2026-09-10T09:42:35-05:00 2025-12-31 410746749 CLIFTONLARSONALLEN LLP 4150 2ND STREET SOUTH SUITE 400 ST CLOUD MN 56301 990 2025-01-01 411305200 PINE RIVER GROUP HOME INC PINE 2185874888 PO BOX 96 PINE RIVER MN 56474 ARDIS ANDERBERG BOARD CHAIRPERSON 2185874888 2026-09-08 1 JASPER ASPLIN CPA P01983591 3202035500 2026-08-27 2025 ARDIS ANDERBERG PO BOX 96 PINE RIVER MN 56474 3520448 0 X WWW.PINERIVERGROUPHOME.ORG X 1977 MN SUPPORTING PERSONS WITH DISABILITIES THROUGH A PERSON-CENTERED APPROACH. 9 8 79 9 0 0 0 61679 3313105 3277145 68507 79805 54180 0 3435792 3418629 0 0 0 0 2655657 2697758 0 0 0 631012 667231 3286669 3364989 149123 53640 4065634 4127612 387169 362807 3678465 3764805 SUPPORTING PERSONS WITH DISABILITIES THROUGH A PERSON-CENTERED APPROACH. 0 0 2743714 3277145 PINE RIVER GROUP HOME, INC. CURRENTLY SUPPORTS 26 PERSONS WITH DEVELOPMENTAL AND OTHER DISABILITIES IN FIVE RESIDENTIAL HOMES AND FOUR APARTMENTS AND 15 INDIVIDUALS IN THEIR OWN HOMES IN THE PINE RIVER AREA. 2743714 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 79 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 MN X X CARRIE GUIDA 2185874888 103 5TH ST PINE RIVER MN 56474 ARDIS ANDERBERG CHAIR 0.20 X X 0 0 0 CINDY GRINDAHL VICE CHAIRPERSON 0.20 X X 0 0 0 DAN FRANK TREASURER 0.20 X X 0 0 0 SUSAN SEBASKY SECRETARY 0.20 X X 0 0 0 CATHY ERICKSON BOARD MEMBER 0.20 X 0 0 0 CYNTHIA MILLER BOARD MEMBER 0.20 X 0 0 0 DAN PFLUGSHAUPT BOARD MEMBER 0.20 X 0 0 0 JANET RILEY BOARD MEMBER 0.20 X 0 0 0 CARRIE GUIDA EXECUTIVE DIRECTOR 44.16 X 130893 0 5887 130893 0 5887 1 0 0 0 0 41445 20234 61679 RESIDENTS 624100 3277145 3277145 3277145 77963 77963 103661 101819 1842 1842 1842 3418629 3277145 0 79805 136780 27357 109423 2250742 1912509 338233 38816 38816 90115 89010 1105 181305 178475 2830 240 240 5966 5966 79282 18950 60332 3041 2878 163 14645 5322 9323 55104 52502 2602 2643 2033 610 133735 120361 13374 55401 42426 12975 REPAIRS AND MAINTENANCE 141006 95456 45550 FOOD 90928 90855 73 RESIDENT PROGRAMS 25622 25606 16 IN-SERVICE 23902 12690 11212 35716 28468 7248 3364989 2743714 621275 0 303104 197607 605790 551140 344749 313783 18551 45939 2879564 1058499 1670476 1821065 1122964 1198078 4065634 4127612 263832 229844 123337 132963 387169 362807 X 3678465 3764805 3678465 3764805 4065634 4127612 53640 32700 0 X X 0 1 X 1 0 X 34060 61679 95739 3244867 2841834 2874195 3313105 3277145 15551146 3244867 2841834 2908255 3313105 3338824 15646885 0 0 0 15646885 13067 16304 44439 77423 77963 229196 13067 16304 44439 77423 77963 229196 7738 54689 3684 45264 1842 113217 3265672 2912827 2956378 3435792 3418629 15989298 0.97860 0.98220 0.01430 0.01030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GAIN LOSS ON INVESTMENTS - 2021 AMOUNT: $ -30,604. 2022 AMOUNT: $ 19,427. 2023 AMOUNT: $ -1,610. 2024 AMOUNT: $ -8,916. 2025 AMOUNT: $ 1,842. MISCELLANEOUS INCOME - 2021 AMOUNT: $ 38,342. 2022 AMOUNT: $ 35,262. 2023 AMOUNT: $ 5,294. 2024 AMOUNT: $ 54,180. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 233062 233062 1489854 631700 858154 690100 105225 584875 466548 321574 144974 1821065 ACCRUED ACA PENALTY 132963 132963 X 3445363 32700 32700 3412663 5966 5966 3418629 3359023 0 3359023 5966 5966 3364989 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX CODES, AND THEREFORE, THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION BY THE CONTRIBUTOR. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION WOULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, LINE 1A A COMMITTEE IS FORMED TO COMPLETE PERFORMANCE EVALUATION OF THE EXECUTIVE DIRECTOR ANNUALLY. THE COMMITTEE BRINGS RECOMMENDATIONS BACK TO THE FULL BOARD FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE POWER TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE TAX RETURN IS PROVIDED TO THE FULL BOARD, WHEN AVAILABLE, BEFORE FILING, EITHER ELECTRONICALLY OR IN-PERSON. BOARD ACTION IS TAKEN AT THE NEXT MEETING. AT THE JULY MEETING, IF THE RETURN IS NOT YET AVAILABLE, THE BOARD MAY DELEGATE REVIEW/SIGNING TO THE CHAIR AND TREASURER PRIOR TO THE OCTOBER MEETING, IF FILING DEADLINE WOULD BE MISSED BY WAITING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL WRITTEN CONFLICT OF INTEREST (COI) FORMS ARE SUBMITTED AND REVIEWED. PERSONS WITH KNOWN OR DOCUMENTED COI ARE EXCUSED FROM OR ABSTAIN FROM DECISIONS OR ACTIONS PERTAINING TO THAT COI. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS A PROCESS FOR THE ANNUAL PERFORMANCE EVALUATION OF THE EXECUTIVE DIRECTOR (ED) AND DETERMINING WAGE INCREASE, OR NOT. SUBCOMMITTEE MEETS WITH ED, AND SEPARATELY WITH OTHER EMPLOYEES, CHOSEN BY THE BOARD, TO GATHER INPUT DURING THIS PROCESS. SUBCOMMITTEE TAKES SUMMARY AND RECOMMENDATION TO FULL BOARD FOR ACTION. THIS PROCESS IS DOCUMENTED IN MINUTES. THIS PROCESS MAY INCLUDE COMPARING MARKET DATA FOR SIMILAR ORGANIZATIONS OR USE OF OTHER DATA. THE BOARD REVIEWS WAGE AND YEARS OF SERVICE INFORMATION PRESENTED BY ED ALONG WITH FINANCIAL STATEMENTS TO DETERMINE WHAT BUDGET WILL SUPPORT. OTHER RELEVANT INFORMATION IS PROVIDED, IF ANY, SUCH AS MARKET DATA FROM DEED, DHS, ARRM, ANCOR OR OTHERS. ALL DECISIONS DOCUMENTED IN MINUTES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.