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        <AddressLine1>One David N Myers Pkwy</AddressLine1>
        <City>Beachwood</City>
        <State>OH</State>
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      <DateSigned>2011-05-12</DateSigned>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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        <ExclusionAmount>0</ExclusionAmount>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
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        <Securities>0</Securities>
        <Other>0</Other>
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      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
      <TotalOtherRevenue>0</TotalOtherRevenue>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>167131</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>1619382</Total>
        <ProgramServices>1619382</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>35000</Total>
        <ManagementAndGeneral>35000</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>180897</Total>
        <ManagementAndGeneral>180897</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>24509</Total>
        <ManagementAndGeneral>24509</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>11812</Total>
        <ManagementAndGeneral>11812</ManagementAndGeneral>
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      <FeesForServicesManagement>
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        <ManagementAndGeneral>30000</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>8030</ManagementAndGeneral>
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        <ManagementAndGeneral>2865</ManagementAndGeneral>
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        <ManagementAndGeneral>20132</ManagementAndGeneral>
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      <InformationTechnology>
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        <ManagementAndGeneral>7905</ManagementAndGeneral>
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      <Travel>
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        <ManagementAndGeneral>765</ManagementAndGeneral>
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      <ConferencesMeetings>
        <Total>4698</Total>
        <ManagementAndGeneral>4698</ManagementAndGeneral>
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        <ManagementAndGeneral>719</ManagementAndGeneral>
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        <ManagementAndGeneral>934</ManagementAndGeneral>
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        <ManagementAndGeneral>1087</ManagementAndGeneral>
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      <OtherExpenses>
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      <OtherExpenses>
        <Description>Annual Fund Drive</Description>
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      <OtherExpenses>
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        <ManagementAndGeneral>2232</ManagementAndGeneral>
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      <AuditCommittee>1</AuditCommittee>
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      <FinancialDerivatives>
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        <MethodOfValuation>F</MethodOfValuation>
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      <CloselyHeldEquityInterests>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
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        <Description>Amounts due to The Montefiore Home</Description>
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      <TotalExpenses>2097560</TotalExpenses>
      <ExcessOrDeficitForYear>-1043649</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>887202</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>0</DonatedServicesAndFacilities>
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      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
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      <NetUnrealizedGainsInvestments>887202</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>0</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
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        <Identifier>SchD_P05_S00_L04</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>The eligible portions of the endowment funds are used to help fund special activities and certain expenses incurred by the Montefiore Home.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P10_S00_L00</Identifier>
        <ReturnReference>Schedule D, Part X</ReturnReference>
        <Explanation>Liabilities due to The Montefiore Home due to intercompany expenses.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P12_S00_L02d</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 2d</ReturnReference>
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      <Form990ScheduleDPartXIV>
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        <Explanation>Pledge bad debt expense of 53,101 and estimated additional annuity expense of 80,210.</Explanation>
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        <AddressUS>
          <AddressLine1>One David N Myers Pkwy</AddressLine1>
          <City>Beachwood</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
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        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Resident entertainment and activities; acquarium maintenance; bereavement groups; staff appreciation and development; religious services; volunteer recognition; hospice therapies; chapel, cafeteria, and dementia unit renovation; and annual fund.</PurposeOfGrant>
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      <RecipientTable>
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        <AddressUS>
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          <City>Beachwood</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
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        <AmountOfCashGrant>291256</AmountOfCashGrant>
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        <PurposeOfGrant>Resident entertainment and activities, exercise classes, kashrut at the Weils, annual allocation, and annual fund.</PurposeOfGrant>
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        <ReturnReference>Schedule I, Part I, Line 2</ReturnReference>
        <Explanation>The Foundation, with its own governing Board of Directors, periodically receives requests or funds from the Home for capital or other needs. Once approved by the Board of Directors, funds are transferred to the Home. The Foundation follows certain guidelines established by the Jewish Community Federation of Cleveland.</Explanation>
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        <NamePerson>Lauren Rock</NamePerson>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11</ReturnReference>
        <Explanation>Form 990 is prepared by accounting staff and is then reviewed by the CFO. Once review notes are cleared, the 990 is then reviewed by an independent auditor. The 990 is then presented to the Board Members for review before filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>If a conflict of interest arises, the matter would be discussed with the appropriate Board member or committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>In 2007, the Montefiore Home ad hoc committee was established to approve the hiring and compensation of the new president and CEO of the organization. This committee approved the hiring of Lauren Rock, current president and CEO of Montefiore. On an annual basis, the Chairman of the Board is responsible for the CEO's annual evaluation. At that time, recommendations can be made to the board concerning compensation and bonuses. The CEO is responsible for the annual evaluations of other key employees. The CEO also recommends compensation levels for such employees.</Explanation>
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        <Explanation>Documents are available upon request.</Explanation>
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          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
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        <EIN>311501393</EIN>
        <PrimaryActivities>Assisted Living and Rehab</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000009" softwareId="09000073" softwareVersion="v1.00">
      <Explanation>Filing on May 15th due to extension request.</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>