2013-11-15T09:15:53-06:00 2012-12-31 450250958 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2012-01-01 810459472 ST JOHN'S FOUNDATION STJO 4066555600 3940 RIMROCK ROAD BILLINGS MT 591020199 JERRY PEARSALL 4066555600 2013-11-13 1 KIM C HUNWARDSEN P00484560 6122536500 2013-11-13 2012 2016-02-25 16:41:14Z KENT BURGESS 3940 RIMROCK ROAD BILLINGS MT 591020199 713099 0 X WWW.SJLM.ORG/FOUNDATION.HTML X 1989 MT TO SUPPORT THE MISSION OF ST. JOHN'S LUTHERAN MINISTRIES, INC. 14 14 0 100 0 0 622011 505327 0 0 113030 148760 18938 25683 753979 679770 104977 114395 0 0 0 0 0 0 8449 55933 71054 160910 185449 593069 494321 4847368 4275723 622435 1004943 4224933 3270780 X OUR MISSION IS TO INSPIRE PHILANTHROPIC ACTION TO SUPPORT THE MISSION OF ST. JOHN'S LUTHERAN MINISTRIES, INC. 0 0 154989 114395 0 THE PRIMARY EXEMPT PURPOSE OF ST. JOHN'S FOUNDATION IS TO GENERATE AND PROVIDE SUPPORT, FINANCIAL AND OTHERWISE, THAT FURTHERS THE MISSION AND MINISTRY OF ITS CORPORATE MEMBER, ST. JOHN'S LUTHERAN MINISTRIES, INC., A NOT-FOR-PROFIT 501(C)(3) CORPORATION.THE ST. JOHN'S FOUNDATION WAS ESTABLISHED IN 1989 IN ORDER TO BRING FOCUS TO FUND-RAISING EFFORTS, SPECIAL CAMPAIGNS, ANNUAL APPEALS, CAPITAL STRUCTURES, SPECIAL EVENTS AND COMMUNITY RELATIONS. THOSE COMPONENTS HAVE PROVEN TO BE ESSENTIAL IN SERVING TO LINK THE NEEDS OF THE COMMUNITY OF ST. JOHN'S WITH INTERNAL AND EXTERNAL RESOURCES.ST. JOHN'S HAS AND ALWAYS WILL NEED THE FINANCIAL SUPPORT OF THOSE WHO SHARE OUR VISION OF QUALITY CARE TO ALL PEOPLE REGARDLESS OF THEIR FINANCIAL STATUS. UNDERLYING THAT COMMITMENT IS OUR LORD'S PASSION TO CARE AND SERVE THOSE THAT ARE MOST IN NEED. THROUGH THE PRUDENT MANAGEMENT OF GIFTS, 2012 PROVED TO BE A VERY SUCCESSFUL YEAR IN THE FOUNDATION THAT ALLOWED US TO HELP SUPPORT THE ST. JOHN'S MISSION OF "PROVIDING LIVING OPPORTUNITIES WITHIN NURTURING ENVIRONMENTS OF HOPE, DIGNITY, AND LOVE."SUPPORT TO RESIDENTSAS A MINISTRY OF THE CHURCH AND A NOT-FOR-PROFIT CORPORATION, ST. JOHN'S IS COMMITTED TO PROVIDING A CONTINUUM OF HOUSING OPPORTUNITIES AND SUPPORTIVE SERVICES PRIMARILY TO THE ELDERLY. A COMMITMENT THAT ST. JOHN'S HAS MADE IS THAT NO ONE WILL BE TURNED AWAY OR ASKED TO LEAVE BECAUSE OF THEIR INABILITY TO PAY. 1) MANY RESIDENTS ARE RUNNING OUT OF FINANCIAL RESOURCES SOONER THAN THEY ANTICIPATED. THE MISSION ENDOWMENT FUND IS USED TO SUPPORT THOSE RESIDENTS WHO CANNOT MEET THEIR FINANCIAL NEED. THE PRIMARY FUNDRAISER OF THE FOUNDATION IS ART FOR THE AGES, A THREE-DAY ART EXTRAVAGANZA. IN 2012, ALL NET PROCEEDS FROM THE EVENT WERE DIRECTED TO THE MISSION ENDOWMENT FUND. IT WAS THE HIGHEST NET THE EVENT HAS HAD WITH $27,568 RAISED. IN 2012, RESIDENT SUBSIDIES INCLUDED:* $14,584 RENT AND PHARMACY EXPENSE SUBSIDY FOR CHAPEL COURT RESIDENTS* $6,057 RENT SUBSIDY FOR A RESIDENT OF THE CROSSINGS IN LAUREL* $4,549 RESIDENT NEEDS INCLUDING 81 VISITS TO THE ONSITE BEAUTY SHOP2) ONE OF THE GREAT WORKS OF ST. JOHN'S IS THE REMARKABLE PASTORAL CARE PROGRAM. SPIRITUAL SUPPORT, WORSHIP, AND BIBLE STUDY ARE AT THE HEART OF OUR MINISTRY TO RESIDENTS. IN 2012, THE FOUNDATION PROVIDED $30,875 TO SUPPORT THE COST OF PASTORAL CARE ACTIVITIES ACROSS CAMPUS. ST. JOHN'S BELIEVES IT SHOULD PROVIDE THE ELDERLY WITH MORE THAN JUST ROOM AND BOARD. THEREFORE, WE HAVE MINISTERS AND CHAPLAINS ON STAFF TO MEET BOTH THE SPIRITUAL AND EMOTIONAL NEEDS OF OUR RESIDENTS AND STAFF.3) MOST OF THE RESIDENTS ARE LIMITED IN THEIR ABILITY TO LEAVE CAMPUS AND PARTICIPATE IN MEANINGFUL ACTIVITIES. ST. JOHN'S ACTIVITIES PROGRAM PROVIDES ENTERTAINMENT, NEIGHBORLY INTERACTION, AND HELPS KEEP MINDS STIMULATED AND HEALTHY. THE FOUNDATION PROVIDED $46,312 IN 2012 TO HELP COVER THE COST OF THE ACTIVITIES PROGRAM. THIS SUPPORT ALLOWED FOR FUNDING TRIPS TO LOCAL ATTRACTIONS AND HISTORICAL SITES, GIVING THE RESIDENTS AN OPPORTUNITY TO EXPERIENCE THE COMMUNITY OUTSIDE OF THE CAMPUS. THIS FUNDING ALSO PROVIDED NUMEROUS GAMES, VIDEOS, AND EVENTS ON SITE TO STIMULATE THE INTERESTS OF OUR ELDERLY. SUPPORT TO EMPLOYEESST. JOHN'S EMPLOYEES ARE THE HEART AND SOUL OF OUR ORGANIZATION. THEY ARE OFTEN FACED WITH VERY PHYSICALLY AND MENTALLY CHALLENGING WORK ENVIRONMENTS. DAY IN AND DAY OUT THEY ARE CARING FOR A VERY VULNERABLE POPULATION. 1) THE FOUNDATION WISHES TO FINANCIALLY SUPPORT THOSE STAFF MEMBERS AND THEIR DEPENDENTS WHO COMMIT THEMSELVES TO PERSONAL AND CAREER GROWTH. IN 2012, THE FOUNDATION AWARDED 17 SCHOLARSHIPS IN THE AMOUNT OF $12,000 TO EMPLOYEES CONTINUING THEIR EDUCATION AT AN ACCREDITED TWO OR FOUR YEAR INSTITUTION. 2) OFTEN TIMES, THROUGH NO FAULT OF THEIR OWN, AN EMPLOYEE MAY FIND THEMSELVES IN AN UNEXPECTED CRISIS SITUATION. AT ANY TIME AN EMPLOYEE CAN SEEK THE RESOURCES OF THE EMPLOYEE CRISIS FUND THROUGH THE PASTORAL CARE DEPARTMENT WITH NO QUESTIONS ASKED. IN 2012, APPROXIMATELY 100 EMPLOYEES RECEIVED $10,000 OF SUPPORT TO HELP WITH SUCH ITEMS AS RENT AND UTILITY ASSISTANCE, PRESCRIPTION COSTS OR SCHOOL SUPPLIES FOR A CHILD. 3) ONE OF THE BENEFITS OF BEING AN EMPLOYEE AT ST. JOHN'S IS A REDUCTION IN CHILD CARE COSTS THROUGH THE ONSITE DAYCARE FACILITY, CENTER FOR GENERATIONS (CFG). THE CFG ALSO SERVES THE COMMUNITY. IN 2012, THE FOUNDATION PROVIDED $1,602 IN OPERATIONAL SUPPORT TO THE CFG. SUPPORT TO THE COMMUNITYST. JOHN'S IS A MINISTRY SERVING MORE THAN JUST OUR STAFF AND RESIDENTS. WE ARE COMMITTED TO SERVING OUR COMMUNITY AND THOSE COMMUNITIES AROUND US IN ANY CAPACITY THAT WE CAN. 1) ONE OF THE SIGNATURE EVENTS OF THE FOUNDATION IS THE SUMMER CONCERT SERIES. FOR SIX WEEKS EACH SUMMER, FREE CONCERTS ARE OFFERED FOR OUR RESIDENTS AND THE COMMUNITY AT THE FRED & MARIE MILLER PAVILION ON THE CAMPUS OF ST. JOHN'S. FROM ITS HUMBLE BEGINNINGS IN 1997 TO A THRIVING SERIES GOING STRONG FOR THE LAST 15 YEARS, THE CONCERTS HAVE BECOME A SUMMER TRADITION FOR MANY. IT IS NOT UNCOMMON TO HAVE OVER 2,000 MUSIC LOVERS EACH WEEK AT THE CONCERTS AND AN AVERAGE ANNUAL ATTENDANCE OF 10,000 PEOPLE. THE FOUNDATION COULD NOT UNDERTAKE THIS ENDEAVOR ALONE AND RELIES ON THE SUPPORT OF COUNTLESS STAFF, VOLUNTEERS AND SPONSORS HELP ENSURE ITS SUCCESS. DIRECT COSTS, PROVIDED BY SPONSORS, ALLOW THE CONCERTS TO REMAIN FREE FOR THE COMMUNITY. ONE OF THE UNIQUE FEATURES OF THE SUMMER CONCERT SERIES IS THE PARTNERSHIP BETWEEN OTHER NON-PROFITS. EACH WEEK, A LOCAL NON-PROFIT ORGANIZATION VOLUNTEERS IN THE CONCESSION STAND AT THE CONCERTS. A PORTION OF THE REVENUE RECEIVED FROM THE SALE OF ICE CREAM AND OTHER TREATS IS GIVEN BACK TO THE VOLUNTEER GROUP. IN 2012, ST. JOHN'S FOUNDATION DISTRIBUTED $6,225 TO SIX NON-PROFITS FOR THEIR HELP IN THE CONCESSION STAND. 2) TWICE A WEEK ST. JOHN'S OFFERS FREE YOGA CLASSES TO THE COMMUNITY AND OUR EMPLOYEES. THIS IS A GREAT BENEFIT THAT WE CAN OFFER OUR EMPLOYEES AS A WAY TO RE-CHARGE AND RE-ENERGIZE. IN 2012, APPROXIMATELY 1,000 PEOPLE WERE SERVED THROUGH OUR YOGA CLASSES WITH THE FOUNDATION SUBSIDIZING THE YOGA INSTRUCTOR FEES. 3) 2012 BROUGHT MANY NATURAL DISASTERS TO COMMUNITIES AROUND US. THE WILLOWS IN RED LODGE WAS UTILIZED BY RESIDENTS OF THE HERITAGE LIVING FACILITY FROM ASHLAND AS THEIR COMMUNITY WAS DISPLACED BY WILDFIRES. THE NORTHERN CHEYENNE ELDERS RELOCATED TO RED LODGE FOR NEARLY ONE WEEK AND WERE WARMLY WELCOMED INTO THE HOSPITALITY OF THE ST. JOHN'S MISSION. ST. JOHN'S PROVIDED NECESSARY EQUIPMENT SUCH AS BEDS, LINENS, WHEELCHAIRS, MEDICATION, FOOD AND MORE.OTHER MINISTRY SUPPORTLUTHERAN SOCIAL SERVICES (LSS) OF MONTANA IS ANOTHER MINISTRY OF ST. JOHN'S. LSS IS COMMITTED TO BRINGING HOPE TO THOSE IN NEED THROUGH ADOPTION SUPPORT SERVICES THAT INCLUDE: BIRTHPARENT COUNSELING, ADOPTIVE FAMILY PREPARATION, MENTAL HEALTH COUNSELING, SEARCH AND REUNION SERVICES, AND POST-ADOPTION COUNSELING. DONATIONS RECEIVED FOR LSS ARE USED TO OFFSET THESE COSTS. IN 2012, 285 PEOPLE WERE SERVED THROUGH THE WORK OF LSS. ONE OF THE MAJOR UNDERTAKINGS FOR LSS IN 2012 WAS TO ELECTRONICALLY SCAN ALL OF THE ADOPTION RECORDS DATING BACK FROM 1954 TO THE PRESENT. THIS GAVE LSS THE ABILITY TO PRESERVE PRECIOUS KEEPSAKES, HISTORICAL RECORDS AND GIVE IMPROVED ACCESS TO COUNSELORS ASSISTING WITH THE SEARCH PROCESS. ST. JOHN'S WAS FORTUNATE ENOUGH TO RECEIVE A GRANT FROM THE HETZEL FOUNDATION TO COVER A LARGE PORTION OF THE COSTS ASSOCIATED WITH THE PROJECT. ST. JOHN'S CONTINUES TO MAKE A DIFFERENCE IN THE LIVES OF FAMILIES, RESIDENTS, EMPLOYEES AND OUR COMMUNITY EACH AND EVERY DAY. ST. JOHN'S IS A PLACE WHERE ALL PEOPLE ARE RECOGNIZED AND CELEBRATED AS BOTH GIVERS AND RECEIVERS OF LOVE, SO THE DIFFERENCE THAT IS MADE IN ONE PERSON'S LIFE CREATES AN ENRICHING EXPERIENCE FOR SOMEONE ELSE. WITHOUT THE WONDERFUL SUPPORT OF THE COMMUNITY AND DONORS, ST. JOHN'S FOUNDATION WOULD NOT BE ABLE TO EXIST. ST. JOHN'S IS TRULY GRATEFUL FOR THE SUPPORT THAT IS RECEIVED FROM PEOPLE WHO GIVE OF THEIR TALENTS AND RESOURCES THAT HELP MAKE US ONE OF THE PREMIER SENIOR LIVING AND LONG-TERM CARE FACILITIES IN THE NORTHWEST. 154989 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X X MARK BEADLE CONTROLLER 4066555601 3940 RIMROCK ROAD BILLINGS MT 59102 PHIL GRIFFIN PRES AS OF 5112 2.00 0.00 X X 0 0 0 CRAIG BARTHOLOMEW 4.00 0.00 X X 0 0 0 STAN HILL VP AS OF 5112 2.00 0.00 X X 0 0 0 CLAUDIA BAKER 2.00 0.00 X X 0 0 0 JENNIFER HAARR SEC THRU 43012 2.00 0.00 X X 0 0 0 TROY NEARPASS 2.00 0.00 X 0 0 0 ANN CHRIST 2.00 0.00 X 0 0 0 MIKE FOLLET 2.00 0.00 X 0 0 0 ALICE GORDON 2.00 0.00 X 0 0 0 HARLAN KROGH 2.00 0.00 X 0 0 0 MARY MOSDAL 2.00 0.00 X 0 0 0 PAIGE SPALDING 2.00 0.00 X X 0 0 0 TAMMY WINTERS 2.00 0.00 X 0 0 0 BILL SIMMONS 2.00 0.00 X 0 0 0 ERIC NORD 2.00 0.00 X 0 0 0 BOB WALLER 2.00 0.00 X 0 0 0 HAROLD EVERSON 2.00 4.00 X 0 0 0 KENT BURGESS 5.00 35.00 X 0 183352 30099 JERRY PEARSALL 5.00 35.00 X 0 67190 10108 GREG PETERSON 5.00 35.00 X 0 20169 255 0 270711 40462 0 0 1 0 0 11721 493606 505327 146823 146823 1937 0 1937 1937 1937 60897 11721 33329 27568 27568 COFFEE SALES 900099 -1885 -1885 -1885 679770 0 0 174443 83244 83244 31151 31151 500 500 2442 2442 17138 8689 8449 843 843 6711 6711 2884 2884 6941 6941 1690 1690 COMMUNITY BENEFIT 28863 28863 COMMUNITY DEVELOPMENT 3042 3042 185449 154989 22011 8449 621517 234203 38710 24813 6790 13897 3329632 4017623 889429 10000 4847368 4275723 133911 144097 488524 860846 622435 1004943 X 2692966 1699250 494232 408179 1037735 1163351 4224933 3270780 4847368 4275723 X 494321 269653 -1718127 X 0 1 X 1 1 1 X X X 0 0 0 ST JOHN'S LUTHERAN MINISTRIES INC 810288768 9 1 77187 1 77187 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3329633 407448 344587 64045 4017623 3148918 286957 23401 129643 3329633 2903792 90990 287585 133449 3148918 1714696 638869 579621 29394 2903792 1808001 485172 -578477 1714696 0.71000 0.29000 0 0 38710 24813 13897 13897 ESTIMATED LIABILITY TO ANNUITY BENEFICIARIES 573962 DUE TO AFFILIATE 286884 860846 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ST. JOHN'S FOUNDATION HAS ESTABLISHED SEVERAL BOARD MANAGED FUNDS WHOSE EARNINGS WILL PROVIDE AN INCOME STREAM TO SUPPORT THE MISSION OF ST. JOHN'S FOR YEARS TO COME. THE BOARD OF DIRECTORS OF ST. JOHN'S FOUNDATION IS RESPONSIBLE FOR APPROVING EXPENDITURES FROM THESE FUNDS. THE BOARD MANAGED FUNDS ARE AS FOLLOWS: THE NELLES STAFF DEVELOPMENT FUND - ESTABLISHED IN 2008 WITH A MAJOR GIFT FROM RALPH NELLES. EARNINGS FROM THIS ENDOWMENT ASSIST WITH STAFF EDUCATION AND DEVELOPMENT. THE MCCANN NURSE SCHOLARSHIP FUND - ESTABLISHED IN 2010 WITH A GIFT FROM PAUL MCCANN TO BE USED FOR THE CONTINUING EDUCATION OF OUR CAMPUS NURSES. THE DITEMAN HOUSE MAINTENANCE FUND - ESTABLISHED IN 2009 WITH A LARGE GIFT FROM THE ESTATE OF HALL DITEMAN. EARNINGS FROM THIS ENDOWMENT WILL BE USED FOR MAINTENANCE OF THE HOUSE GIVEN TO THE FOUNDATION BY MR. DITEMAN. LILLIS CHAPEL MAINTENANCE FUND - ESTABLISHED WITH A GIFT FROM BERT LILLIS, THIS FUND IS RESTRICTED TO MAINTAIN THE KATHY LILLIS CHAPEL. INGA RYGG SPECIAL NEEDS FUND - ESTABLISHED TO COVER SPECIAL NEEDS FOR THE CHILDREN/BIRTH MOTHERS OF LUTHERAN SOCIAL SERVICES OF MONTANA (LSS). ST. JOHN'S FOUNDATION SOLICITS GIFTS TO OUR ENDOWMENTS, BOTH AS CASH GIFTS AND PLANNED GIFTS. PLANNED GIFTS HAVE BEEN PRIMARILY IN THE FORM OF CHARITABLE AND DEFERRED GIFT ANNUITIES; MANY OF THESE PLANNED GIFTS TO ST. JOHN'S FOUNDATION ENDOWMENTS ARE ELIGIBLE FOR THE MONTANA QUALIFIED ENDOWMENT TAX CREDIT. THE FOUNDATION HAS ESTABLISHED ENDOWMENT FUNDS WHOSE EARNINGS WILL PROVIDE AN INCOME STREAM TO SUPPORT THE MISSION OF ST. JOHN'S FOR YEARS TO COME. THE BOARD OF DIRECTORS OF ST. JOHN'S FOUNDATION IS RESPONSIBLE FOR APPROVING EXPENDITURES FROM THESE ENDOWMENT FUNDS. THE FOUNDATION'S ENDOWMENTS ARE AS FOLLOWS: SULENES ALZHEIMER'S ENDOWMENT - ESTABLISHED IN 2005, THE NORMAN L. AND MARY LOU SULENES ALZHEIMER'S ENDOWMENT WILL SUPPORT THOSE AFFECTED BY ALZHEIMER'S OR DEMENTIA AND THE STAFF WHO CARE FOR THEM. ST. JOHN'S LIVING ENDOWMENT - PROCEEDS FROM THIS ENDOWMENT FUND ARE TO BE USED TO SUPPORT NEEDS IDENTIFIED WITHIN THE COMMUNITY. AT THIS TIME, INVESTMENT EARNINGS ARE USED TO SUPPORT RESIDENTS LIVING AT ST. JOHN'S WHO CAN NO LONGER AFFORD TO LIVE HERE. SPIRITUAL ENDOWMENT FUND - TO SUPPORT PASTORAL CARE AT ST. JOHN'S AND TO HELP ENSURE THAT ST. JOHN'S CONTINUES TO BE A SPIRITUAL HOME FOR OUR RESIDENTS AND STAFF. FAITH AND LEADERSHIP ENDOWMENT TO SUPPORT THE EDUCATIONAL NEEDS OF LEADERS WITHIN THE ORGANIZATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ST. JOHN'S FOUNDATION IS ORGANIZED AS A MONTANA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C) (3). ST JOHN'S FOUNDATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. ST JOHN'S FOUNDATION HAS DETERMINED THEY ARE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAVE NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. ST. JOHN'S FOUNDATION BELIEVES THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. ST. JOHN'S FOUNDATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. ART FOR THE AGES 72618 11721 60897 6815 950 25564 72618 11721 60897 6815 950 25564 33329 27568 1 ST JOHN'S LUTHERAN MINISTRIES INC 3940 RIMROCK ROAD BILLINGS MT 59102 810288768 501(C)(3) 83244 TO SUPPORT MISSION OF ST. JOHN'S LUTHERAN MINISTRIES, INC. 1 0 SCHOLARSHIPS 17 12000 RESIDENT ASSISTANCE 5 19151 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DISBURSEMENT OF GRANT FUNDS IS MADE DIRECTLY TO THE INSTITUTE OF HIGHER EDUCATION FOR THE BENEFIT OF THE PARTICULAR GRANTEE. GRANTEES ARE REQUIRED TO SUPPLY A TRANSCRIPT EACH SEMESTER OR QUARTER TO THE ST. JOHN'S FOUNDATION TO PROVE THE GRANTEE HAS COMPLETED THE TERM THE GRANT APPLIED TO. THE ORGANIZATION ALSO PROVIDES GRANTS TO A RELATED EXEMPT ORGANIZATION AND ENSURES THE USE OF THE FUNDS ARE TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION. THE BOARD APPROVES THE GRANT TO ST. JOHN'S LUTHERAN MINISTRIES, INC. THE PURPOSE OF THIS GRANT IS TO SUPPORT THE MISSION OF ST. JOHN'S LUTHERAN MINISTRIES, INC. 0 1 0 0 0 0 0 0 0 KENT BURGESS 0 155759 0 25951 0 1642 0 23499 0 7080 0 213931 0 25951 PART I, LINE 4B DEFERRED COMPENSATION PLAN IN EFFECT - 2012 CONTRIBUTIONS MADE FOR KENT BURGESS ($12,788). SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, LINE 3 COMPENSATION IS PAID TO THE CEO AND CFO BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION HAS A PROCESS IN PLACE FOR DETERMINING COMPENSATION USING THE METHODS DESCRIBED IN LINE 3. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS ST. JOHN'S LUTHERAN MINISTRIES, INC. FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE NOMINATED BY NOMINATING COMMITTEE (MADE UP OF OWNERSHIP CONGREGATION DELEGATES/BOARD MEMBERS) AND VOTED ON BY OWNERSHIP CONGREGATION DELEGATES AT ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS CAN BE MADE BY THE SOLE MEMBER OF THE FOUNDATION, ST JOHN'S LUTHERAN MINISTRIES, AND ITS BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WILL BE PRESENTED TO THE FINANCE COMMITTEE WHO WILL CARRY A RECOMMENDATION TO THE FULL BOARD FOR APPROVAL. FORM 990 IS PRESENTED ELECTRONICALLY TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH POLICY IS MONITORED BY OVERALL AWARENESS OF DIRECTORS INTERESTS. THE BOARD OF DIRECTORS AND OFFICERS ARE COVERED UNDER THIS POLICY. ALL CONFLICTS ARE REVIEWED BY THE BOARD. VOTING RESTRICTIONS ARE IMPOSED ON DIRECTORS AND OFFICERS WHO HAVE A CONFLICT OF INTEREST. KENT BURGESS AND GREG PETERSON ARE COMPENSATED BY ST. JOHN'S LUTHERAN MINISTRIES FOR SERVICES PROVIDED TO ST. JOHN'S LUTHERAN MINISTRIES AND THE ST. JOHN'S FOUNDATION. ST. JOHN'S LUTHERAN MINISTRIES HAS A PROCESS IN PLACE TO DETERMINE THE INDIVIDUAL'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -58,747. TRANSFERS BETWEEN DIVISIONS -1,659,380. ST JOHN'S LUTHERAN MINISTRIES INC 3940 RIMROCK ROAD BILLINGS MT 59102 810288768 PROVISION OF HEALTHCARE SERVICES MT 501(C)(3) LINE 9 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0