FURP.ORG / PUBLIC DATA EXPLORER

EVENGLOW LODGE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EVENGLOW LODGE (EIN 37-0776135)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-23
IRS object ID
201232059349301003
Schema version
2011v1.2
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)
Timestamp2012-07-23T17:53:37-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Jeremy M Brune CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12508 Riverwalk DriveAddressLine1
CityPlainfieldCity
StateILState
ZIP Code60586ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370776135EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Evenglow LodgeBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEVENNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 East Washington StreetAddressLine1
CityPontiacCity
StateILState
ZIP Code61764ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark HovrenName
TitlePresident and CTitle
Phone8158446131Phone
Date Signed2012-05-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeremy M BruneName
Phone7798753979Phone
Date Prepared2012-07-23DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts8428944GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.evenglowlodge.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionEvenglow Lodges Mission Statement Offering a continuum of retirement choices and services in a Christian environmentActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees233TotalNbrEmployees
Total Nbr Volunteers225TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year398966ContributionsGrantsPriorYear
Contributions Grants Current Year343389ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7803248ProgramServiceRevenuePriorYear
Program Service Revenue CY7926558ProgramServiceRevenueCY
Investment Income Prior Year62946InvestmentIncomePriorYear
Investment Income Current Year68071InvestmentIncomeCurrentYear
Other Revenue Prior Year126915OtherRevenuePriorYear
Other Revenue Current Year88118OtherRevenueCurrentYear
Total Revenue Prior Year8392075TotalRevenuePriorYear
Total Revenue Current Year8426136TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4754187SalariesEtcPriorYear
Salaries Etc Current Year4898397SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year183070TotalFundrsngExpCurrentYear
Other Expense Prior Year3041251OtherExpensePriorYear
Other Expenses Current Year3194743OtherExpensesCurrentYear
Total Expenses Prior Year7795438TotalExpensesPriorYear
Total Expenses Current Year8093140TotalExpensesCurrentYear
Revenues Less Expenses Prior Year596637RevenuesLessExpensesPriorYear
Revenues Less Expenses CY332996RevenuesLessExpensesCY
Total Assets BOY14119684TotalAssetsBOY
Total Assets EOY14726512TotalAssetsEOY
Total Liabilities BOY2316778TotalLiabilitiesBOY
Total Liabilities EOY2413269TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11802906NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12313243NetAssetsOrFundBalancesEOY
Mission DescriptionEvenglow Lodges Mission Statement Offering a continuum of retirement choices and services in a Christian environmentMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7021515Expense
Revenue7926558Revenue
DescriptionEvenglow Lodge and Evenglow Inn provided the following services to the senior community Nursing Care Assisted Living Independent Living and Dementia Adult Day Care In 2011 Evenglow provided services to an average daily census of 6422 resid ents in Nursing Care 5965 residents in Assisted Living 8 occupants in Independent living and 2496 residents with Dementia Adult Day Care service needsDescription
Total Program Service Expense7021515TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiesfalseReportOtherLiabilities
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 RequiredfalseScheduleJRequired
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees233NumberOfEmployees
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 Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 CommitteestrueMinutesOfCommittees
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 FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMark HovrenNamePerson
Telephone Number8148446131TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1215 East Washington StreetAddressLine1
CityPontiacCity
StateILState
ZIP Code61764ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Bert Kinate
Trustee2.00X000
Carol Flessner
Trustee2.00X000
Dick Geschwind
Trustee2.00X000
Donovan Gardner
Trustee2.00X000
Doug McCoy
Trustee2.00X000
Ed Vogelsinger
Trustee2.00X000
Gene Swartz
Trustee2.00X000
George Russell
Trustee2.00X000
Greg Besgrove
Trustee2.00X000
Jeanne Rapp
Trustee2.00X000
Jim Wolfe
Trustee2.00X000
John Taylor
Trustee2.00X000
Leah Pogemiller
Trustee2.00X000
Mary Denker
Trustee2.00X000
Meri Knapp
Trustee2.00X000
Ray Owens
Trustee2.00X000
Raydean Davis
Trustee2.00X000
Ruth Bosman
Trustee2.00X000
Virgil Sancken
Trustee2.00X000
Wayne Taylor
Trustee2.00X000
Mark Hovren
President and CEO40.0012020904808X
Susan Johnson
Director of Finance40.00742779785X
FieldValueIRS element (for citing)
Total Reportable Comp From Org194486TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation14593TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonInfinity RehabNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1MS 24 PO Box 5700AddressLine1
CityPortlandCity
StateORState
ZIP Code97228ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTherapyDescriptionOfServices
Compensation336397Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions343389AllOtherContributions
Total Contributions343389TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNursing and ResidentialDescription
Business Code623000BusinessCode
Total Revenue Column7926558TotalRevenueColumn
Related Or Exempt Function Income7926558RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7926558TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column68071TotalRevenueColumn
Related Or Exempt Function Income68071RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real90926Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2808Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real88118Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column88118TotalRevenueColumn
Related Or Exempt Function Income88118RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8426136TotalRevenueColumn
Related Or Exempt Function Income8082747RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total121743Total
Management And General121743ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3731517Total
Program Services3284347ProgramServices
Management And General344954ManagementAndGeneral
Fundraising102216Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total70860Total
Program Services60398ProgramServices
Management And General8582ManagementAndGeneral
Fundraising1880Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total689198Total
Program Services587441ProgramServices
Management And General83474ManagementAndGeneral
Fundraising18283Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total285079Total
Program Services242989ProgramServices
Management And General34528ManagementAndGeneral
Fundraising7562Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total58851Total
Management And General58851ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total41423Total
Fundraising41423Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total27162Total
Management And General27162ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total334782Total
Program Services334782ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total32147Total
Program Services8307ProgramServices
Management And General16757ManagementAndGeneral
Fundraising7083Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total56963Total
Program Services56963ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total681843Total
Program Services681843ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total115402Total
Program Services115402ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Repairs and Maintenance7096970969
Supplies807619807619
Ancillary Services480909480909
Purchased Services215867149834625213512

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total270806Total
Program Services139712ProgramServices
Management And General129983ManagementAndGeneral
Fundraising1111Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8093140Total
Program Services7021515ProgramServices
Management And General888555ManagementAndGeneral
Fundraising183070Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY771BOY
EOY345EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2433065BOY
EOY3201381EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY546559BOY
EOY159845EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY929088BOY
EOY1192543EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY74931BOY
EOY47501EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY196308BOY
EOY184090EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18316633LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10242189LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8292144BOY
EOY8074444EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1524587BOY
EOY1746514EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY122231BOY
EOY119849EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14119684BOY
EOY14726512EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY571056BOY
EOY917421EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY124219BOY
EOY160425EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1621503BOY
EOY1335423EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2316778BOY
EOY2413269EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11269698BOY
EOY12153398EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY533208BOY
EOY159845EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11802906BOY
EOY12313243EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14119684BOY
EOY14726512EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses332996ReconcilationRevenueExpenses
Reconcilation Other Changes177341ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years428832CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years332785CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years413502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year398966CurrentTaxYearMinus1Year
Current Tax Year343389CurrentTaxYear
Total1917474Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6919893CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8722172CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7510489CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7803248CurrentTaxYearMinus1Year
Current Tax Year7926558CurrentTaxYear
Total38882360Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7348725CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9054957CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7923991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8202214CurrentTaxYearMinus1Year
Current Tax Year8269947CurrentTaxYear
Total40799834Total
FieldValueIRS element (for citing)
Public Support Total50940799834PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116460CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100592CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75479CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62946CurrentTaxYearMinus1Year
Current Tax Year68071CurrentTaxYear
Total423548Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116460CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100592CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75479CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62946CurrentTaxYearMinus1Year
Current Tax Year68071CurrentTaxYear
Total423548Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56615CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years117337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years122740CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126915CurrentTaxYearMinus1Year
Current Tax Year88118CurrentTaxYear
Total511725Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7521800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9272886CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8122210CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8392075CurrentTaxYearMinus1Year
Current Tax Year8426136CurrentTaxYear
Total41735107Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97760PublicSupportPercentage509
Prior Year Support Percentage0.97600PriorYearSupportPercentage
Investment Income Percentage0.01010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01100PriorYrInvestIncomePercentage
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)
Investment Cost Or Other Basis29900InvestmentCostOrOtherBasis
Book Value29900BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis14859188InvestmentCostOrOtherBasis
Depreciation8162233Depreciation
Book Value6696955BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis953684InvestmentCostOrOtherBasis
Depreciation185788Depreciation
Book Value767896BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2145627InvestmentCostOrOtherBasis
Depreciation1894168Depreciation
Book Value251459BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis328234InvestmentCostOrOtherBasis
Book Value328234BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8074444TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Investments in Insurance Compa82465
Deferred Financing Costs32330
Interest and Dividend Receivab5054
FieldValueIRS element (for citing)
Total Book Value Other Assets119849TotalBookValueOtherAssets
Total Revenue8426136TotalRevenue
Total Expenses8093140TotalExpenses
Excess Or Deficit For Year332996ExcessOrDeficitForYear
Net Unrealized GL On Investments177341NetUnrealizedGLOnInvestments
Total Adjustments177341TotalAdjustments
Excess Or Deficit Per FS510337ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8606285TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments177341NetUnrealizedGainsInvestments
Other Revenues2808OtherRevenues
Revenue Not Rptd F990180149RevenueNotRptdF990
Revenue Subtotal8426136RevenueSubtotal
Total Revenue Per Form9908426136TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8095948TotExpensesEtcAuditedFinclStmt
Other Expenses Included2808OtherExpensesIncluded
Expenses Not Rptd F9902808ExpensesNotRptdF990
Expenses Subtotal8093140ExpensesSubtotal
Total Expenses Per Form9908093140TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Other revenues non included on Form 990 Part XII line 2dReal Estate taxes related to the Independent Living Units are netted against revenue for IRS Form 990 presentation but are separately stated as an expense on the audited financial statements
02 Other expenses not included on Form 990 Part XIII line 2dReal Estate taxes related to the Independent Living Units are netted against revenue for IRS Form 990 presentation but are separately stated as an expense on the audited financial statements

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDoug McCoyNamePerson
FieldValueIRS element (for citing)
RelationshipMcCoy ConstructRelationship
Amount Of Transaction294244AmountOfTransaction
Description Of TransactionProperty AdditionDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
Identifier01 990 Schedule L Placeholder 4Identifier
ExplanationEvenglow Lodge entered into a contractual relationship with McCoy Construction to perform certain construction renovations to the front lobby of the facility Doug McCoy serves as a Trustee of Evenglow Lodge and as the Vice President of McCoy Construction Total construction costs incurred and capitalized but not paid as of December 31 2011 totaled 294244 The Board of Trustees voted to utilize McCoy Construction after performing its own due diligence As part of this approval process Doug McCoy abstained from the overall discussion and voting process for approvalExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
01. Form 990 governing body review (Part VI, line 11)Each member of the Board of Trustee receives a copy of the IRS Form 990 to review suggest changes and then vote on its approval prior to its filing
02. Conflict of interest policy compliance (Part VI, line 12c)Each year the Board of Trustees and Administration are required to declare in writing any interests that could give rise to conflicts These written responses are kept on file with Administration
03. CEO, executive director, top management comp (Part VI, line 15a)The President CEOs compensation is set by the Board of Trustees annually based on individual performance operational performance and industry measures
04. Other officer or key employee compensation (Part VI, line 15bThe compensation of all key staff and employees are determined by the CEO based upon guidelines established during the annual budgetary process that includes final review and approval by the Board of Trustees
05. Governing documents, etc, available to public (Part VI, line 19)Governing documents policies and financial statements are available upon request
06. Explanation of other changes in net assets or fund balances (Part XI, line 5)Evenglow Lodge experienced an unrealized increase of 177341 in its investment portfolio during 2011 based on its holdings in marketable securities