2013-06-26T16:07:33-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP PO BOX 217 AUSTIN MN 55912 990 2012-01-01 410713909 MINNESOTA ODD FELLOWS HOME INC MINN 5076648800 815 FOREST AVE NORTHFIELD MN 55057 PATRICIA J VINCENT 5076648800 2013-06-10 1 TRENT FAST P00692704 5074347000 2012 2016-02-24 21:20:13Z THREE LINKS CARE CENTER PATRICIA J VINCENT 815 FOREST AVE NORTHFIELD MN 55057 11338397 0 X WWW.THREELINKS.ORG X 1899 MN TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 15 15 497 75 31740 6457 571672 3492 11146203 11095476 23720 17375 163677 203975 11905272 11320318 0 0 0 0 6797543 6710797 0 0 0 4935190 4955198 11732733 11665995 172539 -345677 19573842 18837694 20135833 19699077 -561991 -861383 TO PROVIDE HOUSING AND CARE TO THE ELDERLY. 0 0 10549616 11095476 ENGAGED IN HOUSING AND CARE TO THE ELDERLY BY OPERATING A 102-BED LICENSED SKILLED NURSING FACILITY. WITHIN THE 102 BEDS, 24 ARE A SECURED UNIT FOR PEOPLE WITH ALZHEIMERS. THE HOME ALSO OPERATES THREE COTTAGES FOR RESIDENTS WITH EARLY STAGES OF ALZHEIMERS DISEASE AND PROVIDES SERVICES FOR ADULT DAY CARE, HOME HEALTH AND END OF LIFE CARE. THE HOME ALSO PROVIDES BOARD AND LODGE SERVICES FOR THE ELDERLY. 10549616 1 0 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 29 0 497 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X JEFFREY M KING 5076648814 815 FOREST AVE NORTHFIELD MN 55057 STANLEY WHITNEY 1.00 X 0 0 0 BETTY RICHTSMEIER 1.00 X 0 0 0 ALAN MARKS 1.00 X 0 0 0 JOAN ADAMS 1.00 X 0 0 0 DAVID SHUMWAY 1.00 X 0 0 0 SANDRA CARLSON 1.00 X 0 0 0 BRETT RASMUSSEN 1.00 X 0 0 0 RICH FALCK 1.00 X 0 0 0 BARB KNAAK 1.00 X 0 0 0 ALEX SALOUM 1.00 X 0 0 0 ROD SCHALLBERG 1.00 X 0 0 0 DONNA PERRYMAN 1.00 X 0 0 0 MARY SPILMAN 1.00 X 0 0 0 LUANN LANZ 1.00 X 0 0 0 PENNY RIPPENTROP 1.00 X 0 0 0 PATRICIA VINCENT 40.00 X 121684 0 8126 JEFFREY KING 40.00 X 89935 0 14537 211619 0 22663 1 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 358717 1 3492 3492 RESIDENT REVENUE 623000 5897423 5897423 MEDICARE/MEDICAID PAYMENTS 541900 4922554 4922554 MANAGEMENT FEES 561000 137674 137674 RESIDENT MEAL REVENUE 722210 85301 85301 BEAUTY SHOP REVENUE 623000 37949 37949 14575 14575 11095476 17375 17375 9445 2932 6513 6513 13222 15147 -1925 -1925 MISCELLANEOUS REVENUE 900099 145363 145363 CATERING REVENUE 722320 31740 31740 NON-RESIDENT MEAL REVENUE 722210 19684 19684 2600 2600 199387 11320318 11095476 31740 189610 234282 234282 5712870 5545854 167016 25079 25079 205737 171173 34564 532829 482038 50791 83124 83124 7006 7006 132858 132858 2580 2580 794274 788349 5925 61116 61116 425004 378770 46234 458439 385679 72760 43310 14779 28531 53184 39386 13798 893496 893496 940491 940491 114423 114423 FOOD COSTS 460999 460999 MINNESOTA SURCHARGE 287130 287130 MISCELLANEOUS EXPENSE 80731 48974 31757 ALLOCATIONS 50742 50742 66291 36677 29614 11665995 10549616 1116379 0 822341 643511 63922 68340 587777 725412 27385 25903 28733 155874 25858718 10045986 16606101 15812732 12206 12206 1425377 1393716 19573842 18837694 1223577 1398856 11969718 11771088 5774438 5492660 1168100 1036473 20135833 19699077 X -561991 -861383 -561991 -861383 19573842 18837694 X -345677 -3716 50001 X X 0 1 X 1 0 X 24857 1117 8115 509421 3492 547002 10131896 10980602 10938078 11176051 11118143 54344770 10156753 10981719 10946193 11685472 11121635 54891772 0 0 0 54891772 135687 31431 80026 85971 17375 350490 135687 31431 80026 85971 17375 350490 -2005 46863 5784 31740 82382 77679 86337 102883 151057 167647 585603 10370119 11097482 11175965 11928284 11338397 55910247 0.98180 0.98130 0.00630 0.00820 X 568863 568863 20939069 7115635 13823434 3889820 2718327 1171493 460966 212024 248942 15812732 RESIDENT TRUST/ TENANT SECURITY DEP 55913 BOND FUND & RELATED DEFERRED FINANC 1337803 1393716 RESIDENT TRUST FUND 8805 SECURITY DEPOSITS 55913 DUE TO RELATED ORGANIZATIONS 937658 ASSET RETIREMENT OBLIGATION 34097 1036473 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MINNESOTA ODD FELLOWS HOME AND ITS AFFILIATES, OTHER THAN THREE LINKS MANAGEMENT SERVICES, ARE TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND NOT PRIVATE FOUNDATIONS AS DESCRIBED IN SECTION 509(A) FOR FEDERAL PURPOSES. THE ORGANIZATION AND AFFILIATES ARE ALSO TAX-EXEMPT UNDER MINNESOTA STATUTES SECTION 290.05, SUBDIVISION 1, FOR STATE PURPOSES. CONSEQUENTLY, THE ORGANIZATION RECORDS NO PROVISION FOR INCOME TAXES. THREE LINKS MANAGEMENT SERVICES IS A FOR-PROFIT ENTITY THAT FILES FORM 1120 THAT SUBMITS QUARTERLY ESTIMATED TAX PAYMENTS. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED AS A RESULT OF THIS STANDARD. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ENTITY'S 2008 THROUGH 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. A NORTHFIELD HOUSING AND REDEVELOPMENT AUTHORITY 416005424 66618RAA3 2007-09-20 6380000 REFUND 1999 ISSUE 0 0 0 B NORTHFIELD HOUSING AND REDEVELOPMENT AUTHORITY 416005424 66618RAM7 2007-09-20 5958897 CONSTRUCTION AND EQUIPMENT 0 0 0 A 6380000 445291 127600 5807109 2007 0 1 1 1 B 575000 5958897 418768 119178 5027000 393951 2008 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION A, LINE 2 DAVID SHUMWAY AND RICH FALCK - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 4 AMENDMENTS WERE MADE TO THE BY-LAWS TO BETTER DEFINE THE ROLES AND RESPONSIBILITIES OF THE BOARD OF DIRECTORS AND OFFICERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS HAS DELEGATED THE RESPONSIBILITY OF REVIEW TO THE FINANCE COMMITTEE OF MINNESOTA ODD FELLOWS HOME, INC. THE FORM 990 WAS REVIEWED BY THE MEMBERS OF THE FINANCE COMMITTE WITH THE CFO PRIOR TO FILING. THE CFO ALSO OFFERS TO PROVIDE A COPY OF THE COMPLETED FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY ANY KNOWN CONFLICTS OF INTEREST. IF A CONFLICT OF INTEREST EXISTS, THE MEMBER IS TO ABSTAIN FROM VOTING ON ANY ISSUES RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S SALARY WAS REVIEWED AND APPROVED BY THE BOARD IN 2008. FORM 990, PART VI, SECTION C, LINE 19 THE HOME DOES NOT MAKE AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: DIVIDEND INCOME 50,000. ROUNDING ADJUSTMENT 1. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MILLSTREAM COMMONS LLC 210 8TH ST WEST NORTHFIELD MN 55057 202182742 ASSISTED LIVING FOR THE ELDERLY MN 121226 5684527 MINNESOTA ODD FELLOWS HOME INC MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY 815 FOREST AVE NORTHFIELD MN 55057 411485688 HOUSING FOR THE ELDERLY MN 501(C)3 11 TYPE 1 MINNESOTA ODD FELLOWS HOMEINC 0 MINNESOTA ODD FELLOWS HOME FOUNDATION 815 FOREST AVE NORTHFIELD MN 55057 411431455 FINANCIAL SUPPORT TO MINNESOTA ODD FELLOWS HOME MN 501(C)3 11 TYPE 1 MINNESOTA ODD FELLOWS HOMEINC 0 PARK RIDGE HOUSING 815 FOREST AVE NORTHFIELD MN 55057 411826735 HOUSING FOR THE ELDERLY MN 501(C)3 9 MINNESOTA ODD FELLOWS HOMEINC 0 THREE LINKS MANAGEMENT SERVICES LLC 815 FOREST AVE NORTHFIELD MN 55057 263468822 MANAGEMENT SERVICES MN MINNESOTA ODD FELLOWS HOME INC C 38159 203191 1.00000 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MINNESOTA ODD FELLOWS HOME FOUNDATION Q 138428 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOUSING FOR THE ELDERLY Q 575879 ACTUAL AMOUNTS PAID PARK RIDGE HOUSING Q 158737 ACTUAL AMOUNTS PAID MINNESOTA ODD FELLOWS HOME FOUNDATION E 17263748 ACTUAL AMOUNT FORM 990, SCHEDULE R, PART IV THIS ENTITY IS TAXED AS A C CORPORATION. LEGALLY THIS ENTITY IS A SINGLE MEMBER LLC. THEY FILED FORM 8832 TO ELECT TO MAKE THIS ENTITY CLASSIFICATION.