2016-07-20T14:08:05-05:00 2016-03-31 310800053 CLARK SCHAEFER HACKETT & CO 4449 EASTON WAY SUITE 400 COLUMBUS OH 43219 990 2015-04-01 201885811 FOREST RIDGE MANOR INC FORE 8659826109 910 WILDER CHAPEL LANE MARYVILLE TN 37804 SANDRA BROWN PRESIDENT PRESIDENT 8659826109 2016-07-07 1 ANDREW W GANTZER P00180374 6148852208 2016-07-07 2015 2016-12-15 16:53:06Z SANDRA BROWN 910 WILDER CHAPEL LANE MARYVILLE TN 37804 203325 0 X N/A X 2007 TN TO PROVIDE ELDERLY PERSONS AND HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES. 5 5 0 3 0 0 8036 69969 106465 130531 154 374 1712 2451 116367 203325 0 0 0 0 14762 31106 0 0 0 259549 259865 274311 290971 -157944 -87646 3085660 2982604 3554187 3538777 -468527 -556173 TO PROVIDE ELDERLY PERSONS AND HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES SPECIALLY DESIGNED TO MEET THEIR PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS, AND TO PROMOTE THEIR HEALTH, SECURITY, HAPPINESS, AND USEFULNESS IN LONGER LIVING. 0 0 262239 130531 FOREST RIDGE MANOR, INC. IS A RESIDENTIAL HOUSING DEVELOPMENT FOR LOW INCOME SENIORS THAT MINISTERS TO THE SPIRITUAL & PHYSICAL NEEDS OF ITS RESIDENTS, PROVIDES A SAFE, CLEAN, AND COMFORTABLE ENVIRONMENT & TREATS SENIORS WITH RESPECT AND DIGNITY. 262239 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 TN X NATIONAL CHURCH RESIDENCES 6144512151 2335 NORTH BANK DRIVE COLUMBUS OH 43220 SANDRA BROWN PRESIDENT 15.00 X X 0 92269 0 BERNIE BOWMAN SECRETARY/TREASURER 1.00 X X 0 0 0 MARVIN EICHORN BOARD MEMBER 1.00 X 0 0 0 BOB MCCOLLUM BOARD MEMBER 1.00 X 0 0 0 RICK GOINS BOARD MEMBER 1.00 X 0 0 0 MARGE SHONNARD BOARD MEMBER 1.00 X 0 0 0 0 92269 0 0 0 0 0 0 63576 6393 69969 NET RESIDENT SERVICE R 531110 130531 130531 130531 374 374 LAUNDRY & VENDING 900004 1801 1801 OTHER INCOME 900099 650 650 2451 203325 130531 0 2825 28603 28603 345 345 2158 2158 23734 23734 12372 7374 4998 1422 1422 10557 10557 54066 54066 731 731 1352 1352 98258 98258 13704 13704 CONTRACT EXPENSES 43669 43669 290971 262239 28732 0 58113 65213 472 442 3659458 860971 2896745 2798487 130330 113112 5350 3085660 2982604 126154 100924 332 113 3427701 3427701 0 10039 3554187 3538777 X -468527 -556173 -468527 -556173 3085660 2982604 -87646 0 X X 0 1 X 1 1 1 X X X 1 ASBURY INC 620630670 9 1 32647 0 1 32647 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24723 24723 3576563 820386 2756177 58172 40585 17587 2798487 DEPOSITS 10039 10039 X 203325 0 203325 0 203325 290971 0 290971 0 290971 PART X, LINE 2: EXPLANATION: NO PROVISION OR BENEFIT FOR INCOME TAXES HAS BEEN INCLUDED IN THESE FINANCIAL STATEMENTS SINCE THE CORPORATION WAS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION AND HAS SECURED TAX EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION FOR INCOME TAXES. THIS INTERPRETATION PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS INTERPRETATION ALSO PROVIDES GUDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE CORPORATION HAS DETERMINED THAT ALL INCOME TAX FILING POSITIONS WOULD BE SUSTAINED UPON EXAMINATION AND ACCORDINGLY, THE CORPORATION HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AS OF MARCH 31, 2016 AND 2015. FORM 990, PART VI, SECTION A, LINE 3 EXPLANATION: FOREST RIDGE MANOR, INC. HAS DELEGATED THE MANAGEMENT DUTIES TO NATIONAL CHURCH RESIDENCES WHO CONTRACTED WITH FOREST RIDGE MANOR, INC. TO PROVIDE THE MANAGEMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 8B EXPLANATION: THIS ENTITY DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 EXPLANATION: THE FOREST RIDGE MANOR, INC. BOARD OF DIRECTORS RECEIVED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO THE DATE OF FILING. FORM 990, PART VI, SECTION B, LINE 12C EXPLANATION: MEMBERS OF THE BOARD OF DIRECTORS, MEMBERS OF BOARD COMMITTEES, AND CERTAIN ASSOCIATES IN MANAGEMENT POSITIONS SHALL BE REQUIRED TO SIGN A STATEMENT ANNUALLY, WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, UNDERSTANDS THAT THE ASBURY GROUP MAY PROVIDE MANAGEMENT SERVICES TO CHARITABLE ORGANIZATIONS AND THAT IN ORDER TO MAINTAIN THEIR FEDERAL TAX EXEMPTIONS, THEY MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EMEMPT PURPOSES, DISCLOSES ANY FEDERAL INTEREST HE/SHE MAY HAVE, AND ANY GIFTS HE/SHE HAS RECEIVED IN THE PAST YEAR FROM COMPANIES DOING BUSINESS WITH THE ASBURY GROUP, AND COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT ("CIDS") ANNUALLY. THE COMPLIANCE OFFICER SHALL COLLECT AND COMPILE A CIDS REPORT AND SHALL FILE A REPORT WITH THE AUDIT COMMITTEE WITH RESPECT TO ALL CIDS. ALL CIDS SHALL BE AVAILABLE TO THE AUDIT COMMITTEE, AND THE AUDIT COMMITTEE SHALL MONITOR CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 EXPLANATION: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: EXPLANATION: NO CHANGE IN METHOD SINCE THE PRIOR YEAR. ASBURY INC 910 WILDER CHAPEL LANE MARYVILLE TN 37804 620630670 PROVIDE A REGIONAL NETWORK OF CONTINUING CARE RETIREMENT COMMUNITIES TN 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0