KIVEL MANOR WEST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KIVEL MANOR WEST (EIN 23-7163834)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-07
IRS object ID
201310389349301251
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-02-07T14:03:31-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRASS COFFEY & SCHARLAU CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16520 N 7TH ST STE 100AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237163834EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KIVEL MANOR WESTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKIVENameControl
Phone6029563110Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13040 NORTH 36TH STREETAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850186998ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameIRA SHULMANName
TitleCEOTitle
Phone6029563110Phone
Date Signed2013-01-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY R COFFEYName
Phone6022667505Phone
Date Prepared2013-01-23DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonIRA SHULMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13040 NORTH 36TH STREETAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85018ZIPCode
FieldValueIRS element (for citing)
Gross Receipts670245GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteKIVELCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOUSING AND CARE FOR LOW-INCOME ELDERLY & DISABLEDActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1347500ContributionsGrantsPriorYear
Contributions Grants Current Year466976ContributionsGrantsCurrentYear
Program Service Revenue Prior Year183570ProgramServiceRevenuePriorYear
Program Service Revenue CY198103ProgramServiceRevenueCY
Investment Income Prior Year126InvestmentIncomePriorYear
Investment Income Current Year-2852InvestmentIncomeCurrentYear
Other Revenue Prior Year8585OtherRevenuePriorYear
Other Revenue Current Year5086OtherRevenueCurrentYear
Total Revenue Prior Year1539781TotalRevenuePriorYear
Total Revenue Current Year667313TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year184894SalariesEtcPriorYear
Salaries Etc Current Year196409SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year379062OtherExpensePriorYear
Other Expenses Current Year349258OtherExpensesCurrentYear
Total Expenses Prior Year563956TotalExpensesPriorYear
Total Expenses Current Year545667TotalExpensesCurrentYear
Revenues Less Expenses Prior Year975825RevenuesLessExpensesPriorYear
Revenues Less Expenses CY121646RevenuesLessExpensesCY
Total Assets BOY1661748TotalAssetsBOY
Total Assets EOY1531087TotalAssetsEOY
Total Liabilities BOY478858TotalLiabilitiesBOY
Total Liabilities EOY226551TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1182890NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1304536NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HOUSING AND CARE FOR LOW-INCOME ELDERLY & DISABLEDMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense406526Expense
DescriptionOWNERSHIP AND OPERATION OF A 65 UNIT APARTMENT COMPLEX FOR THE ELDERLY & DISABLEDDescription
Total Program Service Expense406526TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIVEL MANOR WESTNamePerson
Telephone Number6029563110TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13040 NORTH 36TH STREETAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85018ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
IRA SHULMAN
PRESIDENT &40.00XX026095762786
MARK SEARLE
VICE-PRESIDE1.00XX000
DEBBIE WAITKUS
DIRECTOR1.00X000
POLLY MORRIS
DIRECTOR1.00X000
RICHARD MARMOR
SECRETARY1.00XX000
JUDY LAUFER
DIRECTOR1.00X000
SW PETERSEN
DIRECTOR/ PA1.00X000
VICKIE MCDERMOTT
DIRECTOR1.00X000
STEVE GUBIN
DIRECTOR1.00X000
LAURA LELAKOWSKI
COO40.00X015182616390
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs412783TotalReportableCompFrmRltdOrgs
Total Other Compensation79176TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUMMIT BUILDERSBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13333 E CAMELBACK RD 122AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85018ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONSTRUCTIONDescriptionOfServices
Compensation206091Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants466976GovernmentGrants
Total Contributions466976TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionTENANT RENTDescription
Total Revenue Column198103TotalRevenueColumn
Related Or Exempt Function Income198103RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue198103TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column80TotalRevenueColumn
Exclusion$80ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2932Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-2932Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2932TotalRevenueColumn
Related Or Exempt Function Income-2932RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLAUNDRY & VENDING REVENUEDescription
Total Revenue Column5086TotalRevenueColumn
Related Or Exempt Function Income5086RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5086TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column667313TotalRevenueColumn
Related Or Exempt Function Income200257RelatedOrExemptFunctionIncome
Exclusion$80ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total164913Total
Program Services93310ProgramServices
Management And General71603ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16158Total
Program Services9142ProgramServices
Management And General7016ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15338Total
Program Services8678ProgramServices
Management And General6660ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total31200Total
Management And General31200ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7450Total
Management And General7450ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2876Total
Management And General2876ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6942Total
Program Services3471ProgramServices
Management And General3471ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total70750Total
Program Services70750ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4926Total
Program Services4926ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total49942Total
Program Services49942ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total16750Total
Program Services16750ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE CONTRACTS7217772177
REPAIRS & MAINTENANCE4392943929
SECURITY2474324743
MISC ADMIN EXPENSES86838683

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8890Total
Program Services8708ProgramServices
Management And General182ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total545667Total
Program Services406526ProgramServices
Management And General139141ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14700BOY
EOY41129EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY156587BOY
EOY167505EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY245861BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2425BOY
EOY3817EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4199BOY
EOY4199EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2606717LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1313052LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY366326BOY
EOY1293665EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY871650BOY
EOY20772EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1661748BOY
EOY1531087EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY222196BOY
EOY55619EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY109774BOY
EOY22716EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY146888BOY
EOY148216EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY478858BOY
EOY226551EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1099261BOY
EOY1304536EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY83629BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1182890BOY
EOY1304536EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1661748BOY
EOY1531087EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses121646ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years582478CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years408935CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years445296CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1347500CurrentTaxYearMinus1Year
Current Tax Year466976CurrentTaxYear
Total3251185Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years210965CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years204709CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years210728CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192155CurrentTaxYearMinus1Year
Current Tax Year203189CurrentTaxYear
Total1021746Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years793443CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years613644CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years656024CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1539655CurrentTaxYearMinus1Year
Current Tax Year670165CurrentTaxYear
Total4272931Total
FieldValueIRS element (for citing)
Public Support Total5094272931PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years408CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years130CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126CurrentTaxYearMinus1Year
Current Tax Year80CurrentTaxYear
Total1172Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years408CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years130CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126CurrentTaxYearMinus1Year
Current Tax Year80CurrentTaxYear
Total1172Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years793851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years614072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years656154CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1539781CurrentTaxYearMinus1Year
Current Tax Year670245CurrentTaxYear
Total4274103Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99970PublicSupportPercentage509
Prior Year Support Percentage0.99960PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis75070OtherCostOrOtherBasis
Book Value75070BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1244540OtherCostOrOtherBasis
Depreciation1230644Depreciation
Book Value13896BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis551147OtherCostOrOtherBasis
Depreciation54835Depreciation
Book Value496312BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis309461OtherCostOrOtherBasis
Depreciation16077Depreciation
Book Value293384BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis426499OtherCostOrOtherBasis
Depreciation11496Depreciation
Book Value415003BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1293665TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO KIVEL CAMPUS OF CARE$129,228
TENANT SECURITY DEPOSITS$18,988
FieldValueIRS element (for citing)
Total Of Amounts148216TotalOfAmounts
Total Revenue667313TotalRevenue
Total Expenses545667TotalExpenses
Excess Or Deficit For Year121646ExcessOrDeficitForYear
Excess Or Deficit Per FS121646ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt670245TotRevenueEtcAuditedFinclStmt
Revenue Subtotal670245RevenueSubtotal
Other Revenues Not Included-2932OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-2932RevenueNotRptdOnFinStmt
Total Revenue Per Form990667313TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt548599TotExpensesEtcAuditedFinclStmt
Other Expenses Included2932OtherExpensesIncluded
Expenses Not Rptd F9902932ExpensesNotRptdF990
Expenses Subtotal545667ExpensesSubtotal
Total Expenses Per Form990545667TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8LOSS ON DISPOSAL OF ASSETS 2,932 LOSS ON DISPOSAL OF ASSETS -2,932
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BLOSS ON DISPOSAL OF ASSETS -2,932
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DLOSS ON DISPOSAL OF ASSETS 2,932

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
IRA SHULMAN
2609573788924897323743248550
LAURA LELAKOWSKI
151826257413816168216141483

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS DONATE TIME TO PROVIDE ACTIVITIES FOR THE RESIDENTS, ASSIST WITH SOCIAL GATHERINGS, HELP RESIDENTS WITH SHOPPING, PUT TOGETHER MONTHLY CALENDARS OF EVENTS, AND PROVIDE ENTERTAINMENT.
DOCUMENTATION BY COMMITTEEFORM 990, PAGE 6, PART VI, LINE 8BTHERE ARE NOT ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY SO DOCUMENTING THE COMMITTEE MEETINGS IS NOT APPLICABLE
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS PROVIDED BY THE PRESIDENT/CEO TO THE BOARD FOR REVIEW PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL POTENTIAL CONFLICTS OF INTEREST MUST BE MENTIONED AND DISCUSSED WITH THE OFFICERS AND/OR BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACEO AND TOP MANAGEMENT SALARIES ARE DETERMINED BY A REVIEW OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEWS BUSINESS OPERATIONS AND REVIEW PERFORMANCE TO BUDGET OBJECTIVES AS A PART OF THE PROCESS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTOP EMPLOYEE SALARIES ARE DETERMINED BY A REVIEW OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEWS BUSINESS OPERATIONS AND REVIEW PERFORMANCE TO BUDGET OBJECTIVES AS A PART OF THE PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19COPIES CAN BE OBTAINED UPON REQUEST AT THE ORGANIZATION'S OFFICE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
KIVEL CAMPUS OF CARE
3040 NORTH 36TH STREETPHOENIXAZ85018237157268FUNDAZ501 C39NAfalse
(no name)
RAISINGfalseN/A
PHOENIX JEWISH COMM KIVEL NURSING
3040 NORTH 36TH STREETPHOENIXAZ85018860136129ASSISTAZ501C39NAfalse
(no name)
LIVING SVCfalseN/A
(no name)
MGMT AGNTfalseN/A
KIVEL MANOR
3040 NORTH 36TH STREETPHOENIXAZ85018860207274ELDERLYAZ501 C39NAfalse
(no name)
HOUSINGfalseN/A
KIVEL MANOR EAST
3040 NORTH 36TH STREETPHOENIXAZ85018860431775ELDERLYAZ501 C39NAfalse
(no name)
HOUSINGfalseN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1KIVEL MANOR EASTBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeNTransactionType
Amount Involved196409AmountInvolved
Method Of Amt DeterminationACCRUALMethodOfAmtDetermination

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