HOLLENBECK PALMS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOLLENBECK PALMS (EIN 71-0876594)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-15
IRS object ID
201233209349303668
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)
Timestamp2012-11-15T11:11:40-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN952242818EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VICENTI LLOYD & STUTZMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12210 E ROUTE 66 SUITE 100AddressLine1
CityGLENDORACity
StateCAState
ZIP Code91740ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710876594EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLLENBECK PALMSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOLLNameControl
Phone3232636195Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90033ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHNNY YOUNGName
TitleCONTROLLERTitle
Phone3232636195Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY D EVANS CPAName
PTINP00050546PTIN
Phone6268577300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHNNY YOUNGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90033ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21187098GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOLLENBECKPALMS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionHOLLENBECK PALMS IS COMMITTED TO PROVIDING A RESIDENCE FOR THOSE IN THE LATER YEARS OF THEIR LIVES THAT ENCOMPASSES A HEALTHY ENVIRONMENT OF COMFORT, SAFETY, AND ENJOYMENT; THAT ATTENDS TO THEIR PHYSICAL, MENTAL, AND SPIRTUAL NEEDS; AND THAT IS QUICK TO RESPOND TO AND ASSIST IN THOSE NEEDS WHETHER IMMEDIATE OR LONG TERM, AND TO DO SO WITH GREAT COMPASSION, HONESTY, DIGNITY, AND GENUINE LOVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees208TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year553614ContributionsGrantsPriorYear
Contributions Grants Current Year80559ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14872593ProgramServiceRevenuePriorYear
Program Service Revenue CY16010627ProgramServiceRevenueCY
Investment Income Prior Year1084087InvestmentIncomePriorYear
Investment Income Current Year1642529InvestmentIncomeCurrentYear
Other Revenue Prior Year190090OtherRevenuePriorYear
Other Revenue Current Year308101OtherRevenueCurrentYear
Total Revenue Prior Year16700384TotalRevenuePriorYear
Total Revenue Current Year18041816TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7497938SalariesEtcPriorYear
Salaries Etc Current Year7885889SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8147393OtherExpensePriorYear
Other Expenses Current Year8243071OtherExpensesCurrentYear
Total Expenses Prior Year15645331TotalExpensesPriorYear
Total Expenses Current Year16128960TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1055053RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1912856RevenuesLessExpensesCY
Total Assets BOY76051591TotalAssetsBOY
Total Assets EOY75356168TotalAssetsEOY
Total Liabilities BOY43045968TotalLiabilitiesBOY
Total Liabilities EOY41723708TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33005623NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33632460NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10012142Expense
Revenue16318728Revenue
DescriptionHOLLENBECK PALMS PROVIDES CARE FOR THE AGING, INCLUDING RESIDENTIAL AND SKILLED NURSING CARE LIVING ARRANGEMENTS FOR THEIR MEMBERS.Description
Total Program Service Expense10012142TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees208NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHNNY YOUNGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3232636195TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1573 SOUTH BOYLE AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90033ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DAVID ADAMS
BOARD CHAIR1.00X000
PHIL SWAN
BOARD MEMBER1.00X000
CAROL A JOHNSTON
BOARD MEMBER1.00X000
CHARLENE LEIBAU
BOARD MEMBER1.00X000
CASEY ADAMS
BOARD MEMBER1.00X000
TRACY HIRREL
BOARD MEMBER1.00X000
WILLIAM HEIDEMAN
PRESIDENT/CEO40.00183732057369X
MORRIS SHOCKLEY
CFO40.00130010040515X
JOHNNY YOUNG
CONTROLLER40.0093758026757X
RAY SHIVELY
CHIEF ENGINEER40.00151515031705X
CAMILLE GOLDSMITH
DIRECTOR OF NURSING40.00143257031003X
JOHN M SHIVELY
ENGINEER40.00110738025296X
PEGGY L HEIDEMAN
ADMISSIONS DIRECTOR40.00107846038566X
FieldValueIRS element (for citing)
Total Reportable Comp From Org920856TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation251211TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO SERVICES
DEPT 48283LOS ANGELESCA90088FOOD SERVICES1101915
TEAM REHAB INC
6531 SILENT HARBOR DRHUNTINGTON BEACHCA92867THERAPY647339
DJMB SERVICES
3475 BARHITE STREETPASADENACA91107HOUSEKEEPING515217
SKILLED NURSING PHARMACY
16666 E JOHNSON DRIVECITY OF INDUSTRYCA91745PHARMACY476144
CREATIVE LANDSCAPE & MAINT
14877 SHETLAND LNFONTANACA92336LANDSCAPING149479
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions80559AllOtherContributions
Total Contributions80559TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SNF & RESIDENTIAL CARE6239901122746511227465
MEDICARE/MEDICAID PAYM62399047831624783162
FieldValueIRS element (for citing)
Total Program Service Revenue16010627TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column949660TotalRevenueColumn
Exclusion$949,660ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3838151Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3145282Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities692869Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column692869TotalRevenueColumn
Exclusion$692,869ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROYALTIES900099175394175394
BEAUTY/BARBER SHOP9000996155961559
GUEST MEAL/ICE CREAM9000992768327683

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column43465TotalRevenueColumn
Related Or Exempt Function Income43465RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue308101TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18041816TotalRevenueColumn
Related Or Exempt Function Income16318728RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,642,529ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total532141Total
Management And General532141ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5361424Total
Program Services4704542ProgramServices
Management And General656882ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1992324Total
Program Services1726379ProgramServices
Management And General265945ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total59622Total
Management And General59622ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total108237Total
Management And General108237ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total185671Total
Program Services72179ProgramServices
Management And General113492ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total111346Total
Management And General111346ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total814825Total
Program Services673370ProgramServices
Management And General141455ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total592254Total
Management And General592254ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3278Total
Management And General3278ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12692Total
Program Services7750ProgramServices
Management And General4942ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total274943Total
Management And General274943ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1163498Total
Management And General1163498ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total242603Total
Management And General242603ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER MEDICAL & MEDICAR10216101021610
PURCHASED SERVICES801652801652
FOOD EXPENSES682163682163
SERVICES391264132581258683

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1777413Total
Program Services189916ProgramServices
Management And General1587497ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16128960Total
Program Services10012142ProgramServices
Management And General6116818ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4279607BOY
EOY4109009EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1194086BOY
EOY556732EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY442884BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1893618BOY
EOY1791704EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY157557BOY
EOY170415EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY187625BOY
EOY215653EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45261713LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17152587LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28771991BOY
EOY28109126EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY35189625BOY
EOY37095275EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3934598BOY
EOY3308254EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY76051591BOY
EOY75356168EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3004085BOY
EOY3794988EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY24055000BOY
EOY23540000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15986883BOY
EOY14388720EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY43045968BOY
EOY41723708EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY31444403BOY
EOY32034985EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY787897BOY
EOY824152EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY773323BOY
EOY773323EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33005623BOY
EOY33632460EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76051591BOY
EOY75356168EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1912856ReconcilationRevenueExpenses
Reconcilation Other Changes-1286019ReconcilationOtherChanges
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)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years464103CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years389590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years192962CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year553614CurrentTaxYearMinus1Year
Current Tax Year80559CurrentTaxYear
Total1680828Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11504841CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11279803CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13224245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14872593CurrentTaxYearMinus1Year
Current Tax Year16010627CurrentTaxYear
Total66892109Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11968944CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11669393CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13417207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15426207CurrentTaxYearMinus1Year
Current Tax Year16091186CurrentTaxYear
Total68572937Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50968572937PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1985563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1006691CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years911599CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year941580CurrentTaxYearMinus1Year
Current Tax Year949652CurrentTaxYear
Total5795085Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1985563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1006691CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years911599CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year941580CurrentTaxYearMinus1Year
Current Tax Year949652CurrentTaxYear
Total5795085Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years180726CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years198408CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years149207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year190090CurrentTaxYearMinus1Year
Current Tax Year308101CurrentTaxYear
Total1026532Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14135233CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12874492CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14478013CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16557877CurrentTaxYearMinus1Year
Current Tax Year17348939CurrentTaxYear
Total75394554Total
FieldValueIRS element (for citing)
Public Support Percentage5090.90950PublicSupportPercentage509
Prior Year Support Percentage0.89950PriorYearSupportPercentage
Investment Income Percentage0.07690InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.08870PriorYrInvestIncomePercentage
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 Basis28092OtherCostOrOtherBasis
Book Value28092BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39756637OtherCostOrOtherBasis
Depreciation13593449Depreciation
Book Value26163188BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis263938OtherCostOrOtherBasis
Depreciation193026Depreciation
Book Value70912BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5213046OtherCostOrOtherBasis
Depreciation3366112Depreciation
Book Value1846934BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28109126TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED REVENUE FROM ACCOMODATION FEES$4,000,277
ASSIGNED ASSETS$10,388,443
FieldValueIRS element (for citing)
Total Of Amounts14388720TotalOfAmounts
Total Revenue18041816TotalRevenue
Total Expenses16128960TotalExpenses
Excess Or Deficit For Year1912856ExcessOrDeficitForYear
Other-$1,286,019OtherAmount
Total Adjustments-1286019TotalAdjustments
Excess Or Deficit Per FS626837ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16755797TotRevenueEtcAuditedFinclStmt
Other Revenues-1286019OtherRevenues
Revenue Not Rptd F990-1286019RevenueNotRptdF990
Revenue Subtotal18041816RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018041816TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16128960TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16128960ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016128960TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE PALMS HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO THE PALMS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE IS UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT (>50%) OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE PALMS FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA STATE PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY.
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED LOSS ON INVESTMENTS -434,858. CHANGE IN PREMIUM PENSION -851,161. TOTAL TO SCHEDULE D, PART XI, LINE 8: -1,286,019.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED LOSS ON INVESTMENTS -1,286,019.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM HEIDEMAN
1837320000000573690241101000
MORRIS SHOCKLEY
1300100000000405150170525000
RAY SHIVELY
1515150000000317050183220000
CAMILLE GOLDSMITH
1432570000000310030174260000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

CUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
13079GAH62007-02-015525000THE BONDS PROCEEDS WERE USED BY HOLLENBECK PALMS TO DEMOLISH CERTAIN000
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
10379GAJ22007-02-0115035000EXISTING BUILDINGS, CONTRUCT A NEW THREE-STORY BUILDING CONSISTING OF000
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
13079GAK92007-02-012700000RESIDENTIAL UNITS, UNDERGROUND PARKING, AND RELATED FACILITIES.000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Current RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0000
0000
0000

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11NO REVIEW WAS OR WILL BE CONDUCTED
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST STATEMENTS ARE SIGNED BY TRUSTEES ANNUALLY AND REVIEWED BY MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 15BOARD OF TRUSTEES DETERMINES COMPENSATION FOR ALL ORGANIZATIONS AND KEY EMPLOYEES, BASED ON COMPARABLE SALARIES IN THE LOCAL AREA.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST
FORM 990, PART XI, LINE 5:UNREALIZED LOSS ON INVESTMENTS -434,858. CHANGE IN PREMIUM PENSION -851,161. TOTAL TO FORM 990, PART XI, LINE 5: -1,286,019.CHANGES IN NET ASSETS OR FUND BALANCES:

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