2019-08-15T08:15:17-05:00 2018-09-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2017-10-01 411459252 GUARDIAN ANGELS OF ELK RIVER INC GUAR 7632414445 508 FREEPORT AVENUE NW NO A ELK RIVER MN 55330 TROY M HANSON CFO 7632414445 2019-08-13 1 MATTHEW WOCKEN P01598291 6123764500 2019-08-13 67.137.57.251 2019-08-13 16:15:45 CD P 3B8AD87D3D4D2D1864CA6013C36879B94F3F1DCF 58F2D0DD0879FA3AB054D05BB1806533834C1440 2017 2019-02-21 02:37:17Z DANIEL C DIXON 508 FREEPORT AVENUE NW NO A ELK RIVER MN 55330 5683009 0 X WWW.GUARDIANANGELSMN.ORG X 1984 MN PROMOTION AND ADMINISTRATION OF EVANS PARK, INC.; ANGEL RIDGE, INC.; GUARDIAN ANGELS HOMES, INC; PINE CONE MANOR, INC.; AND GUARDIAN ANGELS HEALTH SERVICES, INC.; - ORGANIZATIONS THAT PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY AND HANDICAPPED AND ARE EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 15 15 413 81 373627 -156549 273539 2083988 2360987 2579249 296017 525363 191141 153864 3121684 5342464 131017 3020459 0 0 1612505 1870353 0 0 37008 1195197 1233061 2938719 6123873 182965 -781409 14064529 13292535 4755305 4763541 9309224 8528994 X PROMOTION AND ADMINISTRATION OF EVANS PARK, INC.; ANGEL RIDGE, INC.; GUARDIAN ANGELS HOMES, INC.; PINE CONE MANOR, INC.; AND GUARDIAN ANGELS HEALTH SERVICES, INC. - ORGANIZATIONS THAT PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY AND HANDICAPPED AND ARE EXEMPT UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. 0 0 5251899 3020459 2239016 PROMOTION AND ADMINISTRATION OF EVANS PARK, INC.; ANGEL RIDGE, INC.; GUARDIAN ANGELS HOMES, INC.; PINE CONE MANOR, INC.; AND GUARDIAN ANGELS HEALTH SERVICES, INC. - ORGANIZATIONS THAT PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY AND HANDICAPPED AND ARE EXEMPT UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. 5251899 1 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 69 0 413 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X TROY HANSON 7632414428 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 LINDA M KRIEGER CHAIR 1.00 5.00 X X 0 0 0 JOANIE NICHOLS VICE CHAIR 1.00 5.00 X X 0 0 0 JIM BARTHEL SECRETARY/TREASURER 1.00 5.00 X X 0 0 0 JACK HINES DIRECTOR 1.00 5.00 X 0 0 0 JANE HOULTON DIRECTOR 1.00 5.00 X 0 0 0 JEFF NAGORSKI DIRECTOR 1.00 5.00 X 0 0 0 JULIE RAITZ DIRECTOR 1.00 5.00 X 0 0 0 CHRIS ROBINSON DIRECTOR 1.00 5.00 X 0 0 0 ARLO SCHULTZ DIRECTOR 1.00 5.00 X 0 0 0 CHARLENE SHEETS DIRECTOR 1.00 5.00 X 0 0 0 SCOTT SVOBODA DIRECTOR 1.00 5.00 X 0 0 0 DARYL HERRMANN DIRECTOR (FROM JAN 2018) 1.00 5.00 X 0 0 0 NANCY ROSCOE LLOYD DIRECTOR (FROM JAN 2018) 1.00 5.00 X 0 0 0 LYNN SCHULER DIRECTOR (FROM JAN 2018) 1.00 5.00 X 0 0 0 GORDY VETSCH DIRECTOR (FROM JAN 2018) 1.00 5.00 X 0 0 0 MARILYN BINA DIRECTOR (THROUGH DEC 2017) 1.00 5.00 X 0 0 0 GINA CAVANNA DIRECTOR (THROUGH DEC 2017) 1.00 5.00 X 0 0 0 JIM NORD DIRECTOR (THROUGH DEC 2017) 1.00 5.00 X 0 0 0 RON STRICKER DIRECTOR (THROUGH DEC 2017) 1.00 5.00 X 0 0 0 DANIEL C DIXON PRESIDENT / CEO 35.00 5.00 X 245156 0 32690 TROY M HANSON VICE PRESIDENT / CFO 35.00 5.00 X 183993 0 36524 ANDREA SWAYNE VICE PRESIDENT / COO (THROUGH JUNE 2018) 35.00 5.00 X 150990 0 40496 DANIEL FAIR DIRECTOR OF FACILITIES 40.00 0.00 X 97790 7987 25663 TROY MARSCHEL CONTROLLER 40.00 0.00 X 118081 0 27939 NICOLE NOVOTNY DIRECTOR OF HR 40.00 0.00 X 113521 0 32332 909531 7987 195644 5 0 1 0 PRO REHAB 200 LEWIS AVE S SUITE 210 WATERTOWN MN 55388 REHAB SERVICES AT THE CARE CENTER 1242852 POPE ARCHITECTS INC 1295 BANDANA BOULEVARD N SUITE 200 ST PAUL MN 551082735 DESIGN NEW BUILDING 683351 KRAUS-ANDERSON CAPITAL INC 525 SOUTH 8TH STREET MINNEAPOLIS MN 55404 CONSTRUCTION OF 100 WING REMODEL 280447 COMPUTER INTEGRATION TECHNOLOGIES 2375 VENTURA DRIVE WOODBURY MN 55125 IT CONSULTING SERVICES 271280 CLIFTONLARSONALLEN LLP 220 SOUTH 6TH ST STE 300 MINNEAPOLIS MN 55402 ACCOUNTING AND CONSULTING SERVICES 204938 5 134383 1678177 2500 268928 45214 2083988 MANAGEMENT FEES 541610 1792114 1580253 211861 EQUITY IN NET INCOME O 900003 517262 517262 RENTAL INCOME 532000 136544 113070 23474 GYM 365 713940 133329 133329 2579249 210183 210183 620039 300000 4859 320039 -4859 315180 315180 47936 134383 35686 12250 12250 MISCELLANEOUS INCOME 900099 108220 108220 WELLNESS CENTER REVENU 900099 33394 28431 4963 141614 5342464 2239016 373627 645833 3020459 3020459 811205 811205 702824 669390 33434 118522 117695 827 95715 94567 1148 142087 139632 2455 30489 30489 13237 13237 241575 -380 241955 52551 914 51637 86862 1136 85726 20941 20941 19180 19180 23779 16838 6941 38528 38528 179986 173987 5999 182123 182123 13032 13032 RENT EXPENSE 104650 104650 NON-NURSING HOME EXPENS 70836 70836 MISCELLANEOUS EXPENSE 48241 48241 REAL ESTATE TAXES 47818 47818 59233 5153 17072 37008 6123873 5251899 834966 37008 2359875 2703730 704254 883982 92100 63880 6444 3810 3259182 2978595 136672 157469 3916646 1006667 3734093 2909979 142700 142700 989122 756384 2640087 2692006 14064529 13292535 1004818 970225 5513 5401 0 2995423 2220303 749551 1567612 4755305 4763541 X 9308562 8451391 662 77603 9309224 8528994 14064529 13292535 -781409 1179 0 X X 0 1 X 1 0 X X 5 GUARDIAN ANGELS HEALTH SERVICES INC 410858938 10 0 154593 0 GUARDIAN ANGELS HOMES INC 411358761 10 0 0 0 ANGEL RIDGE INC 411726974 10 0 0 0 EVANS PARK INC 411542976 10 0 25623 0 PINE CONE MANOR INC 411871435 10 0 0 0 5 180216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1: THE ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS HAVE A HISTORIC AND CONTINUING RELATIONSHIP. THE ORGANIZATION HAS THE SAME BOARD MEMBERS AS ITS SUPPORTED ORGANIZATIONS. THE ORGANIZATION ALSO HAS THE SAME OFFICERS (CEO,CFO AND COO) AS ITS SUPPORTED ORGANIZATIONS. 1 6493 960 542 6911 0 702326 172979 875305 644350 57976 702326 553243 21306 69801 644350 509732 71661 -28150 553243 392548 74381 42803 509732 1.00000 0.00000 0.00000 0 0 1296964 1296964 1783592 471941 1311651 814040 522376 291664 22050 12350 9700 2909979 INVESTMENT IN GUARDIAN ANGELS - ELIM 756384 C 756384 DUE FROM RELATED ORGANIZATIONS 2692006 2692006 RESIDENT DEPOSITS 8211 DUE TO RELATED ORGANIZATIONS 1559401 1567612 X PART IV, LINE 1B: GUARDIAN ANGELS OF ELK RIVER ACTS AS INTERMEDIARY FOR PROJECT LIFESAVER IN SHERBURNE COUNTY, MINNESOTA. PART V, LINE 4: ALL ENDOWMENTS ARE USED FOR PROVIDING INNOVATIVE HEALTH, HOUSING AND SUPPORT SERVICES FOR SENIORS AND THEIR FAMILIES THROUGH ACTIVE COMMUNITIES, INDIVIDUALIZED SERVICES AND STAFF EDUCATIONAL SCHOLARSHIPS. PART X, LINE 2: ALL OF THE ENTITIES INCLUDED IN THESE CONSOLIDATED FINANCIAL STATEMENTS HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO IRS CODE SECTION 501(C)(3) AND APPLICABLE MINNESOTA TAX CODES. THE ORGANIZATION FOLLOWS THE STANDARD RELATED TO INCOME TAXES FOR THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THE ACCOUNTING STANDARD REGARDING UNCERTAIN TAX POSITIONS HAD NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATIONS' TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND PROPERLY REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. GALA 154958 113806 41152 3699 14103 9799 GOLF EVENT 27361 20577 6784 720 1038 3680 2399 248 182319 134383 47936 720 1038 7379 16502 10047 35686 12250 1 CITY OF OTSEGO MN 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 410914213 GOVERNMENT 240243 BOOK LAND DONATED AS PART OF NEGOTIATIONS FOR NEW RIVERVIEW LANDING BUILDING. EVANS PARK INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411542976 501(C)(3) 2625623 GENERAL SUPPORT GUARDIAN ANGELS HEALTH SERVICES INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 410858938 501(C)(3) 154593 BEDS, FURNITURE, EQUIPMENT, AND GENERAL PURPOSE ITEMS 3 0 PART I, LINE 2: FOR THE CITY OF OTSEGO, THERE WERE NEGOTIATIONS FOR RIVERVIEW LANDING, A NEW PROJECT GUARDIAN ANGELS OF ELK RIVER IS A MEMBER OF. PART OF THESE NEGOTIATIONS INCLUDED GUARDIAN ANGELS OF ELK RIVER DONATING LAND TO THE CITY. FOR THE GRANT TO EVANS PARK, INC., THE ORGANIZATION HAS THE SAME BOARD MEMBERS AND OFFICERS (CEO, CFO, AND COO) AS ITS SUPPORTED ORGANIZATIONS WHO ARE RECEIVING THE GRANTS. THESE BOARD MEMBERS AND OFFICERS MONITOR THE USE OF GRANTS. X X X 0 0 0 0 0 0 0 0 0 DANIEL C DIXON PRESIDENT / CEO 221078 0 18077 0 6001 0 11277 0 21413 0 277846 0 0 0 TROY M HANSON VICE PRESIDENT / CFO 169310 0 11500 0 3183 0 8753 0 27771 0 220517 0 0 0 ANDREA SWAYNE VICE PRESIDENT / COO (THROUGH JUNE 2 142490 0 8500 0 0 0 9553 0 30943 0 191486 0 0 0 X 34680 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP OF THE CORPORATION SHALL CONSIST OF THE CONSENT MEMBERS IN GOOD STANDING OF THE PARISH OF THE CHURCH OF THE HOLY TRINITY. FORM 990, PART VI, SECTION A, LINE 7A ALL DIRECTORS ARE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OR AT A SPECIAL MEETING CALLED FOR THAT PURPOSE. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE VICE PRESIDENT OF FINANCE AND THE PRESIDENT/CEO, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES. UPON COMPLETION OF THE VICE PRESIDENT OF FINANCE AND PRESIDENT/CEO'S REVIEW, THE FORMS ARE MADE AVAILABLE TO THE BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER AND DIRECTOR FILL OUT A CONFLICT OF INTEREST FORM. IF A CONFLICT EXISTS IT IS ADDRESSED BY THE BOARD AND MANANGEMENT ON A CASE BY CASE BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS USED TO SET CEO/PRESIDENT'S COMPENSATION IS PERFORMED BY THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE DURING A CLOSED MEETING. THE PROCESS USED TO SET TOP MANAGEMENT'S ANNUAL SALARY IS BASED ON A COMBINATION OF COMPARISON TO COMPARABLE ORGANIZATIONS THROUGH THE USE OF OUR TRADE ORGANIZATION'S ANNUAL COMPENSATION SURVEY. THIS PROCESS IS NORMALLY DONE PRIOR TO THE FISCAL YEAR STAR OCTOBER 1ST. 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. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE BOND TRUSTEE WEBSITE, EMMA. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 521 LAND COMPANY LLC 508 FREEPORT AVENUE NE NO A ELK RIVER MN 55330 411549252 PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY MN 136544 1524104 GUARDIAN ANGELS OF ELK RIVER INC GA WELLNESS 365 LLC 508 FREEPORT AVENUE NE NO A ELK RIVER MN 55330 812358422 PROVIDE EXERCISE EQUIPMENT AND A FACILITY FOR INDIVIDUALS MN 133329 134297 GUARDIAN ANGELS OF ELK RIVER INC GUARDIAN ANGELS HEALTH SERVICES INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 410858938 NURSING HOME, HOUSING AND ADULT DAY CARE MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER 1 EVANS PARK INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411542976 HOUSING FOR THE ELDERING MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER 1 ANGEL RIDGE INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411726974 HOUSING FOR THE ELDERING MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER 1 PINE CONE MANOR INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411871435 HOUSING FOR THE ELDERING MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER 1 GUARDIAN ANGELS HOMES INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411358761 HOUSING FOR THE ELDERING MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER 1 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 GUARDIAN ANGELS HEALTH SERVICES INC B 154593 ACTUAL AMOUNT GUARDIAN ANGELS HEALTH SERVICES INC C 154593 ACTUAL AMOUNT EVANS PARK C 2625623 ACTUAL AMOUNT GUARDIAN ANGELS HOMES INC L 81564 ACTUAL AMOUNT GUARDIAN ANGELS HEALTH SERVICES INC L 876795 ACTUAL AMOUNT EVANS PARK L 491929 ACTUAL AMOUNT