2012-11-06T09:42:31-06:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2011-01-01 410841103 HAMMER RESIDENCES INC HAMM 9524731261 1909 EAST WAYZATA BOULEVARD WAYZATA MN 55391 JOHN ESTREM 9524731261 2012-11-01 1 JOHN RACEK P00011933 6123764500 2011 2016-02-24 21:20:13Z JOHN ESTREM 1909 EAST WAYZATA BOULEVARD WAYZATA MN 55391 18980011 0 X WWW.HAMMER.ORG X 1960 MN GIVE PEOPLE WITH DEVELOPMENTAL DISABILITIES THE OPPORTUNITY TO EXPERIENCE LIFE TO ITS FULLEST. 18 18 510 525 0 0 603498 845806 16971298 17960258 171338 147467 40755 2382 17786889 18955913 24312 18746 0 0 12943180 13683429 0 0 163792 4552884 5257348 17520376 18959523 266513 -3610 18297589 18401922 6169748 6344745 12127841 12057177 TO PROVIDE PEOPLE WITH DEVELOPMENTAL DISABILITIES THE OPPORTUNITY TO EXPERIENCE LIFE TO ITS FULLEST. 0 0 15586098 18746 16957148 RESIDENTIAL SERVICES:HAMMER PROVIDES A HOLISTIC AND PERSON-CENTERED APPROACH TO RESIDENTIAL AND SUPPORT SERVICES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. EACH INDIVIDUAL LIVING AT HAMMER IS ENCOURAGED TO UNCOVER WHAT LIVING LIFE TO ITS FULLEST MEANS TO THEM. HAMMER PROGRAMS ARE DESIGNED TO MEET THE PHYSICAL WELL BEING, PSYCHOLOGICAL, SOCIAL, SPIRITUAL, EDUCATIONAL, AND RECREATIONAL NEEDS OF EACH PERSON WE SUPPORT. OUR FULLTIME NURSES PROVIDE OVERSIGHT TO EACH PERSON'S HEALTH CARE NEEDS. HAMMER PARTNERS WITH EACH INDIVIDUAL AND HIS/HER FAMILY TO CREATE A LIFE EXPERIENCE THAT IS FULLFILLING AND MEANINGFUL. 835491 0 862273 CUSTOMIZED SUPPORT SERVICES:HAMMER PROVIDES NUMEROUS CUSTOMIZED SUPPORT SERVICES TO INDIVIDUALS WITH DISABILITIES IN MINNSOTA. THROUGH A CONTRACT WITH HENNEPIN COUNTY, HAMMER PROVIDES CASE MANAGEMENT SERVICES TO PEOPLE THROUGHOUT THE STATE. HAMMER CASE MANAGERS PROVIDE SUPPORT IN ACCESSING AND COORDINATING SERVICES FOR INDIVIDUALS. WE ALSO PROVIDE SUPPORT PLANNING SERVICES. OUR SUPPORT PLANNERS HELP DEVELOP, MONITOR AND ASSIST WITH REVISIONS TO EACH PERSON'S COMMUNITY SUPPORT PLAN. ANOTHER AREA IN OUR CUSTOMIZED SUPPORT SERVICES IS A MANAGED CARE CONTRACT UNDER WHICH WE PROVIDE CARE COORDINATION OF THE INDIVIDUAL'S HEALTH SERVICES. 295316 0 140837 TRAVEL PROGRAM:HAMMER HAS DEVELOPED AN EXTENSION IN ITS MISSION WHICH PROVIDES TRAVEL EXPERIENCES FOR PEOPLE WITH DISABILITIES. THIS SERVICE HELPS WITH THE PLANNING AND COORDINATION OF TRAVEL ARRANGEMENTS FOR THE DISABLED INDIVIDUAL. THESE EXPERIENCES HELP DEVELOP THE INDIVIDUAL LIVING SKILLS. THE OFFERINGS TEACH INDEPENDENCE, TRAVEL ABILITIES, MAMAGEMENT OF CIRCUMSTANCES AND LIFE EXPERIENCES FOR BOTH THE DISABLED INDIVIDUAL AS WELL AS THE CARE GIVER. THIS HELPS DEVELOP LIFE SKILLS. THE SERVICE IS PROVIDED BY HAMMER TRAVEL, LLC WHICH IS A SINGLE MEMBER LLC IN WHICH HAMEER RESIDENCES IS THE SOLE MEMBER. 16716905 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 64 0 510 1 0 0 0 0 0 1 1 0 0 0 0 X 18 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 MN X X JAMES LANDT 9522772439 1909 E WAYZATA BLVD WAYZATA MN 55391 JON MATEJCEK 5.00 X X 0 0 0 BARBARA TUCKNER 3.00 X X 0 0 0 JOE REIS 5.00 X X 0 0 0 WILLIAM YOUNG 3.00 X X 0 0 0 LISA ANDERSON 2.00 X 0 0 0 SONDRA DAHMER 2.00 X 0 0 0 BETH FONDELL 2.00 X 0 0 0 JANET ANDERSON 2.00 X 0 0 0 MARY HILL 2.00 X 0 0 0 CARLA ROSE 2.00 X 0 0 0 SUSAN GREGOR 2.00 X 0 0 0 LINDA HOLMEN 2.00 X 0 0 0 DAY JAMES 2.00 X 0 0 0 JOHN JOHNSON 2.00 X 0 0 0 STEPHEN LEVOIR 2.00 X 0 0 0 MICHELLE LUREEN 2.00 X 0 0 0 MARY PATTERSON 2.00 X 0 0 0 JANE SHAFFER 2.00 X 0 0 0 TOM SILVER 2.00 X 0 0 0 DONALD SMITHMIER 2.00 X 0 0 0 ALAN WILENSKY 2.00 X 0 0 0 TIMOTHY R NELSON 40.00 X 107022 0 9123 LISBETH ARMSTRONG 40.00 X 37335 0 12074 JAMES LANDT 40.00 X 93357 0 13955 237714 0 35152 1 0 0 0 0 84130 761676 24642 845806 RESIDENT REVENUE 623990 16957148 16957148 CUSTOMIZED SUPPORT SER 623990 862273 862273 TRAVEL PROGRAM 623990 140837 140837 17960258 147467 147467 13555 84130 24098 -10543 -10543 MISECELLANEOUS REVENUE 900099 12925 12925 12925 18955913 17960258 0 149849 18746 18746 272866 258781 14085 10652068 9897491 717070 37507 1964299 1761174 173243 29882 794196 692874 86056 15266 10752 10752 40225 40225 554497 416802 116487 21208 77752 15271 51496 10985 491026 350834 112132 28060 1341622 1308274 33348 334274 327088 5968 1218 743 743 154468 150242 4226 800347 797488 2808 51 98257 93815 4442 FOOD 661213 657014 4199 MISCELLANEOUS EXPENSES 379712 63383 315160 1169 RECREATION ACTIVITIES 132462 2623 129839 LICENSES & PERMITS 93407 93407 86591 70379 16077 135 18959523 16716905 2078826 163792 248840 216077 33580 1088549 1711344 77620 54721 19633455 8446296 11500915 11187159 5041980 4933149 152655 152655 119321 101910 34129 44907 18297589 18401922 1660843 1945877 4202152 3708231 287500 199200 19253 491437 6169748 6344745 X 11355377 11108040 277893 435535 494571 513602 12127841 12057177 18297589 18401922 X -3610 -67054 X 0 1 1 X 1 1 X 968871 571999 468177 603498 845806 3458351 968871 571999 468177 603498 845806 3458351 652755 2805596 132360 180878 208237 171338 147467 840280 141616 96395 97865 12925 348801 4647432 78599535 0.60370 0.55680 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 494571 27731 8920 17620 513602 438082 11174 58542 13227 494571 378912 5556 67840 14226 438082 483505 16956 -105175 16374 378912 0.00000 1.00000 0.00000 0 0 1363002 1363002 12737520 4749933 7987587 958351 128289 830062 4574582 3568074 1006508 11187159 PROPERTY ASSESSMENTS 16437 LINE OF CREDIT 475000 491437 18955913 18959523 -3610 -67054 -67054 -70664 17819421 0 17819421 1136492 1136492 18955913 18795731 0 18795731 163792 163792 18959523 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENTS ARE INTENDED FOR THE TRAINING AND EDUCATION OF HAMMER STAFF, RESIDENTS, AND FOR THE GENERAL OPERATIONS OF HAMMER RESIDENCES, INC. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: EFFECTIVE JANUARY 1, 2009, THE ORGANIZATION ADOPTED THE INCOME TAX STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX POSITIONS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S TAX FILINGS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION FILES ALL PROPER RETURNS RELATED TO UNRELATED BUSINESS INCOME AND PROPERLY DISCLOSE SUCH ACTIVITIES. THE TAX FILINGS FOR THE YEARS 2007 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: UNREALIZED LOSS ON INVESTMENT -67,054. PART XII, LINE 4B - OTHER ADJUSTMENTS: UNRESTRICTED PUBLIC SUPPORT 462,432. OTHER INCOME 153,762. UNRESTRICTED INVESTMENT INCOME 156,167. TEMPORARILY RESTRICTED CONTRIBUTIONS 369,198. PERMANENTLY RESTRICTED CONTRIBUTIONS 27,731. PERMANENTLY RESTRICTED NET INVESTMENT INCOME -8,700. FUNDRAISING EXPENSES -24,098. PART XIII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 163,792. REACH FOR RALPH 97685 84130 13555 500 13350 1800 8448 97685 84130 13555 500 13350 1800 8448 24098 -10543 1 SCHOLARSHIPS 2 18746 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: EDUCATIONAL EXPENSE RELATED VOUCHERS AND EXPENSES ARE SUBMITTED AND VERIFIED. CITY OF WAYZATA MINNESOTA 416005630 2006-12-27 2500000 FACILITY ACQUISITION 0 0 0 CITY OF GOLDEN VALLEY MINNESOTA 2008-01-17 800000 FACILITY ACQUISITION 0 0 0 CITY OF WAYZATA MINNESOTA 416005630 2010-07-01 1302945 REFINANCING 0 0 0 1104002 2500000 36351 2463649 0 0 1 1 239417 800000 32162 767838 0 0 1 1 168512 1302945 1233970 68975 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DENNIS BILSKI FORMER BOARD MEMBER/CURRENT MEMBER OF THE FINANCE COMMITTEE 1500000 DENNIS BILSKI IS THE VICE PRESIDENT OF NORTH AMERICAN BANKING COMPANY WHICH ISSUED LINE OF CREDIT OF $1,500,000 TO THE ORGANIZATION. THE OUTSTANDING BALANCE AS OF 12/31/11 WAS $475,000. 0 DENNIS BILSKI FORMER BOARD MEMBER/CURRENT MEMBER OF THE FINANCE COMMITTEE 18892 THE TOTAL INTEREST EXPENSE FOR 2011 PAID TO NORTH AMERICAN BANKING COMPANY WAS $18,892 FOR THE LINE OF CREDIT OF 1,500,000. 0 DENNIS BILSKI FORMER BOARD MEMBER/CURRENT MEMBER OF THE FINANCE COMMITTEE 617217 DENNIS BILSKI IS THE VICE PRESIDENT OF NORTH AMERICAN BANKING COMPANY WHICH GAVE LOAN OF $750,000 TO THE ORGANZATION. THE OUTSTANDING BALANCE AS OF 12/31/11 IS $617,217. 0 DENNIS BILSKI FORMER BOARD MEMBER/CURRENT MEMBER OF THE FINANCE COMMITTEE 36217 THE TOTAL INTEREST EXPENSE FOR 2011 PAID TO NORTH AMERICAN BANKING COMPANY WAS $36,217 FOR THE LOAN PAYABLE OF $617,217. 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE, CONSISTING OF THE OFFICERS OF THE BOARD AND THE IMMEDIATE PAST PRESIDENT. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY OF THE BOARD IN THE GOVERNANCE OF THE BUSINESS OF THE ORGANIZATION, INCLUDING THE AUTHORITY TO DO WHAT IT DEEMS NECESSARY AND PROPER FOR THE CONDUCT OF THE ORGANIZATION'S AFFAIRS AND THE MANAGEMENT OF ITS PROPERTY. FORM 990, PART VI, SECTION A, LINE 6 PARENTS OR GUARDIANS OF HAMMER RESIDENTS ARE DEEMED MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS RATIFY THE BOARD OF DIRECTORS' ACTIONS AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD'S FINANCE COMMITTEE REVIEWED AND APPROVED THE FORM 990. A FINAL COPY WAS PROVIDED TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER ANNUALLY COMPLETES A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THE BOARD MEMBER IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. THE CONFLICT OF INTEREST POLICY REVIEWED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS. PRIOR TO DISCUSSING ANY TRANSACTION THAT MAY INVOLVE A CONFLICT OF INTEREST, THE CONFLICTED INDIVIDUAL DISCLOSES ALL MATERIAL FACTS. SUCH DISCLOSURE IS REFLECTED IN THE BOARD MINUTES. THE CONFLICTED INDIVIDUAL MUST LEAVE THE ROOM FOR THE REMAINING DISCUSSION OF THE TRANSACTION AND FOR ANY VOTES CONCERNING THE TRANSACTION. IF IT IS UNCLEAR WHETHER A CONFLICT EXISTS, THE DECISION IS MADE BY THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD'S EXECUTIVE COMMITTEE DETERMINES THE COMPENSATION OF THE CEO BY REVIEWING HIS PERFORMANCE RELATIVE TO GOALS AND TAKING INTO ACCOUNT PREVAILING MARKET GUIDELINES AND PRACTICES. AN INDEPENDENT STUDY WAS CONDUCTED BY PROFESSIONAL CONSULTANTS IN 2008, WITH SUBSEQUENT ANNUAL EVALUATIONS BASED ON AVAILABLE MARKET DATA. THE PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION WERE LAST UTILIZED IN 2011. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE LOCATED IN PUBLIC REFERENCE SOURCES AND ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -67,054. HAMMER TRAVEL LLC 1909 E WAYZATA BLVD WAYZATA MN 55391 270539859 TRAVEL SERVICES FOR DEVELOPMENTALLY DISABLED. MN 140837 32121 HAMMER RESIDENCES INC