2014-02-15T16:04:12-06:00 2013-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 53226 990 2012-07-01 391126946 MARQUARDT MEMORIAL MANOR INC MARQ 9202610400 1020 HILL STREET WATERTOWN WI 530983099 JULIE MARKS 9202610400 2014-02-18 1 DAVE GLOBIG CPA P01356041 4144319300 2014-02-18 2012 2015-11-30 17:44:51Z JULIE MARKS 1020 HILL STREET WATERTOWN WI 53098 11762814 0 X N/A X 1966 WI THE ORGANIZATION'S EXEMPT PURPOSE IS TO PROVIDE EXTENDED NURSING, CONVALESCENT, AND REHABILITATIVE CARE TO THE ELDERLY. 9 9 303 140 0 0 34008 51252 11612438 11318662 292310 125668 198448 11023 12137204 11506605 0 0 0 0 8263127 6890301 0 0 0 2980260 3668415 11243387 10558716 893817 947889 8699553 9830884 1540893 1538418 7158660 8292466 CARING FOR THE ELDERLY AND HANDICAPPED IN A CHRISTIAN ENVIRONMENT. 0 0 9547526 10722333 OPERATION OF A SKILLED NURSING FACILITY BENEFITING 230 RESIDENTS OF WHICH 67% WERE MEDICAID. 9547526 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 303 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JULIE MARKS 9202610400 1020 HILL STREET WATERTOWN WI 530983099 JOHN H EBERT 0.50 3.50 X 0 0 0 REV JAMES T HICKS 0.50 3.50 X 0 0 0 TOM KASTEN 0.50 3.50 X 0 0 0 DR JEFF HORKAN 0.50 3.50 X 0 0 0 MITZI CASS 0.50 3.50 X 0 0 0 NELSON FISCHER 0.50 3.50 X X 0 0 0 WILLIAM KIESSLING JR 0.50 3.50 X X 0 0 0 THOMAS WENDT 0.50 3.50 X X 0 0 0 KAY WIPPERFURTH 0.50 3.50 X X 0 0 0 JULIE MARKS 5.00 35.00 X 102846 0 11845 MATTHEW R MAUTHE 5.00 35.00 X 157764 0 16795 260610 0 28640 2 0 1 0 HEALTH REACH REHABILITATION SERVICES 17280 W NORTH AVE 104 BROOKFIELD WI 53045 THERAPY SERVICES 286488 ALLIANCE REHAB 1520 KENSINGTON RD 105 OAKBROOK IL 60523 THERAPY SERVICES 225483 2 51252 51252 SKILLED NURSING FACILITY 623000 10722333 10722333 MISCELLANEOUS REVENUE 623000 596329 596329 11318662 59557 59557 322320 256209 66111 66111 66111 OTHER OPERATING REVENUE 623000 11023 11023 11023 11506605 10722333 0 733020 122385 122385 5401545 5401545 10724 10486 238 885446 865829 19617 470201 459783 10418 541358 541358 103641 103641 5338 5338 14231 14231 193638 176793 16845 27935 27935 1049921 1044076 5845 286658 286658 12981 12981 37446 37446 410423 410423 71737 71737 MEDICARE PART A & B EXP 520303 520303 MEDICAID BED ASSESSMENT 285600 285600 MISCELLANEOUS EXPENSES 37611 30744 6867 DUES, FEES, & SUBSCRIPT 20952 20952 48642 17840 30802 10558716 9547526 1011190 0 250 250 10055 562377 884810 87910 79835 11102794 7063788 4218650 4039006 2001037 1900099 1819274 2926884 8699553 9830884 718807 789335 776294 728025 45792 21058 1540893 1538418 X 7158660 8292466 7158660 8292466 8699553 9830884 X 947889 161256 24661 X X 0 1 X 1 0 X 9868 11528 5602 34008 51252 112258 12752945 12921478 12693438 11436634 10722333 60526828 374252 607352 981604 12762813 12933006 12699040 11844894 11380937 61620690 0 0 0 61620690 34350 38567 53640 69727 59557 255841 34350 38567 53640 69727 59557 255841 12797163 12971573 12752680 11914621 11440494 61876531 0.99590 0.99510 0.00410 0.00490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 133147 133147 7461539 4724472 2737067 412958 332579 80379 3009455 1959060 1050395 85695 47677 38018 4039006 DEFERRED FINANCE CHARGES 25563 PATIENT TRUST FUNDS 2644 UNEMPLOYMENT RESERVE FUND 143435 DUE FROM RELATED COMPANY 2755242 2926884 RESIDENT TRUST FUND 2644 INTEREST RATE SWAP AGREEMENT 18414 21058 X 11692522 161256 24661 185917 11506605 0 11506605 10558716 0 10558716 0 10558716 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, THE CORPORATION RECOGNIZES THE BENEFITS OF A TAX POSITION ONLY AFTER DETERMINING WHETHER IT IS MORE LIKELY THAN NOT THAT THE TAXING AUTHORITY WOULD SUSTAIN THE TAX POSITION UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. THE CORPORATION HAS RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2010 AND ALL SUBSEQUENT YEARS REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 24,661. X X X X X 0 0 0 0 0 0 0 0 0 MATTHEW R MAUTHE 157764 0 0 0 0 0 0 0 16795 0 174559 0 0 0 A CITY OF WATERTOWN WISCONSIN REVENUE BONDS SERIES 2004 396005640 2004-04-01 1092000 TO REFUND PRIOR ISSUE FROM 5/30/1996 0 0 0 A 363975 1092000 21000 1071000 2004 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 A 0 0 0 1 1 1 JP MORGAN 10.000000000000 0 0 0 0 0 A 0 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF WATERTOWN, WISCONSIN REVENUE BONDS, SERIES 2004 DATE THE REBATE COMPUTATION WAS PERFORMED: 04/27/2009 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE A SINGLE CLASS OF VOTING MEMBERS, AND THE SOLE MEMBER OF THAT CLASS SHALL BE MARQUARDT VILLAGE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL APPOINT UP TO NINE (9) DIRECTORS. THE APPOINTED DIRECTORS SHALL BE INCLUDED IN THE TOTAL NUMBER OF AUTHORIZED DIRECTORS, SHALL BE ENTITLED TO VOTE, AND SHALL BE COUNTED FOR PURPOSES OF DETERMINING WHETHER A QUORUM IS PRESENT. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 IS GIVEN TO EACH BOARD MEMBER TO REVIEW AND COMMENT ON BEFORE IT IS FILED. THE CEO AND THE CFO ALSO REVIEW AND APPROVE THE 990 RETURNS BEFORE THEY ARE FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD MUST ATTEST THAT THEY DO NOT HAVE ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST; OR THEY MUST DISCLOSE ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT. SHOULD A CONFLICT ARISE, THE PERSON AFFECTED IS ASKED TO EXCUSE THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 BOARD AND CEO REVIEW COMPARABILITY DATA AND APPROVE COMPENSATION ANNUALLY. THE BOARD REVIEWS AND APPROVES COMPENSATION FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE A COPY OF IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 24,661. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ZINZENDORF HALL INC 1020 HILL STREET WATERTOWN WI 53098 391647409 ASSISTED LIVING WI 501(C)3 LINE 9 MARQUARDT VILLAGE INC 0 HUS APARTMENTS INC 1020 HILL STREET WATERTOWN WI 53098 391756037 SENIOR HOUSING WI 501(C)3 LINE 9 MARQUARDT VILLAGE INC 0 MORAVIAN HOMES INC 1020 HILL STREET WATERTOWN WI 53098 391324889 SENIOR HOUSING WI 501(C)3 LINE 9 MARQUARDT VILLAGE INC 0 MUELLER APARTMENTS INC 1020 HILL STREET WATERTOWN WI 53098 391294266 LOW INCOME HOUSING WI 501(C)3 LINE 9 MARQUARDT VILLAGE INC 0 MARQUARDT FOUNDATION INC 1020 HILL STREET WATERTOWN WI 53098 391563808 FOUNDATION WI 501(C)3 LINE 7 MARQUARDT VILLAGE INC 0 MARQUARDT VILLAGE INC 1020 HILL STREET WATERTOWN WI 53098 391704732 SENIOR HOUSING WI 501(C)3 LINE 9 N/A 0 MARQUARDT HOME AND COMMUNITY BASED SERVICES INC 1020 HILL STREET WATERTOWN WI 53098 391940920 HOME HEALTH, HOSPICE AND EMERGENCY RESPONSE SERVICES WI 501(C)3 LINE 9 MARQUARDT VILLAGE INC 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0