2023-05-15T10:55:37-05:00 2022-06-30 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2021-07-01 851449153 SWR1 INC SWR1 9202064930 1045 HILL STREET WATERTOWN WI 53098 NICOLE CHWALA CFO 9202064930 2023-05-12 1 NICOLE CHWALA 999009999 KIMBERLY ANDERSON P00188889 6086628600 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MATTHEW MAUTHE 1045 HILL STREET WATERTOWN WI 53098 3827431 0 X N/A X 2020 WI ORGANIZE, OPERATE AND MAINTAIN A CARE CENTER IN SOUTHWESTERN WISCONSIN FOR THE ELDERLY AND INFIRM. 7 7 0 14 0 0 192056 169111 3503233 3658318 0 2 462199 0 4157488 3827431 0 0 0 0 2046724 1619932 0 0 0 2099145 2514684 4145869 4134616 11619 -307185 2122234 1986555 610615 782121 1511619 1204434 ORGANIZE, CONSTRUST, OPERATE AND MAINTAIN A CARE CENTER IN SOUTHWESTERN WISCONSIN FOR THE ELDERLY AND INFIRM. 0 0 3441176 3658318 OPERATE AND MAINTAIN A CARE CENTER IN SOUTHWEST WISCONSIN FOR THE ELDERLY AND INFIRM. 3441176 1 1 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 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 X 7 7 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X NICOLE CHWALA 9202064930 1045 HILL STREET WATERTOWN WI 53098 MATTHEW MAUTHE CEO 5.00 35.00 X X 0 516650 40348 MICHAEL LIBBY SENIOR VP OF OPERATIONS 5.00 35.00 X X 0 290278 36357 NICOLE CHWALA CFO 5.00 35.00 X X 0 164057 0 DOUG ROGERS BOARD CHAIR 1.00 1.00 X 0 0 0 JESSE SOOKOCHOFF TREASURER 1.00 1.00 X 0 0 0 DAN ROHRBACH BOARD MEMBER 1.00 1.00 X 0 0 0 LOU SCHWEIGERT BOARD MEMBER 1.00 1.00 X 0 0 0 0 970985 76705 0 0 1 0 MARQUARDT MANAGEMENT SERVICES 1045 HILL STREET WATERTOWN WI 53098 MGMT & ADMIN FEES & PAYROLL BILLBACK 678644 NEW HORIZON FOODS PO BOX 860246 MINNEAPOLIS MN 55486 DIETARY LABOR & SERVICES 432728 SOUTHWEST HEALTH CENTER 1400 EAST SIDE ROAD PLATTEVILLE WI 53818 THERAPY, LAB, XRAY ETC PROVIDER 164171 WI DEPARTMENT OF HEALTH SERVICES 1 W WILSON ST MADISON WI 53703 STATE LICENSE AGENCY 112540 LEADERSTAT 1322 MANNING PKWY POWELL OH 43065 CONTRACTED NURSING 108710 6 167481 1630 169111 NURSING/MEDICAL CARE 623000 3658318 3658318 3658318 2 2 3827431 3658318 0 2 X 1343303 1128545 214758 276629 276629 344355 344355 119879 119879 14448 14448 805196 805196 51519 51519 114635 114635 80705 80705 7032 7032 91653 91653 81586 81586 RESIDENT CARE SUPPLIES 348116 348116 PHARMACY & LAB 184123 184123 UTILITIES 182365 182365 REPAIRS AND MAINTENANCE 58509 58509 30563 30563 4134616 3441176 693440 0 1405171 1240740 245672 354451 2356 1355 568431 178459 469035 389972 0 37 2122234 1986555 212102 433176 80172 0 318341 348945 610615 782121 X 1511619 1204434 1511619 1204434 2122234 1986555 -307185 0 X 0 1 X 0 0 X 192056 169111 361167 192056 169111 361167 361167 361167 7161552 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48105 48105 282069 88526 193543 238257 89933 148324 389972 DUE TO RELATED PARTIES 348945 348945 0 0 0 0 0 0 0 0 0 MATTHEW MAUTHE CEO 0 448088 0 68562 0 0 0 0 0 40348 0 556998 0 0 MICHAEL LIBBY SENIOR VP OF OPERATIONS 0 265557 0 24721 0 0 0 0 0 36357 0 326635 0 0 NICOLE CHWALA CFO 0 147873 0 16184 0 0 0 0 0 0 0 164057 0 0 PART I, LINE 1A RELATED ORGANIZATIONS USE THE FOLLOWING TO ESTABLISH THE COMPENSATION OF OFFICERS: INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY FORM 990 OF OTHER ORGANIZATIONS APPROVAL BY THE BOARD OF COMPENSATION COMMITTE FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED MANAGEMENT DUTIES TO IT'S SOLE MEMBER, MARQUARDT VILLAGE. FORM 990, PART VI, SECTION A, LINE 8B THE BOARD DOES NOT HAVE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE TREASURER REVIEWS THE FORM 990 IN DETAIL BEFORE SUBMITTING IT TO THE OTHER OFFICERS FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ONLY AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 805,196. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 805,196. ZINZENDORF HALL INC 1045 HILL STREET WATERTOWN WI 53098 391647409 ASSISTED LIVING WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 MARQUARDT MANAGEMENT SERVICES INC 1045 HILL STREET WATERTOWN WI 53098 391756037 SENIOR HOUSING WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 MORAVIAN HOMES INC 1045 HILL STREET WATERTOWN WI 53098 391324889 SENIOR HOUSING WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 MUELLER APARTMENTS INC 1045 HILL STREET WATERTOWN WI 53098 391294266 LOW INCOME HOUSING WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 MARQUARDT MEMORIAL MANOR INC 1045 HILL STREET WATERTOWN WI 53098 391126946 SKILLED NURSING FACILITY WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 MARQUARDT VILLAGE INC 1045 HILL STREET WATERTOWN WI 53098 391704732 MANAGEMENT SERVICES WI 501(C)(3) LINE 12B, II N/A 0 MARQUARDT HOME AND COMMUNITY BASED SERVICES INC 1045 HILL STREET WATERTOWN WI 53098 391940920 HOME HEALTH, HOSPICE AND EMERGENCY RESPONSE SERVICES WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 THE HILLS AT CORTLAND RIDGE 1045 HILL STREET WATERTOWN WI 53098 611517711 DEVELOPMENT OF RETIREMENT COMMUNITIES WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 ST ANNES'S HOME FOR THE ELDERLY MILWAUKEE 1045 HILL STREET WATERTOWN WI 53098 390985045 LONG TERM CARE FOR THE ELDERLY WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 SASC INC 1045 HILL STREET WATERTOWN WI 53098 262512451 LONG TERM CARE FOR THE ELDERLY WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 ST ELIZABETH MANOR INC 1045 HILL STREET WATERTOWN WI 53098 263031098 SENIOR HOUSING WI 501(C)(3) LINE 12B, II MARQUARDT VILLAGE INC 0 LINCOLN VILLAS NORTH INC 1045 HILL STREET WATERTOWN WI 53098 391363010 LOW INCOME SENIOR HOUSING WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 TRINITY TERRACE INC 1045 HILL STREET WATERTOWN WI 53098 391667734 LOW INCOME HOUSING WI 501(C)(3) LINE 10 MARQUARDT VILLAGE INC 0 SINSINAWA NURSING INC 1045 HILL STREET WATERTOWN WI 53098 391958028 SENIOR HOUSING WI 501(C)(3) LINE 7 MARQUARDT VILLAGE INC 0 ST ELIZABETH MANOR INC 1045 HILL STREET WATERTOWN WI 53098 263031098 SENIOR HOUSING WI 501(C)(3) LINE 12B, II MARQUARDT VILLAGE INC 0 MARQUARDT FOUNDATION INC 1045 HILL STREET WATERTOWN WI 53098 391563808 SUPPORT MARQUARDT VILLAGE INC & AFFILIATES WI 501(C)(3) LINE 7 MARQUARDT VILLAGE INC 0 MARQUARDT INVESTMENTS INC 1045 HILL STREET WATERTOWN WI 53098 475473378 INVESTMENTS WI MARQUARDT FOUNDATION INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0