2016-02-15T00:00:00-06:00 2015-09-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2014-10-01 930712867 ROGUE VALLEY MANOR FOUNDATION INC ROGU 8887246424 1200 MIRA MAR AVENUE MEDFORD OR 97504 MARC BAYLISS INTERIM DIRECTOR 8887246424 2016-02-15 1 TRACY S PAGLIA P00366884 2099556100 2016-02-15 2014 2016-08-17 19:52:53Z MARC BAYLISS 1 WEST MAIN SUITE 303 MEDFORD OR 97501 3965771 0 X WWW.RETIREMENT.ORG X 1977 OR ACQUIRE, HOLD, AND DISTRIBUTE GIFTS TO ROGUE VALLEY MANOR AND COMMUNITY ORGANIZATIONS. 11 11 0 523 0 0 1068697 922947 0 0 1971649 310901 99568 -105775 3139914 1128073 991095 822179 0 0 102359 139086 0 0 0 241025 79831 1334479 1041096 1805435 86977 12763404 12240672 247854 193940 12515550 12046732 THE MISSION OF THE ROGUE VALLEY MANOR FOUNDATION IS TO ENRICH THE QUALITY OF LIFE FOR MANOR RESIDENTS, FOR SENIORS SERVED BY AFFILIATE ORGANIZATIONS, AND FOR OTHERS IN THE COMMUNITY. 0 0 846604 822179 0 GRANTS AND ALLOCATIONS / OUTLAYS ACCORDING TO DONORS SPECIFIED PURPOSES. 846604 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 8 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X SHERI LOYA 5418577644 1 WEST MAIN SUITE 303 MEDFORD OR 97501 X MARC BAYLISS CHAIR 1.00 1.00 X X 0 0 0 JIM ELLIS VICE CHAIR 1.00 X X 0 0 0 RON MCUNE TREASURER 1.00 X X 0 0 0 ELLEN WALDMAN SECRETARY 1.00 X X 0 0 0 LYN BOENING DIRECTOR 1.00 X 0 0 0 TIM BROPHY DIRECTOR 1.00 X 0 0 0 DIANE HEARTH DIRECTOR 1.00 X 0 0 0 DON HILDEBRAND DIRECTOR 1.00 1.00 X 0 0 0 MIKE MAYERLE DIRECTOR 1.00 X 0 0 0 NILS NILSSON DIRECTOR 1.00 X 0 0 0 EARL NORGARD DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 0 358379 564568 333263 922947 252228 252228 2563677 2503912 1092 59765 -1092 58673 58673 226919 358379 332694 -105775 -105775 1128073 0 0 205126 711129 711129 111050 111050 108240 108240 2147 2147 21114 21114 7585 7585 19929 19929 8651 8651 20 20 16422 16422 1657 339 1318 100 100 3606 3606 6847 6847 PROGRAM FUND EXPENSES 13633 13633 FACILITY SERVICE EXPENS 8966 8966 1041096 846604 194492 0 261770 242094 123222 121981 1976 11163 4416 6637 39478 29655 15021 9823 12356999 11645974 0 203000 12763404 12240672 148241 124910 99613 69030 247854 193940 X 7664299 7480457 3484432 3199729 1366819 1366546 12515550 12046732 12763404 12240672 X 86977 -677555 123000 -1240 X 0 1 X 1 0 X 1015028 668538 470020 1068697 946652 4168935 1015028 668538 470020 1068697 946652 4168935 485288 3683647 236376 271196 240248 284654 252228 1284702 5453637 970029 0.67540 0.76790 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 80000 203000 X 0 1366819 0 -273 1366546 1364300 100 2419 1366819 1366702 1031 -3433 1364300 1366512 50 140 1366702 1373663 -4648 2503 1366512 0.00000 1.00000 0.00000 1 0 39478 29655 9823 9823 DUE TO AFFILIATES 69030 69030 X 786839 -677555 23705 333785 -320065 1106904 19929 1240 21169 1128073 1378657 23705 333785 357490 1021167 19929 19929 1041096 PART V, LINE 4: THE FOUNDATION'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL FUNDS ESTABLISHED FOR VARIOUS PURPOSES. PART X, LINE 2: THE FOUNDATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS 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 SETTLEMENT. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2015 AND 2014, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS 1,092. SPECIAL EVENT EXPENSES 332,693. PART XI, LINE 4B - OTHER ADJUSTMENTS: ACTUARIAL CHANGE ON GIFT ANNUITIES RECEIVABLE 1,240. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 332,693. LOSS ON SALE OF FIXED ASSETS 1,092. GOLF TOURNAMENT 170772 151116 19656 29540 MANOR SALE 355866 177933 177933 273101 1 58660 29330 29330 30053 585298 358379 226919 332694 332694 -105775 1 ROGUE VALLEY MANOR INC 1200 MIRA MAR AVENUE MEDFORD OR 97504 930453216 501(C)(3) 711129 RESIDENT PROGRAM SUPPORT 1 0 SCHOLARSHIPS 73 111050 PART I, LINE 2: THE USE OF GRANT FUNDS IS MONITORED BY THE BOARD OF DIRECTORS AND IS REVIEWED QUARTERLY FOR PROPRIETY. X 1 80000 APPRAISED VALUE X 207263 APPRAISED VALUE X 46000 APPRAISED VALUE 0 0 1 1 PART I, LINE 32B: RVM FOUNDATION USED VOLUNTEERS TO SELL NON-CASH CONTRIBUTIONS ON CRAIGSLIST AND/OR EBAY. THE RVM FOUNDATION ALSO OCCASIONALLY USED CONSIGNMENT AND PROFESSIONAL HELP WITH AUTO SALES. FORM 990, PART VI, SECTION A, LINE 3 ROGUE VALLEY MANOR FOUNDATION, INC. DELEGATES MANAGEMENT TO ROGUE VALLEY MANOR. FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE FORMER 11/20/13 RVMF BYLAWS BY ADOPTION OF THE 11/03/14 BYLAWS: 1. VARIOUS AMENDMENTS TO ARTICLE I INCLUDING PURPOSE AND AUTHORITY, AND LIMITATIONS; 2. VARIOUS AMENDMENTS TO ARTICLE II ESTABLISHING THE NUMBER OF DIRECTORS AND REVISING THE ELECTION, TERM AND REMOVAL OF DIRECTORS; 3. ADDED SECTION REGARDING CONFLICTS OF INTERESTS; 4. REVISED ARTICLE IV PERTAINING TO OFFICER DUTIES; AND 5. REVISED SECTIONS REGARDING LIABILITY AND INDEMNIFICATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, ROGUE VALLEY MANOR. FORM 990, PART VI, SECTION A, LINE 7A ROGUE VALLEY MANOR HAS THE RIGHT TO ELECT FOUNDATION DIRECTORS FROM NOMINEES SELECTED BY THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SOME DECISIONS OF THE BOARD ARE SUBJECT TO APROVAL BY ROGUE VALLEY MANOR AS DESCRIBED IN ARTICLE I, SECTION 4 OF THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS CURRENTLY BEING REVIEWED BY THE CFO, ASSISTANT CONTROLLER AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE SENT TO ALL BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THERE ARE TWO POLICIES RELATED TO CONFLICTS OF INTEREST: 1) BOARD OF DIRECTORS; 2) KEY EMPLOYEES, WHICH IDENTIFY THE PURPOSE, DEFINITIONS, AND PROCEDURES. IF A CONFLICT IS SELF-IDENTIFIED BY A BOARD MEMBER OR KEY EMPLOYEE IN THE QUESTIONNAIRE AND/OR MEETING, PROCEDURES ARE FOLLOWED AND DOCUMENTED ACCORDING TO THE POLICY. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL. FORM 990, PART XI, LINE 9: ACTUARIAL CHANGE ON GIFT ANNUITIES RECEIVABLE -1,240. PRS MANAGEMENT INC 1 WEST MAIN SUITE 303 MEDFORD OR 97501 931328250 MGMT COMPANY OR PACIFIC RETIREMENT SERVICES INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 931067253 SUPPORTING ORGANIZATION OR 501(C)(3) LINE 11C, III-FI N/A 0 PACIFIC RETIREMENT SERVICES FOUNDATION 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 472352652 PUBLIC FOUNDATION OR 501(C)(3) LINE 7 PACIFIC RETIREMENT SERVICES INC 0 ROGUE VALLEY MANOR 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930453216 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 THE CUMBERLAND REST INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 750891470 SENIOR HOUSING TX 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 CASCADE MANOR INC 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 930557803 SENIOR HOUSING OR 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 UNIVERSITY RETIREMENT COMMUNITY AT DAVIS 1 WEST MAIN ST SUITE 303 MEDFORD OR 97501 931179254 SENIOR HOUSING CA 501(C)(3) LINE 9 PACIFIC RETIREMENT SERVICES INC 0 HOLLADAY PARK PLAZA 1 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