DEUTSCHES ALTENHEIM FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DEUTSCHES ALTENHEIM FOUNDATION INC (EIN 04-3294940)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-03-12
IRS object ID
201330719349300343
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)
Timestamp2013-03-12T21:06:48-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043294940EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHES ALTENHEIM FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDEUTNameControl
Phone6173251230Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12222 CENTRE STREETAddressLine1
CityWEST ROXBURYCity
StateMAState
ZIP Code02132ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM SOUTHWICKName
TitlePRESIDENTTitle
Phone6173251230Phone
Date Signed2013-02-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA MORRISONName
PTINP00173340PTIN
Phone6179848100Phone
Date Prepared2013-02-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM SOUTHWICKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12222 CENTRE STAddressLine1
CityWEST ROXBURYCity
StateMAState
ZIP Code02132ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1223831GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GERMANCENTRE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION SUPPORTS DEUTSCHES ALTENHEIM, INC BY PROVIDING FINANCIAL ASSISTANCE FOR SKILLED NURSING SERVICES NOT PAID FOR BY PUBLIC FUNDING.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year567312InvestmentIncomePriorYear
Investment Income Current Year212039InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year567312TotalRevenuePriorYear
Total Revenue Current Year212039TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2208986GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY436895GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44513OtherExpensePriorYear
Other Expenses Current Year50893OtherExpensesCurrentYear
Total Expenses Prior Year2253499TotalExpensesPriorYear
Total Expenses Current Year487788TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1686187RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-275749RevenuesLessExpensesCY
Total Assets BOY5766293TotalAssetsBOY
Total Assets EOY5392269TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5766293NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5392269NetAssetsOrFundBalancesEOY
Mission DescriptionTHE FOUNDATION SUPPORTS DEUTSCHES ALTENHEIM, INC. BY PROVIDING FINANCIAL ASSISTANCE FOR SKILLED NURSING SERVICES NOT PAID FOR BY PUBLIC FUNDING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense476788Expense
Grants436895Grants
Revenue212039Revenue
DescriptionTHE FOUNDATION PROVIDES FINANCIAL ASSISTANCE TO SUPPORT SKILLED NURSING FACILITY SERVICES NOT PAID FOR BY PUBLIC FUNDING SOURCES OF MEDICAID (TITLE XIX) AND MEDICARE (TITLE XVIII).Description
Total Program Service Expense476788TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HEINRICH W BRINKHAUSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6172351230TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12222 CENTRE STREETAddressLine1
CityW ROXBURYCity
StateMAState
ZIP Code02132ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
WILLIAM SOUTHWICK
PRESIDENT10.00XX000
HANS BIRLE ESQ
VICE PRESIDENT10.00XX000
HEINRICH W BRINKHAUS
TREASURER10.00XX000
HANS H TOGEL
SECRETARY/CLERK10.00XX000
RUDIGER H VON KRAUS
EXECUTIVE TRUSTEE10.00X000
AGNES PILOT
EXECUTIVE TRUSTEE10.00X000
HON CONRAD BLETZER
TRUSTEE10.00X000
BARBARA BRIDGE
TRUSTEE10.00X000
HEINZ R BRINKHAUS
TRUSTEE10.00X000
ALAN EILERTSON
TRUSTEE10.00X000
HILDEGARDE DREIST
TRUSTEE10.00X000
HANS H FLESKES
TRUSTEE10.00X000
CAROL SOELDNER
TRUSTEE10.00X000
MICHAEL E HAGER ESQ
TRUSTEE10.00X000
GENEVIEVE MACLELLAN
TRUSTEE10.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column141925TotalRevenueColumn
Related Or Exempt Function Income141925RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1081906Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1011792Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities70114Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column70114TotalRevenueColumn
Related Or Exempt Function Income70114RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column212039TotalRevenueColumn
Related Or Exempt Function Income212039RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total436895Total
Program Services436895ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11000Total
Management And General11000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total23168Total
Program Services23168ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13890Total
Program Services13890ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2835Total
Program Services2835ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total487788Total
Program Services476788ProgramServices
Management And General11000ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY368459BOY
EOY270918EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1350LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1350BOY
EOY1350EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5393060BOY
EOY5116577EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3424BOY
EOY3424EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5766293BOY
EOY5392269EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5518605BOY
EOY5143629EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY247688BOY
EOY248640EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5766293BOY
EOY5392269EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5766293BOY
EOY5392269EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-275749ReconcilationRevenueExpenses
Reconcilation Other Changes-98275ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHES ALTENHEIM INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN042104144EIN
Type Of Organization509(A)(2)TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$436,895Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts436895SumOfAmounts

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance285412BeginningOfYearBalance
Investment Earnings Or Losses-1903InvestmentEarningsOrLosses
End Of Year Balance283509EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance235896BeginningOfYearBalance
Investment Earnings Or Losses49426InvestmentEarningsOrLosses
End Of Year Balance285412EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance201614BeginningOfYearBalance
Investment Earnings Or Losses34371InvestmentEarningsOrLosses
End Of Year Balance235985EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance245949BeginningOfYearBalance
Investment Earnings Or Losses-44335InvestmentEarningsOrLosses
End Of Year Balance201614EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1350InvestmentCostOrOtherBasis
Book Value1350BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1350TotalOfBookValueLandBuildings
Total Revenue212039TotalRevenue
Total Expenses487788TotalExpenses
Excess Or Deficit For Year-275749ExcessOrDeficitForYear
Net Unrealized GL On Investments-98275NetUnrealizedGLOnInvestments
Total Adjustments-98275TotalAdjustments
Excess Or Deficit Per FS-374024ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt113764TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-98275NetUnrealizedGainsInvestments
Revenue Not Rptd F990-98275RevenueNotRptdF990
Revenue Subtotal212039RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990212039TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt487788TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal487788ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990487788TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTO PROVIDE THE MEANS FOR THE FOUNDATION TO HELP THE RELATED NURSING HOME CONTINUE TO BE A FIRST RATE FACILITY THAT CAN PROVIDE QUALITY CARE TO ELDERLY RESIDENTS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHES ALTENHEIM INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12222 CENTRE STREETAddressLine1
CityWEST ROXBURYCity
StateMAState
ZIP Code02132ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient042104144EINOfRecipient
IRC Section501(C) 3IRCSection
Amount Of Cash Grant436895AmountOfCashGrant
Method Of ValuationBOOK VALUEMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantFINANCIAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2HEINRICH W BRINKHAUS AND HEINZ R BRINKHAUS JR. HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 8BCOMMITTEES CANNOT ACT WITHOUT BOARD APPROVAL
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING WITH THE IRS, A COMPLETE COPY OF THE FORM 990 IS PRESENTED AND REVIEWED BY THE BOARD OF TRUSTEES. UPON FINAL REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES, THE PRESIDENT OF THE BOARD, WILL THEN SIGN AND FILE THE FORM 990 WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY MONITORS AND MEETS WITH ITS BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY TO SPECIFICALLY ADDRESS AND ENSURE THAT THEY ARE IN COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS REVIEW AND DETERMINE OFFICER AND KEY EMPLOYEE COMPENSATION BASED ON VARIOUS FACTORS, INCLUDING THE COMPARISON AND ANALYSIS OF INDUSTRY AND ECONOMIC DATA, ALL DECISIONS RELATED TO COMPENSATION OF OFFICERS AND KEY EMPLOYEE ARE DOCUMENTED WITHIN THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -98,275.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHES ALTENHEIM INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12222 CENTRE STREETAddressLine1
CityWEST ROXBURYCity
StateMAState
ZIP Code02132ZIPCode
FieldValueIRS element (for citing)
EIN042104144EIN
Primary ActivitiesSKILLED NURSING FACILITYPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)3ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHES ALTENHEIM FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHES ALTENHEIM INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved436895AmountInvolved
Method Of Amt DeterminationBOOK VALUEMethodOfAmtDetermination

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