KIVEL MANOR INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KIVEL MANOR INC (EIN 86-0207274)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-07
IRS object ID
201310389349301351
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)
EIN860207274EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KIVEL MANORBusinessNameLine1
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 Prepared2013-01-22DatePrepared
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 Receipts1076110GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteKIVELCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
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 Employees1TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4932584ContributionsGrantsPriorYear
Contributions Grants Current Year802756ContributionsGrantsCurrentYear
Program Service Revenue Prior Year310202ProgramServiceRevenuePriorYear
Program Service Revenue CY269376ProgramServiceRevenueCY
Investment Income Prior Year353InvestmentIncomePriorYear
Investment Income Current Year271InvestmentIncomeCurrentYear
Other Revenue Prior Year13997OtherRevenuePriorYear
Other Revenue Current Year3707OtherRevenueCurrentYear
Total Revenue Prior Year5257136TotalRevenuePriorYear
Total Revenue Current Year1076110TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year323403SalariesEtcPriorYear
Salaries Etc Current Year355343SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year758185OtherExpensePriorYear
Other Expenses Current Year743187OtherExpensesCurrentYear
Total Expenses Prior Year1081588TotalExpensesPriorYear
Total Expenses Current Year1098530TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4175548RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-22420RevenuesLessExpensesCY
Total Assets BOY8391485TotalAssetsBOY
Total Assets EOY8317353TotalAssetsEOY
Total Liabilities BOY1074595TotalLiabilitiesBOY
Total Liabilities EOY1022883TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7316890NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7294470NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HOUSING AND CARE FOR LOW-INCOME ELDERLY & DISABLEDMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense836711Expense
DescriptionOWNERSHIP AND OPERATION OF A 120 UNIT APARTMENT COMPLEX FOR THE ELDERLY & DISABLEDDescription
Total Program Service Expense836711TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
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 With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KIVEL MANORBusinessNameLine1
FieldValueIRS element (for citing)
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
DIRCTOR1.00X000
POLLY MORRIS
DIRECTOR1.00X000
RICHARD MARMOR
SECRETARY1.00XX000
JUDY LAUFER
DIRECTOR1.00X000
SW PETERSEN
DIRECTOR/PAS1.00X000
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
Compensation1995718Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants802756GovernmentGrants
Total Contributions802756TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionTENANT RENTSDescription
Total Revenue Column269376TotalRevenueColumn
Related Or Exempt Function Income269376RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue269376TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column271TotalRevenueColumn
Exclusion$271ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLAUNDRY & VENDING REVENUEDescription
Total Revenue Column3707TotalRevenueColumn
Related Or Exempt Function Income3707RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3707TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1076110TotalRevenueColumn
Related Or Exempt Function Income273083RelatedOrExemptFunctionIncome
Exclusion$271ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total292203Total
Program Services153718ProgramServices
Management And General138485ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total315Total
Program Services315ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total36512Total
Program Services19208ProgramServices
Management And General17304ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total26313Total
Program Services13842ProgramServices
Management And General12471ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total56640Total
Management And General56640ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11850Total
Management And General11850ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3239Total
Management And General3239ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9716Total
Program Services4858ProgramServices
Management And General4858ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total133871Total
Program Services133871ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total8459Total
Program Services8459ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total174832Total
Program Services174832ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total18091Total
Program Services18091ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CLEANING/MAINT. CONTRACTS110773110773
REPAIRS & MAINTENANCE104630104630
SECURITY5068950689
OFFICE/MODEL RENT1932896649664

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total41069Total
Program Services33761ProgramServices
Management And General7308ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1098530Total
Program Services836711ProgramServices
Management And General261819ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY88443BOY
EOY16044EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY351238BOY
EOY399550EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3749012BOY
EOY1466432EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5948BOY
EOY700EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6893277LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2661025LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3352110BOY
EOY4232252EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY844734BOY
EOY2202375EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8391485BOY
EOY8317353EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY447920BOY
EOY442217EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY65EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY304375BOY
EOY255210EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY322300BOY
EOY325391EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1074595BOY
EOY1022883EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3903189BOY
EOY6204067EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3413701BOY
EOY1090403EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7316890BOY
EOY7294470EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8391485BOY
EOY8317353EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-22420ReconcilationRevenueExpenses
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 Years796210CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years645854CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years730953CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4932584CurrentTaxYearMinus1Year
Current Tax Year802756CurrentTaxYear
Total7908357Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years323495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years304608CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years346160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year324199CurrentTaxYearMinus1Year
Current Tax Year273083CurrentTaxYear
Total1571545Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1119705CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years950462CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1077113CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5256783CurrentTaxYearMinus1Year
Current Tax Year1075839CurrentTaxYear
Total9479902Total
FieldValueIRS element (for citing)
Public Support Total5099479902PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1869CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1366CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years672CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year353CurrentTaxYearMinus1Year
Current Tax Year271CurrentTaxYear
Total4531Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1869CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1366CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years672CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year353CurrentTaxYearMinus1Year
Current Tax Year271CurrentTaxYear
Total4531Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1121574CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years951828CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1077785CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5257136CurrentTaxYearMinus1Year
Current Tax Year1076110CurrentTaxYear
Total9484433Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99950PublicSupportPercentage509
Prior Year Support Percentage0.99940PriorYearSupportPercentage
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 Basis117994OtherCostOrOtherBasis
Book Value117994BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5539880OtherCostOrOtherBasis
Depreciation2492200Depreciation
Book Value3047680BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis292521OtherCostOrOtherBasis
Book Value292521BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis527681OtherCostOrOtherBasis
Depreciation21890Depreciation
Book Value505791BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis415201OtherCostOrOtherBasis
Depreciation146935Depreciation
Book Value268266BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4232252TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CONSTRUCTION-IN-PROGRESS2161872
TENANT SECURITY DEPOSITS40503
UTILITIES DEPOSIT
FieldValueIRS element (for citing)
Total Book Value Other Assets2202375TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM KIVEL CAMPUS OF CARE$288,224
TENANT SECURITY DEPOSITS$37,167
FieldValueIRS element (for citing)
Total Of Amounts325391TotalOfAmounts
Total Revenue1076110TotalRevenue
Total Expenses1098530TotalExpenses
Excess Or Deficit For Year-22420ExcessOrDeficitForYear
Excess Or Deficit Per FS-22420ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1076110TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1076110RevenueSubtotal
Total Revenue Per Form9901076110TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1098530TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1098530ExpensesSubtotal
Total Expenses Per Form9901098530TotalExpensesPerForm990

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
2609572489737889323743248550
LAURA LELAKOWSKI
151826257413816168216141933

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 REVIEW 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 REVIEW 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
PNOENIX JEWISH COMM KIVEL NURSING
3040 NORTH 36TH STREETPHOENIXAZ85018860136129ASSIST.AZ501 C39NAfalse
(no name)
LIVING SVCfalseN/A
(no name)
MGMT AGNTfalseN/A
KIVEL MANOR EAST
3040 NORTH 36TH STREETPHOENIXAZ85018860431775ELDERLYAZ501 C39NAfalse
(no name)
HOUSINGfalseN/A
KIVEL MANOR WEST
3040 NORTH 36TH STREETPHOENIXAZ85018237163834ELDERLYAZ501 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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KIVEL MANOR EAST
N305273ACCRUAL
PHOENIX JEWISH COMM KIVEL NURSING
L56640ACCRUAL

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