FURP.ORG / PUBLIC DATA EXPLORER

ROGUE VALLEY MANOR MEMORIAL FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ROGUE VALLEY MANOR MEMORIAL FOUNDATION (EIN 93-0712867)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201242289349302869
Schema version
2010v3.4
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)
Timestamp2012-08-15T13:30:57-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 WEST MARCH LANE SUITE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code952192303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930712867EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROGUE VALLEY MANOR MEMORIAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlROGUNameControl
Phone8887246424Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 MIRA MAR AVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRIAN MCLEMOREName
TitlePRESIDENTTitle
Phone8887246424Phone
Date Signed2012-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARC BAYLISSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1965 ELLENDALE DRIVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11510963GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RETIREMENT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionACQUIRE, HOLD, AND DISTRIBUTE GIFTS TO ROGUE VALLEY MANOR AND COMMUNITY ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers700TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1214017ContributionsGrantsPriorYear
Contributions Grants Current Year1015028ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year218677InvestmentIncomePriorYear
Investment Income Current Year2479472InvestmentIncomeCurrentYear
Other Revenue Prior Year217257OtherRevenuePriorYear
Other Revenue Current Year-85256OtherRevenueCurrentYear
Total Revenue Prior Year1649951TotalRevenuePriorYear
Total Revenue Current Year3409244TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY396413GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year137186SalariesEtcPriorYear
Salaries Etc Current Year155007SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1306094OtherExpensePriorYear
Other Expenses Current Year567422OtherExpensesCurrentYear
Total Expenses Prior Year1443280TotalExpensesPriorYear
Total Expenses Current Year1118842TotalExpensesCurrentYear
Revenues Less Expenses Prior Year206671RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2290402RevenuesLessExpensesCY
Total Assets BOY11169984TotalAssetsBOY
Total Assets EOY10789601TotalAssetsEOY
Total Liabilities BOY58283TotalLiabilitiesBOY
Total Liabilities EOY185114TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11111701NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10604487NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE ROGUE VALLEY MANOR FOUNDATION IS TO ENRICH THE QUALITY OF LIFE FOR MANOR RESIDENTS, FOR SENIORS SERVED BY AFFILIATE ORGANIZATIONS, AND FOR OTHERS IN THE COMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense913515Expense
Grants396413Grants
DescriptionGRANTS AND ALLOCATIONS / OUTLAYS ACCORDING TO DONORS SPECIFIED PURPOSES.Description
Total Program Service Expense913515TotalProgramServiceExpense
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 Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed1NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SHERI DRESSLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5418577644TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1965 ELLENDALE DRIVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
PHYLLIS SKINNER
DIRECTOR1.00X000
RON MCCUNE
DIRECTOR1.00X000
JASON BROESDER
DIRECTOR1.00X000
JOSEPH PEDROJETTI
VICE CHAIR1.00X000X
FAYE HUTCHINGS
SECRETARY1.00X000X
BRAD HICKS
TREASURER (THROUGH 11/8/10)1.00X000X
ESTHER KENNEDY
DIRECTOR1.00X000
MARC BAYLISS
CHAIR1.00X040000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4000TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events306515FundraisingEvents
All Other Contributions708513AllOtherContributions
Noncash Contributions157700NoncashContributions
Total Contributions1015028TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column236376TotalRevenueColumn
Exclusion$236,376ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10079355Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7836259Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2243096Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2243096TotalRevenueColumn
Exclusion$2,243,096ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events180204GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events306515CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses265460FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-85256TotalRevenueColumn
Exclusion-$85,256ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3409244TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,394,216ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total335841Total
Program Services335841ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total60572Total
Program Services60572ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total120832Total
Management And General120832ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1158Total
Management And General1158ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21727Total
Management And General21727ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11290Total
Management And General11290ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total217Total
Management And General217ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2700Total
Management And General2700ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total23297Total
Management And General23297ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4370Total
Management And General4370ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total218Total
Management And General218ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2163Total
Management And General2163ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1735Total
Management And General1735ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROGRAM FUND EXPENSES517102517102
FACILITY SERVICE EXPENS1562015620

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1118842Total
Program Services913515ProgramServices
Management And General205327ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1380268BOY
EOY1280600EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9341011BOY
EOY9256979EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY435383BOY
EOY217777EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2393BOY
EOY2135EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1842BOY
EOY14300EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30962LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13152LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9087BOY
EOY17810EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11169984BOY
EOY10789601EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10156BOY
EOY62600EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48127BOY
EOY122514EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY58283BOY
EOY185114EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4655984BOY
EOY4593283EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4942054BOY
EOY4476127EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1513663BOY
EOY1535077EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11111701BOY
EOY10604487EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11169984BOY
EOY10789601EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2290402ReconcilationRevenueExpenses
Reconcilation Other Changes-2797616ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years662760CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years774306CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1361977CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1214017CurrentTaxYearMinus1Year
Current Tax Year1015028CurrentTaxYear
Total5028088Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years662760CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years774306CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1361977CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1214017CurrentTaxYearMinus1Year
Current Tax Year1015028CurrentTaxYear
Total5028088Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total421281AmountsSubstContributorsTotal
Public Support Total1704606807PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years514812CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years344163CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year218677CurrentTaxYearMinus1Year
Current Tax Year236376CurrentTaxYear
Total1382087Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years324898CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years373387CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years140150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year346785CurrentTaxYearMinus1Year
Current Tax Year180204CurrentTaxYear
Total1365424Total
FieldValueIRS element (for citing)
Total Support7775599TotalSupport
Public Support Pertcentage1700.59250PublicSupportPertcentage170
Public Support Pertcent Prior Year0.59060PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SPECIAL EVENT RECEIPTSGeneralExplanation

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis30962OtherCostOrOtherBasis
Depreciation13152Depreciation
Book Value17810BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17810TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$122,514Amount
FieldValueIRS element (for citing)
Total Of Amounts122514TotalOfAmounts
Total Revenue3409244TotalRevenue
Total Expenses1118842TotalExpenses
Excess Or Deficit For Year2290402ExcessOrDeficitForYear
Net Unrealized GL On Investments-2548538NetUnrealizedGLOnInvestments
Other-$249,078OtherAmount
Total Adjustments-2797616TotalAdjustments
Excess Or Deficit Per FS-507214ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt588330TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2548538NetUnrealizedGainsInvestments
Revenue Not Rptd F990-2548538RevenueNotRptdF990
Revenue Subtotal3136868RevenueSubtotal
Investment Expenses Not Included23298InvestmentExpensesNotIncluded
Other Revenues Not Included249078OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt272376RevenueNotRptdOnFinStmt
Total Revenue Per Form9903409244TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1095544TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1095544ExpensesSubtotal
Investment Expenses Not Included223298InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt23298ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901118842TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE FOUNDATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED ACTIVITIES. NO TAX PROVISION HAS BEEN MADE IN THE ACCOMPANYING STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS. THE FOUNDATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2011 AND 2010, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:ACTUARIAL CHANGE ON GIFT ANNUTIES RECEIVABLE -249,078.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ACTUARIAL CHANGE ON GIFT ANNUITIES RECEIVABLE 249,078.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1171319GrossReceiptsEvent1
Charitable Contributions Event1148815CharitableContributionsEvent1
Gross Revenue Event122504GrossRevenueEvent1
Other Direct Expenses Event134028OtherDirectExpensesEvent1
Name Of Event2BIG SALE AUCTIONNameOfEvent2
Gross Receipts Event2266930GrossReceiptsEvent2
Charitable Contributions Event2133465CharitableContributionsEvent2
Gross Revenue Event2133465GrossRevenueEvent2
Other Direct Expenses Event2207033OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events48470GrossReceiptsOtherEvents
Charitable Contrib Other Events24235CharitableContribOtherEvents
Gross Revenue Other Events24235GrossRevenueOtherEvents
Other Direct Expenses Other Events24399OtherDirectExpensesOtherEvents
Gross Receipts Total486719GrossReceiptsTotal
Charitable Contributions Total306515CharitableContributionsTotal
Gross Revenue Total Events180204GrossRevenueTotalEvents
Other Direct Expenses Total Events265460OtherDirectExpensesTotalEvents
Direct Expense Summary Events265460DirectExpenseSummaryEvents
Net Income Summary-85256NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROGUE VALLEY MANOR INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1965 ELLENDALE DRIVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97501ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient930453216EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant233198AmountOfCashGrant
Amount Of Non Cash Assistance102643AmountOfNonCashAssistance
Method Of ValuationPURCHASE PRICEMethodOfValuation
Description Of Non Cash AssistancePROPERTY AND EQUIPMENTDescriptionOfNonCashAssistance
Purpose Of GrantRESIDENT PROGRAM SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients39NumberOfRecipients
Amount Of Cash Grant60572AmountOfCashGrant

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990157700NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationRVM FOUNDATION USED VOLUNTEERS TO SELL NON-CASH CONTRIBUTIONS ON CRAIGSLIST AND/OR EBAY. THE RVM FOUNDATION ALSO OCCASIONALLY USED CONSIGNMENT AND PROFESSIONAL HELP WITH AUTO SALES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3ROGUE VALLEY MANOR MEMORIAL FOUNDATION DELEGATES MANAGEMENT TO PACIFIC RETIREMENT SERVICES.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE MEMBER, PACIFIC RETIREMENT SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7APACIFIC RETIREMENT SERVICES HAS THE RIGHT TO ELECT FOUNDATION DIRECTORS FROM NOMINEES SELECTED BY THE FOUNDATION BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BSOME DECISIONS OF THE BOARD ARE SUBJECT TO APROVAL BY PACIFIC RETIREMENT SERVICES AS DESCRIBED IN ARTICLE I, SECTION 4 OF THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS CURRENTLY BEING REVIEWED BY THE CHIEF ACCOUNTING OFFICER AND THE BOARD OF DIRECTORS.
THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE ARE SENT TO ALL BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THERE ARE TWO POLICIES RELATED TO CONFLICTS OF INTEREST: 1) BOARD OF DIRECTORS; 2) KEY EMPLOYEES, WHICH IDENTIFY THE PURPOSE, DEFINITIONS, AND PROCEDURES. IF A CONFLICT IS SELF-IDENTIFIED BY A BOARD MEMBER OR KEY EMPLOYEE IN THE QUESTIONNAIRE AND/OR MEETING, PROCEDURES ARE FOLLOWED AND DOCUMENTED ACCORDING TO THE POLICY.FORM 990, PART VI, SECTION B, LINE 12C
ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL.FORM 990, PART VI, SECTION C, LINE 19
HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:MARC BAYLISS DEVOTES 1 HOUR PER WEEK TO PACIFIC RETIREMENT SERVICES, INC.FORM 990, PART VII, SECTION A
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -2,548,538. ACTUARIAL CHANGE ON GIFT ANNUTIES RECEIVABLE -249,078. TOTAL TO FORM 990, PART XI, LINE 5: -2,797,616.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (47 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
PACIFIC RETIREMENT SERVICES INC
965 ELLENDALE DRIVEMEDFORDOR97504931067253SUPPORTING ORGANIZATIONOR501(C)(3)LINE 11C, III-FIN/A0
ROGUE VALLEY MANOR
965 ELLENDALE DRIVEMEDFORDOR97504930453216SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
THE CUMBERLAND REST INC
965 ELLENDALE DRIVEMEDFORDOR97504750891470SENIOR HOUSINGTX501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
CASCADE MANOR INC
965 ELLENDALE DRIVEMEDFORDOR97504930557803SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS
965 ELLENDALE DRIVEMEDFORDOR97504931179254SENIOR HOUSINGCA501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
HOLLADAY PARK PLAZA
965 ELLENDALE DRIVEMEDFORDOR97504930513697SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
HOLLADAY PARK PLAZA ENDOWMENT FUND
965 ELLENDALE DRIVEMEDFORDOR97504930776291ASSISTANCE TRUSTOR501(C)(3)LINE 70HOLLADAY PARK PLAZA
CAPITOL LAKES INC
965 ELLENDALE DRIVEMEDFORDOR97504391412320SENIOR HOUSINGWI501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
UNIVERSITY RETIREMENT COMMUNITY AT DAVIS FOUNDATION
965 ELLENDALE DRIVEMEDFORDOR97504931301816PUBLIC FOUNDATIONCA501(C)(3)LINE 70PACIFIC RETIREMENT SERVICES INC
TRINITY TERRACE FOUNDATION INC
965 ELLENDALE DRIVEMEDFORDOR97504912162130PUBLIC FOUNDATIONTX501(C)(3)LINE 70PACIFIC RETIREMENT SERVICES INC
HOLLADAY PARK PLAZA FOUNDATION
965 ELLENDALE DRIVEMEDFORDOR97504264529118PUBLIC FOUNDATIONOR501(C)(3)LINE 70PACIFIC RETIREMENT SERVICES INC
MIRABELLA WASHINGTON FOUNDATION
965 ELLENDALE DRIVEMEDFORDOR97504450574348PUBLIC FOUNDATIONWA501(C)(3)LINE 70PACIFIC RETIREMENT SERVICES INC
CASCADE MANOR FOUNDATION
965 ELLENDALE DRIVEMEDFORDOR97504931330100PUBLIC FOUNDATIONOR501(C)(3)LINE 70PACIFIC RETIREMENT SERVICES INC
CAPITOL LAKES FOUNDATION
965 ELLENDALE DRIVEMEDFORDOR97504383781089PUBLIC FOUNDATIONOR501(C)(3)LINE 70PACIFIC RETIREMENT SERVICES INC
MIRABELLA
965 ELLENDALE DRIVEMEDFORDOR97504342030255SENIOR HOUSINGWA501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
MIRABELLA PORTLAND FOUNDATION
965 ELLENDALE DRIVEMEDFORDOR97504452508860PUBLIC FOUNDATIONOR501(C)(3)LINE 70PACIFIC RETIREMENT SERVICES INC
MIRABELLA AT SOUTH WATERFRONT
965 ELLENDALE DRIVEMEDFORDOR97504711016384SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
MIRABELLA SAN FRANCISCO BAY
965 ELLENDALE DRIVEMEDFORDOR97504200428927SENIOR HOUSINGCA501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM COMMUNITY SERVICES INC
965 ELLENDALE DRIVEMEDFORDOR97504930892261COMM SRVCSOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504930864466SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM ASHLAND HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504930942933SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM GRANTS PASS HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943136037SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM ROSEBURG HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943179782SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM MYRTLE CREEK HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943162074SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM BEND HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943163349SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM EAGLE POINT HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943191447SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM KLAMATH FALLS HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943196455SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM MEDFORD II HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943212537SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM LIVELY OAKS HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943194409SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM REEDSPORT HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943212538SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM YREKA HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943212540SENIOR HOUSINGCA501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM EUGENE HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943247154SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM FORT WORTH I HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504311520436SENIOR HOUSINGTX501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM BEND II HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504943260016SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM FORT WORTH II HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504311587415SENIOR HOUSINGTX501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM MEDFORD III HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504311587418SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM ROSEBURG II HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504311587420SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM GRANTS PASS II HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504311662259SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM DAVIS HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504311662208SENIOR HOUSINGCA501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM MYRTLE CREEK II HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504311715321SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM PORTLAND HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504311780332SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM PORTLAND II HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504300037898SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM CENTRAL POINT HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504300315618SENIOR HOUSINGOR501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
RVM MANSFIELD HOUSING CORPORATION
965 ELLENDALE DRIVEMEDFORDOR97504900292647SENIOR HOUSINGTX501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
CORBINTON RETIREMENT
965 ELLENDALE DRIVEMEDFORDOR97504262987036SENIOR HOUSINGNC501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
MIRABELLA MARIN
965 ELLENDALE DRIVEMEDFORDOR97504263800433SENIOR HOUSINGCA501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC
MIRABELLA AT MORRISON
965 ELLENDALE DRIVEMEDFORDOR97504271016196SENIOR HOUSINGNC501(C)(3)LINE 90PACIFIC RETIREMENT SERVICES INC

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
CREST PARK
965 ELLENDALE DRIVEMEDFORDOR97504931169683HOTELORN/AC
RETIREMENT SERVICES INC
965 ELLENDALE DRIVEMEDFORDOR97504931328250MANAGEMENT COMPANYORN/AC
PRS SCHOOL OF AGING SERVICES INC
965 ELLENDALE DRIVEMEDFORDOR97504262477424SCHOOLORN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg