ROGUE VALLEY MANOR MEMORIAL FOUNDATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ROGUE VALLEY MANOR MEMORIAL FOUNDATION (EIN 93-0712867)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-06-02
- IRS object ID
- 201141539349300509
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-06-02T19:59:00-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930712867 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROGUE VALLEY MANOR MEMORIAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ROGU | NameControl |
| Phone | 5418577854 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 MIRA MAR AVE | AddressLine1 |
| City | MEDFORD | City |
| State | OR | State |
| ZIP Code | 97504 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRIAN MCLEMORE | Name |
| Title | PRESIDENT | Title |
| Phone | 5418577854 | Phone |
| Date Signed | 1920-06-02 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRIAN MCLEMORE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 MIRA MAR AVE | AddressLine1 |
| City | MEDFORD | City |
| State | OR | State |
| ZIP Code | 97504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1779479 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.RETIREMENT.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | ACQUIRE, HOLD, AND DISTRIBUTE GIFTS TO ROGUE VALLEY MANOR, AN ORGANIZATION EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2 | TotalNbrEmployees |
| Total Nbr Volunteers | 700 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1361977 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1214017 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 68059 | InvestmentIncomePriorYear |
| Investment Income Current Year | 218677 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 28416 | OtherRevenuePriorYear |
| Other Revenue Current Year | 217257 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1458452 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1649951 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1031696 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 131978 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 137186 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 58884 | OtherExpensePriorYear |
| Other Expenses Current Year | 1306094 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1222558 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1443280 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 235894 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 206671 | RevenuesLessExpensesCY |
| Total Assets BOY | 10820945 | TotalAssetsBOY |
| Total Assets EOY | 11169984 | TotalAssetsEOY |
| Total Liabilities BOY | 201834 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 58283 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10619111 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11111701 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of the RVM foundation is to enrich the quality of life for Manor Residents, for seniors served by affiliate organizations, and for others in our community | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1266661 | Expense |
| Description | GRANTS AND ALLOCATIONS / OUTLAYS ACCORDING TO DONORS' SPECIFED PURPOSES | Description |
| Total Program Service Expense | 1266661 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 1 | Form8282PropertyDisposedOf |
| Form1098 C Filed | 1 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROGUE VALLEY MANOR FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5418577616 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 MIRA MAR AVENUE | AddressLine1 |
| City | MEDFORD | City |
| State | OR | State |
| ZIP Code | 97504 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| PHYLLIS SKINNER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Ron McCune | ||||||
| dIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Jason Broesder | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARC BAYLISS | ||||||
| PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| JOE PEDROJETTI | ||||||
| VICE PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| FAYE HUTCHINGS | ||||||
| SECRETARY | 1.00 | 0 | 0 | 0 | X | |
| BRAD HICKS | ||||||
| TREASURER | 1.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 1214017 | AllOtherContributions |
| Noncash Contributions | 187347 | NoncashContributions |
| Total Contributions | 1214017 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 218677 | TotalRevenueColumn |
| Exclusion | $218,677 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 346785 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 129528 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 217257 | TotalRevenueColumn |
| Exclusion | $217,257 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1649951 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $435,934 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116639 | Total |
| Management And General | 116639 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2911 | Total |
| Management And General | 2911 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7162 | Total |
| Management And General | 7162 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10474 | Total |
| Management And General | 10474 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Management And General | 10000 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33 | Total |
| Management And General | 33 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2655 | Total |
| Management And General | 2655 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 595 | Total |
| Management And General | 595 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROGRAM EXPENSES | 1266661 | 1266661 | |
| ADMINISTRATIVE EXPENSE | 18149 | 18149 | |
| PRINTING | 5289 | 5289 | |
| LICENSES AND FEES | 2195 | 2195 | |
| INSURANCE OTHER | 410 | 410 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107 | Total |
| Management And General | 107 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1443280 | Total |
| Program Services | 1266661 | ProgramServices |
| Management And General | 176619 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1380268 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10202104 | BOY |
| EOY | 9341011 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1842 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 20504 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11417 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 9087 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 618841 | BOY |
| EOY | 437776 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10820945 | BOY |
| EOY | 11169984 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201834 | BOY |
| EOY | 10156 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 48127 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201834 | BOY |
| EOY | 58283 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3927142 | BOY |
| EOY | 4655984 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5309156 | BOY |
| EOY | 4942054 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1382813 | BOY |
| EOY | 1513663 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10619111 | BOY |
| EOY | 11111701 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10820945 | BOY |
| EOY | 11169984 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1162672 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 987658 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 774306 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1195852 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1214017 | CurrentTaxYear |
| Total | 5334505 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 196751 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 324898 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 373387 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 306275 | CurrentTaxYearMinus1Year |
| Current Tax Year | 217257 | CurrentTaxYear |
| Total | 1418568 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1359423 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1312556 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1147693 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1502127 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1431274 | CurrentTaxYear |
| Total | 6753073 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 6753073 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 42185 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 514812 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 344163 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 68059 | CurrentTaxYearMinus1Year |
| Current Tax Year | 218677 | CurrentTaxYear |
| Total | 1187896 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 42185 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 514812 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 344163 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 68059 | CurrentTaxYearMinus1Year |
| Current Tax Year | 218677 | CurrentTaxYear |
| Total | 1187896 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1401608 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1827368 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1491856 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1570186 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1649951 | CurrentTaxYear |
| Total | 7940969 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.85040 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.82380 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.14960 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.17620 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20504 | OtherCostOrOtherBasis |
| Depreciation | 11417 | Depreciation |
| Book Value | 9087 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9087 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | due to affiliates | Description |
| Amount | $48,127 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 48127 | TotalOfAmounts |
| Total Revenue | 1649951 | TotalRevenue |
| Total Expenses | 1443280 | TotalExpenses |
| Excess Or Deficit For Year | 206671 | ExcessOrDeficitForYear |
| Other | $285,919 | OtherAmount |
| Total Adjustments | 285919 | TotalAdjustments |
| Excess Or Deficit Per FS | 492590 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1463127 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -186824 | OtherRevenues |
| Revenue Not Rptd F990 | -186824 | RevenueNotRptdF990 |
| Revenue Subtotal | 1649951 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1649951 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1443280 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1443280 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1443280 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | ACTUARIAL GAIN/(LOSS) ON GIFT ANNUITY RECEIVABLES NET UNREALIZED GAIN/(LOSS) ON INVESTMENTS |
| Part XII, Line 2d - Other Adjustments: | GIFT ANNUITY AGREEMENT LOSS |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 159438 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 159438 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 45216 | OtherDirectExpensesEvent1 |
| Name Of Event2 | BIG SALE AUCTION | NameOfEvent2 |
| Gross Receipts Event2 | 160876 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 160876 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 84312 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 26471 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 26471 | GrossRevenueOtherEvents |
| Gross Receipts Total | 346785 | GrossReceiptsTotal |
| Gross Revenue Total Events | 346785 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 129528 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 129528 | DirectExpenseSummaryEvents |
| Net Income Summary | 217257 | NetIncomeSummary |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 187347 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Third Party Use: | Identifier |
| Return Reference | Part I, Line 32b: | ReturnReference |
| Explanation | RVM FOUNDATION USED VOLUNTEERS TO SELL NON CASH CONTRIBUTIONS ON CRAIGS LIST AND/OR EBAY. THE RVM FOUNDATION ALSO OCCASIONALLY USED CONSIGNMENT AND PROFESSIONAL HELP WITH AUTO SALES | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 7a | PACIFIC RETIREMENT SERVCES CAN APPOINT BOARD MEMBERS TO THE RVM FOUNDATION BOARD |
| 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 CHIEF ACCOUNNTING OFFICER 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 |
| FROM 990, PART XI, LINE 2C | PACIFIC RETIREMENT SERVICE'S AUDIT COMMITTEE SELECTS AUDITORS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (45 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| URCAD | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 931179254 | Senior Housing | CA | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Holladay Park Plaza | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 930513697 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Capitol Lakes | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 391412320 | Senior Housing | WI | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| RVM Foundation | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 930712867 | Public Foundation | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| URCAD Foundation | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 931301816 | Public Foundation | CA | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Trinity Terrace Foundation | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 912162130 | Public Foundation | TX | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| HPP Foundation | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 264529118 | Public Foundation | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Mirabella Washington Foundation | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 450574348 | Public Foundation | WA | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Cascade Manor Foundation Inc | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 931330100 | Public Foundation | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Capitol Lakes Foundation | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 383781089 | Public Foundation | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Mira Bella | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 342030255 | Senior Housing | WA | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Mira Bella South Waterfront | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 711016384 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Mira Bella San Francisco Bay | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 200428927 | Senior Housing | CA | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| FGP RVM Comm SvcsAP | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 930892261 | Community Services | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| RSVP | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 930892261 | Community Services | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Ross Knotts | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 930864466 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Don Lewis | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 930942933 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Foothill | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943136037 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Oak Grove | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943179782 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Valley ViewMyrtle Creek | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943162074 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Pilot Butte | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943163349 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Royal Loto | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943191447 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Klamath View | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943196455 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Larson Creek | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943212537 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Lively OaksGlenridge Terrace | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943194409 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Timber RidgeRVM Reedsport Housing Co | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943212538 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Sierra Vista | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943212540 | Senior Housing | CA | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Kingsley Court | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943247154 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Silverstone | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 311520436 | Senior Housing | TX | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Pilot Butte II | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 943260016 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Fairview Fort Worth II Housing Corp | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 311587415 | Senior Housing | TX | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Quail Ridge | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 311587418 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Meadow Creek RVM Roseburg II | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 311587420 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Foothill II | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 311662259 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Shasta Point | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 311662208 | Senior Housing | CA | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Valley View II RVM Myrtle Creek II (Plaza) | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 311715321 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Columbia TerraceRVM Portland | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 311780332 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Woodland Heights | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 300037898 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Central Point | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 300315618 | Senior Housing | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Magnolia Heights | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 900292647 | Senior Housing | TX | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Middleton Glen Inc | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 911859494 | Senior Housing | WI | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Senior Housing of Middleton Inc | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 470825736 | Senior Housing | WI | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| PRS School of Aging Services Inc | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 262477424 | School | OR | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Corbinton Retirement | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 262987036 | Senior Housing | NC | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
| Mirabella Marin | |||||||||
| 1200 Mira Mar Ave | Medford | OR | 97504 | 263800433 | Senior Housing | CA | 501(c)(3) | 501(c)(3) | Pacific Retirement Services |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CREST PARK | |||||||||||
| 1200 MIRA MAR AVE | MEDFORD | OR | 97504 | 931169683 | HOTEL | OR | PACIFIC RETIREMENT SERVICES | C | 1 | 1 | 1.00000 |
| RS INC | |||||||||||
| 1200 MIRA MAR AVE | MEDFORD | OR | 97504 | 931328250 | MANAGEMENT COMPANY | OR | PACIFIC RETIREMENT SERVICES | C | 1 | 1 | 1.00000 |
| CENTENNIAL INC | |||||||||||
| 1200 MIRA MAR AVE | MEDFORD | OR | 97504 | 510554651 | GOLF COURSE | OR | PACIFIC RETIREMENT SERVICES | C | 1 | 1 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| PACIFIC RETIREMENT SERVICES | |
| L | 1182 |
| ROGUE VALLEY MANOR | |
| L | 46824 |
| OTHER AFFILIATES | |
| L | 122 |