2014-11-10T09:52:28-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2013-01-01 800276405 ASSUMPTION COMMUNITY SERVICES INC ASSU 3206853693 715 1ST STREET NORTH COLD SPRING MN 56320 JAN LUTHENS ADMINISTRATOR 3206853693 2014-10-24 1 GORDON J VETSCH P00047306 6123764500 2013 2015-11-30 17:44:51Z JAN LUTHENS 715 1ST STREET NORTH COLD SPRING MN 56320 673182 0 X WWW.ASSUMPTIONHOME.COM X 2008 MN PROVIDE A CONTINUUM OF HEALTH AND RESIDENTIAL SERVICES IN A CHRISTIAN ENVIRONMENT. 12 12 0 39 0 0 63345 477734 180915 194618 -66924 48 -1368 -759 175968 671641 4083 4690 0 0 171567 225581 0 0 0 95209 100989 270859 331260 -94891 340381 104765 174781 425834 155468 -321069 19313 TO PURSUE EXCELLENCE IN PROVIDING A CONTINUUM OF HEALTH AND RESIDENTIAL SERVICES IN A CHRISTIAN ENVIRONMENT 0 0 237295 4690 194618 COMMUNITY HEALTH SERVICES PROVIDES CLASS A HOME CARE, TRANSPORTATION, HOMEMAKING CHORE SERVICE, HOME MODIFICATIONS, AND OTHER HEALTH RELATED PROGRAMS. 237295 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X JAN LUTHENS 3206853693 715 1ST STREET NORTH COLD SPRING MN 56320 REV MATTHEW LUFT PRESIDENT 1.00 2.00 X X 0 0 0 LARRY SELL VICE PRESIDENT 1.00 2.00 X X 0 0 0 CHAD MIDDENDORF SECRETARY-TREASURER 1.00 2.00 X X 0 0 0 SISTER MIRIAM ARDOLF DIRECTOR 1.00 2.00 X 0 0 0 VIVIAN BACKES DIRECTOR 1.00 2.00 X 0 0 0 JACK BELL DIRECTOR 1.00 2.00 X 0 0 0 REV CLETUS CONNORS DIRECTOR 1.00 2.00 X 0 0 0 CLARENCE DINGMANN DIRECTOR 1.00 2.00 X 0 0 0 ROXANNE DORWEILER DIRECTOR 1.00 2.00 X 0 0 0 ADAH EBELING DIRECTOR 1.00 2.00 X 0 0 0 DON EIKMEIER DIRECTOR 1.00 2.00 X 0 0 0 RICHARD KRUEGER DIRECTOR 1.00 2.00 X 0 0 0 BEVERLY LAHR DIRECTOR 1.00 2.00 X 0 0 0 ROD PAUSER DIRECTOR 1.00 2.00 X 0 0 0 DOROTHY PFLIPSEN DIRECTOR 1.00 2.00 X 0 0 0 SISTER JUDY SCHAFFER DIRECTOR 1.00 2.00 X 0 0 0 MARY WENNER DIRECTOR 1.00 2.00 X 0 0 0 JAN LUTHENS ADMINISTRATOR 5.00 35.00 X 0 93648 9376 0 93648 9376 0 0 0 0 0 440000 37734 477734 SKILLED NURSING REVENU 623000 183125 183125 MEALS ON WHEELS 624210 11493 11493 194618 48 48 782 1541 -759 -759 671641 194618 0 -711 4690 4690 193050 124970 68080 17227 11152 6075 15304 9907 5397 4350 4350 32655 32655 1963 1191 772 7486 4162 3324 14776 14776 14973 14973 6749 807 5942 FOOD COSTS 13609 13609 TRAINING 2809 2809 MEMBERSHIP/ASSOCIATION 879 879 SUPPLIES 715 715 25 25 331260 237295 93965 0 64821 56872 24419 28054 352 337 15173 89518 104765 174781 27401 120518 398433 34950 425834 155468 X -321069 19313 -321069 19313 104765 174781 340381 0 X 0 0 0 X 54908 57098 55737 63345 477734 708822 23302 48384 140639 180915 194618 587858 78210 105482 196376 244260 672352 1296680 0 0 0 1296680 85 59 145 105 48 442 85 59 145 105 48 442 960 1411 782 3153 78295 105541 197481 245776 673182 1300275 0.99720 0.00030 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: GAMBLING INCOME NAIL CLINIC INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE FROM AFFILIATE 89518 89518 DUE TO AFFILIATES 34950 34950 FORM 990, PART VI, SECTION A, LINE 1 DIFFERENCES IN VOTING RIGHTS: THREE DIRECTORS - THE PASTOR AND TWO TRUSTEES OF ST. BONIFACE CATHOLIC CHURCH, COLD SPRING, MN - ALSO SERVE AS MEMBERS OF THE ORGANIZATION. AS MEMBERS, THESE THREE INDIVIDUALS HAVE THE POWER TO PROPOSE AND VOTE ON THE APPOINTMENT OF THE OTHER EIGHT DIRECTORS. ADDITIONALLY, THESE SAME THREE DIRECTORS/MEMBERS HAVE THE POWER TO DISCHARGE ANY DIRECTOR THROUGH A MAJORITY VOTE OF THE FIVE MEMBERS. EXECUTIVE COMMITTEE: THE BOARD OF DIRECTORS DESIGNATED THREE OF ITS MEMBERS TO CONSTITUTE AN EXECUTIVE COMMITTEE. TO THE EXTENT DETERMINED BY THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS THE AUTHORITY OF THE BOARD OF DIRECTORS AND THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION. THE EXECUTIVE COMMITTEE ACTS ONLY IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND IS AT ALL TIMES SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION ARE AS FOLLOWS: 1. THE BISHOP OF THE DIOCESE OF ST. CLOUD, OR THE PERSON WHO, IN HIS STEAD, EXERCISES ORDINARY JURISDICTION OVER THE SPIRITUAL AND TEMPORAL AFFAIRS OF THE DIOCESE OF ST. CLOUD, IN ACCORDANCE WITH THE LEGISLATION OF THE ROMAN CATHOLIC CHURCH; 2. THE VICAR GENERAL OF THE DIOCESE OF ST. CLOUD; 3. THE PASTOR OF ST. BONIFACE CATHOLIC CHURCH, COLD SPRING, MINNESOTA; AND 4. THE TWO TRUSTEES OF ST. BONIFACE CATHOLIC CHURCH, COLD SPRING, MINNESOTA, WHO HAVE BEEN DESIGNATED AS THE TRUSTEES OF SAID PARISH PURSUANT TO THE PROVISIONS OF SECTION 315.15 OF THE MINNESOTA STATUTES. FORM 990, PART VI, SECTION A, LINE 7A THREE DIRECTORS - THE PASTOR AND TWO TRUSTEES OF ST. BONIFACE CATHOLIC CHURCH, COLD SPRING, MN - ALSO SERVE AS MEMBERS OF THE ORGANIZATION. AS MEMBERS, THESE THREE INDIVIDUALS HAVE THE POWER TO PROPOSE AND VOTE ON THE APPOINTMENT OF THE OTHER EIGHT DIRECTORS. ADDITIONALLY, THESE SAME THREE DIRECTORS/MEMBERS HAVE THE POWER TO DISCHARGE ANY DIRECTOR THROUGH A MAJORITY VOTE OF THE FIVE MEMBERS. IN ADDITION TO THE THREE BOARD MEMBERS INCLUDED ABOVE, THE OTHER EIGHT DIRECTORS ARE ELECTED BY THE MEMBERS OF THE CORPORATION AND SHALL SERVE IN THAT CAPACITY AT THE PLEASURE OF THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS MADE TO THE ARTICLES OF INCORPORATION AND BYLAWS MUST BE APPROVED BY A MAJORITY OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 WAS PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM AND WAS REVIEWED BY BOTH THE ADMINISTRATOR AND THE DIRECTOR OF FINANCE. AFTER THEIR REVIEW, THE 990 WAS PROVIDED TO THE BOARD OF DIRECTORS, WHO REVIEWED AND APPROVED IT, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS. THE ADMINISTRATOR ANNUALLY REVIEWS THE BOARD MEMBERS' ASSOCIATIONS FOR CONFLICTS OF INTEREST. THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE ADMINISTRATOR'S ASSOCIATIONS FOR CONFLICTS OF INTEREST. IF A CONFLICT ARISES, DEPENDING ON THE CIRCUMSTANCES, THE CONFLICTED INDIVIDUAL ABSTAINS FROM VOTING, STEPS DOWN FROM THE BOARD OR TERMINATES THEIR ASSOCIATION WITH THE OTHER PARTY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. ASSUMPTION HOME INC 715 NORTH 1ST STREET COLD SPRING MN 56320 410873335 NURSING HOME MN 501(C)(3) 9 N/A 0 PIONEER HOUSING DEVELOPMENT INC 200 8TH AVENUE NORTH COLD SPRING MN 56320 411367392 HOUSING MN 501(C)(3) 9 N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0