2013-05-07T12:05:02-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2012-01-01 390838135 ODD FELLOW REBEKAH HOME ASSOCIATION INC ODDF 9205937000 1207 SOUTH JACKSON STREET GREEN BAY WI 54301 CHARLENE EVERETT 9205937000 2013-05-07 1 GORDON J VETSCH P00047306 6123764500 2012 2016-03-07 17:11:31Z CHARLENE EVERETT 1207 SOUTH JACKSON STREET GREEN BAY WI 54301 7017662 0 X WWW.OFRHA.ORG X 1889 WI ELDERLY AND DISABLED HOUSING AND HEALTH SERVICES 8 8 207 30 0 0 5329 2653 5998621 6771474 309958 117273 0 0 6313908 6891400 0 0 0 0 4015869 4289514 0 0 0 2221030 2897801 6236899 7187315 77009 -295915 14957342 14580167 7128854 6804544 7828488 7775623 ELDERLY AND DISABLED HOUSING AND HEALTH SERVICES AT OR BELOW THE LOW/LOW-MEDIAN RATES FOR OUR CONSUMER AREA. INCLUDES UNDER FUNDED CARE FOR LOW INCOME COUNTY PLACED TENANTS. 0 0 5005287 0 5319718 ODD FELLOW HOME:A 74-BED SKILLED NURSING AND REHABILITATION FACILITY FOR THE ELDERLY OF BROWN COUNTY, WISCONSIN AND THE SURROUNDING AREA. A FOUR-STAR CMS PROGRAM, WITH THE MAJORITY OF THE CLIENTS BEING MEDICAID UNDERFUNDED. REHAB SEES A LARGE PERCENTAGE OF OUR CLIENTS RETURNING TO THEIR HOMES. 680261 0 670869 HERITAGE GARDENS: AN 18-BED MEMORY CARE COMMUNITY BASED RESIDENTIAL FACILITY. IT FEATURES 24-HOUR STAFF AND HEALTH MONITORING BY LICENSED NURSES IN A CALMING RESIDENTIAL ATMOSPHERE. 597158 0 780887 REBEKAH HAVEN:A 20-BED CERTIFIED RESIDENTIAL CARE APARTMENT COMPLEX, IN GREEN BAY, WISCONSIN. SENIOR PRIVATE APARTMENTS WITH 24-HOUR SERVICES PROVIDED, TO ALLOW INDEPENDENCE, CHOICE AND QUALITY OF LIFE IN A SAFE ENVIRONMENT. COUNTY FUNDING HELPS COVER TENANTS WITHOUT FUNDS FOR SERVICES. 6282706 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 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 0 1 0 0 0 1 30 0 207 1 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X X JAMIE STROHSCHEIN 9205937000 1207 SOUTH JACKSON STREET GREEN BAY WI 54301 TOM REED 1.00 0.00 X X 0 0 0 BONNIE OLSON 1.00 0.00 X X 0 0 0 PATRICIA MOTT 1.00 0.00 X X 0 0 0 SHARON CUNNINGHAM 1.00 0.00 X 0 0 0 ROBERTA BIERHALS 1.00 0.00 X 0 0 0 LOREN CUNNINGHAM 2.00 0.00 X 0 0 0 LINDA ENGSTROM 1.00 0.00 X 0 0 0 RICHARD PROULX 5.00 0.00 X 0 0 0 CHARLENE EVERETT 40.00 0.00 X 88616 0 2395 TRUDEY PETERSON 40.00 0.00 X 140297 0 3733 JAMIE STROHSCHEIN 32.00 0.00 X 11187 0 52 JENNIFER KLASEN 40.00 0.00 X 30738 0 105 BETTY BAHRINGER 40.00 0.00 X 22883 0 23 293721 0 6308 1 0 0 0 MJ CARE INC 2448 SOUTH 102ND STREET 340 MILWAUKEE WI 53227 CONTRACTED THERAPY 330102 BSG MAINTENANCE INC PO BOX 165 NEWBURG WI 53060 CONTRACTED LAUNDRY & HOUSEKEEPING 186372 2 2653 2653 RESIDENCY FEES 623000 6751866 6751866 AUXILIARY REVENUES 623000 19608 19608 6771474 123195 123195 120340 126262 -5922 -5922 -5922 6891400 6771474 0 117273 300029 2350 297679 3544983 3257855 287128 38318 35215 3103 121461 105779 15682 284723 241810 42913 58556 58556 23734 23734 589881 550798 39083 54842 53670 1172 318870 263112 55758 277181 271259 5922 13739 13739 276175 270275 5900 500442 489751 10691 66351 64934 1417 FOOD 186616 186616 HOUSEKEEPING 182205 182205 BED TAX 163200 163200 BAD DEBT 140797 140797 45212 3080 42132 7187315 6282706 904609 0 273662 121476 67285 63447 545836 587646 84440 31338 14664802 4706197 10286156 9958605 3646944 3767489 53019 50166 14957342 14580167 389598 479851 6733028 6318546 6228 6147 7128854 6804544 X 7692785 7639920 135703 135703 7828488 7775623 14957342 14580167 -295915 243050 0 X 0 1 X 1 0 X 1400 5897 1134 5329 2653 16413 5718644 5997500 6143788 5998621 6771474 30630027 5720044 6003397 6144922 6003950 6774127 30646440 0 290946 306687 692132 787555 215700 2293020 290946 306687 692132 787555 215700 2293020 28353420 82280 109411 112854 110958 123195 538698 82280 109411 112854 110958 123195 538698 2382 -18129 -15747 5804706 6094679 6257776 6114908 6897322 31169391 0.90970 0.90540 0.01730 0.01700 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME FROM VARIOUS SOURCES LOSS ON DEBT REFINANCING 0 1 X 135703 15298 -15298 135703 135703 -14467 -14467 135703 135703 15326 15326 135703 135703 25513 25513 135703 135703 135703 0.00000 1.00000 0.00000 0 0 244464 244464 12724760 3481374 9243386 94368 63124 31244 1537860 1099131 438729 63350 62568 782 9958605 X 6771474 0 6771474 23734 96192 119926 6891400 7163581 0 7163581 23734 23734 7187315 PART IV, LINE 2B: RESIDENT TRUST FUNDS ARE OFFERED TO ALL RESIDENTS AT ODD FELLOW HOME. THE FUNDS ARE NOT CO-MINGLED WITH ANY OTHER ORGANIZATION FUNDS. ONLY THE RESIDENT OR THE RESIDENTS AUTHORIZED INDIVIDUAL MAY ACCESS THESE FUNDS. RESIDENTS RECEIVE AT LEAST A QUARTERLY STATEMENT OF THEIR FUND ACTIVITY. FUNDS ARE KEPT IN AN INTEREST BEARING ACCOUNT. RESIDENTS WITH ACCOUNT BALANCES ABOVE $50 WILL EARN INTEREST AT THE CURRENT BANK RATE. STAFF HANDLING THE FUNDS WILL BE BONDED. THE BOND BENEFICIARY IS THE STATE OF WISCONSIN. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT THE HEALTH CARE SERVICES AT ODD FELLOW HOME. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND WISCONSIN STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR UNCERTAIN TAX POSITIONS AND NO LIABILITY IS RECOGNIZED BY THE ORGANIZATION BY APPLICATION OF THIS STANDARD. THE ORGANIZATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATION'S 2009, 2010, AND 2011 TAX YEARS ARE OPEN TO EXAMINATION BY THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS 2,653. INVESTMENT INCOME 93,539. A WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY 391337855 2010-08-01 7075000 NEW CONSTRUCTION AND REFINANCE EXISTING BOND AND DEBT 0 0 0 A 756454 7075000 89314 57061 5292654 1635971 2011 0 0 1 1 A 1 0 0 0 0 0 0 A 1 1 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD PRESIDENT HAS THE AUTHORITY TO BREAK A TIE VOTE. FORM 990, PART VI, SECTION A, LINE 2 LOREN CUNNINGHAM AND SHIRLEY CUNNINGHAM - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION HAS TWO CLASSES OF MEMBERS: 1. ALL THIRD-DEGREE ODD FELLOWS IN GOOD STANDING IN THE STATE OF WISCONSIN. 2. ALL REBEKAHS IN GOOD STANDING IN THE STATE OF WISCONSIN. FORM 990, PART VI, SECTION A, LINE 7A CORPORATE MEMBERS IN GOOD STANDING VOTE FOR ALL BOARD POSITIONS. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE ARTICLES OR INCORPORATION AND BYLAWS ARE SUBJECT TO MEMBERSHIP APPROVAL. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED AT A BOARD MEETING. COPIES ARE MAILED TO ALL BOARD MEMBERS PRIOR TO THE MEETING WITH THE AGENDA. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS AND KEY MANAGEMENT STAFF. TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST IS FULLY DISCLOSED; 2. THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; 3. A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND 4. THE BOARD HAS DECIDED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. DISCLOSURE IN THIS ORGANIZATION SHOULD BE MADE TO THE CEO, WHO SHALL BRING THE MATTER TO THE BOARD. DISCLOSURES INVOLVING THE BOARD MEMBERS WILL BE BROUGHT TO THE BOARD PRESIDENT, OR TO THE VICE-PRESIDENT IN HIS OR HER ABSENCE, THEN TO THE BOARD. THE BOARD SHALL DETERMINE IF A CONFLICT EXISTS AND IN THE CASE OF A CONFLICT, WHETHER THE TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE THE DECISION OF THE BOARD ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION AND THEIR CONCERN MUST BE THE WELFARE OF THE ORGANIZATION. ALL PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES OR AS OTHERWISE APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. THE PROCESS INCLUDES REVIEWING SALARIES IN COMPARISON TO LOCAL WAGE PREVALENCE RATES AND LEADING AGE WISCONSIN WAGE SURVEY BASED ON THE LONG TERM CARE HEALTH INDUSTRY. THE PROCESS WAS LAST UNDERTAKEN FOR THE CEO IN OCTOBER, 2012. OTHER EMPLOYEES SALARIES ARE COMPARED TO LEADING AGE WISCONSIN AND LOCAL LONG TERM CARE DATABASES. THE CFO AND OTHER EMPLOYEE SALARIES ARE APPROVED BY THE CEO BASED ON DIRECTIVE OF PERCENTAGE INCREASE AND COMPARISON RANGE THE BOARD OF DIRECTORS WANTS TO MEET. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE POSTED IN FACILITIES, NEWSLETTERS, ANNUAL REPORTS AND IN CONTRACT PARTICIPATION. THE GRAND LODGE OF THE STATE OF WI INDEP ORDER OF ODD FELLOWS 490 TYROLIAN DRIVE GREEN BAY WI 54302 390366558 FRATERNAL SOCIETY WI 501(C)(8) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0