2011-10-31T16:56:22-05:00 2011-03-31 MOSS ADAMS LLP 3121 WEST MARCH LANE SUITE 100 STOCKTON CA 952192303 990 2010-04-01 941251113 ODD FELLOWS HOME OF CALIFORNIA ODDF 4087417194 14414 OAK ST SUITE B SARATOGA CA 95070 DAVID ROSENBERG 4087417194 2011-10-31 1 TRACY S PAGLIA 2099556100 2010 2016-03-07 17:11:31Z X MARY ANN TSCHERNOSCHA 14414 OAK ST SUITE B SARATOGA CA 95070 52660157 0 X N/A X 1912 CA PROVIDE RESIDENTIAL CARE, ASSISTED LIVING AND SKILLED NURSING FACILITIES. 13 11 579 0 0 0 670966 528162 42996917 46531246 1740375 1938082 2158576 301652 47566834 49299142 0 0 0 0 17504799 18671166 0 0 0 28740079 29454910 46244878 48126076 1321956 1173066 178833754 174561231 176046503 169006746 2787251 5554485 ENHANCE QUALITY OF LIFE, PRESERVE DIGNITY, MEET HEALTH, SOCIAL AND EMOTIONAL NEEDS OF OUR RESIDENTS CONSISTENT WITH THE BASIC PRINCIPLES OF ODD FELLOWSHIP. 0 0 41044855 0 46531246 TO PROVIDE HOUSING AND MEALS, HOUSEKEEPING AND LAUNDRY SERVICES, AND SKILLED NURSING FACILITIES FOR SENIORS. THE SARATOGA FACILITIES CONSIST OF 143 ACTIVE AND 100 ASSISTED LIVING APARTMENTS, A 94 BED SKILLED NURSING FACILITY, AND 12 SPECIAL CARE BEDS. THE NAPA FACILITIES CONSIST OF 182 ACTIVE AND 63 ASSISTED LIVING APARTMENTS, 69 BED SKILLED NURSING FACILITY, AND 20 SPECIAL CARE BEDS. 41044855 1 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 135 0 1 579 1 0 0 0 0 0 0 0 0 0 0 X 13 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 0 CA X MARK DAMON (RS LLC) 5418577854 1200 MIRA MAR MEDFORD OR 97504 X MARY ANN TSCHERNOSCHA 1.00 X X 0 0 0 JUDGE DAVID ROSENBERG 1.00 X X 0 0 0 RAY LINK 1.00 X X 0 45600 0 JAY JOHNSON 1.00 X X 0 39744 0 DON SMITH 1.00 X X 0 0 0 ROBIN OLIVER 1.00 X X 0 0 0 NEIL ALLEN 1.00 X 0 0 0 PETER BREGMAN 1.00 X 0 0 0 DOROTHY HANDY 1.00 X 0 0 0 LYNN HILL 1.00 X 0 0 0 GERALD POARCH 1.00 X 0 0 0 JOYCE ROSGEN 1.00 X 0 0 0 GERALD WORTH 1.00 X 0 0 0 KATHERINE LEDFORD 40.00 X 150073 0 26569 WAYNE PANCHESSON 40.00 X 152316 0 40488 SUSAN PLATTE 40.00 X 107712 0 6644 HEROINE GERALI 40.00 X 105774 0 15830 MARY SCHRAMM 40.00 X 101684 0 10435 617559 85344 99966 5 0 1 0 CONSONUS REHAB UNIT 12 PO BOX 4800 PORTLAND OR 97208 THERAPY SERVICE 2753697 RETIREMENT SERVICES LLC 1200 MIRA MAR AVE MEDFORD OR 97504 MANAGEMENT SERVICES 2678815 WRIGHT CONTRACTING INC PO BOX 1270 SANTA ROSA CA 95402 CONSTRUCTION 1407703 EBMS INC PO BOX 1400 PORTLAND OR 97207 EMPLOYEE BENEFITS 1352757 SYSCO FOOD SERVICES PO BOX 5019 FREMONT CA 94537 FOOD SERVICE 1054765 53 528162 528162 SERVICE FEES 623990 23324496 23324496 HEALTH CENTER REVENUE 623990 18951968 18951968 ENTRANCE & APP FEES 623990 4002632 4002632 RESIDENT SERVICES 623990 252150 252150 46531246 1493105 1493105 352409 352409 3453583 3189116 171899 264467 -171899 92568 92568 GUEST FEES 623990 163151 163151 OTHER 623990 79877 79877 DELI & CATERING 623990 58624 58624 301652 49299142 46531246 0 2239734 355981 355981 14986283 13877780 1108503 106171 71261 34910 1272134 1166409 105725 1950597 1774185 176412 2399124 2399124 182603 182603 183940 183940 164766 164766 4474183 4347278 126905 294417 294417 3737124 3063226 673898 30888 30888 1970136 1970136 52154 27906 24248 6108161 6108161 156756 156756 6171571 6171571 642937 642937 FOOD AND BEVERAGE 2466942 2466942 BOND FEES & AMORTIZATIO 419208 419208 48126076 41044855 7081221 0 13889 15283 1516709 11909289 2582333 2758961 113983 135796 879674 885362 164561885 45832994 122607440 118728891 44257650 34611225 2003757 1176446 4858319 4339978 178833754 174561231 6450590 6937289 54913405 51398439 113830000 110138918 852508 532100 176046503 169006746 X 2148578 4835522 554368 634658 84305 84305 2787251 5554485 178833754 174561231 X 1173066 1594168 X X 0 1 1 X 0 X 977916 977334 573433 670966 528161 3727810 30897217 39649715 41666249 42996917 46531246 201741344 31875133 40627049 42239682 43667883 47059407 205469154 0 0 0 205469154 2756029 3198414 2358793 1740375 1845514 11899125 2756029 3198414 2358793 1740375 1845514 11899125 7821798 818092 870097 575417 301652 10387056 42452960 44643555 45468572 45983675 49206573 227755335 0.90210 0.89150 0.05220 0.05870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84305 84305 84305 84305 84305 84305 1.00000 0 1 1 6377100 6377100 140807354 38042990 102764364 4053772 1137758 2916014 12678767 6356699 6322068 644892 295547 349345 118728891 DEPOSITS 532100 532100 49299142 48126076 1173066 1594168 1594168 2767234 50900442 1594168 171898 1766066 49134376 164766 164766 49299142 48133208 171898 171898 47961310 164766 164766 48126076 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS LISTED ON SCHEDULE D PART V LINE 1 WERE ESTABLISHED FOR THE BENEFIT OF THE NAPA AND SRC FACILITIES. ENDOWMENT FUNDS ARE ALSO HELD FOR THE BENEFIT OF THE FILING ORGANIZATION BY THE GRAND LODGE OF CALIFORNIA IOOF FOR THE PURPOSE OF FUNDING OPERATIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATION ADOPTED THE PROVISIONS OF THE ASC TOPIC 740-10, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON APRIL 1, 2009, WHICH HAD NO FINANCIAL STATEMENT IMPACT TO THE CORPORATION. THE CORPORATION 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 CORPORATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY RECORDED IN EXPENSES 171,898. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY RECORDED IN EXPENSES 171,898. 0 0 0 0 0 0 0 0 0 KATHERINE LEDFORD 136882 0 13191 0 0 0 19925 0 6644 0 176642 0 34645 0 WAYNE PANCHESSON 152316 0 0 0 0 0 21538 0 18950 0 192804 0 36804 0 ABAG FINANCE AUTHORITY 943130123 00037GAJ0 2003-01-07 80201612 CONSTRUCTION FINANCING 0 0 0 80271315 5600207 8294743 1380500 5239266 597978 59158621 2006 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 RETIREMENT SERVICES, LLC IS THE MANAGEMENT COMPANY. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE MANAGEMENT COMPANY'S CORPORATE CONTROLLER, FOLLOWED BY A REVIEW OF THE BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CORPORATE COUNSEL FOR MANAGEMENT COMPANY ISSUES POLICY ANNUALLY TO KEY EMPLOYEES, MANAGEMENT COMPANY REPRESENTATIVES ATTEND BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15B KEY EMPLOYEES ARE EMPLOYEES OF THE MANAGEMENT COMPANY. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS GO THROUGH THE BOARD OF DIRECTORS. HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: FORM 990, PART VII, SECTION A, COLUMN B: RAY LINK AND JAY JOHNSON'S TIME IS DIVIDED AS FOLLOWS: ODD FELLOWS HOME OF CALIFORNIA 1 HR GRAND LODGE OF CALIFORNIA, ODD FELLOWS 32 HRS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,594,168. CHANGES TO AUDIT OVERSIGHT PROCESS PART XII, LINE 2C NO CHANGES HAVE OCCURED TO THE PROCESS THAT WAS IN PLACE FROM THE PRIOR YEAR. GRAND LODGE OF CALIFORNIA ODD FELLOWS 14414-B OAK STREET SARATOGA CA 95070 940575426 FRATERNAL BENEFICIARY SOCIETY CA 501(C)(8) N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 GRAND LODGE OF CALIFONIA ODDFELLOWS R 481762 CASH GRAND LODGE OF CALIFONIA ODDFELLOWS L 156756 CASH