2014-05-13T14:59:58-05:00 2013-09-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2012-10-01 411783680 AUGUSTANA COMMUNITY PARTNERS FKA AUGUSTANA HOME HEALTH CARE SERVICES AUGU 6122385225 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 CRAIG KITTELSON 6122385225 2014-05-08 1 JEFF VRIEZE P01273590 6123764500 2012 2015-11-30 17:44:51Z TIM TUCKER 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 3642740 0 X WWW.AUGUSTANACARE.ORG X 1994 MN TO PROVIDE HEALTH CARE, HOUSING AND COMMUNITY SERVICES FOR THE ELDERLY. 6 6 326 10 181786 -42550 7327 295324 9112617 3336634 2545 2111 0 8671 9122489 3642740 0 137440 0 0 6328765 2391972 0 0 0 2616194 1161208 8944959 3690620 177530 -47880 1340698 471614 1169129 347925 171569 123689 X TO SERVE GOD BY FOSTERING FULLNESS OF LIFE FOR OLDER ADULTS AND OTHER PEOPLE IN NEEDS THROUGH THE PROVISION OF HEALTH CARE, HOUSING AND OTHER SERVICES IN A CHRISTIAN TRADITION. 1 1 640611 137440 614577 AUGUSTANA THERAPY SERVICES PROVIDED THERAPY SERVICES FOR ALL OF AUGUSTANA'S AFFILIATED SKILLED CARE CENTERS, WITH THE EXCEPTION OF AUGUSTANA CARE MERCY, AND PEOPLE IN COMMUNITY SETTINGS. AUGUSTANA THERAPY SERVICES PROVIDED THERAPY FOR APPROXIMATELY 355 RESIDENTS FOR THE MONTH OF OCTOBER 2012. EFFECTIVE NOVEMBER 1, 2012, THIS SEGMENT OF BUSINESS WAS TRANSFERRED OUT FROM AUGUSTANA COMMUNITY PARTNERS TO AUGUSTANA SENIOR DEVELOPMENT, INC. STATING NOVEMBER 1ST, THERAPY SERVICES FOR AUGUSTANA'S AFFILIATED SKILLED CARE CENTERS, WITH THE EXCEPTION OF AUGUSTANA CARE MERCY, ARE PROVIDED BY NETWORK THERAPY SERVICES, LLC A JOINT VENTURE BETWEEN AUGUSTANA SENIOR DEVELOPMENT, INC. AND EBENEZER. 2097425 0 2368193 AUGUSTANA HOME HEALTH PROVIDED HOME HEALTH CARE SERVICES FOR THE ASSISTED LIVING RESIDENTS OF HERITAGE COMMONS ON POND'S EDGE AND FEENEY MANOR, WHICH CONSISTS OF 88 UNITS OF A CITY OF MINNEAPOLIS SENIOR HOUSING PROJECT. FOR THE YEAR ENDED SEPTEMBER 30,2013, AUGUSTANA HOME HEALTH SERVED 108 RESIDENTS.AUGUSTANA SIGNE BURCKHARDT PROVIDED HOME HEALTH CARE SERVICES FOR THE ASSISTED LIVING RESIDENTS OF SIGNE BURCKHARDT MANOR, WHICH CONSISTS OF 42 UNITS OF A CITY OF MINNEAPOLIS SENIOR HOUSING PROJECT. FOR THE YEAR ENDED SEPTEMBER 30, 2013, AUGUSTANA SIGNE BURCKHARDT SERVED 30 RESIDENTS. 415825 0 353864 AUGUSTANA'S TABLE TALK PROGRAM SERVED APPROXIMATELY 50,710 MEALS ON WHEELS DURING THE YEAR ENDED SEPTEMBER 30, 2013. 3153861 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 326 1 1 1 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X CRAIG KITTELSON - AUGUSTANA CARE SE 6122385205 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 REV DR GARY WILKERSON 1.00 8.00 X X 0 0 0 MARSHALL MACKAY 1.00 8.00 X X 0 0 0 CHARLES PARKS JR 1.00 8.00 X X 0 0 0 ERIC RICK ELLINGSON 1.00 9.00 X X 0 0 0 JIM EHLEN 1.00 8.00 X 0 0 0 SCOTT RAMSDALE 1.00 8.00 X 0 0 0 PR ELIZABETH BEISSEL 1.00 8.00 X 0 0 0 TIM TUCKER 4.50 40.50 X 0 316990 67832 CRAIG KITTELSON 4.50 40.50 X 0 253792 61363 TIM MIDDENDORF 4.50 40.50 X 0 203585 28605 KATHERINE KOPP 4.50 40.50 X 0 220404 43005 0 994771 200805 0 0 1 0 AUGUSTANA CARE SERVICES 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 MANAGEMENT SERVICES 164193 1 290000 382 4942 295324 HOME HEALTH 621300 2204694 2204694 THERAPY SERVICES 621300 614577 441302 173275 CATERING REVENUE 722320 353864 190160 8511 155193 ASSISTED LIVING 623000 163499 163499 3336634 2111 2111 MEAL INCOME 624210 8671 8671 8671 3642740 2999655 181786 165975 137440 137440 2095852 1969261 126591 14001 13804 197 125706 116031 9675 156413 149169 7244 164193 164193 5083 5083 12364 12364 111453 91435 20018 1075 1075 39049 18123 20926 27659 27659 12704 6163 6541 2343 519 1824 1243 1243 12908 12908 30478 30478 UNREL. BUS. TAX (UBIT) 59923 59923 DIETARY EXPENSES 587353 587353 BAD DEBT EXPENSE 59229 59229 NURSING SUPPLIES 22226 22226 11925 527 11398 3690620 3153861 536759 0 X 621 775 634594 359493 65660 7224 83881 40729 180207 43152 459616 60970 1340698 471614 590678 146360 578451 201565 1169129 347925 X 170744 123689 825 0 171569 123689 1340698 471614 -47880 0 X 0 1 X 1 0 X 173788 16176 4049 7327 295324 496664 5869418 6284908 6323503 6986246 3154848 28618923 6043206 6301084 6327552 6993573 3450172 29115587 0 0 0 29115587 4871 9561 6870 2545 2111 25958 4871 9561 6870 2545 2111 25958 95913 40352 74618 220941 431824 1306 8671 9977 6143990 6352303 6409040 7217059 3460954 29583346 0.98420 0.98080 0.00090 0.00090 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME FROM PATIENTS - 2009 AMOUNT: $ 1,306. MEAL REVENUE - 2012 AMOUNT: $ 8,671. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3789 629 3160 80092 40100 39992 43152 HCIR INSURANCE RECIPROCAL 30388 DUE FROM AFFILIATES 30582 60970 DEFERRED COMPENSATION LIABILITY 65656 DUE TO AFFILIATES 135909 201565 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: AUGUSTANA CARE AND ITS AFFILIATES HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. AUGUSTANA CARE AND ITS AFFILIATES HAVE BEEN CLASSIFIED AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS UNDER SECTION 509(A). THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. AUGUSTANA CARE AND ITS AFFILIATES' 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 REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES AND FILES ALL PROPER RETURNS RELATED TO THESE ACTIVITIES. THE TAX RETURNS FOR THE FISCAL YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES. 1 AUGUSTANA SENIOR DEVELOPMENT INC 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 244136110 137440 FAIR MARKET VALUE FIXED ASSETS TRANSFER OF PPE TO RELATED FOR-PROFIT THERAPY SERVICES COMPANY 0 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: AUGUSTANA COMMUNITY PARTNERS MAKES INTERCOMPANY TRANSFERS TO RELATED ORGANIZATIONS. AUGUSTANA COMMUNITY PARTNERS AND THE RELATED ORGANIZATIONS ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITOR THE USE OF FUNDS. 0 1 0 0 0 0 0 0 0 TIM TUCKER 0 248658 0 44700 0 23632 0 42284 0 25548 0 384822 0 0 CRAIG KITTELSON 0 188047 0 34593 0 31152 0 33116 0 28247 0 315155 0 0 TIM MIDDENDORF 0 170032 0 23911 0 9642 0 15920 0 12685 0 232190 0 0 KATHERINE KOPP 0 170327 0 34640 0 15437 0 15013 0 27992 0 263409 0 0 PART I, LINE 3 FOR THE PURPOSE OF DETERMINING COMPENSATION, AUGUSTANA COMMUNITY PARTNERS RELIED ON A RELATED ORGANIZATION, AUGUSTANA CARE SERVICES, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT/CEO. AUGUSTANA CARE SERVICES USED THE FOLLOWING PRACTICES TO ESTABLISH COMPENSATION FOR THE PRESIDENT/CEO: 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. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PROVIDED BY AUGUSTANA CARE SERVICES, A RELATED ORGANIZATION: TIM TUCKER, PRESIDENT AND CEO - $33,534 CRAIG KITTELSON, VICE PRESIDENT OF FINANCE AND CFO - $25,061 TIM MIDDENDORF, VICE PRESIDENT OF OPERATIONS AND COO - $10,500 KATHERINE KOPP, VICE PRESIDENT OF NEW BUSINESS DEVELOPMENT - $7,500 FIXTURES, FURNITURE, COMPUTERS, AND SOFTWARE 2012-12-17 137440 NET BOOK VALUE AS OF TRANSFER DATE 264136110 AUGUSTANA SENIOR DEVELOPMENT INC 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 1 0 0 0 PART II, LINE 2E: REV. DR. GARY WILKERSON, MARSHALL MACKAY, CHARLES PARKS, JR., RICK ELLINGSON, JIM EHLEN, SCOTT RAMSDALE, TIM TUCKER, CRAIG KITTELSON, TIM MIDDENDORF, AND KATHERINE KOPP PART II, LINE 2E: ALL OF THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF AUGUSTANA COMMUNITY PARTNERS SERVE AS THE BOARD MEMBERS OF THE TRANSFEREE ORGANIZATION, AUGUSTANA SENIOR DEVELOPMENT, INC. ORGANIZATION MISSION STATEMENT OVERALL MISSION OF AUGUSTANA ENTITIES AUGUSTANA CARE, AND ITS SUBSIDIARIES', MISSION IS TO FOSTER FULLNESS OF LIFE FOR OLDER ADULTS AND OTHERS IN NEED THROUGH THE PROVISION OF HEALTHCARE, HOUSING AND OTHER SERVICES. BECAUSE ELDERS ARE VITAL TO OUR COMMUNITIES, WE PROVIDE SERVICES TO HELP THEM CONTINUE LIVING LIFE TO THE FULLEST, GIVING US ALL THE BENEFIT OF THEIR WISDOM AND EXPERIENCE. WE OFFER A FULL SPECTRUM OF SERVICES FOR OLDER ADULTS AND SERVE MORE THAN 10,500 PEOPLE EACH YEAR IN COMMUNITIES IN MINNESOTA AND COLORADO. OUR HEALTH CARE FACILITIES PROVIDE TRANSITIONAL CARE, LONG-TERM CARE, DEMENTIA CARE, AND REHABILITATION SERVICES TO MORE THAN 4,000 PEOPLE EACH YEAR. AUGUSTANA CARE ALSO OWNS AND MANAGES A VARIETY OF LIVING COMMUNITIES SERVING OLDER ADULTS WITH COMFORTABLE LIVING AND CARE OPTIONS, INCLUDING APARTMENTS FOR INDEPENDENT LIVING, HOUSING WITH SERVICES, AND ASSISTED LIVING AND MEMORY CARE. ADDITIONALLY, WE OFFER A RANGE OF COMMUNITY-BASED SUPPORT SERVICES SUCH AS ADULT DAY PROGRAMS TO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS WHO CONTINUE TO LIVE IN THEIR OWN HOMES, AS WELL AS MANAGEMENT CONSULTING SERVICES TO OTHER ORGANIZATIONS THAT SERVE OLDER ADULTS. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 AUGUSTANA COMMUNITY PARTNERS ADDED SIGNE BURKARDT MANOR DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2013. AUGUSTANA SIGNE BURKHARDT MANOR PROVIDES HOME HEALTH SERVICES TO THE RESIDENTS OF SIGNE BURKHARDT MANOR, A SENIOR HOUSING COMMUNITY IN MINNEAPOLIS, MINNESOTA. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 THE THERAPY SERVICES SEGMENT OF AUGUSTANA COMMUNITY PARTNERS WAS TRANSFERRED TO AUGUSTANA SENIOR DEVELOPMENT, INC. AS OF NOVEMBER 1, 2012. SUBSEQUENT TO THE TRANSFER, ALL THERAPY SERVICES PROVIDED TO AUGUSTANA'S AFFILIATED CARE CENTERS, WITH THE EXCEPTION OF AUGUSTANA CARE MERCY, WERE PROVIDED BY NETWORK THERAPY SERVICES, LLC A JOINT VENTURE CREATED BY AUGUSTANA SENIOR DEVELOPMENT, INC. AND EBENEZER. FORM 990, PART VI, SECTION A, LINE 3 AUGUSTANA CARE SERVICES PROVIDES MANAGEMENT SERVICES FOR AUGUSTANA COMMUNITY PARTNERS. AUGUSTANA CARE SERVICES PROVIDES FINANCIAL ACCOUNTING, OPERATIONAL OVERSIGHT, HUMAN RESOURCES, INFORMATION TECHNOLOGY, CLINICAL NURSING CONSULTATION, CORPORATE COMPLIANCE, COORDINATED ADVERTISING AND MARKETING, STAFFING FOR FUND DEVELOPMENT, AND NEW BUSINESS DEVELOPMENT. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS AUGUSTANA CARE. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED BY A MAJORITY VOTE FROM THE BOARD OF DIRECTORS OF THE SOLE MEMBER, AUGUSTANA CARE. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS REQUIRE AFFIRMATIVE APPROVAL FROM THE SOLE MEMBER OF THE ORGANIZATION, AUGUSTANA CARE: (A) AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THIS CORPORATION; (B) CAPITAL BUDGETS OF THIS CORPORATION AND ALL CORPORATIONS, PARTNERSHIPS, AND OTHER LEGAL ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS CORPORATION, AND ALL MAJOR EXPENDITURES BEFORE FUNDS ARE EXPENDED THEREFORE; (C) OPERATING BUDGETS OF THIS CORPORATION AND ALL CORPORATIONS, PARTNERSHIPS, AND OTHER LEGAL ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS CORPORATION, BEFORE AUTHORIZED EXPENDITURES MAY BE MADE THEREFROM; (D) STRATEGIC PLANS OF THIS CORPORATION AND ALL CORPORATIONS, PARTNERSIHPS, AND OTHER LEGAL ENTITIES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS CORPORATION; (E) THE INCURRING OF ANY LONG TERM DEBT OF THIS CORPORATION AND ALL CORPORATIONS, PARTNERSHIPS, AND OTHER LEGAL ENTITES DIRECTLY OR INDIRECTLY CONTROLLED BY THIS CORPORATION, OTHER THAN INTRA-SYSTEM OR REFINANCING DEBT; (F) HUMAN RESOURCES AND BENEFITS POLICIES OF THIS CORPORATION; (G) MAJOR RISK CONTRACTING AGREEMENTS, WHICH FOR THESE PURPOSES MEANS ANY CONTRACT WHICH DEALS WITH CAPITATION OR SIMILAR RISK BEARING CONCEPT; (H) MERGER, CONSOLIDATION, OR TOTAL OR PARTIAL DISSOLUTION INVOLVING THIS CORPORATION; (I) GOVERNANCE AND ACTION OF THE TYPE SET FORTH IN SUBPARAGRAPH (A) AND SUBPARAGRAPHS (F) THROUGH (H) ABOVE AS PROPOSED BY THE BOARD OF DIRECTORS OF ANY CORPORATION, PARTNERSHIP, OR OTHER LEGAL ENTITES DIRECTLY CONTROLLED BY THIS CORPORATION AS A MEMBER, SHAREHOLDER OR OTHERWISE, TO THE EXTENT THAT THE GOVERNING DOCUMENTS OF SUCH CORPORATION, PARTNERSHIP, OR OTHER LEGAL ENTITIES GIVE THIS CORPORATION OR THE BOARD A RIGHT OF APPROVAL OVER SUCH GOVERNANCE ACTION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED IN DETAIL BY THE ORGANIZATION'S VP - FINANCE/CFO. THE FORM 990 WAS THEN PRESENTED TO THE FULL BOARD BY THE VP - FINANCE/CFO PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS AND KEY EMPLOYEES. ALL COVERED INDIVIDUALS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT. ALL COVERED INDIVIDUALS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE APPROPRIATE LEVEL OF MANAGEMENT OR TO THE BOARD OF DIRECTORS AS OUTLINED IN THE POLICY BASED ON THE INDIVIDUAL'S POSITION WITHIN THE ORGANIZATION. CONFLICTS ARE DETERMINED AT THE APPROPRIATE LEVEL OF MANAGEMENT OR BY THE BOARD OF DIRECTORS. INDIVIDUALS WITH ACTUAL OR POTENTIAL CONFLICTS WILL ABSTAIN FROM DISCUSSING OR VOTING ON ANY MATTERS RELATING TO THE CONFLICT. ALL PROCEEDINGS RELATING TO ACTUAL OR POTENTIAL CONFLICTS WILL BE NOTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. APPLE VALLEY VILLA APARTMENTS 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 311608691 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 9 AUGUSTANA CARE 0 AUGUSTANA APARTMENTS OF HASTINGS 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 311608701 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 9 AUGUSTANA CARE 0 AUGUSTANA CARE 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 411728753 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 7 N/A 0 AUGUSTANA CARE FOUNDATION 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 411360678 CHARITABLE FOUNDATION MN 501(C)(3) 11 - TYPE 1 AUGUSTANA CARE 0 AUGUSTANA CARE SERVICES 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 411806946 MANAGEMENT SERVICES MN 501(C)(3) 11 - TYPE 1 AUGUSTANA CARE 0 AUGUSTANA CHAPEL VIEW HOMES INC 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 410693953 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 9 AUGUSTANA CARE 0 AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 311608696 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 9 AUGUSTANA CARE 0 AUGUSTANA HOME OF HASTINGS 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 311572624 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 9 AUGUSTANA CARE 0 OPEN CIRCLE ADULT DAY CENTER 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 411424801 HEALTH CARE FACILITIES/SERVICES MN 501(C)(3) 9 AUGUSTANA CARE 0 AUGUSTANA SENIOR DEVELOPMENT INC 1007 EAST 14TH STREET MINNEAPOLIS MN 55404 264136110 CONSULTING MN N/A C 0 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 1 0