TRINITY TERRACE FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
TRINITY TERRACE FOUNDATION INC (EIN 91-2162130)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-04-30
IRS object ID
201131209349300503
Schema version
2009v1.4
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)
Timestamp2011-04-30T13:40:31-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN912162130EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRINITY TERRACE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTRINNameControl
Phone5418577854Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 MIRA MAR AVENUEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRAIN MCLEMOREName
TitlePRESIDENTTitle
Phone5418577215Phone
Date Signed2011-05-06DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRIAN MCLEMORENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 MIRA MAR AVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
Gross Receipts56250GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.RETIREMENT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionACQUIRE, HOLD, AND DISTRIBUTE GIFTS TO TRINITY TERRACE, AN ORGANIZATION EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODEActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers23TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2902ContributionsGrantsPriorYear
Contributions Grants Current Year56207ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year42InvestmentIncomePriorYear
Investment Income Current Year43InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2944TotalRevenuePriorYear
Total Revenue Current Year56250TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3050OtherExpensePriorYear
Other Expenses Current Year8287OtherExpensesCurrentYear
Total Expenses Prior Year3050TotalExpensesPriorYear
Total Expenses Current Year8287TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-106RevenuesLessExpensesPriorYear
Revenues Less Expenses CY47963RevenuesLessExpensesCY
Total Assets BOY66750TotalAssetsBOY
Total Assets EOY128722TotalAssetsEOY
Total Liabilities BOY2868TotalLiabilitiesBOY
Total Liabilities EOY116TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY63882NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY128606NetAssetsOrFundBalancesEOY
Mission DescriptionACQUIRE, HOLD, AND DISTRIBUTE GIFTS TO TRINITY TERRACE, AN ORGANIZATION EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6357Expense
Revenue56207Revenue
DescriptionGRANTS AND ALLOCATIONS / OUTLAYS ACCORDING TO DONORS' SPECIFIC REQUESTSDescription
Total Program Service Expense6357TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
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 Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
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 Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
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 FiledTXStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TRINITY TERRACE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5418577854TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 MIRA MAR AVEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ALLAN BARR
DIRECTOR1.00X000
DOUG WILSON
CHAIR1.00X000X
GRETCHEN SMITH
SECRETARY1.00X000X
LARRY ANFIN
DIRECTOR1.00X000
Suzy Williams
DIRECTOR1.00X000
Sally Werst McKeen
DIRECTOR1.00X000
Carlela Vogel
dIRECTOR1.00X000
Henry Hank B Paup
DIRECTOR1.00X000
Thomas Lang
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions56207AllOtherContributions
Total Contributions56207TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column43TotalRevenueColumn
Exclusion$43ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column56250TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$43ExclusionAmount

Travel Travel

FieldValueIRS element (for citing)
Total950Total
Management And General950ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROGRAM EXPENSES63576357
SUPPLIES585585
ADMINISTRATION395395

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8287Total
Program Services6357ProgramServices
Management And General1930ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY51993BOY
EOY97204EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14757BOY
EOY31518EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY66750BOY
EOY128722EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2868BOY
EOY116EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2868BOY
EOY116EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY63707BOY
EOY77008EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY175BOY
EOY51598EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63882BOY
EOY128606EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66750BOY
EOY128722EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years790CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years370CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7763CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2902CurrentTaxYearMinus1Year
Current Tax Year56207CurrentTaxYear
Total68032Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years790CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years370CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7763CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2902CurrentTaxYearMinus1Year
Current Tax Year56207CurrentTaxYear
Total68032Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50968032PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years526CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years669CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-203CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42CurrentTaxYearMinus1Year
Current Tax Year43CurrentTaxYear
Total1077Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years526CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years669CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-203CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42CurrentTaxYearMinus1Year
Current Tax Year43CurrentTaxYear
Total1077Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1316CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1039CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7560CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2944CurrentTaxYearMinus1Year
Current Tax Year56250CurrentTaxYear
Total69109Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98440PublicSupportPercentage509
Prior Year Support Percentage0.88650PriorYearSupportPercentage
Investment Income Percentage0.01560InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.11350PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionA/R GIFT ANNUNITIESDescription
Book Value31518BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets31518TotalBookValueOtherAssets
Total Revenue56250TotalRevenue
Total Expenses8287TotalExpenses
Excess Or Deficit For Year47963ExcessOrDeficitForYear
Other$16,761OtherAmount
Total Adjustments16761TotalAdjustments
Excess Or Deficit Per FS64724ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8 - Other Adjustments:Identifier
ExplanationGIFT ANNUITIES - VALUATION GHANGE: 16761.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 7aPACIFIC RETIREMENT SERVCES CAN APPOINT BOARD MEMBERS TO THE TRINITY TERRACE FOUNDATION BOARD
Form 990, Part VI, Section A, line 7bSOME DECISIONS OF THE BOARD ARE SUBJECT TO APPROVAL BY PACIFIC RETIREMENT SERVICES
Form 990, Part VI, Section B, line 11THE FORM 990 IS CURRENTLY BEING REVEIWED BY CONTROLLER AND THE BOARD OF DIRECTORS
Form 990, Part VI, Section B, line 12cCORPORATE COUNSEL ISSUES POLICY ANNUALLY TO KEY EMPLOYEES AND BOARD MEMBERS
ORGANIZATION'S BOARD REVEIWS AND APPROVES ANNUAL BUDGET
Form 990, Part VI, Section C, line 18ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL
Form 990, Part VI, Section C, line 19ALL REQUESTS GO THROUGH THE CORPORATE COUNSEL

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (45 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
URCAD
1200 Mira Mar AveMedfordOR97504931179254Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services
Holladay Park Plaza
1200 Mira Mar AveMedfordOR97504930513697Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Capitol Lakes
1200 Mira Mar AveMedfordOR97504391412320Senior HousingWI501(c)(3)501(c)(3)Pacific Retirement Services
RVM Foundation
1200 Mira Mar AveMedfordOR97504930712867Public FoundationOR501(c)(3)501(c)(3)Pacific Retirement Services
URCAD Foundation
1200 Mira Mar AveMedfordOR97504931301816Public FoundationCA501(c)(3)501(c)(3)Pacific Retirement Services
Trinity Terrace Foundation
1200 Mira Mar AveMedfordOR97504912162130Public FoundationTX501(c)(3)501(c)(3)Pacific Retirement Services
HPP Foundation
1200 Mira Mar AveMedfordOR97504264529118Public FoundationOR501(c)(3)501(c)(3)Pacific Retirement Services
Mirabella Washington Foundation
1200 Mira Mar AveMedfordOR97504450574348Public FoundationWA501(c)(3)501(c)(3)Pacific Retirement Services
Cascade Manor Foundation Inc
1200 Mira Mar AveMedfordOR97504931330100Public FoundationOR501(c)(3)501(c)(3)Pacific Retirement Services
Capitol Lakes Foundation
1200 Mira Mar AveMedfordOR97504383781089Public FoundationOR501(c)(3)501(c)(3)Pacific Retirement Services
Mira Bella
1200 Mira Mar AveMedfordOR97504342030255Senior HousingWA501(c)(3)501(c)(3)Pacific Retirement Services
Mira Bella South Waterfront
1200 Mira Mar AveMedfordOR97504711016384Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Mira Bella San Francisco Bay
1200 Mira Mar AveMedfordOR97504200428927Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services
FGP RVM Comm SvcsAP
1200 Mira Mar AveMedfordOR97504930892261Community ServicesOR501(c)(3)501(c)(3)Pacific Retirement Services
RSVP
1200 Mira Mar AveMedfordOR97504930892261Community ServicesOR501(c)(3)501(c)(3)Pacific Retirement Services
Ross Knotts
1200 Mira Mar AveMedfordOR97504930864466Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Don Lewis
1200 Mira Mar AveMedfordOR97504930942933Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Foothill
1200 Mira Mar AveMedfordOR97504943136037Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Oak Grove
1200 Mira Mar AveMedfordOR97504943179782Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Valley ViewMyrtle Creek
1200 Mira Mar AveMedfordOR97504943162074Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Pilot Butte
1200 Mira Mar AveMedfordOR97504943163349Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Royal Loto
1200 Mira Mar AveMedfordOR97504943191447Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Klamath View
1200 Mira Mar AveMedfordOR97504943196455Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Larson Creek
1200 Mira Mar AveMedfordOR97504943212537Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Lively OaksGlenridge Terrace
1200 Mira Mar AveMedfordOR97504943194409Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Timber RidgeRVM Reedsport Housing Co
1200 Mira Mar AveMedfordOR97504943212538Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Sierra Vista
1200 Mira Mar AveMedfordOR97504943212540Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services
Kingsley Court
1200 Mira Mar AveMedfordOR97504943247154Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Silverstone
1200 Mira Mar AveMedfordOR97504311520436Senior HousingTX501(c)(3)501(c)(3)Pacific Retirement Services
Pilot Butte II
1200 Mira Mar AveMedfordOR97504943260016Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Fairview Fort Worth II Housing Corp
1200 Mira Mar AveMedfordOR97504311587415Senior HousingTX501(c)(3)501(c)(3)Pacific Retirement Services
Quail Ridge
1200 Mira Mar AveMedfordOR97504311587418Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Meadow Creek RVM Roseburg II
1200 Mira Mar AveMedfordOR97504311587420Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Foothill II
1200 Mira Mar AveMedfordOR97504311662259Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Shasta Point
1200 Mira Mar AveMedfordOR97504311662208Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services
Valley View II RVM Myrtle Creek II (Plaza)
1200 Mira Mar AveMedfordOR97504311715321Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Columbia TerraceRVM Portland
1200 Mira Mar AveMedfordOR97504311780332Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Woodland Heights
1200 Mira Mar AveMedfordOR97504300037898Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Central Point
1200 Mira Mar AveMedfordOR97504300315618Senior HousingOR501(c)(3)501(c)(3)Pacific Retirement Services
Magnolia Heights
1200 Mira Mar AveMedfordOR97504900292647Senior HousingTX501(c)(3)501(c)(3)Pacific Retirement Services
Middleton Glen Inc
1200 Mira Mar AveMedfordOR97504911859494Senior HousingWI501(c)(3)501(c)(3)Pacific Retirement Services
Senior Housing of Middleton Inc
1200 Mira Mar AveMedfordOR97504470825736Senior HousingWI501(c)(3)501(c)(3)Pacific Retirement Services
PRS School of Aging Services Inc
1200 Mira Mar AveMedfordOR97504262477424SchoolOR501(c)(3)501(c)(3)Pacific Retirement Services
Corbinton Retirement
1200 Mira Mar AveMedfordOR97504262987036Senior HousingNC501(c)(3)501(c)(3)Pacific Retirement Services
Mirabella Marin
1200 Mira Mar AveMedfordOR97504263800433Senior HousingCA501(c)(3)501(c)(3)Pacific Retirement Services

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CREST PARK
1200 Mira Mar AveMedfordOR97504931169683HotelORPacific Retirement ServicesC111.00000
RS INC
1200 Mira Mar AveMedfordOR97504931328250Management CoORPacific Retirement ServicesC111.00000
Centennial Inc
1200 Mira Mar AveMedfordOR97504510554651Golf CourseORPacific Retirement ServicesC111.00000
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 Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
PACIFIC RETIREMENT SERVICES
O1000
TRINITY TERRACE
O116

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