2020-07-14T18:59:25-05:00 2019-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2018-07-01 030594291 899 CHARLESTON 899C 6504333600 899 EAST CHARLESTON ROAD PALO ALTO CA 94303 DANIEL RUTH EXECUTIVE VICE PRESIDENT 6504333600 2020-07-13 1 MICHAEL LUMSDEN P01262236 4159561500 2020-07-13 76.14.38.113 2020-07-13 23:12:49 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 00C4359F54289D19625D58AABAD73364CEA05A5F 2018 2021-01-29 14:40:06Z MOLDAW RESIDENCES DANIEL RUTH 302 SILVER AVENUE SAN FRANCISCO CA 94112 16372922 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 8 130 14 0 0 26789 350498 15920061 15763100 145183 242764 0 -24063 16092033 16332299 0 0 0 0 4832849 4917719 0 0 178455 13145381 13692706 17978230 18610425 -1886197 -2278126 146913586 145777237 188100021 188846171 -41186435 -43068934 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 15919094 15763100 SEE SCHEDULE O 15919094 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 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 41 0 1 130 1 0 0 0 0 0 1 1 0 0 0 1 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 LARRY MARKS CO-CHAIR 1.00 2.00 X X 0 0 0 DAVID STEIRMAN CO-CHAIR 1.00 2.00 X X 0 0 0 NEIL 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 PAM FERRIS TRUSTEE THROUGH 11/2018 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 DANIEL RUTH TRUSTEE/EXECUTIVE VICE PRESIDENT 2.00 38.00 X X 0 760865 109998 VICTOR MEINKE CFO 9.00 31.00 X 0 311262 14752 ALEXANDER BEN-ISRAEL EXECUTIVE DIRECTOR 40.00 0.00 X 222880 0 9500 JANELL HAAG DIRECTOR, SALES AND MARKETING 40.00 0.00 X 132881 0 8844 ARIELLE O HENDEL FUND DEVELOPMENT DIRECTOR 40.00 0.00 X 105053 0 5859 MICHELLE DELOS SANTOS ASSISTANT EXECUTIVE DIRECTOR 40.00 0.00 X 103778 0 6143 564592 1072127 155096 4 0 1 0 JEWISH SENIOR LIVING GROUP 302 SILVER AVENUE SAN FRANCISCO CA 94112 MANAGEMENT/ADMINISTRATIVE SERVICES 1052022 ALL ABOUT PARKING INC 100 S ELLSWORTH AVE 203 SAN MATEO CA 94403 PARKING 323123 2 177352 173146 350498 RESIDENT FEES 623000 12751997 12751997 AMORT OF ENTRANCE FEES 623000 2248385 2248385 OTHER OPERATING REV 623000 762718 762718 15763100 242764 242764 16560 177352 40623 -24063 -24063 16332299 15763100 0 218701 X 235640 23564 212076 3616597 3295319 218834 102444 48313 37652 6354 4307 713506 616353 86241 10912 303663 267986 27755 7922 314022 314022 50744 50744 79475 79475 2274399 1438773 835626 460969 460969 1153847 1127042 22706 4099 732018 732018 13521 2343 11134 44 3683752 3683752 4237545 3881414 309024 47107 313826 313826 DUES & FEES 260053 238848 21205 LICENSES & TAXES 50327 4987 45340 PROGRAM & EVENTS 29493 23062 6275 156 MEDICAL SUPPLIES 9341 9341 29374 24927 2983 1464 18610425 15919094 2512876 178455 5031667 5537695 11364395 10434821 161985 106674 1356935 335000 19009 19117 192324 106213 149521738 41299842 112210991 108221896 8389215 12558901 8187065 8456920 146913586 145777237 1332344 1237014 9527502 9368484 67893836 67010416 109346339 111230257 188100021 188846171 X -48596833 -50880680 2696048 3097396 4714350 4714350 -41186435 -43068934 146913586 145777237 X -2278126 53192 342435 X 0 1 X 1 0 X 2000590 128413 111575 26789 350498 2617865 13315693 13785678 14546513 15920061 15763100 73331045 15316283 13914091 14658088 15946850 16113598 75948910 374998 125000 93870 9500 20530 623898 0 374998 125000 93870 9500 20530 623898 75325012 2556 27223 118440 145183 242764 536166 2556 27223 118440 145183 242764 536166 15318839 13941314 14776528 16092033 16356362 76485076 0.98480 0.98360 0.00700 0.00410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7403415 342435 7745850 6994719 408696 7403415 6233945 93870 666904 6994719 6075044 125000 33901 6233945 5573737 374998 126309 6075044 0.00000 0.60860 0.39140 0 1 1 13118538 13118538 127718909 33992590 93726319 2702398 1873448 828950 5981893 5433804 548089 108221896 BENEFICIAL INTEREST IN JHSLF 7746850 ACCRUED INTEREST RECEIVABLE 53300 DEPOSITS HELD BY HOME OWNERS ASSOCATION 540681 DUE FROM RELATED ORGANIZATIONS 116089 8456920 REFUNDABLE DEPOSITS 1078000 REFUNDABLE ENTRANCE FEES 105255319 LOAN PAYABLE TO JHSLF 4891582 DUE TO RELATED ORGANIZATIONS 5356 111230257 X 16727926 53192 342435 395627 16332299 0 16332299 18610425 0 18610425 0 18610425 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROVIDE SUPPORT FOR RESIDENTS OF THE 899 CHARLESTON PROJECT 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 342,435. 10TH ANNIVERSARY CELEBRATION 193912 177352 16560 10225 11026 1010 18362 193912 177352 16560 10225 11026 1010 18362 40623 -24063 X X X 0 1 0 0 0 0 0 0 0 DANIEL RUTH TRUSTEE/EXECUTIVE VICE PRESIDENT 0 690389 0 0 0 70476 0 99977 0 10021 0 870863 0 0 VICTOR MEINKE CFO 0 280712 0 30550 0 0 0 8250 0 6502 0 326014 0 0 ALEXANDER BEN-ISRAEL EXECUTIVE DIRECTOR 193958 0 28922 0 0 0 3250 0 6250 0 232380 0 0 0 PART I, LINE 4B DURING THE 2018 CALENDAR YEAR, A RELATED ORGANIZATION CONTRIBUTED $91,729 TO DANIEL RUTH'S SUPPLEMENTAL 457(F) RETIREMENT PLAN, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C). ADDITIONALLY, VICTOR MEINKE PARTICIPATED IN THE RELATED ORGANIZATION'S SUPPLEMENTAL 457(F) RETIREMENT PLAN, BUT RECEIVED NO CALENDAR YEAR 2018 EMPLOYER CONTRIBUTIONS TO THE PLAN. A CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY 680164610 2014-11-20 81435953 REFINANCING OF EXISTING BOND AND TERM LOAN DEBT 0 0 0 A 3120000 81435953 4432881 1448074 75554998 1 0 1 1 A 0 0 0 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 231 RESIDENTS AT JUNE 30, 2019. 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) ARE BOTH COMPENSATED BY JEWISH SENIOR LIVING GROUP. TOTAL PAYMENTS TO JEWISH SENIOR LIVING GROUP FOR THESE MANAGEMENT, MARKETING, AND OTHER SUPPORTING SERVICES TOTALLED $1,052,022 DURING THE 6/30/2019 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. 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 MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. EACH TRUSTEE AND PRINCIPLE OFFICER OF THE ORGANIZATION AND EACH MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS 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. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS 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. THE BOARD OF TRUSTEES APPROVES THE EXECUTIVE DIRECTOR'S EMPLOYMENT CONTRACT. LINE 15B HAS BEEN ANSWERED "NO" (AS MANDATED 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 AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR ORAL REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII: HOURS FOR DANIEL RUTH AND VICTOR MEINKE APPEAR LOW AS THESE INDIVIDUALS DEVOTE A PORTION OF THEIR TIME TO AFFILIATED ORGANIZATION NOT RELATED (BY FORM 990 DEFINITIONS) TO 899 CHARLESTON. FORM 990, PART IX, LINE 11G CONTRACT SERVICES AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,438,773. MANAGEMENT AND GENERAL EXPENSES 835,626. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,274,399. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN JHSLF 342,435. 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 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 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.