2015-02-11T15:16:38-06:00 2014-03-31 410746749 CLIFTONLARSONALLEN LLP 101 NORTH TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2013-04-01 201885811 FOREST RIDGE MANOR INC FORE 8659826109 910 WILDER CHAPEL LANE MARYVILLE TN 37804 SANDRA BROWN PRESIDENT 8659826109 2015-02-11 1 JOHN NORMAN P01506766 7049985200 2013 2016-03-07 17:11:31Z MARY DEBORAH HUBBARD 910 WILDER CHAPEL LANE MARYVILLE TN 37804 130495 0 X N/A X 2007 TN TO PROVIDE ELDERY PERSONS AND HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES. 7 5 0 5 0 0 0 0 136906 130495 0 0 0 0 136906 130495 0 0 0 0 0 0 0 0 0 222679 226249 222679 226249 -85773 -95754 3284305 3193327 3499134 3503910 -214829 -310583 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 183807 130495 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. 183807 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 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 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 TN X CINDY CARTER 4232450360 100 NETHERLAND LANE KINGSPORT TN 37660 MARY DEBORAH HUBBARD PRESIDENT 15.00 X X 0 91308 0 CINDY CARTER TREASURER 15.00 X X 0 33874 0 BERNIE BOWMAN SECRETARY 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 125182 0 0 0 0 0 0 NET RESIDENT SERVICE R 623000 130495 130495 130495 130495 130495 0 0 16000 16000 11350 11350 2145 2145 25932 13660 12272 44088 44088 104818 104818 CONTRACT SERVICES MAINT 21241 21241 MISC, OPERATING AND MAI 675 675 226249 183807 42442 0 80129 65501 10801 10718 3659458 659520 3088416 2999938 104959 117170 3284305 3193327 71433 76209 3427701 3427701 3499134 3503910 X -214829 -310583 -214829 -310583 3284305 3193327 -95754 0 X X 0 1 X 1 0 X X X 0 0 0 ASBURY INC 620630670 9 1 1 1 16000 1 16000 24723 24723 3576563 636437 2940126 58172 23083 35089 2999938 X PART X, LINE 2: FOREST RIDGE MANOR, INC. IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES. THE INCOME TAX RETURN FOR FOREST RIDGE MANOR, INC. IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. FOREST RIDGE MANOR, INC. IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS. THE ORGANIZATION HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 8B 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 THE FOREST RIDGE MANOR, INC. BOARD OF DIRECTORS RECEIVED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO THE DATE OF FILING. ANY COMMENTS AND SUGGESTIONS THAT THEY HAD WERE COMMUNICATED TO JACK EDWARDS, REGULATORY REPORTING AND TAX MANAGER FOR FOREST RIDGE MANOR, INC. FORM 990, PART VI, SECTION B, LINE 12C 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-EXEMPT 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 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: 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 COMMUNITITES 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