2011-03-14T14:50:56-05:00 2010-06-30 LARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2009-07-01 411704381 ST THERESE FOUNDATION INC STTH 7635315000 8000 BASS LAKE ROAD NEW HOPE MN 55428 MIKE WARDEN 7635315000 2011-03-04 1 6123764500 2009 2016-02-24 21:20:13Z BARB RODE 8000 BASS LAKE ROAD NEW HOPE MN 55428 1873825 0 X WWW.STTHERESEMN.ORG X 1991 MN PROVIDING FUNDRAISING, PLANNING, AND OTHER SUPPORT TO AFFILIATED ORGANIZATIONS. 21 21 0 60 0 0 335864 364396 0 51497 193396 -19359 -21028 368002 536764 283885 277141 0 157007 112354 39539 28102 51493 102375 107104 582806 524701 -214804 12063 4580986 4891835 204029 261630 4376957 4630205 PROVIDING FUNDRAISING, PLANNING, AND OTHER SUPPORT TO AFFILIATED ORGANIZATIONS. 0 0 434807 277141 0 FROM THE VERY BEGINING, ST. THERESE HAS TAKEN PRIDE IN THE FACT THAT IT HAS ALWAYS BEEN A GOOD MEMBER OF THE COMMUNITY. AS A NON-PROIT ORGANIZATION, ST. THERESE STRIVES TO HELP OTHER WITHIN OUR IMMEDIATE NEIGHBORHOOD AND BEYOND. WE BELIEVE IT IS ALSO IMPORTANT TO COMMUNICATE OUR OUTREACH AND SUPPORT OF THE GREATER COMMUNITY AS PART OF OUR MISSION. ST. THERESE FOUNDATION PROVIDES FUNDRAISING, LONG-RANGE PLANNING, AND OTHER SUPPORT TO AFFILIATED TAX EXEMPT ORGANIZATIONS. ST. THERESE FOUNDATION IS AFFILIATED WITH ST. THERESE HOMe, WHICH OPERATES A 302-BED NURSING FACILITY AND A 221-UNIT RETIREMENT APARTMENT COMPLEX. THE FOUNDATION IS ALSO AFFILIATED WITH ST. THERESE AT OXBOW LAKE, A 142-UNIT SENIOR HOUSING PROJECT CONSISTING OF 82 INDEPENDENT UNITS, 41 ASSISTED LIVING UNITS, AND 19 MEMORY CARE UNITS.IN FISCAL YEAR 2009 - 2010, ST. THERESE FOUNDATION TRANSFERRED OVER $263,000 TO SUPPORT THE MISSIONS OF ST. THERESE HOME AND ST. THERESE OF OXBOW LAKE. 434807 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 6 0 1 0 0 0 0 0 1 1 1 1 0 0 0 1 21 21 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 MN X X Larry Grotz 7635315476 8000 BASS LAKE ROAD NEW HOPE MN 55428 X JERRY PETERSON 1.00 X X 0 0 0 DR Christopher Downey 1.00 X X 0 0 0 JENNIFER SHALTZ 1.00 X X 0 0 0 Patrick Boran 1.00 X X 0 0 0 Dr Joseph Amberg 1.00 X 0 0 0 Sharon Cassen 1.00 X 0 0 0 JJ Choromanski 1.00 X 0 0 0 Pat Connolly 1.00 X 0 0 0 DR SCOTT FAIRBAIRN 1.00 X 0 0 0 KAYE FOLEY 1.00 X 0 0 0 David M Hoffman 1.00 X 0 0 0 STEPHEN G IMHOLTE 1.00 X 0 0 0 DONNA KANE 1.00 X 0 0 0 KRISTIN KOPP 1.00 X 0 0 0 Dr John C Manion 1.00 X 0 0 0 Clifford G Olson 1.00 X 0 0 0 MARY ORTIZCAZARIN 1.00 X 0 0 0 KAREN SAMES SR 1.00 X 0 0 0 DR WAYNE H THALHUBER 1.00 X 0 0 0 Rachael A Wobschall 1.00 X 0 0 0 BARBARA RODE 8.00 X 0 195727 2477 Mike Warden 10.00 X 0 136495 520 John Leblanc 40.00 X 0 97654 6743 0 332222 2997 0 0 1 0 0 166812 197584 14768 364396 162341 162341 1322890 938 1292773 30117 938 31055 31055 23260 166812 44288 -21028 -21028 536764 0 0 172368 277141 277141 73010 73010 39344 39344 19104 19104 28102 28102 10528 10528 22077 1572 20505 8768 8768 2324 2324 2751 2751 126 126 BANK FEES 34784 34784 MISCELLANEOUS 2762 2762 FOOD 2480 94 2386 MEMBERSHIP DUES 900 900 COMMUNITY BENEFIT 500 500 524701 434807 38401 51493 663169 567205 34953 55737 3471 2789 58380 58380 0 0 3879393 4266104 4580986 4891835 15486 17559 188543 244071 204029 261630 X 3996200 4174060 223577 298890 157180 157255 4376957 4630205 4580986 4891835 X 0 1 1 X 0 X 356909 327808 399405 335864 364396 1784382 356909 327808 399405 335864 364396 1784382 87472 1696910 171964 188479 182736 170117 162341 875637 4141 1024 10 5175 2665194 51287 0.63670 0.59640 X Schedule A, Part II, Line 10, Explanation of Other Income: OTHER INCOME FROM VARIOUS SOURCES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 257180 67267 12448 0 12448 0 324447 100000 157180 1718 1718 257180 0.52000 0.48000 0.00000 0 0 58380 58380 0 0 Due to affiliates 244071 244071 536764 524701 12063 241185 241185 253248 247976 292264 292264 -44288 581052 581052 536764 292951 44288 44288 248663 276038 276038 524701 Part V, Line 4: Description of Intended Use of Endowment Funds: ENDOWMENT FUNDS ARE USED TO FURTHER THE MISSION OF ST. THERESE, WHICH INCLUDES PROVIDING HOUSING, NURSING CARE AND PASTORAL CARE TO THE ELDERLY. Part XII, Line 2d - Other Adjustments: NET ASSETS RELEASED FROM RESTRICTION: 247976. SPECIAL EVENT EXPENSES: 44288. Part XII, Line 4b - Other Adjustments: unrestricted contributions: 40273. unrestricted contributions received for purchase of capital assets: 8526. unrestricted investment income: 149893. realized gain on investments: 31055. restricted contributions: 338857. restricted investment income: 12448. Part XIII, Line 2d - Other Adjustments: SPECIAL FUNDRAISING EVENT EXPENSES: 44288. Part XIII, Line 4b - Other Adjustments: transfers to affiliates: 263590. RESTRICTED DISTRIBUTIONS: 12448. X X X X X X X 1 GRETCHEN SCHERER FUNDRAISING 0 20300 28102 -7802 20300 28102 -7802 MN ASSOCIATE DINNER 123008 108508 14500 0 2350 0 15956 1000 7282 GOLF CLASSIC 49524 40764 8760 0 660 0 5889 0 7003 1 17540 17540 0 0 0 300 100 3748 190072 166812 23260 3010 22145 1100 18033 44288 -21028 1 ST THERESE HOME INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 410888641 501(C)(3) 245985 GENERAL OPERATING SUPPORT ST THERESE AT OXBOW LAKE INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 205835911 501(C)(3) 17605 GENERAL OPERATING SUPPORT 2 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: ALL GRANTS ARE MADE TO RELATED ORGANIZATIONS THAT ARE UNDER COMMON MANAGEMENT WHO REGULARLY MONITOR THE ACTIVITIES, REVENUES AND EXPENDITURES OF THE RELATED ORGANIZATIONS. 0 0 0 0 0 0 0 0 0 BARBARA RODE 0 195727 0 0 0 0 0 0 0 2477 0 198204 0 0 Supplemental Information Part III PART I, LINE 3 THE CEO'S COMPENSATION IS DETERMINED BY ST. THERESE HOME, INC., AN AFFILIATED ORGANIZATION. ST. THERESE HOME USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Form 990, Part VI, Section A, line 1 THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE, COMPOSED ENTIRELY OF VOTING MEMBERS OF THE BOARD OF DIRECTORS, WITH THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE FOUNDATION IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS AT ALL TIMES SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 11 PRIOR TO ITS BEING FILED, THE FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 12c All directors, officers and key management employees are annually required to disclose any conflicts of interest. The disclosures are reported to the board of directors. Individuals having material conflicts of interest are asked to refrain from voting on any action that may be influenced by the conflict. THE COMPENSATION OF THE CEO, CFO AND OTHER KEY EMPLOYEES IS DETERMINED BY ST. THERESE HOME, AN AFFILIATED ORGANIZATION. THE PROCESS OF DETERMINING THE COMPENSATION OF THE PRESIDENT/CEO INCLUDES REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WITH THE HELP OF AN INDEPENDENT COMPENSATION CONSULTANT AND SALARY SURVEYS. THE PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2010. THE PROCESS OF DETERMINING THE COMPENSATION OF THE CFO AND OTHER KEY EMPLOYEES INCLUDES REVIEW AND APPROVAL BY THE PRESIDENT/CEO, WITH THE HELP OF AN INDEPENDENT COMPENSATION CONSULTANT AND SALARY SURVEYS. THE PROCESS LAST INCLUDED COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2010, BUT IT DOES NOT INCLUDE REVIEW AND APPROVAL BY INDEPENDENT PERSONS. Form 990, Part VI, Section C, line 19 THE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A AVERAGE WEEKLY HOURS THE COMPENSATED OFFICERS OF ST. THERESE FOUNDATION ALSO SPEND TIME EACH WEEK SERVING THE FOUNDATION'S AFFILIATED ORGANIZATIONS. THE TIME OF BARB RODE, PRESIDENT & CEO, WAS SPENT AS FOLLOWS: ST. THERESE FOUNDATION: 8 HOURS ST. THERESE HOME: 22 HOURS ST. THERESE AT OXBOW LAKE: 10 HOURS THE TIME OF MIKE WARDEN, CFO, WAS SPENT AS FOLLOWS: ST. THERESE FOUNDATION: 10 HOURS ST. THERESE HOME: 20 HOURS ST. THERESE AT OXBOW LAKE: 10 HOURS EACH BOARD MEMBER SPENT AN AVERAGE OF ONE HOUR PER WEEK IN THE SERVICE OF ST. THERESE FOUNDATION. DR. CHRISTOPHER DOWNEY, JENNIFER SHALTZ, PATRICK BORAN, DR. JOSEPH AMBERG, SHARON CASSEN, KAYE FOLEY, DONNA KANE, DR. JOHN MANION, GREGORY MERZ, DR. WAYNE THALHUBER AND RACHAEL WOBSCHALL ALSO SERVED AS BOARD MEMBERS OF ST. THERESE HOME AND SPENT AN AVERAGE OF ONE HOUR PER WEEK IN THE SERVICE OF ST. THERESE HOME. DR. CHRISTOPHER DOWNEY, SHARON CASSEN, J.J. CHOROMANSKI, PAT CONNOLLY, DONNA KANE AND GREGORY MERZ ALSO SERVED AS BOARD MEMBERS OF ST. THERESE AT OXBOW LAKE AND SPENT AN AVERAGE OF ONE HOUR PER WEEK IN THE SERVICE OF ST. THERESE AT OXBOW LAKE. ST THERESE HOME INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 410888641 HOUSING & NURSING CARE FOR THE ELDERLY MN 501(C)(3) 9 N/A ST THERESE AT OXBOW LAKE INC 8000 BASS LAKE ROAD NEW HOPE MN 55428 205835911 HOUSING & NURSING CARE FOR THE ELDERLY MN 501(C)(3) 7 N/A 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 1 0 ST THERESE HOME INC B 245985