2021-05-14T14:21:29-05:00 2020-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2019-07-01 930386852 ROBISON JEWISH HOME ROBI 5035354300 6125 SW BOUNDARY STREET PORTLAND OR 97221 KATHY THOMPSON CFO 5035354300 2021-05-11 1 WENDY CAMPOS P00448102 5032421447 2021-05-11 2019 2022-09-23 18:48:47Z CEDAR SINAI PARK KIMBERLY FUSON 6125 SW BOUNDARY STREET PORTLAND OR 97221 22674545 0 X CEDARSINAIPARK.ORG X 1920 OR TO PROVIDE RESIDENTIAL AND COMMUNITY-BASED CARE TO OUR ELDERS AND INFIRM WITH SERVICES THAT ALLOW THEM TO LIVE WITH COMFORT, INDEPENDENCE AND DIGNITY IN A MANNER AND IN AN ENVIRONMENT BASED ON JEWISH VALUES. 19 19 534 120 0 0 1474734 2311891 19790588 20362026 2969 628 23664 0 21291955 22674545 0 0 0 0 14235741 13133861 0 0 0 11054420 10385051 25290161 23518912 -3998206 -844367 57694615 58903101 27493319 29546172 30201296 29356929 TO PROVIDE RESIDENTIAL AND COMMUNITY-BASED CARE TO OUR ELDERS AND INFIRM WITH SERVICES THAT ALLOW THEM TO LIVE WITH COMFORT, INDEPENDENCE AND DIGNITY IN A MANNER AND IN AN ENVIRONMENT BASED ON JEWISH VALUES. 0 0 21272575 0 20362026 PROVIDING A HIGH LEVEL OF NURSING CARE AND HOUSING TO PRIVATE, MEDICARE, AND WELFARE RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. 21272575 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 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 1 1 1 0 0 0 1 38 0 1 534 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 0 1 1 0 0 0 1 1 0 1 0 0 0 0 OR X KATHY THOMPSON CFO 5035354300 6125 SW BOUNDARY STREET PORTLAND OR 97221 IVAN GOLD CHAIR 2.00 0.00 X X 0 0 0 MICHAEL MILLENDER VICE CHAIR 1.00 0.00 X X 0 0 0 ELISE BRICKNER-SCHULZ VICE CHAIR 1.00 0.00 X X 0 0 0 MICHAEL FEVES VICE CHAIR 1.00 0.00 X X 0 0 0 STEVE RALLISON VICE CHAIR 1.00 0.00 X X 0 0 0 MICHELLE EASTERN GRADOW VICE CHAIR 1.00 0.00 X X 0 0 0 DAVID HIRSCH TREASURER 1.00 0.00 X X 0 0 0 JEFF REINGOLD SECRETARY 1.00 0.00 X X 0 0 0 RABBI MICHAEL CAHANA TRUSTEE 1.00 0.00 X 0 0 0 ILENE DAVIDSON TRUSTEE 1.00 0.00 X 0 0 0 DR MARVIN KAISER TRUSTEE 1.00 0.00 X 0 0 0 CONRAD MYERS TRUSTEE 1.00 0.00 X 0 0 0 MYLEN SHENKER TRUSTEE 1.00 0.00 X 0 0 0 EDDY SHULDMAN TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL SMIRA TRUSTEE 1.00 0.00 X 0 0 0 JIM WINKLER TRUSTEE 1.00 0.00 X 0 0 0 BERNIE KARSCH REPRESENTATIVE 1.00 0.00 X 0 0 0 MARIAN GANS REPRESENTATIVE 1.00 0.00 X 0 0 0 MARCY MORRIS REPRESENTATIVE 1.00 0.00 X 0 0 0 MARTIN BAICKER CEO 38.50 1.50 X 251891 0 9247 JULIE STEWART CFO 38.50 1.50 X 161407 0 10292 KIMBERLY FUSON CEO 38.50 1.50 X 79670 0 1420 STACEY QUINTANA CONTROLLER 38.00 2.00 X 123857 0 6356 ANGELO TURNER CDO-FOUNDATION 0.00 40.00 X 102004 0 3117 718829 0 30432 4 0 1 0 CONSONUS REHAB 4560 SE INTERNATIONAL WAY STE 100 MILWAUKIE OR 97222 REHABILITATION SERVICES 1018226 AIDAN HEALTH SERVICES INC 180 COMMERCIAL ST NE STE 11 SALEM OR 97301 MANAGEMENT COMPANY 374425 GREG BAURER FLOOR COVERING 845 NE CLEVELAND AVE GRESHAM OR 97030 FLOOR COVERINGS REPLACEMENT 138306 VERITAS COLLABORATIONS LLC 10117 SE SUNNYSIDE RD STE F1119 CLACKAMAS OR 97015 MARKETING SERVICES 132568 THE EARTH HEATING LLC 10117 SE SUNNYSIDE RD STE F123 CLACKAMAS OR 97016 HEATING REPLACEMENT PROJECT 100912 5 1782665 529226 2311891 RESIDENT SERVICES 623000 20104333 20104333 DEVELOPER FEES 623000 257693 257693 20362026 628 0 628 628 628 22674545 20362026 0 628 524033 524033 9514553 8810921 703632 21417 17703 3714 2265234 2163006 102228 808624 717906 90718 323060 323060 141035 141035 162195 162195 1476772 1415355 61417 99234 5003 94231 871654 664672 206982 175381 95176 80205 1175361 1166171 9190 43542 37591 5951 474 474 943450 925606 17844 2495969 2495558 411 160464 140371 20093 FOOD COSTS 912156 904243 7913 MEDICAID TAX 655940 655940 MEDICAL SUPPLIES 586713 586713 161651 147580 14071 23518912 21272575 2246337 0 2423060 2339039 4143202 294280 65878 2561267 1622096 8231803 7846285 41370 58585 408276 419356 58026979 17233111 42938938 40793868 795621 795621 0 819171 57694615 58903101 1992076 1641686 19383137 19239524 3146 3516 5000000 7434594 1114960 1226852 27493319 29546172 X 29056683 28461060 1144613 895869 30201296 29356929 57694615 58903101 -844367 0 X 0 1 X 1 0 X 9870244 2042105 1635010 1474734 2311891 17333984 16763733 13637654 15327201 19790588 20362026 85881202 26633977 15679759 16962211 21265322 22673917 103215186 379127 255071 317154 262181 1213533 0 379127 255071 317154 262181 1213533 102001653 44940 15411 6051 3142 69544 44940 15411 6051 3142 69544 216432 226538 163983 85847 692800 26895349 15921708 17132245 21354311 22673917 103977530 0.98100 0.97490 0.00070 0.00100 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 216,432. 2016 AMOUNT: $ 226,538. 2017 AMOUNT: $ 163,983. 2018 AMOUNT: $ 85,847. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 2325994 2325994 51989441 15859093 36130348 3669584 1374018 2295566 41960 41960 40793868 INTERCOMPANY PAYABLE 1049478 DEPOSITS 177374 1226852 X PART IV, LINE 2B: FUNDS HELD IN TRUST FOR RESIDENTS. PART X, LINE 2: THE CORPORATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS, IF ANY, ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENTS. THE CORPORATION RECOGNIZES INTEREST ACCRUED AND PENALTIES RELATED TO TAX MATTERS IN ADMINISTRATIVE EXPENSES. THE CORPORATION HAD NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2020 AND 2019. NO INTEREST AND PENALTIES WERE ACCRUED FOR THE YEAR ENDED JUNE 30, 2020 AND 2019. THE CORPORATION FILES AN EXEMPT ORGANIZATION RETURN IN THE U.S. FEDERAL JURISDICTION. X X X 0 0 0 0 0 0 0 0 0 MARTIN BAICKER CEO 251891 0 0 0 0 0 0 0 9247 0 261138 0 0 0 JULIE STEWART CFO 161407 0 0 0 0 0 1046 0 9246 0 171699 0 0 0 A OREGON FACILITIES AUTHORITY 930847114 179027VH7 2016-06-28 20000000 CONSTRUCTION OF ASSISTED LIVING FACILITY 0 0 0 A 17976554 12728637 5247917 2023446 2016 0 1 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 6 ANY PERSON MAY BECOME A MEMBER OF THE ROBISON JEWISH HOME BY PAYING THE DUES SET BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION WILL ELECT APPROXIMATELY ONE THIRD OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY AN INDEPENDENT CPA AND IS REVIEWED WITH THE FINANCE COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CLAY TOWER GP LLC 6125 SW BOUNDARY STREET PORTLAND OR 97221 020536507 TO OPERATE APARTMENT COMPLEX OR 0 749040 ROBISON JEWISH HOME CSP-1200 GP LLC 6125 SW BOUNDARY STREET PORTLAND OR 97221 454612993 TO ACQUIRE & REHABILITATE PROPERTY OR 0 100 ROBISON JEWISH HOME CSP-PARK LEXINGTON GP LLC 6125 SW BOUNDARY STREET PORTLAND OR 97221 260526202 TO ACQUIRE & REHABILITATE PROPERTY OR 0 100 ROBISON JEWISH HOME CEDAR SINAI PARK FOUNDATION 6125 SW BOUNDARY STREET PORTLAND OR 97221 043774565 SUPPORTING ROBISON JEWISH HOME OR 501(C)(3) LINE 12A, I ROBISON JEWISH HOME 1 CSP KEHILLAH HOUSING 6125 SW BOUNDARY STREET PORTLAND OR 97221 454839314 AFFORDABLE HOUSING TO DISABLED ADULTS OR 501(C)(3) LINE 7 ROBISON JEWISH HOME 1 CEDAR SINAI PARK-CLAY TOWER APTS 6125 SW BOUNDARY STREET PORTLAND OR 97221 260536507 LOW INCOME HOUSING OR CLAY TOWER GP LLC RELATED -21 931416 0 1 0.00010 CSP-1200 LIMITED PARTNERSHIP 6125 SW BOUNDARY STREET PORTLAND OR 97221 320371089 LOW INCOME HOUSING OR CSP-1200 GP LLC RELATED -18 777413 0 1 0.00010 CSP-PARK LEXINGTON LTD PARTNERSHIP 6125 SW BOUNDARY STREET PORTLAND OR 97221 900881617 LOW INCOME HOUSING OR CSP-PARK LEXINGTON GP LLC RELATED -34 6157631 0 1 0.00010 HOUSING WITH SERVICES LLC 6125 SW BOUNDARY STREET PORTLAND OR 97221 465768550 SOCIAL SERVICES OR ROBISON JEWISH HOME RELATED -16934 101586 0 1 0.51000 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 CEDAR SINAI PARK FOUNDATION C 1782665 FAIR MARKET VALUE CSP KEHILLAH HOUSING D 54357 FAIR MARKET VALUE CEDAR SINAI PARK FOUNDATION D 819171 FAIR MARKET VALUE CSP KEHILLAH HOUSING E 485508 FAIR MARKET VALUE CEDAR SINAI PARK FOUNDATION E 498441 FAIR MARKET VALUE