2013-02-12T08:59:20-06:00 2012-03-31 410746749 CLIFTONLARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2011-04-01 201885811 FOREST RIDGE MANOR INC FORE 8659826109 910 WILDER CHAPEL LANE MARYVILLE TN 37804 MARY DEBORAH HUBBARD 8659826109 2013-02-08 1 JOHN NORMAN P01506766 7049985200 2011 2016-02-25 16:41:14Z MARY DEBORAH HUBBARD 910 WILDER CHAPEL LANE MARYVILLE TN 37804 139899 0 X X 2007 TN TO PROVIDE ELDERY PERSONS AND HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES. 8 8 0 0 0 0 0 0 146041 139899 0 0 0 0 146041 139899 0 0 0 0 0 0 0 0 0 215219 216389 215219 216389 -69178 -76490 3428506 3367956 3481072 3497012 -52566 -129056 TO PROVIDE ELDERLY PERSONS AND HANDICAPPED PERSONS WITH HOUSING FACILITIES AND SERVICES SPECIALLY DESIGNED TO MEET THEIR PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS, AND TO PROMOTE THEIR HEALTH, SECURITY, HAPPINESS, AND USEFULNESS IN LONGER LIVING. 0 0 173844 139899 FOREST RIDGE MANOR, INC. IS A RESIDENTIAL HOUSING DEVELOPMENT FOR LOW INCOME SENIORS THAT MINISTERS TO THE SPIRITUAL & PHYSICAL NEEDS OF ITS RESIDENTS, PROVIDES A SAFE, CLEAN, AND COMFORTABLE ENVIRONMENT & TREATS SENIORS WITH RESPECT AND DIGNITY. 173844 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 0 0 0 TN X CINDY CARTER 4232450360 100 NETHERLAND LANE KINGSPORT TN 37660 X BERNIE BOWMAN 1.00 X X 0 0 0 CINDY CARTER 15.00 X X 0 35090 0 JACKIE DINGUS 1.00 X 0 0 0 MARVIN EICHORN 1.00 X 0 0 0 RICK GOINS 1.00 X 0 0 0 MARY D DEBBIE HUBBARD 15.00 X X 0 84247 0 MARJORIE SHONNARD 1.00 X 0 0 0 ROBERT FEAGINS 1.00 X 0 0 0 0 119337 0 0 0 0 0 0 NET RESIDENT SERVICE R 623000 139899 139899 139899 139899 139899 0 0 16000 16000 11350 11350 2912 2912 21025 8742 12283 42351 42351 101690 101690 21061 21061 216389 173844 42545 0 73032 89953 10979 10997 3635372 450743 3274915 3184629 69580 82377 3428506 3367956 53371 69311 3427701 3427701 3481072 3497012 X -52566 -129056 -52566 -129056 3428506 3367956 -76490 0 X 0 1 1 X 0 X X X 0 0 0 ASBURY INC 620630670 9 1 1 1 16000 1 16000 3540619 3540619 70030 70030 24723 450743 -426020 3184629 139899 216389 -76490 -76490 139899 0 139899 0 139899 216389 0 216389 0 216389 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FOREST RIDGE MANOR, INC. IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES. THE INCOME TAX RETURN FOR FOREST RIDGE MANOR, INC. IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. ASBURY, INC. IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS. THE ORGANIZATION HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 8B THIS ENTITY DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FOREST RIDGE MANOR, INC. BOARD OF DIRECTORS RECEIVED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO THE DATE OF FILING. ANY COMMENTS AND SUGGESTIONS THAT THEY HAD WERE COMMUNICATED TO JACK EDWARDS, REIMBURSEMENT & TAX MANAGER FOR ASBURY COMMUNITIES, INC. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS, MEMBERS OF BOARD COMMITTEES, AND CERTAIN ASSOCIATES IN MANAGEMENT POSITIONS SHALL BE REQUIRED TO SIGN A STATEMENT ANNUALLY, WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, UNDERSTANDS THAT THE ASBURY GROUP MAY PROVIDE MANAGEMENT SERVICES TO CHARITABLE ORGANIZATIONS AND THAT IN ORDER TO MAINTAIN THEIR FEDERAL TAX EXEMPTIONS, THEY MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, DISCLOSES ANY FEDERAL INTEREST HE/SHE MAY HAVE, AND ANY GIFTS HE/SHE HAS RECEIVED IN THE PAST YEAR FROM COMPANIES DOING BUSINESS WITH THE ASBURY GROUP, AND COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT ("CIDS") ANNUALLY. THE COMPLIANCE OFFICER SHALL COLLECT AND COMPILE A CIDS REPORT AND SHALL FILE A REPORT WITH THE AUDIT COMMITTEE WITH RESPECT TO ALL CIDS. ALL CIDS SHALL BE AVAILABLE TO THE AUDIT COMMITTEE, AND THE AUDIT COMMITTEE SHALL MONITOR CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST. ASBURY INC 910 WILDER CHAPEL LANE MARYVILLE TN 37804 620630670 PROVIDE A REGIONAL NETWORK OF CONTINUING CARE RETIREMENT COMMUNITITES TN 501(C)(3) LINE 9 N/A 0 ASBURY CENTERS INDEPENDENT LIVING SERVICES INC 910 WILDER CHAPEL LANE MARYVILLE TN 37804 621768254 NO ACTIVITY TN 501(C)(3) LINE 9 ASBURY INC 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0