2026-08-18T08:02:39-05:00 2025-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2025-01-01 421412375 COTTAGE GROVE PLACE COTT 3193632420 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 JENNIFER SNOOK EXECUTIVE DIRECTOR 3193632420 2026-08-04 1 KRISTEN DONLEVY P01670215 4144761880 2026-08-04 2025 2025-03-06 01:10:19Z JENNIFER SNOOK 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 21503278 0 X WWW.COTTAGEGROVEPLACE.COM X 1992 IA TO PROVIDE HOUSING, HEALTH CARE & RELATED SERVICES THROUGH OPERATIONS OF A CCRC RETIREMENT FACILITY 12 12 326 11 0 0 117245 118922 18940611 20987203 41333 331758 193 36623 19099382 21474506 0 0 0 0 9144550 10117148 0 0 0 11504291 12288796 20648841 22405944 -1549459 -931438 54665689 52397000 60624875 59261938 -5959186 -6864938 TO PROVIDE HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A RETIREMENT FACILITY. 0 0 18827540 0 20987203 THE RETIREMENT FACILITY CONTAINS 182 INDEPENDENT LIVING UNITS, 41 ASSISTED LIVING UNITS, 18 ASSISTED LIVING MEMORY CARE UNITS, 51 NURSING CARE BEDS AND 12 SPECIAL CARE UNITS FOR ITS RESIDENTS. ABOUT 70% OF THESE UNITS WERE OCCUPIED AT YEAR END. 18827540 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 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 1 0 0 0 1 57 0 1 326 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X GREG OLBEKSON 3192975754 2115 1ST AVE SE CEDAR RAPIDS IA 52402 TAD COOPER CHAIRMAN 5.00 0.00 X X 0 0 0 RICHARD LANDIS SECRETARY 1.00 1.00 X X 0 0 0 PHIL LENZEN TRUSTEE 1.00 0.00 X 0 0 0 TORY MEIBERG TRUSTEE 1.00 0.00 X 0 0 0 LELAND SMITHSON TRUSTEE 1.00 0.00 X 0 0 0 ED SHERMAN TRUSTEE 1.00 0.00 X 0 0 0 JANA NASSIF TRUSTEE 1.00 1.00 X 0 0 0 MIKE HATTERY TRUSTEE 3.00 0.00 X 0 0 0 WILLIAM MCCARTAN TRUSTEE 3.00 0.00 X 0 0 0 CLINT LANDIS TRUSTEE 3.00 1.00 X 0 0 0 CRAIG DAVIS TRUSTEE 1.00 0.00 X 0 0 0 BRAD KURTZ TRUSTEE 1.00 0.00 X 0 0 0 GREG OLBEKSON FINANCE DIRECTOR 48.00 1.00 X 94121 0 7399 JENNIFER SNOOK EXECUTIVE DIRECTOR 55.00 1.00 X 185501 0 16714 279622 0 24113 1 0 1 0 QUALITY CARE REHAB 8477 S SUNCOAST BLVD HOMASASSA CITRUS FL 34446 THERAPY SERVICES 739093 LCS HOLDING COMPANY LLC 400 LOCUST ST STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 289869 CLIPBOARD HEALTH PO BOX 103125 PASADENA CA 911893125 CONTRACT LABOR 247853 CLIFTONLARSONALLEN LLP 2125 WILSON AVE SW CHICAGO IL 606776376 AUDIT AND TAX SERVICES 194239 4 54154 64768 118922 RESIDENT SERVICES 623000 18815829 18815829 ENTRANCE FEES & AMORTIZATION 623000 2171374 2171374 20987203 360530 360530 28772 -28772 -28772 -28772 MISCELLANEOUS INCOME 900099 36623 36623 36623 21474506 20987203 0 368381 303675 65772 237903 8223832 7655339 568493 69685 61719 7966 856872 823457 33415 663084 606209 56875 1050043 1050043 6135 6135 23963 23963 364593 256444 108149 393665 393454 211 202372 134937 67435 319061 319061 1517873 947027 570846 75116 59516 15600 1987680 1928050 59630 2401396 2329354 72042 279267 279267 MEDICAL EXPENSE 1184520 1184520 FOOD 1101945 1101945 REPAIRS & MAINTENANCE 551302 540864 10438 DEPARTMENT SUPPLIES 469525 469525 360340 269408 90932 22405944 18827540 3578404 0 685 700 174412 295037 2682406 894845 45004 58118 211691 268306 81855959 33866813 48926139 47989146 2625352 2890848 54665689 52397000 1880899 1986694 13181008 14589655 35088599 35704674 114590 222783 2446611 18815 7913168 6739317 60624875 59261938 X -5959186 -6864938 -5959186 -6864938 54665689 52397000 X -931438 25686 X 0 1 X 1 0 X 223618 1255452 1948428 117245 118922 3663665 13301590 15411197 16879053 18940611 20987203 85519654 13525208 16666649 18827481 19057856 21106125 89183319 0 0 0 89183319 299 1538 61091 45152 360530 468610 299 1538 61091 45152 360530 468610 6913 4130 193 36623 47859 13525507 16675100 18892702 19103201 21503278 89699788 0.99420 0.99810 0.00520 0.00130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2022 AMOUNT: $ 6,913. 2023 AMOUNT: $ 4,130. 2024 AMOUNT: $ 193. 2025 AMOUNT: $ 36,623. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 114590 876919 728726 262783 1 X 4601428 4601428 63486651 25206196 38280455 7721430 4099415 3622015 5155687 4010853 1144834 890763 550349 340414 47989146 ASSETS LIMITED AS TO USE 1659995 CASH VALUE OF LIFE INSURANCE 812100 COST OF ACQUIRING CONTRACTS 418753 2890848 REFUNDABLE ENTRANCE FEES 6739317 6739317 PART IV, LINE 2B: THE ORGANIZATION IS THE TRUSTEE OF VARIOUS RESIDENT AND SECURITY DEPOSITS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. X X 0 0 0 0 0 0 0 0 0 JENNIFER SNOOK EXECUTIVE DIRECTOR 172923 0 12391 0 187 0 7489 0 9225 0 202215 0 0 0 A IOWA FINANCE AUTHORITY 521699886 2012-08-24 19300000 BOND REFINANCING; CAPITAL PROJECT 0 0 0 B IOWA FINANCE AUTHORITY 521699886 2017-08-15 25880000 CAPITAL PROJECT 0 0 0 A 7814682 19300000 361822 500000 18438178 2014 1 1 1 1 B 3241435 25880000 1918 50001 1746203 24083796 2019 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 NA 0 0 0 0 1 B 0 0 0 1 0 0 NA 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF TRUSTEES, BY RESOLUTION ADOPTED BY THE MAJORITY OF TRUSTEES IN OFFICE, MAY DESIGNATE ONE OR MORE COMMITTEES, EACH OF WHICH WILL CONSIST OF TWO OR MORE TRUSTEES, WHICH COMMITTEES, TO THE EXTENT PROVIDED IN SUCH RESOLUTION, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE CORPORATION, BUT THE DESIGNATION OF SUCH COMMITTEES AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF TRUSTEES, OR ANY INDIVIDUAL TRUSTEES OF ANY RESPONSIBILITY IMPOSED ON IT OR HIM BY LAW. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES FOR THE ORGANIZATION ARE HANDLED BY THE MANAGEMENT COMPANY - LIFE CARE SERVICES LLC. THE INDIVIDUAL THAT WAS COMPENSATED BY THE MANAGEMENT COMPANY IS JENNIFER SNOOK ($185,501). FORM 990, PART VI, SECTION A, LINE 3 LIFE CARE SERVICES HANDLES THE OVERALL MANAGEMENT OF DAY TO DAY OPERATIONS. LIFE CARE SERVICES IS AN UNRELATED THIRD PARTY ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS SENT TO THE BOARD FINANCE COMMITTEE FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ONGOING TRAINING AND REINFORCEMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED AND APPROVED ANNUALLY BY MANAGEMENT COMPANY LIFECARE SERVICES AND THE COTTAGE GROVE PLACE BOARD OF TRUSTEES USING REPORTS BY STATE AND REGION. LIFECARE SERVICES PROVIDES SALARY RANGES FOR DEPARTMENT HEADS USING THE SAME CRITERIA MATRICES. THE BOARD OF TRUSTEES APPROVES EXECUTIVE DIRECTORS AND DEPARTMENT HEADS' SALARIES DURING THE ANNUAL BUDGET APPROVAL, MOST RECENTLY IN 2024, AS DOCUMENTED IN BOARD MINUTES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF LIFE INSURANCE 25,686. COTTAGE GROVE PLACE FOUNDATION 2115 FIRST AVENUE SE CEDAR RAPIDS IA 52402 391895425 TO SUPPORT AND PROVIDE FUNDS TO COTTAGE GROVE PLACE IA 501(C)(3) LINE 12A, I COTTAGE GROVE PLACE 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 COTTAGE GROVE PLACE FOUNDATION C 54154 AMOUNT PAID