2018-08-23T16:14:13-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2017-01-01 742809238 LAKEVIEW VILLAGE FOUNDATION LAKE 9137442430 9100 PARK STREET LENEXA KS 66215 JAMES K FRAZIER CEO 9137442430 2018-08-17 1 AMANDA VALLERO P01587658 3149254300 2017 2022-09-23 18:48:47Z JAMES K FRAZIER 9100 PARK STREET LENEXA KS 66215 726844 0 X WWW.LAKEVIEWVILLAGE.ORG X 1997 KS THE PURPOSE OF THE FOUNDATION IS TO SUPPORT LAKEVIEW VILLAGE, INC., A 501(C)(3) ORGANIZATION. 9 8 2 60 0 0 559167 668826 0 0 23619 26533 2631 1646 585417 697005 66328 34700 0 0 165294 169209 0 0 151503 36602 35431 268224 239340 317193 457665 2447980 2991516 214638 228921 2233342 2762595 TO ENRICH THE LIVES OF RESIDENTS OF LAKEVIEW VILLAGE AND TO CREATE A COMMUNITY THAT VALUES GIVING AS A WAY OF LIFE. 0 0 34700 34700 THE LAKEVIEW VILLAGE FOUNDATION IS INVOLVED WITH AND HELPS IMPLEMENT THE STRATEGIC PLANS OF LAKEVIEW VILLAGE, INC., A KANSAS NOT-FOR-PROFIT CORPORATION. THE FOUNDATION RAISES FUNDING FOR VARIOUS LAKEVIEW VILLAGE, INC. PROJECTS. 53137 THE CHAPLAINCY PROGRAM PROVIDES RELIGIOUS SERVICES TO MEET THE SPIRITUAL NEEDS OF LAKEVIEW VILLAGE RESIDENTS. 87837 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 2 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ROBERT I CLAUSEN JR 9137442470 9100 PARK STREET LENEXA KS 66215 TOM KIRKWOOD CHAIRMAN 1.00 X X 0 0 0 JOAN DAVIES TRUSTEE 1.00 X 0 0 0 JIM KENNEY TREASURER/SECRETARY 1.00 X X 0 0 0 JAMES K FRAZIER PRESIDENT/CEO 5.00 50.00 X X 0 262420 28196 DOUG HIMEBAUGH TRUSTEE 1.00 X 0 0 0 JOE SCHMISSEUR TRUSTEE 1.00 X 0 0 0 DALE WARMAN TRUSTEE 1.00 1.00 X 0 650 0 SKIP TICHENOR TRUSTEE 1.00 X 0 0 0 LINDA COLE TRUSTEE 1.00 1.00 X 0 0 0 ROBERT I CLAUSEN JR CFO 5.00 50.00 X 0 161338 23166 0 424408 51362 0 0 1 0 0 57549 611277 668826 18369 18369 38003 29839 8164 8164 8164 1646 57549 0 1646 1646 697005 0 0 28179 34700 34700 143989 40284 103705 5638 1490 4148 8427 7151 1276 11155 3082 8073 24000 24000 40 40 2590 2590 850 850 254 254 150 150 78 78 3865 3865 BANK CHARGES 2085 2085 MISCELLANEOUS 1166 1130 36 DUES AND SUBSCRIPTIONS 353 353 239340 87837 0 151503 167153 282185 181834 200152 108565 1990428 2509179 2447980 2991516 214638 228921 214638 228921 X 537885 627145 648373 1064921 1047084 1070529 2233342 2762595 2447980 2991516 X 457665 34289 37299 X X 0 1 X 1 0 X 669566 529047 472763 559167 668826 2899369 669566 529047 472763 559167 668826 2899369 761445 2137924 27708 12812 32708 24889 18369 116486 3015855 0.70890 0.69020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1185043 136250 30000 1291292 1028714 181483 25164 1185043 876109 179873 27268 1028714 758387 171020 53298 876109 259758 502100 3471 758387 0.00000 0.82900 0.17100 1 0 0 X PART V, LINE 4: THE GOOD SAMARITAN ENDOWMENT IS FOR PROVIDING FUNDS FOR RESIDENTS WHO CAN NO LONGER PROVIDE THE COST OF THEIR CARE THROUGH NO FAULT OF THEIR OWN. PART X, LINE 2: THE ORGANIZATIONS INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE TAX OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. 20TH BIRTHDAY & HOEDOWN 59195 57549 1646 59195 57549 1646 1646 1 LAKEVIEW VILLAGE INC 9100 PARK STREET LENEXA KS 66215 480689163 501(C)(3) 34700 SUPPORT THE OPERATIONS & RESIDENTS OF LAKEVIEW VILLAGE, INC. 1 SCH I, PART II, LINE 1A THE FOUNDATION APPROVES PROJECTS BEFORE THEY ARE DONE AND REVIEWS THE EXPENSES AFTER COMPLETION BEFORE THEY REIMBURSE LAKEVIEW VILLAGE FOR THEM. 0 0 0 0 0 0 0 0 0 JAMES K FRAZIER PRESIDENT/CEO 0 247420 0 15000 0 0 0 10600 0 17596 0 290616 0 0 ROBERT I CLAUSEN JR CFO 0 151338 0 10000 0 0 0 6757 0 16409 0 184504 0 0 PART I, LINE 3 LAKEVIEW VILLAGE, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART V, LINE 2A AND PART IX, LINE 7 THE ORGANIZATION'S PAYROLL IS PROCESSED WITH LAKEVIEW VILLAGE, INC., THE PARENT COMPANY. FORMS W-2 AND W-3 WERE NOT ISSUED BY LAKEVIEW VILLAGE FOUNDATION AS OF DECEMBER 31, 2017. THE ORGANIZATION DID PAY THE SALARIES, EMPLOYMENT TAXES AND EMPLOYEE BENEFITS FOR THE ORGANIZATION'S EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY WILL REVIEW THE 990 BEFORE THE RETURN IS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD IS ASKED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS IF AND WHEN THEY ARISE. FORM 990, PART VI, SECTION B, LINE 15 A RELATED ORGANIZATION COMPENSATES THE OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF MATURED GIFT ANNUITY 37,299. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. LAKEVIEW VILLAGE INC 9100 PARK LENEXA KS 66215 480689163 OPERATION OF CCRC CAMPUS KS 501(C)(3) LINE 10 0 RIDGEVIEW VILLAGE INC 11830 S SUNSET DR OLATHE KS 66061 481179208 OPERATION OF HUD APARTMENTS KS 501(C)(3) LINE 11 LAKEVIEW VILLAGE INC 0 RIDGEVIEW VILLAGE II INC 11830 S SUNSET DR OLATHE KS 66061 431893443 OPERATION OF HUD APARTMENTS KS 501(C)(3) LINE 11 LAKEVIEW VILLAGE INC 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0