2024-11-08T16:53:11-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 881290177 MAPLE KNOLL COMMUNITIES FOUNDATION MAPL 5137822400 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 JAMES STAHL VP OF FINANCE 5137822400 2024-11-01 1 1 AMY CIMINELLO P00796388 6148493000 2024-10-31 2023 2024-10-15 13:58:12Z TIMOTHY MCGOWAN 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 763778 0 X WWW.MKCOMMUNITIES.ORG X 2022 OH TO PROVIDE PHILANTHROPIC SUPPORT TO ENHANCE THE EXPERIENCE OF THOSE LIVING AND WORKING WITHIN MAPLE KNOLL COMMUNITIES, INC. 14 14 0 14 0 0 3156893 572684 0 0 23131 191094 0 0 3180024 763778 0 433416 0 0 0 0 0 0 0 2210 21532 2210 454948 3177814 308830 3196051 3654488 0 42112 3196051 3612376 TO PROVIDE PHILANTHROPIC SUPPORT TO ENHANCE THE EXPERIENCE OF THOSE LIVING AND WORKING WITHIN MAPLE KNOLL COMMUNITIES, INC. 0 0 433416 433416 0 MAPLE KNOLL FOUNDATION SERVES AS A SUPPORTING FOUNDATION FOR MAPLE KNOLL COMMUNITIES (MKC) TO PROVIDE FINANCIAL AND OTHER SUPPORT TO MKC AND TO SERVE OTHER CHARITABLE PURPOSES FOR OLDER PERSONS. 433416 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 OH X JAMES STAHL 5137822687 11100 SPRINGFIELD PIKE CINCINNATI OH 45246 FRED ROBBINS CHAIRMAN 1.00 10.00 X X 0 0 0 DAVID WALLACE 1ST VICE CHAIRMAN 1.00 0.00 X X 0 0 0 DAVID ZUIDEMA SECRETARY 1.00 0.00 X X 0 0 0 TIMOTHY MCGOWAN PRESIDENT 0.10 40.00 X 0 226627 47055 JAMES STAHL VICE PRESIDENT, FINANCE 1.00 40.00 X 0 191042 35583 KURT MARTY TREASURER 1.00 0.00 X X 0 0 0 JOHN C BLOOMSTROM BOARD MEMBER 1.00 10.00 X 0 0 0 STEVE KOMRSKA BOARD MEMBER 1.00 0.00 X 0 0 0 PATRICIA HANNA BOARD MEMBER 1.00 0.00 X 0 0 0 KATHY MCGREW BOARD MEMBER 1.00 0.00 X 0 0 0 SUSAN LANG BOARD MEMBER 1.00 0.00 X 0 0 0 MARILYN HOSKINS BOARD MEMBER 1.00 0.00 X 0 0 0 JOLENE SOBOTKA BOARD MEMBER 1.00 0.00 X 0 0 0 WOODROW UIBLE BOARD MEMBER 1.00 0.00 X 0 0 0 TAMILYN BAKAS BOARD MEMBER 1.00 0.00 X 0 0 0 LYNN LARSON BOARD MEMBER 1.00 0.00 X 0 0 0 0 417669 82638 0 0 1 0 0 7500 565184 572684 191094 191094 763778 0 0 191094 433416 433416 2000 2000 15742 15742 BANK FEES 3590 3590 TAXES AND FEES 200 200 454948 433416 21532 0 174317 159063 1998615 0 4882 28142 18237 2467283 1000000 1000000 3196051 3654488 0 42112 0 42112 X 1039158 1303399 2156893 2308977 3196051 3612376 3196051 3654488 308830 107495 0 X 0 0 0 X X 1 MAPLE KNOLL COMMUNITIES 310544277 10 1 433416 0 1 433416 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 105256 14940 -26 120170 105256 105256 0.00000 1.00000 0.00000 0 0 0 RELATED PARTY RECEIVABLE 1000000 1000000 PART V, LINE 4: THE ARBORETUM ENDOWMENT IS INTENDED TO GENERATE EARNINGS TO BE USED TO MAINTAIN AND IMPROVE THE ARBORETUM ON THE CAMPUS OF MAPLE KNOLL VILLAGE. 1 MAPLE KNOLL COMMUNITIES INC 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 310544277 501(C)(3) 433416 0 GENERAL SUPPORT 1 0 PART I, LINE 2: MAPLE KNOLL COMMUNITIES FOUNDATION IS A SUPPORTING ORGANIZATION TO RELATED ORGANIZATION, MAPLE KNOLL COMMUNITIES. 0 1 0 0 0 0 0 0 0 TIMOTHY MCGOWAN PRESIDENT 0 204750 0 0 0 21877 0 29750 0 17305 0 273682 0 0 JAMES STAHL VICE PRESIDENT, FINANCE 0 142425 0 16421 0 32196 0 20173 0 15410 0 226625 0 0 PART I, LINE 3 THE SOLE MEMBER, MAPLE KNOLL COMMUNITIES, DETERMINES THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR THROUGH COMPENSATION COMMITTEES, COMPENSATION SURVEY, AND APPROVAL BY THE BOARD. PART I, LINE 4B THE RELATED ORGANIZATION, MAPLE KNOLL COMMUNITIES, MADE CONTRIBUTIONS TO A NONQUALIFIED RETIREMENT PLAN DURING THE CALENDAR YEAR FOR THE FOLLOWING INDIVIDUALS: JAMES STAHL - $15,000 TIMOTHY MCGOWAN - $23,000 MAPLE KNOLL COMMUNITIES ADOPTED THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FOR THE EXECUTIVE REFERENCED ABOVE IN 2007. A PORTION OF THE COMPENSATION HAS BEEN DEFERRED IN ACCORDANCE WITH TERMS OF THE AGREEMENT WHICH STATES THAT THE EXECUTIVE WILL BE ENTITLED TO RECEIVE THIS BENEFIT UPON RETIREMENT. IN 2019 THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WAS AMENDED TO DISTRIBUTE THE VESTED PORTION OF THE RETIREMENT PLAN ASSETS IN OCTOBER 2019 AND OCTOBER 2022 TO THE EXECUTIVE. THE NON-QUALIFIED RETIREMENT PLAN AMOUNTS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. FORM 990, PART VI, SECTION A, LINE 6 MAPLE KNOLL COMMUNITIES, INC. IS THE SOLE MEMBER OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MAPLE KNOLL COMMUNITIES, INC. HAS THE RIGHT TO APPROVE/REMOVE BOARD OF DIRECTORS. BHI RETIREMENT COMMUNITIES, THE AFFILIATED PARENT ORGANIZATION, HAS THE RIGHT TO APPOINT ONE BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 7B MAPLE KNOLL COMMUNITIES INC. HAS THE RIGHT TO APPROVAL OR REJECTION OF CERTAIN GOVERNANCE DECISIONS SUCH AS, BUT NOT LIMITED TO, APPROVAL OF THE GOVERNING BODY'S ELECTION OR REMOVAL OF MEMBERS OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE CORPORATION THAT EACH POTENTIAL CONFLICT OF INTEREST BE DISCLOSED. IF A POTENTIAL CONFLICT OF INTEREST INVOLVES A DIRECTOR OR OFFICER OF THE CORPORATION, THAT PERSON MUST DISCLOSE THE MATTER TO THE BOARD OF DIRECTORS. ANY EMPLOYEE OR MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS WHO IS NOT A DIRECTOR OR OFFICER OF THE CORPORATION WITH A POTENTIAL CONFLICT OF INTEREST MUST DISCLOSE THE MATTER TO THE CHAIRPERSON, THE PRESIDENT OR HIS OR HER DESIGNEE. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. EACH DIRECTOR, OFFICER, EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS THEY UNDERSTAND AND COMPLY WITH THE CONFLICT OF INTEREST POLICY. THIS PROCESS IS DONE ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS PAID BY THE SOLE MEMBER, MAPLE KNOLL COMMUNITIES. FOR THE CEO, THE COMPENSATION COMMITTEE MEETS ANNUALLY TO REVIEW THE CURRENT SALARIED COMPENSATION AND BONUS PACKAGE, BASED ON THE CONTRACTUAL AGREEMENT SIGNED IN THE CEO'S SALARY CONTRACT. THE ORANIZATION PARTICIPATES IN THE CHIEF EXECUTIVE FOR MULTI-SITE ORGANIZATIONS SURVEY SPONSORED BY LEADING AGE. THE RESULTS OF THIS SURVEY ARE SHARED WITH THE COMPENSATION COMMITTEE WHO THEN DETERMINES THE COMPENSATION AND EMPLOYMENT CONTRACT OF THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 13 MAPLE KNOLL COMMUNITIES FOUNDATION DOES NOT HAVE A WHISTLEBLOWER POLICY AT THIS TIME, AS THERE ARE CURRENTLY NO ONE EMPLOYED THROUGH THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 14 ALL DOCUMENTS ARE RETAINED BY THE SOLE MEMBER, MAPLE KNOLL COMMUNITIES. MAPLE KNOLL COMMUNITIES FOUNDATION FOLLOWS MAPLE KNOLL COMMUNITIES' POLICIES. BHI FOUNDATION 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351680796 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 BHI RETIREMENT COMMUNITIES INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 260262903 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 WESLEY MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351020934 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 PRAIRIE LANDING COMMUNITY INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 262053830 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 FOUR SEASONS VILLAS INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011187 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 HOOSIER MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011190 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 BHI SENIOR LIVING INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 350931432 SENIOR LIVING IN 501(C)(3) LINE 10 N/A 0 CLARK RETIREMENT COMMUNITY INC 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 381366932 SENIOR LIVING MI 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 CLARK RETIREMENT COMMUNITY FOUNDATION 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 383236052 SENIOR LIVING MI 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 CLARK RETIREMENT SERVICES COMPANY 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 842692761 SENIOR LIVING MI 501(C)(3) LINE 12B, II BHI RETIREMENT COMMUNITIES INC 1 MAPLE KNOLL COMMUNITIES INC 11100 SPRINGFIELD DRIVE CINCINNATI OH 45246 310544277 SENIOR LIVING OH 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 SLDEVELOPMENT INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 452664455 GOLF COURSE IN N/A C 1 BHI HOME CARE INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 475160712 HOME CARE IN N/A C 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0