KIVEL MANOR INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KIVEL MANOR INC (EIN 86-0207274)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-10-10
IRS object ID
201342839349301059
Schema version
2012v2.3
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)
Timestamp2013-10-10T17:27:35-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

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 Date2012-07-01TaxPeriodBeginDate

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 Signed2013-10-02DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY R COFFEYName
Phone6022667505Phone
Date Prepared2013-10-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
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 Receipts990739GrossReceipts
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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year802756ContributionsGrantsPriorYear
Contributions Grants Current Year739229ContributionsGrantsCurrentYear
Program Service Revenue Prior Year269376ProgramServiceRevenuePriorYear
Program Service Revenue CY248364ProgramServiceRevenueCY
Investment Income Prior Year271InvestmentIncomePriorYear
Investment Income Current Year-3078InvestmentIncomeCurrentYear
Other Revenue Prior Year3707OtherRevenuePriorYear
Other Revenue Current Year2929OtherRevenueCurrentYear
Total Revenue Prior Year1076110TotalRevenuePriorYear
Total Revenue Current Year987444TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year355343SalariesEtcPriorYear
Salaries Etc Current Year407883SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year743187OtherExpensePriorYear
Other Expenses Current Year1346592OtherExpensesCurrentYear
Total Expenses Prior Year1098530TotalExpensesPriorYear
Total Expenses Current Year1754475TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-22420RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-767031RevenuesLessExpensesCY
Total Assets BOY8317353TotalAssetsBOY
Total Assets EOY7136268TotalAssetsEOY
Total Liabilities BOY1022883TotalLiabilitiesBOY
Total Liabilities EOY608829TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7294470NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6527439NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HOUSING AND CARE FOR LOW-INCOME ELDERLY & DISABLEDMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1444878Expense
DescriptionOWNERSHIP AND OPERATION OF A 120 UNIT APARTMENT COMPLEX FOR THE ELDERLY & DISABLEDDescription
Total Program Service Expense1444878TotalProgramServiceExpense
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
IRA SHULMAN
PRESIDENT &40.00XX030173757985
MARK SEARLE
TREASURER1.00XX000
DEBBIE WAITKUS
DIRECTOR1.00X000
POLLY MORRIS
DIRECTOR1.00X000
RICHARD MARMOR
DIRECTOR1.00X000
SW PETERSEN
SECRETARY1.00XX000
VICKIE MCDERMOTT
DIRECTOR1.00X000
STEVE GUBIN
DIRECTOR1.00X000
LAURA LELAKOWSKI
COO40.00X017643135866
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs478168TotalReportableCompFrmRltdOrgs
Total Other Compensation93851TotalOtherCompensation
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
Compensation504204Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants739229GovernmentGrants
Total Contributions739229TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionTENANT RENTSDescription
Total Revenue Column248364TotalRevenueColumn
Related Or Exempt Function Income248364RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue248364TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column217TotalRevenueColumn
Exclusion$217ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3295Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3295Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3295TotalRevenueColumn
Related Or Exempt Function Income-3295RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LAUNDRY & VENDING REVENUE29192919
TENANT CHARGES1010
FieldValueIRS element (for citing)
Total Other Revenue2929TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column987444TotalRevenueColumn
Related Or Exempt Function Income247998RelatedOrExemptFunctionIncome
Exclusion$217ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total343915Total
Program Services161507ProgramServices
Management And General182408ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total605Total
Program Services605ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32896Total
Program Services15448ProgramServices
Management And General17448ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total30467Total
Program Services14308ProgramServices
Management And General16159ManagementAndGeneral

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)
Total3563Total
Management And General3563ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2987Total
Program Services1494ProgramServices
Management And General1493ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6963Total
Program Services6963ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total288381Total
Program Services288381ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total19059Total
Program Services19059ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
GRANT FUNDS REVERTED511607511607
UTILITIES137233137233
CLEANING/MAINT. CONTRACTS124868124868
REPAIRS & MAINTENANCE8495484954

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total98487Total
Program Services78451ProgramServices
Management And General20036ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1754475Total
Program Services1444878ProgramServices
Management And General309597ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16044BOY
EOY100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY399550BOY
EOY322335EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1466432BOY
EOY13111EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY700BOY
EOY194EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY6737EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9681225LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2926955LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4232252BOY
EOY6754270EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2202375BOY
EOY39521EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8317353BOY
EOY7136268EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY442217BOY
EOY80686EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY65BOY
EOY321EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY255210BOY
EOY204549EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY325391BOY
EOY323273EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1022883BOY
EOY608829EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6204067BOY
EOY6527439EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1090403BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7294470BOY
EOY6527439EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8317353BOY
EOY7136268EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-767031ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommittee
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 Years645854CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years730953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4932584CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year802756CurrentTaxYearMinus1Year
Current Tax Year739229CurrentTaxYear
Total7851376Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years304608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years346160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years324199CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year273083CurrentTaxYearMinus1Year
Current Tax Year251293CurrentTaxYear
Total1499343Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years950462CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1077113CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5256783CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1075839CurrentTaxYearMinus1Year
Current Tax Year990522CurrentTaxYear
Total9350719Total
FieldValueIRS element (for citing)
Public Support Total5099350719PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1366CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years672CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year271CurrentTaxYearMinus1Year
Current Tax Year217CurrentTaxYear
Total2879Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1366CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years672CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year271CurrentTaxYearMinus1Year
Current Tax Year217CurrentTaxYear
Total2879Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years951828CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1077785CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5257136CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1076110CurrentTaxYearMinus1Year
Current Tax Year990739CurrentTaxYear
Total9353598Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99970PublicSupportPercentage509
Prior Year Support Percentage0.99950PriorYearSupportPercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis117994OtherCostOrOtherBasis
Book Value117994BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8083116OtherCostOrOtherBasis
Depreciation2660686Depreciation
Book Value5422430BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis292521OtherCostOrOtherBasis
Depreciation9752Depreciation
Book Value282769BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis542981OtherCostOrOtherBasis
Depreciation72520Depreciation
Book Value470461BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis644613OtherCostOrOtherBasis
Depreciation183997Depreciation
Book Value460616BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6754270TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM KIVEL CAMPUS OF CARE$288,224
TENANT SECURITY DEPOSITS$35,049
FieldValueIRS element (for citing)
Total Of Amounts323273TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt990739TotRevenueEtcAuditedFinclStmt
Revenue Subtotal990739RevenueSubtotal
Other Revenues Not Included-3295OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-3295RevenueNotRptdOnFinStmt
Total Revenue Per Form990987444TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1757770TotExpensesEtcAuditedFinclStmt
Other Expenses Included3295OtherExpensesIncluded
Expenses Not Rptd F9903295ExpensesNotRptdF990
Expenses Subtotal1754475ExpensesSubtotal
Total Expenses Per Form9901754475TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 4BLOSS ON DISPOSAL OF ASSETS -3,295
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DLOSS ON DISPOSAL OF ASSETS 3,295

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)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
IRA SHULMAN
PRESIDENT & CEO3017372564832337359722
LAURA LELAKOWSKI
COO176431241833448212297

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 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.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9LOSS ON DISPOSAL OF ASSETS 3,295 LOSS ON DISPOSAL OF ASSETS -3,295

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
Dividends Related OrganizationfalseDividendsRelatedOrganization
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
O358777ACCRUAL
PHOENIX JEWISH COMM KIVEL NURSING
M56640ACCRUAL

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