FACILITIESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$540,000RetiredAmt
Total Proceeds$7,095,830TotalProceedsAmt
In Reserve Fund$514,961InReserveFundAmt
Issuance Costs From Proceeds$231,059IssuanceCostsFromProceedsAmt
Working Capital Expenditures$51,864WorkingCapitalExpendituresAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3LIFE CARE SERVICES IS THE MANAGEMENT COMPANY CHOSEN BY THE BOARD OF DIRECTORS TO MANAGE THE COMMUNITY. LIFE CARE SERVICES, AND LCS COMPANY, IS ONE OF THE MOST WELL-ESTABLISHED SENIOR LIVING MANAGEMENT COMPANIES IN THE UNITED STATES. LEARN MORE AT HTTP://WWW.SENIOR-LIVING-MANAGEMENT.COM/ MANAGEMENT COMPENSATION PAYMENTS REPORTED IN PART VII-A ARE INCLUDED IN THE LCS CONTRACTOR PAYMENTS REPORTED IN PART VII-B.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OF THE GOVERNING BODY ARE ELECTED AND VOTED FOR AT THE ANNUAL MEETING. THE BOARD MUST INCLUDE AT LEAST ONE ALDERSLY RESIDENT.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS SETS POLICIES AND GOVERNS THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE TAX RETURN IS REVIEWED BY THE ACCOUNTANT OF THE ORGANIZATION'S MANAGEMENT COMPANY AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ANNUALLY PREPARES AND FURNISHES EACH DIRECTOR A STATEMENT OF ANY TRANSACTION OR INDEMNIFICATION WITHIN ONE HUNDRED TWENTY (120) DAYS AFTER THE END OF THE ORGANIZATION'S FISCAL YEAR.
FORM 990, PART VI, SECTION B, LINE 15MANAGEMENT SERVICES ARE OUTSOURCED TO LIFE CARE SERVICES.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HC ANDERSEN PROPERTIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 MISSION AVEAddressLine1Txt
CitySAN RAFAELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94901ZIPCd
FieldValueIRS element (for citing)
EIN941156461EIN
Primary ActivitiesREAL ESTATE HOLDINGSPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income$77,563TotalIncomeAmt
End Of Year Assets$1,867,741EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ALDERSLYBusinessNameLine1Txt

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