2011-04-30T13:40:31-05:00 2010-09-30 990 2009-10-01 930557803 CASCADE MANOR INC CASC 5418577854 1200 MIRA MAR AVE MEDFORD OR 97405 BRIAN MCLEMORE 5418577854 2011-05-06 2009 2016-02-24 21:20:13Z BRIAN MCLEMORE 1200 MIRA MAR AVE MEDFORD OR 97504 7241836 0 X WWW.RETIREMENT.ORG X 1967 OR CASCADE MANOR INC.'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE CARE AND HOUSING FOR THE ELDERLY. 9 9 103 0 0 0 4329 47452 7148768 7029226 198808 165158 0 7351905 7241836 0 0 2909957 3073922 0 0 4079549 4121859 6989506 7195781 362399 46055 32412856 31978547 34345653 33612908 -1932797 -1634361 CASCADE MANOR. INC.'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE CARE AND HOUSING FOR THE ELDERLY. 0 0 1621488 1013534 HEALTH CARE CENTER HAS BEEN ESTABLISHED TO CARE FOR THE NEEDS OF ALL RESIDENTS OF CASCADE MANOR 863612 54112 A FOOD SERVICE PROGRAM HAS BEEN ESTABLISHED TO PROVIDE QUALITY AND NUTRITIONAL MEALS FOR ALL RESIDENTS OF CASCADE MANOR 1260130 26117 RESIDENTIAL COMMUNAL CARE FOR THE OVER 100 RESIDENTS OF CASCADE MANOR. 3745230 1 1 0 0 0 0 0 0 0 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 1 19 0 1 103 0 0 0 0 0 0 0 0 0 0 0 9 9 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X CASCADE MANOR 5418577854 1200 MIRA MAR AVE MEDFORD OR 97504 ROBERT BURKE 1.00 X X 0 0 0 MICHAEL ELDON DRENNAN 1.00 X X 0 0 0 JAMON KENT 1.00 X X 0 0 0 JOHN THOMAS 1.00 X 0 0 0 Carolyn Kranzler 1.00 X 0 0 0 Martha Teich 1.00 X 0 0 0 NIA FLECK 1.00 X 0 0 0 JOHN PORTER 1.00 X 0 0 0 Bill Van Vactor 1.00 X 0 0 0 BRIAN YOUNG 40.00 X 145084 0 32021 145084 0 32021 1 0 1 0 CHAMBERS CONSTRUCTION 3028 JUDKINS RD 1 EUGENE OR 97403 CONSTRUCTION 1388169 PETER BEREZNIAK 615 HAYDEN BRIDGE PL SPRINGFIELD OR 97477 RENOVATIONS 235649 SYSCO FOOD SERVICES P O BOX 2210 WILSONVILLE OR 97070 FOOD SUPPLIER 181606 INTERIORS PLUS INC 25055 KYLE ROAD MONROE OR 97456 CONSTRUCTION 148485 EMK MECHANICAL INC 4290 W 11TH SUITE A EUGENE OR 97402 CONSTRUCTION 114180 5 47452 47452 MONTHLY SERVICE FEES 531110 4311054 4311054 ENTRANCE FEES 531110 1369756 1369756 HEALTH CARE FEES 531110 1013534 1013534 OTHER INCOME 531110 334882 334882 7029226 165158 165158 7241836 7029226 0 165158 2432916 2029867 403049 20354 4511 15843 428539 361088 67451 192113 162576 29537 358623 358623 3005 3005 84903 84903 67657 67657 24162 10808 13354 77805 14719 63086 58775 58775 17795 7955 9840 293929 293929 1812311 1812311 UTILITIES 292621 292621 OTHER DIETARY EXPENSE 278174 278174 CONTRACT SERVICES 184815 134387 50428 PROPERTY TAXES 160144 160144 OTHER HEALTH CENTER EXP 123920 123920 283220 105685 177535 7195781 3745230 3450551 0 1279 53 1046833 838731 102685 54678 48406 47265 109707 65001 34951603 10702591 24821702 24249012 5067704 5420114 1214540 1303693 32412856 31978547 832287 1082258 15423320 15186064 17165000 16865000 925046 479586 34345653 33612908 X -2373072 -2146084 440275 511723 -1932797 -1634361 32412856 31978547 X 0 1 1 X 0 X 432685 62590 2991 4329 47452 550047 5774992 6143983 7676019 7148768 7029226 33772988 6207677 6206573 7679010 7153097 7076678 34323035 0 0 0 34323035 101026 345831 266963 126637 165158 1005615 101026 345831 266963 126637 165158 1005615 6308703 6552404 7945973 7279734 7241836 35328650 0.97150 0.96920 0.02850 0.03080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34951603 10702591 24249012 24249012 S/T INVESTMENTS 5420114 C 5420114 REFUNDABLE ENTRANCE FEES 230900 DUE TO AFFILIATES 38217 ASSET RETIREMENT OBLIGATION 210469 479586 7241836 7195781 46055 252381 252381 298436 7241836 0 7241836 0 7241836 7195781 0 7195781 0 7195781 Part XI, Line 8 - Other Adjustments: UNREALIZED GAIN ON INVESTMENT SECURITIES: 180933. CHANGE IN INTEREST OF NET ASSETS OF CM FOUNDATION: 71448. 1 X 0 0 0 0 0 0 0 0 0 BRIAN YOUNG 145084 0 0 0 0 0 10913 0 21108 0 177105 0 0 0 HOSPITAL FACILITIES AUTHORITY OF THE CITY OF MEDFORD 521378932 584283EJ0 2006-07-13 18000000 PAY OFF CONSTRUCTION LOAN FOR NEW GARDEN APARTMENTS 0 0 18000000 555000 17445000 2007 0 0 1 1 0 0 0 0 1 1 1 1 0 0 0 0 Form 990, Part VI, Section A, line 3 CASCADE MANOR DELEGATES MANAGEMENT TO PACIFIC RETIREMENT SERVICES Form 990, Part VI, Section A, line 7a PACIFIC RETIREMENT SERVCES CAN APPOINT CASCADE MANOR BOARD MEMBERS Form 990, Part VI, Section A, line 7b SOME DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY PACIFIC RETIREMENT SERVICES Form 990, Part VI, Section B, line 11 THE FORM 990 IS CURRENTLY BEING REVIEWED BY CONTROLLER AND THE BOARD OF DIRECTORS Form 990, Part VI, Section B, line 12c CORPORATE COUNSEL ISSUES POLICY ANNUALLY TO KEY EMPLOYEES AND BOARD MEMBERS ORGANIZATION'S BOARD REVIEWS AND APPROVES ANNUAL BUDGET Form 990, Part VI, Section C, line 18 ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL Form 990, Part VI, Section C, line 19 ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL FORM 990 PART XI LINE 2C PACIFIC RETIREMENT SERVICE'S AUDIT COMMITTEE SELECTS AUDITORS Pacific Retirement Services 1200 Mira Mar Ave Medford OR 97504 Supporting Org OR 501(c)(3) 13 Pacific Retirement Services PRS 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services RVM 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Trinity 1200 Mira Mar Ave Medford OR 97504 Senior Housing TX 501(c)(3) 9 Pacific Retirement Services Cascade Manor 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services URCAD 1200 Mira Mar Ave Medford OR 97504 Senior Housing CA 501(c)(3) 9 Pacific Retirement Services Holladay Park Plaza 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Capitol Lakes 1200 Mira Mar Ave Medford OR 97504 Senior Housing WI 501(c)(3) 9 Pacific Retirement Services RVM Foundation 1200 Mira Mar Ave Medford OR 97504 Public Foundation OR 501(c)(3) 9 Pacific Retirement Services URCAD Foundation 1200 Mira Mar Ave Medford OR 97504 Public Foundation CA 501(c)(3) 9 Pacific Retirement Services Trinity Terrace Foundation 1200 Mira Mar Ave Medford OR 97504 Public Foundation TX 501(c)(3) 9 Pacific Retirement Services HPP Foundation 1200 Mira Mar Ave Medford OR 97504 Public Foundation OR 501(c)(3) 9 Pacific Retirement Services Mirabella Washington Foundation 1200 Mira Mar Ave Medford OR 97504 Public Foundation WA 501(c)(3) 9 Pacific Retirement Services Cascade Manor Foundation Inc 1200 Mira Mar Ave Medford OR 97504 Public Foundation OR 501(c)(3) 9 Pacific Retirement Services Capitol Lakes Foundation 1200 Mira Mar Ave Medford OR 97504 Public Foundation OR 501(c)(3) 9 Pacific Retirement Services Mira Bella 1200 Mira Mar Ave Medford OR 97504 Senior Housing WA 501(c)(3) 9 Pacific Retirement Services Mira Bella South Waterfront 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Mira Bella San Francisco Bay 1200 Mira Mar Ave Medford OR 97504 Senior Housing CA 501(c)(3) 9 Pacific Retirement Services FGP RVM Comm SvcsAP 1200 Mira Mar Ave Medford OR 97504 Community Services OR 501(c)(3) 9 Pacific Retirement Services RSVP 1200 Mira Mar Ave Medford OR 97504 Community Services OR 501(c)(3) 9 Pacific Retirement Services Ross Knotts 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Don Lewis 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Foothill 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Oak Grove 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Valley ViewMyrtle Creek 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Pilot Butte 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Royal Loto 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Klamath View 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Larson Creek 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Lively OaksGlenridge Terrace 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Timber RidgeRVM Reedsport Housing Co 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Sierra Vista 1200 Mira Mar Ave Medford OR 97504 Senior Housing CA 501(c)(3) 9 Pacific Retirement Services Kingsley Court 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Silverstone 1200 Mira Mar Ave Medford OR 97504 Senior Housing TX 501(c)(3) 9 Pacific Retirement Services Pilot Butte II 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Fairview Fort Worth II Housing Corp 1200 Mira Mar Ave Medford OR 97504 Senior Housing TX 501(c)(3) 9 Pacific Retirement Services Quail Ridge 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Meadow Creek RVM Roseburg II 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Foothill II 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Shasta Point 1200 Mira Mar Ave Medford OR 97504 Senior Housing CA 501(c)(3) 9 Pacific Retirement Services Valley View II RVM Myrtle Creek II (Plaza) 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Columbia TerraceRVM Portland 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Woodland Heights 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Central Point 1200 Mira Mar Ave Medford OR 97504 Senior Housing OR 501(c)(3) 9 Pacific Retirement Services Magnolia Heights 1200 Mira Mar Ave Medford OR 97504 Senior Housing TX 501(c)(3) 9 Pacific Retirement Services Middleton Glen Inc 1200 Mira Mar Ave Medford OR 97504 Senior Housing WI 501(c)(3) 9 Pacific Retirement Services Senior Housing of Middleton Inc 1200 Mira Mar Ave Medford OR 97504 Senior Housing WI 501(c)(3) 9 Pacific Retirement Services PRS School of Aging Services Inc 1200 Mira Mar Ave Medford OR 97504 School OR 501(c)(3) 9 Pacific Retirement Services Corbinton Retirement 1200 Mira Mar Ave Medford OR 97504 Senior Housing NC 501(c)(3) 9 Pacific Retirement Services Mirabella Marin 1200 Mira Mar Ave Medford OR 97504 Senior Housing CA 501(c)(3) 9 Pacific Retirement Services Crest Park 1200 Mira Mar Ave Medford OR 97504 931169683 Hotel OR Pacific Retirement Services C 1.00000 RS INC 1200 Mira Mar Ave Medford OR 97504 931328250 Management Co OR Pacific Retirement Services C 1.00000 Centennial Inc 1200 Mira Mar Ave Medford OR 97504 510554651 Golf Course OR Pacific Retirement Services C 1.00000 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 PACIFIC RETIREMENT SERVICES L 436789 PACIFIC RETIREMENT SERVICES O 40066 CASCADE MANOR FOUNDATION R 47452