2011-06-02T19:59:00-05:00 2010-09-30 990 2009-10-01 930712867 ROGUE VALLEY MANOR MEMORIAL FOUNDATION ROGU 5418577854 1200 MIRA MAR AVE MEDFORD OR 97504 BRIAN MCLEMORE 5418577854 1920-06-02 2009 2016-02-24 21:20:13Z BRIAN MCLEMORE 1200 MIRA MAR AVE MEDFORD OR 97504 1779479 0 X WWW.RETIREMENT.ORG X 1977 OR ACQUIRE, HOLD, AND DISTRIBUTE GIFTS TO ROGUE VALLEY MANOR, AN ORGANIZATION EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE 7 7 2 700 0 0 1361977 1214017 0 68059 218677 28416 217257 1458452 1649951 1031696 0 0 131978 137186 0 0 58884 1306094 1222558 1443280 235894 206671 10820945 11169984 201834 58283 10619111 11111701 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 0 0 1266661 GRANTS AND ALLOCATIONS / OUTLAYS ACCORDING TO DONORS' SPECIFED PURPOSES 1266661 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 1 2 1 0 0 0 0 0 1 1 1 1 0 0 0 7 7 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X ROGUE VALLEY MANOR FOUNDATION 5418577616 1200 MIRA MAR AVENUE MEDFORD OR 97504 X PHYLLIS SKINNER 1.00 X 0 0 0 Ron McCune 1.00 X 0 0 0 Jason Broesder 1.00 X 0 0 0 MARC BAYLISS 1.00 X 0 0 0 JOE PEDROJETTI 1.00 X 0 0 0 FAYE HUTCHINGS 1.00 X 0 0 0 BRAD HICKS 1.00 X 0 0 0 0 0 0 0 0 0 0 0 1214017 187347 1214017 218677 218677 346785 129528 217257 217257 1649951 0 0 435934 116639 116639 2911 2911 7162 7162 10474 10474 10000 10000 33 33 2655 2655 595 595 PROGRAM EXPENSES 1266661 1266661 ADMINISTRATIVE EXPENSE 18149 18149 PRINTING 5289 5289 LICENSES AND FEES 2195 2195 INSURANCE OTHER 410 410 107 107 1443280 1266661 176619 0 1380268 10202104 9341011 1842 20504 11417 0 9087 618841 437776 10820945 11169984 201834 10156 0 48127 201834 58283 X 3927142 4655984 5309156 4942054 1382813 1513663 10619111 11111701 10820945 11169984 X 0 1 1 X 0 X 1162672 987658 774306 1195852 1214017 5334505 196751 324898 373387 306275 217257 1418568 1359423 1312556 1147693 1502127 1431274 6753073 0 0 0 6753073 42185 514812 344163 68059 218677 1187896 42185 514812 344163 68059 218677 1187896 1401608 1827368 1491856 1570186 1649951 7940969 0.85040 0.82380 0.14960 0.17620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20504 11417 9087 9087 due to affiliates 48127 48127 1649951 1443280 206671 285919 285919 492590 1463127 -186824 -186824 1649951 0 1649951 1443280 0 1443280 0 1443280 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 GOLF TOURNAMENT 159438 159438 45216 BIG SALE AUCTION 160876 160876 84312 1 26471 26471 346785 346785 129528 129528 217257 X 187347 FAIR MARKET VALUE 0 1 1 Third Party Use: Part I, Line 32b: 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 PACIFIC RETIREMENT SERVICES L 1182 ROGUE VALLEY MANOR L 46824 OTHER AFFILIATES L 122